2
Inspections
1
Deficiencies
0
Actual Harm or Above
2
Occurrences
December 15, 2023
Last Inspection
S/S B Minimal potential
The most recent inspection of SPRING RIDGE PARK ASSISTED LIVING on record is dated December 15, 2023. Across 2 published inspections, state surveyors cited 1 deficiency, 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 (Licensed Only)
Administrator
Naslund, Stacie
Owner
CONTINUUM AT SPRING RIDGE PARK LLC
Phone
(303) 233-8518
Payor Source
Private Pay
City
WHEAT RIDGE
ZIP
80214
Inspections & Citations
2 inspections · 1 deficiencies12/15/2023Revisit: Licensure and Licensure Complaint (Combined) · ID 0Q0Q13No deficiencies▼
0000Initial CommentsSurveyor note▼
Findings
A revisit survey was completed on 12/15/23 for all previous deficiencies cited on 8/15/23. 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.
8/15/2023Revisit: Licensure and Licensure Complaint (Combined) · ID 0Q0Q121 deficiency▼
0000Initial CommentsSurveyor note▼
Findings
A licensure revisit was completed on 8/15/23 for all previous deficiencies cited on 11/30/22, A deficiency was cited.
Plan of correction
The state did not require a plan of correction for this citation.
1510Med/Med Adm-Rcrd Kpng MARS/S B▼
Findings
Based on record review and interview, the residence failed to ensure each qualified medication administration person (QMAP) accurately documented information regarding medication administrations in the medication administration record at the time the events were completed for each resident, affecting five of five sample residents (#5, #7, #15-#17). This deficiency was cited previously during a state licensure survey 11/30/22. Although the facility corrected the deficiency, based on the findings below, the facility has not maintained compliance with this regulatory requirement. Findings include: 1. Resident #17 was admitted to the residence on 3/13/23. A written practitioner's order, dated 3/10/23, directed the residence to administer the following medications: Mirtazapine 15 mg one tablet at bedtime (HS)Olanzapine 5 mg one tablet twice a day (BID)Aspirin extended release one tablet BIDMetoprolol 50 mg one tablet BIDSennosides 8.6 mg one tablet BIDSystine 1% eye drops one drop in each eye BIDAcetaminophen 500 mg two tablets three times a day (TID)However, the July 2023 medication administration record (MAR) revealed on 7/8/23, the evening doses for the above medications were blank. 2. Resident #5 was admitted to the residence on 11/22/21. a. A written practitioner's order, dated 2/27/23, directed the residence to administer the following medications: Trazadone 50 mg one tablet at HSQuetiapine 25 mg one half (12.5 mg) tablet BIDAcetaminophen 325 mg two tablets BIDHowever, the July 2023 MAR revealed on 7/8/23, the evening doses for the above medications were blank. b. A written practitioners order, dated 3/23/23, directed the residence to administer a liquid nutritional supplement BID. However, the July 2023 MAR revealed on 7/8/23, the evening dose was blank. 3. Resident #15 was admitted to the residence on 2/22/23. a. A written practitioners order, dated 3/8/23, directed the residence to administer carvedilol 3.125 mg one tablet BID. However, the July 2023 MAR revealed on 7/8/23, the evening dose was blank. b. A written practitioners order, dated 5/11/23, directed the residence to administer Melatonin 3 mg one tablet at HS. However, the July 2023 MAR revealed on 7/8/23, there was a blank on the MAR. c. A written practitioners order, dated 6/15/23, directed the residence to administer mirtazapine 15 mg one tablet at HS. However, the July 2023 MAR revealed on 7/8/23, there was a blank on the MAR. d. A written practitioners order, dated 6/29/23, directed the residence to administer acetaminophen 500 mg two tablets three times daily. However, the July 2023 MAR revealed on 7/8/23, the evening dose was blank. 4. Resident #16 was admitted to the residence on 7/3/23. A written practitioner's order, date 3/15/23, directed the residence to administer the following medications: Famotidine 5 mg one tablet at HSMelatonin 3 mg one tablet at HSSertraline 30 mg one tablet dailyAcetaminophen 500 mg two tablets TIDHowever, the July 2023 MAR revealed on 7/8/23, and 7/26/23, the evening doses for the famotidine, melatonin, and sertraline were blank. Additionally, the July 2023 MAR revealed blanks for the acetaminophen on the following dates: 7/8/23 for the evening dose7/25/23 for the afternoon and evening doses7/26/26 for the morning, afternoon, and evening doses7/27/23 for the morning and afternoon dosesOn 8/15/23 at 3:52 p.m., the Resident Services Director (RSD) stated the reason for the blanks on the MARs on 7/25-7/27/23, was because Resident #16 had switched rooms. She stated, for some reason, after the resident moved rooms, Resident #16 had somehow been removed from the electronic medical records system (eMAR). However, the resident had received her medications. The RSD confirmed that the qualified medication administration person (QMAPs) should have documented the medication administrations on paper MARs until Resident #16 had been placed back into the eMAR system. 