GRANT HEALTHCARE AND REHABILITATION- Facility failed to implement its written abuse policy reporting the alleged violation of verbal abuse to state agencies and protecting the resident throughout the investigation.

ENGLEWOOD, CO- Resident not properly fasten into van correctly, falls out of wheelchair and sustains multiple fractures.

ENGLEWOOD, CO- Fall risk resident fractures hip requiring surgical intervention, director of nursing “assumed the fracture was spontaneous”. State finds “injuries of unknown origin were not investigated to rule out abuse (F610) or to determine the root cause and analysis.”

DURANGO, CO- Resident given 4 times the ordered dose of liquid opioid, ultimately leading to resident’s decline and death. Director of Nursing states “was unaware, until it was brought to her attention during the survey process”.

STERLING, CO-Facility failed to put in place interventions to prevent multiple falls for multiple residents.