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Complaint Investigation

Center At Centerplace, Llc, The

Inspection Date: November 19, 2025
Total Violations 1
Facility ID 065431
Location GREELEY, CO
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Inspection Findings

F-Tag F0684

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0684 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

facility for administration. LPN #2 said if she could not administer the medication, she would contact the physician and possibly the pharmacy.The DON and the regional nurse consultant were interviewed again

on 11/19/25 at 12:32 p.m. The regional nurse consultant said several of Resident #5's medications were available on 10/12/25 at 8:00 a.m. in the automated dispensing system at the facility and should have been administered to the resident at that time. The regional nurse consultant said there could be delayed healing or increased infection if multiple doses of antibiotics were missed.The DON said the facility was going to be collaborating with the pharmacy to ensure more IV antibiotics that were frequently ordered by physicians at admission would be available at the facility to use in the automated medication dispensing system in case

the medication did not arrive from the pharmacy in time to be administered. The DON said the facility had provided reeducation to the nursing staff regarding medication availability.V. Facility follow-upThe DON provided a nursing staff education document titled Medication Availability for Admissions on 11/19/25 at 12:32 p.m. The document was dated 11/18/25 (during the survey), and was signed by 10 RN and LPNs. It read in pertinent part, When a medication has been ordered for admission from the discharge paperwork provided from a discharging facility, it is imperative that the patient begins their medications appropriately as ordered. If medications have not arrived from the pharmacy in time for the first dose, there are a couple of options available to pursue: check Nexsys to see if it is available, ask the family if they can bring in the medication from home, contact the pharmacy to request the medication and contact the ADON (assistant director of nursing) or DON for guidance. If the medication is not available, documentation is required, for example, what was done about it and who was contacted.

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📋 Inspection Summary

CENTER AT CENTERPLACE, LLC, THE in GREELEY, CO inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

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 GREELEY, 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 CENTER AT CENTERPLACE, LLC, THE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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