4
Inspections
1
Deficiencies
0
Actual Harm or Above
1
Occurrences
February 11, 2026
Last Inspection
S/S B Minimal potential
The most recent inspection of ASPEN MEADOWS ASSISTED LIVING LLC on record is dated February 11, 2026. Across 4 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/Alternative Care Facility (Medicaid)
Administrator
RAVENS, BRENDON
Owner
ASPEN MEADOWS ASSISTED LIVING LLC
Phone
(970) 433-7385
Payor Source
Medicaid, Private Pay
City
GRAND JUNCTION
ZIP
81504
Inspections & Citations
4 inspections · 1 deficiencies2/11/2026Licensure (Re-licensure) · ID MULP11No 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.
3/6/2024Revisit: Licensure (Re-licensure) · ID C29K12No deficiencies▼
0000Initial CommentsSurveyor note▼
Findings
A revisit survey was completed on 3/6/24 for all previous deficiencies cited on 12/12/23. 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.
12/12/2023State Certification (Re-certification) · ID B0BI11No deficiencies▼
0000Initial CommentsSurveyor note▼
Findings
A recertification survey was completed on 12/12/23. No deficiencies were cited.
Plan of correction
The state did not require a plan of correction for this citation.
12/12/2023Licensure (Re-licensure) · ID C29K111 deficiency▼
0000Initial CommentsSurveyor note▼
Findings
A relicensure survey was completed on 12/12/23. A deficiency was cited.
Plan of correction
The state did not require a plan of correction for this citation.
0662Prsnnl-Prsnnl Files Dept RvwS/S B▼
Findings
Based on interviews and record review, the residence failed to ensure personnel files for three of three current staff ( #1, #2, and the administrator designee) were readily available onsite for Department review. Findings include:Chapter VII regulations governing assisted living residences, part 7.12, requires that each personnel file shall include, but not be limited to, written documentation regarding the following items:(A) A description of the employee or volunteer duties;(B) Date of hire or acceptance of volunteer service and date duties commenced;(C) Orientation and training, including first aid and CPR certification, if applicable;(D) Verification from the Department of Regulatory Agencies, or other state agency, of an active license or certification, if applicable;(E) Results of background checks and follow up, as applicable; and(F) Tuberculin test results, if applicable. On 12/12/23 at 7:30 a.m., the administrator designee (AD) was able to provide proof of current training for cardiovascular resuscitation (CPR). On 12/12/23 at 8:00 a.m., the administrator was asked to provide personnel files for department review for three sample staff (#1, #2, and the administrator designee). On 12/12/23 at 9:15 a.m., the administrator stated that he had the files at his home and not on site. He stated he had taken them home the week before to update and organize them; however, he had not returned them to the residence because he was sick. On 12/12/23 at approximately 11:45 p.m., the administrator acknowledged the failure of not having personnel files onsite and understood why it would be cited.
Plan of correction · submitted by the facility
Administrator returned employee files back to the facility after recovery from illness on 12/23/2023. Employee files are located in the lockbox in the office. All employee files are current and up to date. Administrator creates the personal files and keeps them in the office in a lockbox on the top shelf above all the resident files and records. All employee files are reviewed once a year to maintain they are all up to code. We have an administrator check list for each employee file that ensures we have all their personal records and certifications. Administrator monitors these files once a year or if they are a new employee. It is documented in the Administration book for employee files and kept in the quality management book under employee verification and updated employment file. Administrator ensures all employee records, new hires and current employees, are kept up to date before the end of the year.
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 7.12.1 The assisted living residence shall make available, either directly or indirectly through a resident agreement, the following services sufficient to meet the needs of the residents: (A) A physically safe and sanitary environment including, but not limited to, measures to reduce the risk of potential hazards in the physical environment related to the unique characteristics of the population; 12.10 Each resident care plan shall: (A) Be developed with input from the resident and the resident ' s representative; (B) Reflect the most current assessment information; (C) Promote resident choice, mobility, independence and safety; (D) Detail specific personal service needs and preferences along with the staff tasks necessary to meet those needs; (E) Identify all external service providers along with care coordination arrangements; and (F) Identify formal, planned, and informal spontaneous engagement opportunities that match the resident ' s personal choices and needs. 21.1 The assisted living residence grounds shall be kept free of high weeds, garbage, and rubbish.
Plan of correction
The state did not require a plan of correction for this citation.
Reportable Occurrences
1 records4/7/2025Neglect · ID 252311A0002Reported on time: Yes▼
Occurrence summary
SUMMARY OF FINDINGS:On 4/7/25, 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 neglect of a client. Staff #1 gave Client (A) the wrong medications. The client was sent to the emergency room for observation. The client did not have any negative outcomes. During the course of the investigation the healthcare entity conducted interviews and record review. Staff #1 was given a disciplinary action, was shadowed for 60 days and had to take a refresher course before they could pass medications again. 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 11/5/2025 · released to the public 11/12/2025.