Complaint Investigation

Canyon View Care Center

August 13, 2025 · Palisade, CO · 151 E 3rd St

Citations 1

CMS Rating 2/5

Beds 88

Provider ID 065228

Healthcare Facility

Canyon View Care Center

Palisade, CO · View full profile →

Source Document

Official CMS Inspection Report (Medicare.gov)

Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.

Inspection Summary

CANYON VIEW CARE CENTER in PALISADE, CO — inspection on August 13, 2025.

Found 1 citation. 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.

Inspection Findings

FF0600

Freedom from Abuse, Neglect, and Exploitation Deficiencies

a CNA. Resident #2 placed her hand on the back of the resident's chair.

The resident (Resident #1)

forearm.

The CNA stepped between the residents and separated them.

The resident attempted to hit

her room until she was calm.VII.

Staff interviewsThe memory care director was interviewed on 8/13/25 at 11:20 a.m.

The memory care director said the staff on the dementia unit prevented resident-to-resident altercations and behaviors with snacks and a lot of redirection.

The memory care director said all staff received dementia training once a year.

She said Resident #1 was sometimes volatile but had recently calmed down.

She said Resident #1 was good at leaving the area if she was anxious, but often tried hitting others who invaded her personal space.

The NHA was interviewed on 8/13/25 at 11:35 a.m.

The NHA said it was important to update care plans with new interventions because whatever was previously in place obviously did not work.

She said it was important to prevent resident-to-resident abuse to prevent fear or injuries.

The NHA said she felt Resident #1 did not instigate the altercations for either incident.

The NHA said the root cause of the incident on 6/13/25 appeared to be the dining room was cluttered and Resident #2 got in Resident #1's personal space.

The NHA said Resident #3 was the one who was agitated and near Resident #1's doorway on 5/28/25.

She said both incidents of abuse were substantiated.

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 PALISADE, 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 CANYON VIEW CARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.

More Reports

About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.