COLORADO SPRING, CO- Resident suffer femur fracture due to neglect of transfer order. Facility substantiated neglect claim but did not report to state until 8 days later.

SEATTLE, WA-Director of Nursing showed the facility did not meet the required number of staff needed to meet the needs of residents. Staff admits to no training or education, not knowing or where to locate residents care plan.

COLORADO SPRINGS, CO- Resident passes after “severe-protein calorie malnutrition”. ADON serving as wound nurse, admits “not had any training in wound care” as resident develops pressure ulcer.

BOULDER, CO- 16 Harm-level deficiencies were cited

DENVER, CO- Copy of the coroner’s report documented resident died from force trauma to the head due to an accident at the nursing home. Director of Nursing said, “I don’t see that we did anything after his first fall”.