Sundance Skilled Nursing And Rehabilitation
SUNDANCE SKILLED NURSING AND REHABILITATION in COLORADO SPRINGS, CO — inspection on August 15, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
jeopardy to resident health or safety
Resident #1 said he had started to have stomach pain. RN #2 said she contacted Resident #1's representative about the incident and transfer to the hospital. RN #2 said all facility staff received re-education about hazardous items after the incident. RN #2 said the staff audited the building to be certain there were no hazardous items accessible to residents.The PCP was interviewed on [DATE] at 12:15 p.m.
The PCP said on [DATE], a staff member notified him that Resident #1 had consumed drain cleaner.
The PCP said he reviewed the MSDS for the product and contacted a poison control center.
The PCP said he was told the resident had blue color on his lips, and he estimated the resident drank approximately 10 ml of the drain cleaner, based upon staff reports and the amount remaining in the bottle.
The PCP said Resident #1 appeared stable, but was sent to the hospital out of an abundance of caution, as he began to have abdominal pain.
The PCP said the facility did a PIP related to the incident and addressed the cause of the ingestion. He said if Resident #1 had ingested more drain cleaner he would have been in trouble, as it could have caused a hole through his esophagus or his stomach.CNA #1 was interviewed on [DATE] at 12:45 p.m. CNA #1 said on [DATE], she saw Resident #1 sitting in his wheelchair in the hallway drinking from a bottle that contained a chemical. CNA #1 said she took the bottle away from the resident.
CNA #1 said she realized Resident #1 had drank some of the chemical when she noticed his lips and tongue were blue.
She said she notified the charge nurse, and the charge nurse and PCP evaluated the resident. CNA #1 said the facility had all staff check the facility, including all residents' rooms for hazardous items, including chemicals, following the incident on [DATE]. CNA #1 said the facility provided inservice training after the incident for all staff, which included both in person and online training and included the need to ensure residents could not access hazardous items.The social services director (SSD) was interviewed on [DATE] at 9:30 a.m.
The SSD said she received hazardous material training upon hire and again recently completed training in person and online after the incident involving Resident #1.
The SSD said the training focused on the need to protect residents from hazardous items.
The SSD said she was one of the staff members who were doing weekly rounds to check for any hazardous items.
She said the extensive training post-incident for all staff helped to make the staff sensitive to the potential hazards that existed to residents.
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