Rock Canyon Respiratory And Rehabilitation Center
ROCK CANYON RESPIRATORY AND REHABILITATION CENTER in PUEBLO, CO — inspection on July 12, 2024.
Found 5 citations. 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
F-F677:
The facility failed to provide activities of daily living (ADL) care to dependent residents.
Cross-reference
F-F689:
The facility failed to implement effective interventions to prevent falls and bruises.
Cross reference
F-F692:
The facility failed to ensure residents received the care and services necessary to meet their nutrition and hydration needs and to maintain their highest level of physical well-being.
This failure resulted in actual harm with a severe weight loss and a G level citation, actual harm that is not immediate jeopardy, isolated.
Cross-reference
The facility failed to update physician orders when the tube feeding formula was on backorder and verbally informed staff to use a comparable tube feeding formula.
This failure resulted in substandard care being provided to the residents due to eight out of eight residents having the incorrect formula administered.
Cross-reference
According to the July 2024 computerized physician orders (CPO), diagnoses included cerebral infarction (stroke), hemiplegia and hemiparesis following cerebral infarction affecting non-dominant side (limited or no movement of the resident's dominant side), cerebrovascular disease unspecified, unspecified dementia, abnormal posture, muscle weakness generalized, contracture of left elbow and contracture of muscle left upper arm.
The 6/17/24 minimum data set (MDS) assessment revealed the resident had severe cognitive impairment with a brief interview for mental status (BIMS) score of seven out of 15. He was dependent on staff for oral hygiene, toileting, bathing, dressing upper and lower body, putting on footwear, personal hygiene, transfers and bed mobility. He required supervision or touching assistance with eating.
B.
Resident interview and observations
On 7/9/24 at approximately 5:15 p m., Resident #24 was lying in his bed.
His room was at the end of the hallway. Resident #24 was yelling for help and did not have a call light.
On 7/10/24 at approximately 12:45 p.m. licensed practical nurse (LPN) #1 and certified nurse aide (CNA) #5 assisted Resident #24 with transferring from his wheelchair to the bed. Resident #24 did not have a call light in his room.
065100
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 065100 B.
Wing 07/12/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Rock Canyon Respiratory and Rehabilitation Center 2515 Pitman Pl Pueblo, CO 81004
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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.