Allison Care Center
Inspection Findings
F-Tag F0600
F 0600
closed to keep Resident #4 out. It documented Resident #4 also went to the front door and dining room door and pushed on the handles, setting off the alarms.
Level of Harm - Actual harm D. Staff interviews Residents Affected - Few
The NHA, the DON, the regional clinical resource and the clinical nurse resource were interviewed together
on 10/14/25 at 11:20 a.m. The NHA said Resident #4 stood in other residents' doorways. The NHA said the facility used stop sign barriers, which had been effective in redirecting Resident #4.
The DON said facility staff had previously been made aware of Resident #4's behaviors and were advised to frequently check on him.
The NHA and the DON said Resident #4 sometimes dissociated when he could not find his words, which presented as him staring. The NHA and the DON said they were aware that Resident #3 had previously reported Resident #4's staring made her uncomfortable.
The NHA said she had a discussion regarding Resident #4's room change, with Resident #3, to assess her comfort with the move before Resident #4 moved downstairs. The NHA said Resident #3 declined an offer to move back upstairs. The NHA said a stop sign barrier was offered and Resident #3 agreed to one because she could call out for help if needed.
The NHA and the DON said they did not know that Resident #3 reported she was inappropriately touched by another resident. The NHA said Resident #4 was moved directly across the hall from Resident #3 because it was the only open male room at the time. The NHA said Resident #4 was moved downstairs due to his functional status and facility staff's concern with him potentially bumping into other residents upstairs.
The NHA, the DON, the regional clinical resource and the clinical nurse resource said they would initiate an investigation into Resident #3's allegation of inappropriate touching from Resident #4.
CNA #2 was interviewed on 10/14/25 at 2:35 p.m. CNA #2 said abuse should be immediately reported to
the nurse, then the nurse would notify the DON. CNA #2 said she was not aware of Resident #3 having any behaviors. CNA #2 said Resident #3 moved downstairs due to her discomfort of being around Resident #4.
CNA #2 said Resident #4 exhibited sexual behaviors, but he was redirectable. CNA #2 said she had not personally observed or been told of Resident #4 inappropriately touching another resident. CNA #2 said Resident #3 went upstairs for some activities, however, Resident #3 did seem to be isolating herself. CNA #2 said Resident #3 would come out of her room for drinks, but ate her meals in her room. CNA #2 said Resident #3 began isolating in her room when Resident #4 moved downstairs. CNA #2 said Resident #3 told her she wanted to eat meals in her room because she felt more comfortable and safer.
The clinical nurse resource was interviewed on 10/14/25 at 2:45 p.m. The clinical nurse resource said no staff had reported hearing of, or seeing, Resident #4 inappropriately touching other residents. The clinical nurse resource said one nurse reported Resident #4's staring made Resident #3 uncomfortable. The clinical nurse resource said other female residents in the facility denied being inappropriately
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
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If continuation sheet
ALLISON CARE CENTER in LAKEWOOD, 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 LAKEWOOD, 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 ALLISON CARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.