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Complaint Investigation

Sierra Post Acute

Inspection Date: October 20, 2025
Total Violations 1
Facility ID 065272
Location LAKEWOOD, CO
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Inspection Findings

F-Tag F0600

Freedom from Abuse, Neglect, and Exploitation Deficiencies
Harm Level: Actual Harm

F 0600 Level of Harm - Actual harm Residents Affected - Few

The DON was interviewed on [DATE REDACTED] at 12:06 p.m. The DON said Resident #1 kept to himself and he had a lot of hand movements. The DON said Resident #2 had hallucinations. The DON said Resident #2 was pretty quiet upon admission, but he had opened up more and told staff when he was having hallucinations.

The DON said after any altercations, the facility completed a clinical review consisting of a medication

review by the consulting pharmacy, physician follow-up, blood work and psychological follow-up and monitoring.

The DON said Resident#2 had been in several resident-to- resident altercations since [DATE REDACTED] and the facility had not been able to identify any patterns. The DON said the facility had all staff complete a crisis prevention intervention training (CPI) to aid interventions.

The NHA was interviewed on [DATE REDACTED] at 12:22 p.m. He said the residents on the Prasada unit were a younger population. The NHA said Resident #2 usually kept to himself, but would interact with staff and other residents. The NHA said the staff had been trying to navigate Resident #2's impulses since his last altercation. The NHA said Resident #2 was receiving mental health services and he had opened up.The NHA said he had begun to be more active in activities.

The NHA said Resident #2 did not realize what occurred in the moment when the altercation between Resident #1 and Resident #2 occurred, however, later he recognized something happened and he (Resident #2) was in the wrong.

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

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📋 Inspection Summary

SIERRA POST ACUTE in LAKEWOOD, 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 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 SIERRA POST ACUTE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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