5
Inspections
2
Deficiencies
0
Actual Harm or Above
0
Occurrences
February 11, 2026
Last Inspection
S/S B Minimal potential
The most recent inspection of MYRON STRATTON HOME, THE on record is dated February 11, 2026. Across 5 published inspections, state surveyors cited 2 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
HUNTER, MARGARET
Owner
THE MYRON STRATTON HOME
Phone
(719) 540-3113
Payor Source
Medicaid, Private Pay
City
COLORADO SPRINGS
ZIP
80906
Inspections & Citations
5 inspections · 2 deficiencies2/11/2026Licensure (Re-licensure) · ID RVD511No deficiencies▼
0000Initial CommentsSurveyor note▼
Findings
An administrative relicensure survey was completed on 2/11/26. No deficiencies were cited.
Plan of correction
The state did not require a plan of correction for this citation.
4/3/2024Revisit: State Certification (Re-certification) · ID RKTV12No deficiencies▼
0000Initial CommentsSurveyor note▼
Findings
A revisit survey was completed on 4/3/24 for all previous deficiencies cited on 12/27/23. 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.
4/3/2024Revisit: Licensure (Re-licensure) · ID WGQ812No deficiencies▼
0000Initial CommentsSurveyor note▼
Findings
A revisit survey was completed on 4/3/24 for all previous deficiencies cited on 12/27/23. 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.
12/27/2023State Certification (Re-certification) · ID RKTV111 deficiency▼
0000Initial CommentsSurveyor note▼
Findings
A recertification survey was completed on 12/27/23. A deficiency was cited.
Plan of correction
The state did not require a plan of correction for this citation.
0630Acf-Prov Role/Resp-Svc Req Med admn Pol/PrS/S B▼
Findings
Based on observation, interview and record review, the facility (residence) failed to maintain and follow written policies and procedures for the administration of medication in accordance with 6 CCR 1011-1, Chapter VII Medication Administration Regulations, affecting one of three sample participants (residents) (#2). 1. Chapter VII regulations governing assisted living residents part 14.20, states the assisted living residence shall contact the authorized practitioner for clarification of any orders which are incomplete or unclear and obtain new orders in writing.a. Resident #2 was admitted to the residence on 8/31/23. LisinoprilA written practioner's order, dated 11/20/23 instructed the facility to administer Liisinopril 40 mg daily. A written practitioners order, dated 9/25/23 directed the facility to check blood pressure twice daily and call the office if blood pressure is over 170. However the November and December Medication administration record read the medication was not given on 11/12, 11/29, 12/1, 12/17, 12/20, 12/23, 12/27/23. The November Medication Administration Record read:11/12/23, Held Lisinopril low BP 96/6011/29/23, Held Lisinopril BP 98/60The December Medication Administration Record read:12/1/23 at 7:40 a.m., Held Lisinopril BP 98/6412/17/23 at 8:00 a.m., Held Lisinopril low BP12/20/23 at 7:15 a.m., Held Lisinopril BP 104/7012/23/23 at 7:15 a.m., Held Lisinopril BP 101/6512/27/23 at 9:00 a.m., Held Lisinopril BP 98/52b. ObservationOn 12/27/23 at 8:37 a.m., Staff #1 took the blood pressure of Resident #2. After reading the results Staff #1 removed a medication from the medication cup and reported Resident #2 had a low blood pressure reading and could not be administered medication. c. InterviewOn 12/27/23 at approximately 11:00 a.m., the nursing supervisor stated she did not have a hold parameter order for Lisinopril for Resident #2 blood pressure reading. She said (Staff #1) was using her nursing judgment to hold the medication for low blood pressure. On 12/27/23 at 11:51 p.m., Staff #1 stated she withheld lisinopril for Resident #2 because he had a blood pressure that was extremely low to be taking a blood pressure medication. Staff #1 said she used her nursing judgment when making the choice to hold the medication because Resident #2 had a blood pressure below 110. On 12/27/23 at 12:42 p.m., the provider stated she had no communication about low blood pressure readings and wanted to be notified of a low blood pressure reading to determine if hold parameters need to be established for (Resident #2). On 12/27/23 at 1:08 p.m., the administrator stated she felt it was appropriate to hold the medication but would have expected Staff #2 to call the provider to get clarification on blood pressure parameters.
Plan of correction · submitted by the facility
POC for Myron Stratton HomeTag #630; in compliance with chapter 7 and chapter 24 “Medication Administration Regulations for written policies“Myron Stratton Home updated the Medication Policy 2.10.3 in the month of January of the year 2024. The policy 2.10.3 has been updated to follow chapter 24 the regulations outlined in Chapter 7, Part 14.20 “The assisted living residence shall contact the authorized practitioner for clarification of any orders which are incomplete or unclear and obtain new orders in writing.“ The Medication Policy 2.10.3 reads as:“Prescription medications, including self-administered medication, shall have clarified parameters in which to administer the medication by the prescribing physician prior to the medication administration of the LPN or QMAP. Medications included in needing clarification are insulins, blood pressure and any medications affecting heart rate shall require specific parameters such as blood pressure, heart rate, blood sugar ranges of when to hold the medication and when to notify the physician.“MonitoringThe nursing supervisor will educate all LPN’s and QMAP’s and have them sign the updated Medication Policy 2.10.3. Nursing Supervisor, and Administrator will monitor compliance of policy daily for staff compliance to request orders for blood pressure parameters as blood pressure orders are received. Nursing Supervisor will review all orders received from verbal report and written report book by nursing staff to ensure staff are following the policy to clarify physician orders for parameters when blood pressure medications are ordered. The sample of the residents who will be reviewed are those who take blood pressure medications. Daily monitoring for the next 30 days will occur by the Nursing Supervisor and lead staff member on shift to observe staff compliance for of following medication policy 2.10.3, to take blood pressures prior to administering blood pressure medication and notifying physician when the blood pressure if out of parameters limits. The Quality Management Plan will have the records and documentation for ongoing monitoring as outlined in C and E.Monitoring every day will continue until staff compliance is adhered to then every two weeks after that and then quarterly after that for the next year. Monitoring every quarter for the next year will occur randomly by nursing supervisor to ensure resident safety and staff compliance medication policy 2.10.3 to follow parameter orders with all blood pressure medications.
