LODGE AT PALMER POINT RESIDENTIAL ASSISTED LIVING, THE

SUMMARY OF FINDINGS:On 9/10/25, 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 a brain injury of a client. Client (A) had a witnessed fall During the course of the investigation the healthcare entity did an assessment, and obtained medical treatment for the client. The client was diagnosed with a brain injury at the hospital. The client’s care plan was updated to reflect safety interventions to include: adaptive equipment; and staff oversight until they no longer need the additional assistance. The client received rehabilitation services before returning to 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.

Sent to facility 12/8/2025 · released to the public 12/15/2025.