7
Inspections
3
Deficiencies
0
Actual Harm or Above
0
Occurrences
November 19, 2025
Last Inspection
S/S B Minimal potential
The most recent inspection of MAPLE GROVE EAST AT CRESTVIEW ASSISTED LIVING on record is dated November 19, 2025. Across 7 published inspections, state surveyors cited 3 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
Simpson, Rick
Owner
PARENT CARE LIFE INC
Phone
(719) 473-6339
Payor Source
Medicaid, Private Pay
City
COLORADO SPRINGS
ZIP
80909
Inspections & Citations
7 inspections · 3 deficiencies11/19/2025Licensure Complaint · ID 3UCQ11No deficiencies▼
0000Initial CommentsSurveyor note▼
Findings
A certification complaint prompted by #CO41134 was completed on 11/19/25. No deficiencies were cited.
Plan of correction
The state did not require a plan of correction for this citation.
11/19/2025Licensure Complaint · ID 9ZWH11No deficiencies▼
0000Initial CommentsSurveyor note▼
Findings
A licensure complaint prompted by #CO41135, was completed on 11/19/25. No deficiencies were cited.
Plan of correction
The state did not require a plan of correction for this citation.
9/15/2025Revisit: Licensure (Re-licensure) · ID GK7H12No deficiencies▼
0000Initial CommentsSurveyor note▼
Findings
A revisit survey was completed on 9/15/25 for all previous deficiencies cited on 3/6/25. 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.
3/6/2025Licensure (Re-licensure) · ID GK7H113 deficiencies▼
0000Initial CommentsSurveyor note▼
Findings
A relicensure survey was completed on 3/6/25. Deficiencies were cited.
Plan of correction
The state did not require a plan of correction for this citation.
0001Survey DetailsS/S B▼
Findings
12.2.2 Each facility shall assign at least one (1) staff member responsible for the site management of the facility's Infection Prevention and Control Program and training. This individual shall be responsible for the following: Based on record review and interview the residence failed to assign a staff member the responsibility for the site management of the residence's Infection Prevention and Control Program, affecting 10 current residents. On 3/6/25 at approximately 10:00 a.m., the Infection Control Officer certification and training was requested. On 3/6/25 at approximately 10:30 a.m., the administrator stated that the residence did not currently have an infection control officer or someone trained in infection control. He stated that the previous infection control officer quit and he would take the training to replace her but had not yet taken it.
Plan of correction · submitted by the facility
The Infection Control officer position has been assigned effective immediately. The Care Manager on staff. Training is required for this position. Training for this position will be complete with certificate in hand by April 30, 2025. A monthly review of all Program requirements by CDPHE in compliance with Infection Prevention and control will be performed. We will monitor this plan via visual review of program requirements from CDPHE. Reviewing any existing and new required programs. We will monitor and document any new or existing required programs via a quarterly monitoring document. This monitoring will last for a minimum of 3 months. Beginning May 1, 2025This monitoring will be tracked through our QMP program. The tracking document will be kept in our QMP manual
0734Stf Req-First Aid 1 Stf Onsite CPRS/S B▼
Findings
Based on record review and interview the residence failed to have at least one staff member onsite at all times who had current certification in cardiopulmonary resuscitation (CPR), affecting 10 current residents. On 3/6/25 at approximately 7:30 a.m., Staff #1's CPR certification was requested. When provided the document showed an expiration date of January 2025. A staff schedule for February 2025 showed that Staff #1 was the only staff member scheduled to work at the residence on 2/11, 2/12, 2/19, 2/20, 2/24, and 2/25/25. A staff schedule for March 2025 revealed that Staff #1 was the only staff member scheduled to work at the residence on 3/5 and 3/6/25. On 3/6/25 at 11:00 a.m., Staff #1 stated that she did not have an up to date CPR certification. On 3/6/25 at approximately 2:30 p.m., the resident care coordinator stated that she was aware that Staff #1's CPR certification had expired.
Plan of correction · submitted by the facility
Staff # 1 has completed current First Aid and CPR certification as of March 15, 2025. Certifications of completion are available upon request. Monthly audit procedure with documentation has been put in place. Care Manager will audit employee files monthly to ensure all required training is complete to include completion certificates. A monthly review of staff files to ensure compliance of this deficiency. A review of existing staff files has been performed. This will be reviewed monthly by the Care Manager. We will create a tracking document to be placed on the inside of each staff file so that it is an easy reference as to what certifications each staff has accomplished. Tracking will occur for 3 monthsThe monitoring document will be included in our QMP manual
1568Med/Med Adm-Ordrs Cmpy w/OrdrsS/S B▼
Findings
Based on record review and interview the residence failed to comply with authorized practitioner orders, affecting three of three sample residents (#1-#3). Resident #2 was admitted to the residence on 7/28/17 with a diagnosis of anxiety and depression. A written practitioner's order dated April 2024, directed the residence to administer trazodone 50 mg half a tablet once a day. A medication administration record (MAR) dated for January 2025 read that trazodone 50 mg was not administered on 1/6/25 and 1/24/25 with no reason given. On 3/6/25 at approximately 2:30 p.m., the resident care coordinator stated that she expected all medications to be administered as directed on the practitioner's order, and that she expected if it was not administered, there would be a reason recorded in the MAR.Similar deficient practice was found for Resident #1 and #3.
Plan of correction · submitted by the facility
A review for residents #1 and #3 MAR was completed and no medication administration was missed. More detail is needed to correct potential problem. After review of MAR and discussion with resident and staff it has been determined that resident # 2 declined the trazadone on both occasions 1/6/25 and 1/24/25. The QMAP inadvertently forgot to record the decline appropriately. The correction was arcuately recorded in the MAR.A weekly audit procedure with documentation has been implemented each Monday to cross check all doctor's orders to MAR to actual medication on hand. This will ensure all medication management is correct.
3/6/2025State Certification (Re-certification) · ID WQMI11No deficiencies▼
0000Initial CommentsSurveyor note▼
Findings
A recertification survey was completed on 3/6/25. No deficiencies were cited.
Plan of correction
The state did not require a plan of correction for this citation.
7/17/2023Revisit: State Certification (Re-certification) · ID BC7K12No deficiencies▼
0000Initial CommentsSurveyor note▼
Findings
A revisit survey was completed on 07/17/23 for all previous deficiencies cited on 11/14/22. The facility is in compliance with all deficiencies were cited.
Plan of correction
The state did not require a plan of correction for this citation.
7/17/2023Revisit: Licensure (Re-licensure) · ID ZZ7S12No deficiencies▼
0000Initial CommentsSurveyor note▼
Findings
A revisit survey was completed on 07/17/23 for all previous deficiencies cited on 11/14/22. The facility is in compliance with all deficiencies 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.
Reportable Occurrences
0 recordsNo reportable occurrences
The state has not published occurrence summaries for this facility.