5
Inspections
9
Deficiencies
0
Actual Harm or Above
1
Occurrences
April 2, 2026
Last Inspection
S/S B Minimal potential
The most recent inspection of BROOKDALE GREELEY on record is dated April 2, 2026. Across 5 published inspections, state surveyors cited 9 deficiencies, none of which reached the actual-harm level.
Colorado publishes inspections on a rolling window, so older surveys may no longer appear. Citation codes 0000 and 9999 are the surveyor's opening and closing comments, not deficiencies, and are excluded from the counts above. Where the state required one, the facility's own plan of correction is shown beneath the finding it answers.
Provider Information
Status
Active
Facility Type
Assisted Living Residence/Alternative Care Facility (Medicaid)
Administrator
Eucker, Angela
Owner
BROOKDALE SENIOR LIVING COMMUNITIES, INC
Phone
(970) 330-9500
Payor Source
Medicaid, Private Pay
City
GREELEY
ZIP
80634
Inspections & Citations
5 inspections · 9 deficiencies4/2/2026Revisit: Licensure (Re-licensure) · ID EWCR12No deficiencies▼
0000Initial CommentsSurveyor note▼
Findings
A revisit survey was completed on 4/2/26 for all previous deficiencies cited on 12/16/25. The facility is in compliance with all deficiencies that were cited.
Plan of correction
The state did not require a plan of correction for this citation.
9999Final ObservationsSurveyor note▼
Findings
Citation coded "0000" or "9999" are initial and final comments of an inspection for informational purposes, this field may also have been left blank intentionally
Plan of correction
The state did not require a plan of correction for this citation.
4/2/2026Revisit: State Certification (Re-certification) · ID R22912No deficiencies▼
0000Initial CommentsSurveyor note▼
Findings
A revisit survey was completed on 4/2/26 for all previous deficiencies cited on 12/16/25. The facility is in compliance with all deficiencies that were cited.
Plan of correction
The state did not require a plan of correction for this citation.
9999Final ObservationsSurveyor note▼
Findings
Citation coded "0000" or "9999" are initial and final comments of an inspection for informational purposes, this field may also have been left blank intentionally
Plan of correction
The state did not require a plan of correction for this citation.
12/16/2025Revisit: Licensure and Licensure Complaint (Combined) · ID 9ID912No deficiencies▼
0000Initial CommentsSurveyor note▼
Findings
A relicensure survey with complaint revisit was completed on 12/16/25 for the previous deficiency cited on 11/30/22. The residence is in compliance with all regulations surveyed.
Plan of correction
The state did not require a plan of correction for this citation.
12/16/2025Licensure (Re-licensure) · ID EWCR115 deficiencies▼
0000Initial CommentsSurveyor note▼
Findings
A relicensure survey was completed on 12/16/25. Deficiencies were cited.
Plan of correction
The state did not require a plan of correction for this citation.
0640Prsnl-Stf/Vol Ornt/Trng Init GenS/S B▼
Findings
Based on interviews and record review, the residence failed to ensure that each staff member met the dementia training requirements in 7.9 (B), affecting 33 current residents. Findings include:Personnel files for the resident care coordinator and Staff #3, #4 provided by the administrator, revealed no evidence that each staff member had completed the initial four hour dementia training. Review of resident records revealed Resident #1 mild cognitive impairment had a diagnosis of dementia. Resident #2 had a diagnosis of vascular dementia, and Resident #3 had a diagnosis of dementia. On 12/17/25 at approximately 3:20.m., the administrator stated she was unaware of the requirement for initial four hour dementia training and thought it was required for a secured community.
Plan of correction · submitted by the facility
An audit of all associates will be completed and documented by 1.31.2026 by Executive Director, Business Office Coordinator and or designee to verify that all associates have completed a the required 4 hours of dementia training. Any identified associates out of compliance will be scheduled and assigned the courses for completion by 2.15.26. To monitor for on-going compliance, the Executive Director, Business Office Manager, or designee will review associate training records weekly by the 2 months. After that new hires will be reviewed on a weekly bases for a period of one month. This review will be presented at the next 2 QMP meetings at the community.
0914Em Pr-Pol/Proc 72 hrs EmS/S B▼
Findings
Based on record review and interview, the residence failed to have policies and procedures to ensure the continuation of care to all residents for 72 hours following any emergency, affecting 33 current residents. Findings include:On 12/16/25 at 8:00 a.m., a 72-hour Continuation of Care policy and procedure was requested; however, the residence did not have one included in their policy. On 12/16/25 at approximately 4:00 p.m., the administrator stated she was not aware that a 72-hour plan was included in the residence's emergency policies. She acknowledged the need for the plan to be in place.
