Thornton Care Center
Inspection Findings
F-Tag F600
F-F600 was cited at a D level scope and severity, potential for more than minimal harm, isolated. Residents Affected - Some
F-Tag F686
F-F686 was cited at a G level scope and severity, isolated, actual harm.
F-Tag F867
F-F867 was cited at an E level scope and severity, a potential for more than minimal harm, pattern.
IV. Interviews
The nursing home administrator (NHA) was interviewed on 6/20/24 at 2:10 p.m. The NHA said residents with pressure injuries were reviewed at QAPI. However, he said the lack of assessment and timely treatment of wounds identified during the survey was an eye opener. The NHA said the facility had missed things in their
review of the wounds. The NHA said he did not have a clinical background and therefore did not check any of the clinical information himself.
The NHA said the staff needed more training on abuse and how to appropriately prevent, report and intervene in abuse situations. He said the facility additionally needed to keep a better record of training that was completed with staff on abuse.
The medical director (MD) was interviewed on 6/24/24 at 9:57 a.m. The MD said she had become the medical director of the facility two weeks ago (beginning of June 2024). She said the facility had been using
a lot of agency staff and they were working on recruiting staff for hire by the facility. She said she felt this contributed to the facility's failures. The MD said she knew the facility had changed wound care providers recently, but she was not aware wounds were not being assessed by the facility or treated timely.
The MD said she did not recall the staff to resident abuse when a staff person laid on a resident intentionally, causing multiple rib fractures and a pneumothorax. However, she said she had not been with the facility long.
FORM CMS-2567 (02/99) Event ID: Facility ID: If continuation sheet Previous Versions Obsolete Page 24 of 24 065193
THORNTON CARE CENTER in THORNTON, 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 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 THORNTON CARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.