5
Inspections
1
Deficiencies
0
Actual Harm or Above
3
Occurrences
July 9, 2026
Last Inspection
S/S B Minimal potential

The most recent inspection of APPLEWOOD OUR HOUSE ASSISTED LIVING FACILITY 5 LLC on record is dated July 9, 2026. Across 5 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
Vines, Joshua
Owner
APPLEWOOD OUR HOUSE ASSISTED LIVING FACILITY 5 LLC
Phone
(303) 956-9037
Payor Source
Private Pay
City
ARVADA
ZIP
80004

Inspections & Citations

5 inspections · 1 deficiencies
7/9/2026Licensure (Re-licensure) · ID CM8H11No deficiencies
0000Initial CommentsSurveyor note
Findings
An administrative relicensure survey was completed on 7/9/26. No deficiencies were cited.
Plan of correction
The state did not require a plan of correction for this citation.
5/19/2026Licensure Complaint · ID KLGL11No deficiencies
0000Initial CommentsSurveyor note
Findings
A licensure complaint, prompted by#CO41334,was completed on 5/19/2026. No deficiencies were cited.
Plan of correction
The state did not require a plan of correction for this citation.
12/2/2025Licensure Complaint · ID 8OFG11No deficiencies
0000Initial CommentsSurveyor note
Findings
A licensure complaint, prompted by #CO41163, was completed on 12/2/25. No deficiencies were cited.
Plan of correction
The state did not require a plan of correction for this citation.
4/3/2024Revisit: Licensure (Re-licensure) · ID TCTZ12No deficiencies
0000Initial CommentsSurveyor note
Findings
A revisit survey was completed on 4/3/24 for all previous deficiencies cited on 12/26/23. 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.
12/26/2023Licensure (Re-licensure) · ID TCTZ111 deficiency
0000Initial CommentsSurveyor note
Findings
A relicensure survey was completed on 12/26/23. A deficiency was cited.
Plan of correction
The state did not require a plan of correction for this citation.
1496Med/Med Adm-Med Prep/Hnd Tr ICS/S B
Findings
Based on observation, record review and interview, the residence failed to ensure qualified medication administration persons (QMAPs) followed national recognized protocols for basic infection control and prevention when preparing and administering medications, affecting two of three residents (#2, #3). Findings Include:1. Residence policyThe residences "Medication Preparation and Handling" policy, dated July 2018, read in part; "Qualified medication administration persons are trained in and required to apply nationally recognized protocols for basic infection control and prevention when preparing and administering medications."2. ObservationOn 12/26/23 from 8:07 a.m. to 8:24 a.m., the following was observed:Staff #1 touched her keys, phone, the medication cart, and did not perform hand hygiene. Staff #1 poured aspirin into her hand and placed it into the medication cup for Resident #2. Staff #1 continued to place each medication for Resident #1 into her hand then placed the medication into the medication cup. Staff #1 administered medications to Resident #2. After Resident #2 was finished Staff #1 threw the medication cup away and began preparing medications for Resident #3 and did not perform any hand hygiene. Staff #1 touched her keys, phone, the medication cart, and grabbed a medication cup. Staff #1 poured medication from the blister pack directly into her hand then placed the medication into the medication cup for Resident #3. Staff #1 then poured a medication from a bottle into her hand and placed the medication from her hand into the medication cup. Staff #1 administered medications to Resident #3.3. InterviewOn 12/26/23 at 12:08 p.m., Staff #1 stated she placed medication into her hand from the bottle and then placed it into the medication cup. She stated this was her method for medication administration. On 12/26/23 at 12:35 p.m. the administrator stated her expectation was for QMAP to follow nationally recognized protocols for infection control and prevention when preparing and administering medications as trained. She stated she was unaware Staff #1 was not following medication preparation and administering protocols and would expect the QMAP to follow the protocols when preparing and administering medication.
Plan of correction · submitted by the facility
Training on Medication Preparation and Handling and following basic infection control and prevention when preparing and administering medications to be completed in staff meeting. House Manager to spot check medication compliance weekly for 3 months. Administrator/designee to spot check weekly for 3 months.

Reportable Occurrences

3 records
3/8/2026Physical Abuse · ID 2623R660001Reported on time: Yes
Occurrence summary
SUMMARY OF FINDINGS:On 3/9/26, 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 help prevent a future recurrence. The healthcare entity reported physical abuse of a client. Client (A)'s representative alleged that staff threw an object at client (A). During the course of the investigation, the healthcare entity contacted the police and conducted interviews. Staff reported that client (A) requested a beverage and became agitated while waiting, so they attempted to get the beverage independently. Staff explained that client (A) fell, sustained an injury, and then threw an object at them. The facility assessed client (A)'s injuries and arranged for treatment by the medical provider. Due to cognitive impairment, client (A) was unable to provide detailed information about the incident. The facility implemented increased checks and interventions when client (A) becomes agitated. From the evidence revealed by the facility’s investigation, the event was not 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 4/28/2026 · released to the public 5/5/2026.
11/27/2025Physical Abuse · ID 2523R660002Reported on time: Yes
Occurrence summary
SUMMARY OF FINDINGS:On 11/27/25, 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 help prevent a future recurrence. The healthcare entity reported physical abuse of a client. Reportedly, client (B) went into client (A)’s room and bed, when client (A) tried to get them to leave, client (B) punched client (A). During the course of the investigation, the healthcare entity separated the clients prior to notifying law enforcement, transferred client (A) to the hospital for evaluation and conducted interviews. Due to cognitive impairment client (B) could not recall the event. Client (A) did not sustain injuries from the event but was hospitalized due to an underlying medical concern that was discovered at the hospital. The facility started increased safety monitoring for client (B) until the client was discharged from the facility. 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 3/4/2026 · released to the public 3/16/2026.
1/20/2024Verbal Abuse · ID 2423R660001Reported on time: No
Occurrence summary
DESCRIPTION OF OCCURRENCE: On 1/20/24, a qualified medication administration person (QMAP) (1) overheard a family member yell at a female resident (A) in her 80s and be verbally aggressive with her. It was alleged the family member was very insistent resident (A) eat what they had brought them and raise their voice to her. The incident was reported late due to QMAP (1)’s misunderstanding of verbal abuse. FACILITY / AGENCY ACTION: The facility conducted an internal investigation and notified the police, family, ombudsman, Adult Protective Services and physician. When the facility found out about the allegation on 1/29/24 the alleged family member was no longer in the state as they lived out of state. The family member denied the allegation. Resident (A) was non-verbal and was receiving additional support through hospice. QMAP (1) stated resident (A) was crying right after the incident. There were no other witnesses or residents involved. The facility investigation concluded the incident was witnessed by QMAP (1) resulting in resident (A) who is non-verbal, crying. To help prevent a recurrence, the family member agreed to call before visiting the facility and to visit with resident (A) in a common area for staff oversight. QMAP (1) was coached on verbal abuse. All staff were educated on abuse and the training included examples of verbal abuse. 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 11/26/2024 · released to the public 12/3/2024.