Plan of correction · submitted by the facility
The community does have a Loss of Power Policy and had the policy in place at the time of the survey. The Executive Director was re-educated on the communities Policies and Procedures including Loss of Power Policy on 1.6.26 by District Director of Clinical Services. The Executive Director will re-educate associates and management team on Emergency policies and procedures by 1.31.26. To monitor for on-going monitoring the executive director will review Colorado Emergency policies and procedures weekly for the next 3 months and document the policies reviewed on a log. These policies will be reviewed at the next 2 QMP meetings.
0918Em Pr-Pol/Proc Rtn DrillS/S B▼
Findings
Based on record review and interview, the residence failed to identify the highest potential risk for its residence and hold routine drills to facilitate staff and resident response to that risk, affecting 33 current residents. Findings include: The residence's emergency plan failed to include a plan to identify its highest potential risk for its residence and hold routine drills to facilitate staff and resident response to that risk. On 12/16/25 at 8:00 a.m., emergency drill documentation was requested. However, after review, the drills that were being held were meetings with the staff and not simulated drills to track the response to the risk. On 12/6/25 at approximately 11:30 a.m., the resident care coordinator stated she had not been involved in a routine drill, only a meeting since starting at the residence in 2023. On 12/16/25 at approximately 4:00 p.m., the administrator stated that the drills being held were more like meetings and talking points rather than routine drills. She acknowledged the need for simulated routine emergency drills to track the response to the risk.
Plan of correction · submitted by the facility
The Executive Director was re-educated on drills process on 1.2.26 by the District Director of Clinical Services. The Executive Director will review drills process with her management team by 1.20.26. To monitor for ongoing compliance the Executive Director will send a copy of the completed monthly drill logs to the District Director of Operations monthly for the next 3 months. These drills will be reviewed at the next 2 QMP meetings.
0920Em Pr-Pol/Proc Em Pol/Proc-Min ReqS/S B▼
Findings
Based on record review and interview, the residence failed to develop and implement emergency preparedness policies and procedures which included all required elements, affecting 33 current residents. Findings include:The residence's emergency plan failed to include the following: policies that address a pre-determined means of communicating with residents, families, staff and other providers. The emergency plan also failed to include storage and preservation of medications. Lastly, the plan of protection and transfer of health information as needed to meet the care needs of the residents. On 12/16/25 the residence's emergency plan failed to include the following: Written instructions for each identified risk that includes persons to be notified and steps to be taken. When to evacuate the premises and the procedure for doing so. Along with Instructions to be readily available 24 hours a day in more than one location with all staff aware of the locations; policies that address a plan that ensures the availability of, or access to, emergency power for essential functions and all residents-required medical devices or auxiliary aids. The emergency plan also failed to mention the storage and preservation of medications. On 12/16/25 at approximately 4:00 p.m., the administrator confirmed the emergency plan failed to mention all required elements and acknowledged the need to have them in place.
Plan of correction · submitted by the facility
The Executive Director was re-educated on the emergency manual process on 1.8.26 by the District Director of Clinical Services. The Executive Director will review the emergency manual process with her management team by 1.31.26. To monitor for ongoing compliance the Executive Director will review that the emergency manual is readily available for all associates on a weekly basis for the next 3 months. The findings of this weekly audit will be reviewed at the next 2 QMP meetings.
2616In Env-Gen SmkngS/S B▼
Findings
Based on observation and interview, the residence failed to ensure resident rooms occupied by smokers had fire resistant wastebaskets along with fire resistant waste baskets in the designated smoking area outside the residence, affecting 33 current residents. Findings include: On 12/16/25 at approximately 8:30 a.m., the administrator verbally stated there was one resident who smoked cigarettes at the residence. An environmental tour of the residents' room revealed no fire-resistant wastebasket within the room. The outdoor environment revealed the cigarette wastebasket was not a fire resistant. On 12/16/25 at 2:00 p.m., the administrator acknowledged that the smokers' room had not contained fire-resistant wastebaskets and was not aware of the regulation. She also stated she was not aware the wastebasket in the designated outdoor smoking area was not fire resistant and acknowledged the need for one.
Plan of correction · submitted by the facility
The Executive Director was re-educated by District Director of Clinical services on 1.2.26 regarding smoking requirements. The Executive Director will re-educate her management team and associates by 1.31.26. Fire resistant wastebaskets for resident apartments and outside smoking area were ordered on 1.2.26. To monitor for ongoing compliance the Executive Director will review smoking area and resident’s apartments who smoke for Fire resistant wastebaskets weekly for the next 3 months. This will be reviewed at the next 2 QMP meetings.
