Rehabilitation And Nursing Center Of The Rockies
Inspection Findings
F-Tag F0658
F 0658 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
the bedside. She said if medications were left at a resident's bedside, there was a potential that another resident could take the medications. The DON said medication in-services with the six rights of administration were started for the nurses that were currently working in the facility, on 9/22/25 at 1:00 p.m., (during the survey) after her initial observation of the medications in the cup in Resident #9's room. The DON said the in-services would be ongoing and each nurse would be in-serviced before the start of their next shift. Licensed practical nurse (LPN) #1 was interviewed on 9/23/25 at 12:40 p.m. LPN #1 said she administered medications by giving the medication souffle cup to the resident and watching the resident take/swallow all of their medications before documenting the medications as administered in the resident's MAR. LPN #1 said she did this process, because she did not want to have to go back into the resident's MAR and make corrections if the resident refused medications or was unavailable.The DON, the ADON,
the RNC and nursing home administrator (NHA) #2 were interviewed together on 9/23/25 at 1:42 p.m. The DON said she interviewed LPN #3 and the nurse admitted she left the souffle medication cup with the four medications in it on Resident #9's bedside table. The DON said LPN #3 told her that she attempted to wake Resident #9 to administer his medications and eventually sat them down on the resident's bedside table.
LPN #3 said she was going to come back later to administer the medications; however, she never came back to the resident's room. The DON said LPN #3 should have encouraged Resident #9 to wake up with a little more effort and stayed with the resident to watch the medications being swallowed. The DON said if
the resident never awoke, LPN #3 should have wasted (destroyed) the medications, documented they were not administered and notified the resident's physician that the medications were not administered. The DON said LPN #3 did not know that Resident #9 had not taken/swallowed the medications she left on the bedside table. The DON said LPN #3 was in-serviced over the telephone initially, on 9/22/25, and in- person upon returning for her next shift. The DON said nurses should follow physician's orders. The DON said it was important to observe the residents during medication administration to monitor the residents from any outcomes for taking or not taking their medications. The DON said there was no documentation of Resident #9 having any additional spasticity of his muscles for not receiving the medications. The DON said the facility started alert charting on Resident #9 after it was discovered he had not taken the medications that were left on his bedside table.LPN #2 was interviewed on 9/23/25 at 2:14 p.m. LPN #2 said she waited to document if a medication was administered/swallowed on a resident's MAR, until after she administered the medication. LPN #2 said she waited to document on the resident's MAR until after a medication was administered in case a resident refused the medication or was unavailable to take the medication. LPN #2 said she administered medications by giving the medication cup to the resident and watching the resident swallow the medications. LPN #2 said she watched residents take their medications to ensure the resident actually took them and to ensure no one else took the resident's medications.
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
09/23/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Rehabilitation and Nursing Center of the Rockies
1020 Patton St Fort Collins, CO 80524
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0842
Federal health inspectors cited REHABILITATION AND NURSING CENTER OF THE ROCKIES in FORT COLLINS, CO for a deficiency under regulatory tag F-F0842 during a complaint investigation conducted on 2025-09-23.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 2 deficiencies cited during this inspection of REHABILITATION AND NURSING CENTER OF THE ROCKIES.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-30.
REHABILITATION AND NURSING CENTER OF THE ROCKIES in FORT COLLINS, CO inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in FORT COLLINS, CO, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from REHABILITATION AND NURSING CENTER OF THE ROCKIES or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.