The Lodge At Red Rocks
Inspection Findings
F-Tag F0600
F 0600
- 2. Observations
- 3. Record review
Level of Harm - Immediate jeopardy to resident health or safety
On 10/28/25 at 10:45 a.m. Resident #4 was in his room while staff was seated outside the room and provided continuous one-on-one supervision.
Residents Affected - Some
On 10/28/25 at 4:17 p.m. Resident #4 stepped out of his room and asked CNA #5, who was providing one-on-one supervision, if he could go to the smoking area. He received a cigarette from the nurse and he was escorted outside to the designated smoking area.
A 4:22 p.m. Resident #4 was escorted back inside the building and he sat in the lobby area while CNA #5 continued to provide one-on-one supervision.
At 4:30 p.m. CNA #5 escorted the resident back to his room.
On 10/29/25 at 9:40 a.m. an unidentified staff member was seated outside Resident #4's door while he was
in his room.
On 11/3/25 at 11:30 a.m. Resident #4 was walking back from the smoking area with a one-on-one caregiver next to him.
The behavioral care plan, initiated 8/5/24 and revised 11/15/24, documented Resident #4 had dementia and at times displayed inappropriate behaviors related to his diagnosis. The care plan indicated the resident occasionally made unwelcome and inappropriate, sometimes sexual, comments directed toward female staff. Pertinent interventions, initiated on 11/4/24, included documenting each instance of inappropriate comments, noting any potential triggers, time of day, location, and response strategies that were effective, responding to inappropriate comments with a calm, neutral tone, monitoring behavior episodes to determine underlying causes and intervening as necessary to protect the rights and safety of others. The care plan included interventions, initiated on 11/4/24, for staff to monitor Resident #4 closely when in common areas, especially around female staff or residents, and to provide frequent redirection. The care plan documented additional interventions, initiated on 10/10/25, which included that Resident #4 was to receive one-to-one care from staff and was to be closely monitored at all times with readiness to de-escalate any behaviors.
The 7/14/25 IDT note revealed Resident #4 was able to make his needs known verbally and effectively. The note revealed Resident #4 had demonstrated inappropriate behavior toward female residents and continued to ha
FORM CMS-2567 (02/99) Previous Versions Obsolete
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
11/04/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
The Lodge at Red Rocks
150 Spring St Morrison, CO 80465
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 F0689
F 0689 Level of Harm - Actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
found.Regional clinical resource #1 was interviewed a second time on 11/4/25 at approximately 11:40 a.m.
She confirmed Resident #2 was located at a gas station on 8/12/25. She said Resident #2 never went back to the facility after he was located at the gas station because EMS took him to the hospital. She said she was therefore unable to confirm which staff member assessed Resident #2 for his minor abrasions to his bilateral knees and a laceration to the forehead.Regional clinical resource #1 confirmed the facility was unable to access hospital records after the resident's elopement and transfer to the hospital. She said the facility was unaware Resident #2 fractured his hand during his elopement from the facility on 8/12/25.
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
11/04/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
The Lodge at Red Rocks
150 Spring St Morrison, CO 80465
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 F0940
F 0940
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Level of Harm - Minimal harm or potential for actual harm
Based on record review and interviews, the facility failed to develop, implement and maintain an effective training program for staff based on the facility assessment and resident population for four of five certified nurse aides (CNA) reviewed. Specifically the facility failed to:-Ensure CNA #6 and CNA #7 had dementia training;-Ensure CNA #6, CNA #7 and CNA #8 had behavioral health management training;-Ensure CNA #5 and CNA #7 had resident rights training;-Ensure CNA #5 and CNA #7 had infection control training;-Ensure CNA #5, CNA #6 and CNA #7 had quality assurance performance improvement (QAPI) training; and,-Ensure CNA #7 had effective communication. Findings include:I. Record reviewA request for abuse, dementia management, behavioral health management, infection control, communication, QAPI, compliance and ethics, and resident rights training was made on 11/3/25 at 10:30 a.m. for CNA #5, CNA #6, CNA #7 and CNA #8.The facility was unable to provide documentation that CNA #5 (hired on 6/1/25) had received QAPI training upon hire.The facility was unable to provide documentation that CNA #6 (hired 6/1/25) had received dementia, behavioral health, QAPI training upon hire. The facility was unable to provide documentation for CNA #7(hired on 8/15/25) had received effective communication, resident rights, dementia, QAPI, Infection control and behavioral health management training upon hire.The facility was unable to provide documentation for CNA #8 (hired 6/1/25) had behavioral health training upon hire. II. Staff interviewsThe staff development coordinator (SDC) was interviewed on 11/4/25 at 9:20 a.m. The SDC said
she had only worked at the facility since late June 2025. The SDC said she provided education and in services to staff as education opportunities arose. She said she provided education during monthly staff meetings, and by placing an education binder at the nurses' station and providing tests to ensure the staff knew the information. The SDC said staff education was important to ensure staff were aware of what they were required to do and how to complete their job duties.The SDC said the facility held a skills fair at the end of June 2025 where different departments educated the staff on different topics.The nursing home administrator (NHA) was interviewed on 11/4/25 at 10:04 a.m. He said he had only worked at the facility a month. The NHA said he was informed there were gaps in staff education requirements and would be working with human resources to ensure staff files were up to date, which would include mandatory education. The NHA said they had recently set up an online training platform to help improve tracking of education. He said currently education was provided at staff meetings and at time of hire.
Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
THE LODGE AT RED ROCKS in MORRISON, 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 MORRISON, 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 THE LODGE AT RED ROCKS or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.