9999Final ObservationsSurveyor note▼
Findings
THIS PORTION OF THE REPORT IS FOR INFORMATIONAL PURPOSES ONLY.No response is necessary. The residence was advised it must review and maintain the following processes in accordance with existing program regulations found at 6 CCR 1011-1, Chapter 7.14.33 (U1612) Practitioner and legal representatives notified if: Decline in baseline Resident has pattern of refusal Repetitive requests for PRNs Reaction to medications Emergent medication for angina administered Medication errors that affect the resident14.21 (U1568) Residence complying with orders. 14.31 The administrator and the QMAP supervisor shall, on a quarterly basis, audit the accuracy and completeness of the medication administration records, controlled substance list, medication error reports, and medication disposal records. Any irregularities shall be investigated and resolved. The results of the audits shall be documented and routinely included as part of the assisted living residence ' s Quality Management Program assessment and review.
Plan of correction
The state did not require a plan of correction for this citation.
12/16/2025State Certification (Re-certification) · ID R229114 deficiencies▼
0000Initial CommentsSurveyor note▼
Findings
A recertification survey was completed on 12/16/25. Deficiencies were cited.
Plan of correction
The state did not require a plan of correction for this citation.
0808PA Req-P/P-Contingency Plan▼
Findings
Based on record review and interview, the facility (residence) failed to develop and implement emergency preparedness policies and procedures which included all required elements, affecting 33 current members (residents). Findings include:The residence's emergency plan failed to include the following: policies that address a pre-determined means of communicating with residents, families, staff and other providers. The emergency plan also failed to include storage and preservation of medications. Lastly, the plan of protection and transfer of health information as needed to meet the care needs of the residents. The residence's emergency plan failed to include the following: Written instructions for each identified risk that includes persons to be notified and steps to be taken. When to evacuate the premises and the procedure for doing so. Along with Instructions to be readily available 24 hours a day in more than one location with all staff aware of the locations; policies that address a plan that ensures the availability of, or access to, emergency power for essential functions and all residents-required medical devices or auxiliary aids. The emergency plan also failed to mention the storage and preservation of medications. On 12/16/25 at approximately 4:00 p.m., the administrator confirmed the emergency plan failed to mention all required elements and acknowledged the need to have them in place.
Plan of correction · submitted by the facility
The community does have a Loss of Power Policy and had the policy in place at the time of the survey. The Executive Director was re-educated on the communities Policies and Procedures including Loss of Power Policy on 1.6.26 by District Director of Clinical Services. The Executive Director will re-educate associates and management team on Emergency policies and procedures by 1.31.26. To monitor for on-going monitoring the executive director will review Colorado Emergency policies and procedures weekly for the next 3 months and document the policies reviewed on a log. These policies will be reviewed at the next 2 QMP meetings.
0812Req-P/P Emergency Plans▼
Findings
Based on record review and interview the facility (residence) failed to identify the highest potential risk for its residence and hold routine drills to facilitate staff and resident response to that risk, affecting 33 current members (residents). Findings include: The residence's emergency plan failed to include a plan to identify its highest potential risk for its residence and hold routine drills to facilitate staff and resident response to that risk. On 12/16/25 at 8:00 a.m., emergency drill documentation was requested. However, after review, the drills that were being held were meetings with the staff and not simulated drills to track the response to the risk. On 12/6/25 at approximately 11:30 a.m., the resident care coordinator stated she had not been involved in a routine drill, only a meeting since starting at the residence in 2023. On 12/16/25 at approximately 4:00 p.m., the administrator stated that the drills being held were more like meetings and talking points rather than routine drills. She acknowledged the need for simulated routine emergency drills to track the response to the risk.
Plan of correction · submitted by the facility
The Executive Director was re-educated on drills process on 1.2.26 by the District Director of Clinical Services. The Executive Director will review drills process with her management team by 1.20.26. To monitor for ongoing compliance the Executive Director will send a copy of the completed monthly drill logs to the District Director of Operations monthly for the next 3 months. These drills will be reviewed at the next 2 QMP meetings.
0860PA Req-Personnel-CAPS/Criminal Background Ck▼
Findings
Based on interviews and record review, the facility (residence) failed to ensure that each staff member met the dementia training requirements, affecting 33 current members (residents). Findings include:Personnel files for Staff #3, #4 and the resident care coordinator provided by the administrator, revealed no evidence that each staff member had completed the initial four hour dementia training. Review of resident records revealed Resident #1 mild cognitive impairment had a diagnosis of dementia. Resident #2 had a diagnosis of vascular dementia, and Resident #3 had a diagnosis of dementia. On 12/17/25 at approximately 3:20.m., the administrator stated she was unaware of the requirement for initial four hour dementia training and thought it was required for a secured community.