12/27/2023Licensure (Re-licensure) · ID WGQ8111 deficiency▼
0000Initial CommentsSurveyor note▼
Findings
A relicensure survey was completed on 12/27/23. A deficiency was cited.
Plan of correction
The state did not require a plan of correction for this citation.
1466Med/Med Adm-Ordrs Ordr ClrfctnS/S B▼
Findings
Based on observation, record review and interview the residence failed to contact the authorized practitioner for clarification of orders which were incomplete or unclear and obtain new orders in writing, affecting one of three sample residents (#2). Findings Include:1. Resident #2 was admitted to the residence on 8/31/23. LisinoprilA written practioner ' s order, dated 11/20/23 instructed the residence to administer Lisinopril 40 mg daily. A written practitioners order, dated 9/25/23 directed the residence to check blood pressure twice daily and call the office if blood pressure was over 170. However the November and December 2023 Medication administration record (MAR) read the medication was not given on 11/12, 11/29, 12/1, 12/17, 12/20, 12/23, 12/27/23. The November Medication Administration Record read:11/12/23, Held Lisinopril low BP 96/6011/29/23, Held Lisinopril BP 98/60The December Medication Administration Record read:12/1/23 at 7:40 a.m., Held Lisinopril BP 98/6412/17/23 at 8:00 a.m., Held Lisinopril low BP12/20/23 at 7:15 a.m., Held Lisinopril BP 104/7012/23/23 at 7:15 a.m., Held Lisinopril BP 101/6512/27/23 at 9:00 a.m., Held Lisinopril BP 98/522. ObservationOn 12/27/23 at 8:37 a.m., Staff #1 took the blood pressure of Resident #2. After reading the results Staff #1 removed a medication from the medication cup and reported Resident #2 had a low blood pressure reading and the medication could not be administered. 3. InterviewsOn 12/27/23 at approximately 11:00 a.m., the nursing supervisor stated she did not have a hold parameter order for Lisinopril for Resident #2's blood pressure reading. She said (Staff #1) was using her nursing judgment to hold the medication for low blood pressure. On 12/27/23 at 11:51 p.m., Staff #1 stated she withheld Lisinopril for Resident #2 because he had a blood pressure that was extremely low to be taking a blood pressure medication. Staff #1 said she used her nursing judgment when making the choice to hold the medication because Resident #2 had a blood pressure below 110. On 12/27/23 at 12:42 p.m., the provider stated she had no communication about low blood pressure readings and wanted to be notified of a low blood pressure reading to determine if hold parameters need to be established for (Resident #2). On 12/27/23 at 1:08 p.m., the administrator stated she felt it was appropriate to hold the medication but would have expected Staff #2 to call the provider to get clarification on blood pressure parameters.
Plan of correction · submitted by the facility
POC for Myron Stratton HomeTag #1466; in compliance with 14.22 of chapter 7Myron Stratton Home medication personnel will fax or call ordering physician when a resident is prescribed a blood pressure medication to request clarification for parameters of when to hold medication and when notify the physician when the set parameters are out of limitation. MonitoringMonitoring will be completed by medication personnel and oversight of Nursing Supervisor will contact the ordering physician for parameter of medication for when to hold and give the medication. Monitoring for parameters orders will be completed by charge nurse on duty and nursing supervisor daily for 30 days. Monitoring staff compliance of checking Blood pressures and parameters will occur weekly by nursing supervisor. The Quality Management Plan will have the records and documentation for ongoing monitoring by the nursing supervisor as outlines in C and E.Monitoring every day will continue until all parameter’s orders are obtained, then every two weeks after that and then quarterly after that for the next year. Monitoring every quarter for the next year will occur randomly by nursing supervisor to ensure resident safety and staff compliance with getting and following parameter orders with all blood pressure medications.
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 2.2.3.6. Applicants must show compliance with the Colorado Adult Protective Services Data System (CAPS Check) requirements as set forth in section 26-3.1-111, C.R.S.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 7.22.27 The assisted living residence shall prohibit the use of portable heaters in resident rooms. The use of fireplaces, space heaters, and like units that generate heat shall be prohibited in the common areas of the assisted living residence unless the ALR is able to ensure that such devices have a UL (Underwriters Laboratory) or similar certification label, do not present a resident burn risk, and are used in accordance with manufacturer instructions.
Plan of correction
The state did not require a plan of correction for this citation.
Reportable Occurrences
0 recordsNo reportable occurrences
The state has not published occurrence summaries for this facility.