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Complaint Investigation

Skylake Post Acute

June 14, 2024 · Thornton, CO · 12080 Bellaire Wy
Citations 3
CMS Rating 1/5
Beds 242
Provider ID 065238
Healthcare Facility
Skylake Post Acute
Thornton, CO  ·  View full profile →
Inspection Summary

SKYLAKE POST ACUTE in THORNTON, CO — inspection on June 14, 2024.

Found 3 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.

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Inspection Findings

FF600

F-F600 for failure to prevent resident to resident altercations.

The DON was interviewed on 6/13/24 at 11:05 a.m.

The DON said the facility did not have an investigation for the resident's bite wound and it was not reported to the State oversight office as an injury of unknown origin.

The DON said she had heard about the allegation that Resident #1 had a bite mark on his arm so she asked one of the facility nurses to look at his arm.

The DON said she did not examine the resident herself and could not remember which nurse she asked to look at the resident's arm but she said remembered the nurse reported the resident did not have a bite wound.

The DON said she did not know why there was no documentation of the assessment of Resident #1 done by the nurse but said she would try to find out which nurse assessed the resident and look to see if the facility had any documentation of the allegation and the assessment of the resident.

-The DON did not provide any additional evidence to indicate the allegation that Resident #1 sustained a bite wound of unknown origin was investigated or that the nursing staff assessed and monitored the resident's injury.

Cross-referenced to

F-F609 failure to report a suspicious injury of unknown origin.

065238

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 065238 B.

Wing 06/14/2024

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Skylake Post Acute 12080 Bellaire WY Thornton, CO 80241

According to the 3/9/24 minimum data set (MDS) assessment, the resident had severe cognitive impairments and was not able to complete the brief interview for mental status (BIMS) exam.

Staff assessment of the resident revealed the resident usually understood others but had difficulty communicating some words or finishing thoughts but was able to communicate when prompted or given time; however, the resident missed some parts or intent of conversations.

The resident had short and long-term memory problems and had moderately impaired cognitive skills for daily decision making for which the resident required cues and staff supervision.

The resident wandered but did not display aggressive behaviors towards self or others.

B.

Resident representative interview

Resident #1's representative was interviewed on 6/13/24 at 6:13 p.m.

The representative said she was at the facility every day to visit with Resident #1.

She said on the morning of 4/9/24 she received a call from Resident #1's hospice nurse asking if she knew about a bite mark on the top of Resident #1's wrist.

The representative said that was the first time she was made aware that there was a bite mark on Resident #1's hand.

The representative said she was at the facility the day prior (4/8/24) at lunchtime and the resident did not have the bite mark on his arm at that time so the injury had to have happened sometime after she left the faciity on [DATE] and the morning of 4/9/24.

The representative said she went to the facility to find out what happened and observed the bite wound on Resident #1's arm.

The representative said she talked to the staff on duty and no one knew that the resident had a bite wound and nobody could reasonably explain how the bite happened.

The representative said she took a picture of the resident's wound to show the facility administration.

The representative said the bite wound was on the top side of the resident's forearm, starting at the wrist, in a vertical straight up and down direction.

She said there were several teeth marks that broke the skin on top of his wrist just above the wrist joint on the forearm.

She said the reddened open wounds had started to scab over.

She said there was bruising on the resident's arm approximately two inches from the crescent-shaped teeth impressions with broken skin and mild bruising.

She said the bite wound was vertical, or straight up and down, along the arm and not at an angle along the side of the resident's arm or on the top and bottom of the arm, which would have been more typical if the resident had bitten himself.

065238

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 065238 B.

Wing 06/14/2024

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Skylake Post Acute 12080 Bellaire WY Thornton, CO 80241

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


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