Canyon View Care Center
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
behaviors.B.
Record reviewResident #2's comprehensive care plan, revised 6/2/25, documented she received physical aggression from another resident.
Interventions included assessing and addressing for contributing sensory deficits (initiated 6/2/25), assessing and addressing for contributing sensory deficits (initiated 6/2/25), sitting with the resident and taking her for a walk outside as needed (initiated 6/2/25) and monitoring for any signs of other residents posing danger to the resident (initiated 6/2/25).A progress note, dated 6/13/25, documented a resident (Resident #1) was sitting in the dining room chair as she watched television. Resident #2 stood behind the resident's chair and next to a CNA. Resident #2 placed her hand on the back of the resident's chair.
The resident (Resident #1) reached up and said Do not touch me! Resident #1 grabbed Resident #2 by the arm with her fingernails, which resulted in three red areas and one superficial open area on Resident #2's right forearm.
The CNA stepped between the residents and separated them.
The resident attempted to hit Resident #2 again, but the staff prevented her from making contact. Resident #1 was asked to go to 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.
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