Forest Ridge Health And Rehab Llc
FOREST RIDGE HEALTH AND REHAB LLC in WOODLAND PARK, CO — inspection on September 8, 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
According to the September 2025 CPO, diagnoses included unspecified moderate dementia with agitation, unspecified severity of dementia without behavioral disturbance, psychotic disturbance, mood disturbance and anxiety, recurrent depressive disorder and mild neurocognitive disorder due to known physiological condition with behavioral disturbance.
The 5/29/25 MDS assessment revealed the resident had severe cognitive impairments with a brief interview for mental status (BIMS) score of two out of 15. 2.
Record reviewReview of Resident #3's EMR did not reveal documentation regarding the physical abuse incident with Resident #1 on 8/16/25.C. Resident #1 (assailant)1.
Record reviewReview of Resident #1's EMR did not reveal documentation regarding the physical abuse incident with Resident #3 on 8/16/25. V.
Staff interviewsLicensed practical nurse (LPN) #1 was interviewed on 9/8/25 at 10:10 a.m. LPN #1 said she saw a positive impact when Resident #2 moved to the second floor.
She said the second floor was a more relaxed environment.
She said the residents on the second floor were more cognitively intact and understood that they were not to enter other residents' rooms.
She said Resident #2 kept his door closed at all times, but he ate his meals in the dining room with other residents.
She said Resident #2 started interacting with others and did not exhibit any behavioral problems.
She said there were no incidents when other residents attempted to enter Resident #2's room since he had moved to the second floor.
She said there were no residents with wandering behaviors on the second floor.
She said she had never seen or heard about Resident #2 acting aggressively to staff or other residents. CNA #1 was interviewed on 9/8/25 at 10:30 a.m. CNA #1 said she had been working on the secured unit since June 2025.
She said Resident #2 stayed in his room most of the time and kept his door closed.
She said it was well known that Resident #2 was protective over his room.
She said she did not work on the unit on the day of the incidents between Resident #1 and Resident #2. CNA #1 said she remembered Resident #1 often wandered.
She said Resident #2 had a stop sign banner across his door but he kept it above head level. CNA #1 said Resident #1 usually disregarded the stop banners across doors and he ducked under them.
She said the staff needed to keep an extra set of eyes on him during their shifts and redirect him often.
She said they had two CNAs and one RN on each shift for both hallways.
She said the CNAs and the RN would divide the unit up between themselves to monitor residents.
She said the nurses' station had cameras and the nurse was able to see all of the residents' doors at the same time. CNA #2 was interviewed on 9/8/25 at 11:00 a.m. CNA #2 said a nurse informed her that Resident #1 often wandered.
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