5. Resident #7 was admitted to the residence on 10/1/20. a. A written practitioner's order, dated 5/5/23, directed the residence to administer acetaminophen 325 mg BID. However, the July 2023 MAR revealed on 7/8/23 and 7/17/23, the evening doses were blank.b. A written practitioner's order, dated 5/12/23, directed the residence to administer nystatin cream BID. However, the July 2023 MAR revealed on 7/8/23 and 7/17/23, the evening doses were blank. 6. InterviewsOn 8/15/23 at 3:52 p.m., the administrator stated on 7/8/23, the residence's power had gone out and the QMAPs were unable to use the eMAR system and that was the reason for the blanks on the MARs. She stated the QMAPs had documented all of the medication administrations on paper MARs. The administrator stated she would attempt to locate the documentation. On 8/15/23 at 4:15 p.m., the administrator stated she was unable to locate the paper MARs. She stated the paper MARs should have been placed in the resident's files.
Plan of correction · submitted by the facility
On the evening of 7/8/23 the community experienced a power outage, and the Electronic MAR could not be completed. The medications were given and recorded on paper MARS. The community will print blank MARs at the beginning of each month to have on hand in case of power outages or other occurrences when the EMAR may be unavailable. Any handwritten MARs will be kept in the resident's medical file for 6 months then transferred to the resident permanent file. The Resident Services director will be responsible for printing the blank MAR's and putting them in a notebook that will be kept in the medication room for use when and if EMAR is unavailable. The Resident Services Director will do a daily audit of medications to ensure medication documentation is complete for 3 months (9/23- 12/23).
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.
Reportable Occurrences
2 records5/22/2025Physical Abuse · ID 252304AL002Reported on time: Yes▼
Occurrence summary
SUMMARY OF FINDINGS:On 5/22/25, the healthcare entity investigated a reportable event. The facility acted appropriately to protect their clients by taking immediate protective actions, investigating the event, and implementing a plan to prevent a future recurrence. The healthcare entity reported physical abuse of a client. During the course of the investigation the healthcare entity ensured the clients were separated before the police were notified. As seen on the security camera, Client (A) was the victim and Client (B) and (C) were the assailants in multiple physical altercations. Client (A) sustained a bruise under their left eye and a scratch to their left cheek that was treated by staff. Supervision will be provided when Client (A) is wandering. A discussion was held with the family of Client (B) to adjust their medication or possible need for a transfer to a higher level of care. Fifteen minute checks were implemented for all clients. The event was substantiated. This public occurrence summary was provided in accordance with 25-1-124, C.R.S., and was based on the report and investigation provided by the licensed healthcare entity. Department investigation of this occurrence was conducted off-site. The healthcare entity occurrence report was submitted within the required timeframe.
Publication
Sent to facility 11/13/2025 · released to the public 11/20/2025.
6/5/2023Physical Abuse · ID 232304AL001Reported on time: Yes▼
Occurrence summary
DESCRIPTION:
On 6/5/23, a female resident (A) in her 90s tried to enter a male resident (B)'s room. In response, resident (B), in his 70s, pushed resident (A), which caused her to fall and hit her head. She was sent to the hospital for an evaluation.
FACILITY / AGENCY ACTION:
The facility conducted an internal investigation and notified the police, families/guardians, and physician. Once she was medically cleared, she returned to the facility. There were no reported injuries. Staff continued post-fall monitoring. Neither resident could recall the incident due to their cognitive impairment, but camera footage confirmed the incident happened. The residents would be encouraged to stay in common areas as staff conducted safety checks to help redirect them when needed.
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.
Publication
Sent to facility 3/4/2024 · released to the public 3/11/2024.