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Complaint Investigation

Brookdale Greenwood Village

December 1, 2025 · Greenwood Village, CO · 6450 S Boston St
Citations 4
CMS Rating 3/5
Beds 90
Provider ID 065376
Healthcare Facility
Brookdale Greenwood Village
Greenwood Village, CO  ·  View full profile →
Inspection Summary

BROOKDALE GREENWOOD VILLAGE in GREENWOOD VILLAGE, CO — inspection on December 1, 2025.

Found 4 citations. 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.

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Inspection Findings

FF0684
Quality of Life and Care Deficiencies
Potential for More Than Minimal Harm

was no documentation of why the order was placed on hold.

The director of nursing (DON) was interviewed on 9/23/25 at 3:17 p.m.

The DON said when a resident was admitted , the nurse on duty would fill the role of the admission nurse and would review the hospital orders with the on-call physician and the resident's medical provider. He said all the medications would be verified. He said the orders were then sent to the pharmacy to be filled.The DON said he was not sure how long medication delivery would take but he estimated the ordered medications would be filled and delivered to the facility within a couple hours. He said the facility would not administer medications brought in by family because they could not verify the accuracy of the medications.

The DON said he did not know why Resident #2's missed several medications after admission or why the delivery was delayed.

The DON said he would look into the medication delays.

The DON said Resident #2 was administered Trizepatide at the hospital on 5/29/25 prior to his admission to the facility.

The DON said the next dose was scheduled for 6/5/25, however Resident #2 was transferred to the hospital on 6/4/25. He said that was the reason the medication was not administered at the facility.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

12/01/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Brookdale Greenwood Village

6450 S Boston St Greenwood Village, CO 80111

SUMMARY STATEMENT OF DEFICIENCIES

implemented based on his fall history upon admission. He said the floor nurse would have provided step-by-step instructions to the resident and CNA's, for safe transfers and walking.The DON said there had been no formal training provided for staff, specifically for CNAs, on orthostatic hypotension fall prevention.

He said all residents in the facility were considered at risk for falls, and staff were aware of the general fall prevention measures in place.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

12/01/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Brookdale Greenwood Village

6450 S Boston St Greenwood Village, CO 80111

SUMMARY STATEMENT OF DEFICIENCIES

#1 was interviewed on 9/23/25 at 3:26 p.m. RN #1 said she did not know where the vinegar was stored.

She said she did not know what the vinegar was used for. LPN #1 and certified nurse aide (CNA) #1 were interviewed together on 9/23/25 at 3:29 p.m. LPN #1 said she did not know what vinegar would be used for.

CNA #1 said she would use the vinegar to clean a catheter bag. LPN #1 unlocked the medication room and looked in the room for vinegar, she confirmed that there was no vinegar. LPN #2 was interviewed on 9/23/25 at 3:31 p.m. LPN #2 said she did not have vinegar stored at the nurses' station or in the medication room. LPN #2 said she could go to the kitchen staff and ask them for it so that the nursing staff could use it to clean the residents' CPAP machines.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

12/01/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Brookdale Greenwood Village

6450 S Boston St Greenwood Village, CO 80111

SUMMARY STATEMENT OF DEFICIENCIES

According to the log, a professional service provider came on 5/27/25 for a repair to the ice machine in the main kitchen. IV.

Staff interviews The dietary manager (DM) was interviewed on 9/23/25 at approximately 1:00 p.m.

The DM said that he recognized that many food items had expired or lacked food labels and that he would monitor expiration dates closely in the future. He said the kitchen staff tried to deep clean the kitchen every Sunday.

The DM said the kitchen recently got a new power washer and he would schedule the kitchen for a deep cleaning using the power washer.

The DM said he was unable to provide documentation that the main kitchen's ice machine was been deep-cleaned by a professional service provider in the last six months and said that the facility no longer contracted with the outside service to provide the deep sanitation and chemical disinfection for the ice machine (see ice machine cleaning record above).

The NHA was interviewed on 9/23/25 at 4:22 p.m.

The NHA said that she conducted weekly walkthroughs of the kitchen and that her last walkthrough was last week.

The NHA said that her expectation of the kitchen was for it to be clean and to have all food items dated properly.

The NHA said she understood why kitchen staff was confused about the process for servicing kitchen equipment, specifically the malfunctioning ice machine in the main kitchen that did not keep ice frozen.

She said that the kitchen staff was to place a work order for the maintenance department.

From there the maintenance department was responsible for contacting the equipment vendor or completing the maintenance themselves.

Facility ID:

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 GREENWOOD VILLAGE, 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 BROOKDALE GREENWOOD VILLAGE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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