Skip to main content
Complaint Investigation

Lakeside Post Acute

March 26, 2026 · Wheat Ridge, CO · 6270 W 38th Ave
Citations 1
CMS Rating 3/5
Beds 78
Provider ID 065273
Healthcare Facility
Lakeside Post Acute
Wheat Ridge, CO  ·  View full profile →
Inspection Summary

LAKESIDE POST ACUTE in WHEAT RIDGE, CO — inspection on March 26, 2026.

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.

Advertisement

Inspection Findings

FF0610
Freedom from Abuse, Neglect, and Exploitation Deficiencies

on his shirt.

The resident pointed to the spilled oatmeal that was still on his shirt from his morning

of the wheelchair and he had a bruise on his upper arm where the armrest was poking into his arm

side of the wheelchair. C.

Record reviewResident #2's care plan, dated 2/6/26, revealed the resident had the potential to display behaviors that included verbal aggression towards others, delusions and hallucinations.

The care plan documented the resident had a history of making false allegations. He had a history of reporting decreased interest in things with displayed tearfulness, sleep disturbance, worry, anxiety, and obsessive thoughts.

The care plan documented the resident sometimes declined medications prescribed to treat related symptoms.

Pertinent interventions included providing care in pairs (two staff members) at all times, documenting and recording behavioral episodes, investigating all concerns voiced, maintaining a calm, slow, understandable approach and providing the PASRR (Preadmission Screening and Resident Review) Level II recommendations, which included individual therapy due to the resident's diagnosis of post-traumatic stress disorder (PTSD).-However, there was no related care plan focus to address the resident's PTSD and interventions to help the resident manage PTSD symptoms. IV.

Staff interviews LPN #2 was interviewed on 3/26/26 at 10:56 a.m. LPN #2 said Resident #2 was to receive care in pairs and they were to take extra time to have a conversation explaining each step of care with Resident #2 before starting and during care in order to increase comfort and trust. LPN #2 said he had not had a problem with implementing this approach with the resident.CNA #2 was interviewed on 3/26/26 at 10:59 a.m. CNA #2 said he always provided Resident #2 care with another staff person and always took extra time to make sure to be attentive and let the resident know what was occurring. He said he always made sure to tell Resident #2 thank you after care to make the resident feel respected. CNA #2 said when wiping the resident during a brief change, he was careful to provide more of dabbing motion than a wiping because that was more acceptable and comfortable for the resident.

The director of nursing (DON) and the NHA were interviewed on 3/26/26 at 1:38 p.m.

The NHA said the facility investigation revealed the resident had misinterpreted the staff's actions during incontinence care.

The DON said the nurse witnessed the care and reported that CNA #1 had not inserted his finger into the resident's anus.

The DON said the resident had a large bowel movement and CNA #1 had to wipe the resident several times to remove all of the feces from his buttocks and anal area.

The DON said CNA #1 had wiped the resident's rectal area over and over again to properly clean him.

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


More Reports

Advertisement