Plan of correction · submitted by the facility
An audit of all associates will be completed and documented by 1.31.2026 by Executive Director, Business Office Coordinator and or designee to verify that all associates have completed a the required 4 hours of dementia training. Any identified associates out of compliance will be scheduled and assigned the courses for completion by 2.15.26. To monitor for on-going compliance, the Executive Director, Business Office Manager, or designee will review associate training records weekly by the 2 months. After that new hires will be reviewed on a weekly bases for a period of one month. This review will be presented at the next 2 QMP meetings at the community.
1780Ben/Svc Req-ACF-PA-Env Standards▼
Findings
Based on record review and interview, the facility (residence) failed to have policies and procedures to ensure the continuation of care to all residents for 72 hours following any emergency, affecting 33 current members (residents). Findings include:On 12/16/25 at 8:00 a.m., a 72-hour Continuation of Care policy and procedure was requested; however, the residence did not have one included in their policy. On 12/16/25 at approximately 4:00 p.m., the administrator stated she was not aware that a 72-hour plan was included in the residence's emergency policies. She acknowledged the need for the plan to be in place.
Plan of correction · submitted by the facility
The Executive Director was re-educated on the emergency manual process and 72-hour plan that is in place on 1.8.26 by the District Director of Clinical Services. The Executive Director will review the emergency manual process with her management team by 1.31.26. To monitor for ongoing compliance the Executive Director will review that the emergency manual is readily available for all associates on a weekly basis for the next 3 months. The findings of this weekly audit will be reviewed at the next 2 QMP meetings.
9999Final ObservationsSurveyor note▼
Findings
THIS PORTION OF THE REPORT IS FOR INFORMATIONAL PURPOSES ONLY.No response is necessary. The residence was advised it must review and maintain the following processes in accordance with existing program regulations found at 10 CCR 2505-10 8.7000.8.7411. AA. Complete the timely reporting, recording, and reviewing of Incidents which shall include, but not be limited to:DeathHospitalizationMedical emergencies above and beyond first aidAllegations of MANEInjury or illnessDamage or theft of personal propertyMed errorsLost or missing personCriminal activityIncidents or reports of unusual actions that require review8.7414. A.1-4Provider Agencies provide sufficient support to Members in the use of all medications. Medications are administered only by authorized person per Chapters VII and XXIV.Members are presumed capable of self-administration unless determined otherwise. Assessment by a qualified person determines the type and level of medication administration support. Only administer medication ordered by a practitioner. Medications are reviewed by a licensed medical professional annually, or more frequently, if recommended. MAR documentation includes refusals or adverse medication reactions and these are reported to the medical provider. Orders are maintained in the record for Members receiving assistance with medication administration. QMAPs record all medications administered including the date, time and amount of each medication administered.
Plan of correction
The state did not require a plan of correction for this citation.
Reportable Occurrences
1 records10/31/2023Brain Injury · ID 232303B5001Reported on time: Yes▼
Occurrence summary
DESCRIPTION OF OCCURRENCE: On 10/31/23, a male resident (A) in his 90s was found on the floor with blankets under his head. Resident (A) was assessed and had hit his head and was sent to the emergency room after his wife was notified. Resident was diagnosed with a brain bleed, however it could not be determined if it was new or old. FACILITY / AGENCY ACTION: The facility conducted an internal investigation and notified the family, and physician. Resident (A) went to a rehabilitation facility for therapy and hospice care after his stay in the hospital. Reviewing the documentation the night of the fall indicated resident (A) was confused and unsteady due to low sodium levels. The facility investigation concluded resident (A) had an unwitnessed fall and hit his head. The head injury could not be confirmed if it was new or old. To help prevent a recurrence, resident (A) was educated on using his walker and using his pendant. Night lights were placed in his room. One hour checks were done by staff and the resident was on a therapy plan for strengthening. However, resident (A) did not return to the facility. The facility partnered with a company that specializes in fall prevention to assist with assessments of residents and tracking.
DEPARTMENT FINDINGS: In accordance with Colorado Revised Statute 25-1-124, the Department conducted an off-site investigation of this reportable event and investigative findings submitted by the agency/facility. This public summary is based on information provided by the agency/facility to the Occurrence Section of the Department and is accurate and complete at this time. Prior to the next onsite investigation of the agency/facility, this occurrence will be reviewed. The occurrence report indicated the agency/facility acted appropriately in response to this occurrence by complying with licensing standards of reporting and investigating this occurrence.