BRUCE MCCANDLESS CO STATE VETERANS NURSING HOME Inspection Report, Violations & Safety Grade (FLORENCE, Colorado)

903 MOORE DR, FLORENCE, Colorado 81226

Phone: 7197846331

CMS Overall:1/5

Overview & Bed Count

Certified Beds

105

Avg Residents/Day

64.4

Ownership

Government - State

Provider Type

Medicare and Medicaid

County

Fremont

Sprinkler Systems

Yes

Special Focus

None

Abuse Icon

Yes

CMS Star Ratings

Overall1/5

Health1/5

Staffing4/5

Quality2/5

Nurse Staffing Check

Metric	This Facility	Colorado Avg	Difference
RN Hours per Resident per Day	1.66	0.81	+0.84
Total Nurse Hours per Resident per Day	3.26	3.69	-0.44
CMS Staffing Rating	4/5	3.1/5	-
Nursing Staff Turnover	45.7%	47%	-

Health Citation History

20 health citations on record

Date	Category	Description	Severity
2026-01-29	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	K – Immediate Jeopardy
2026-01-29	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	E – Moderate Harm Potential
2026-01-29	Quality of Life and Care Deficiencies	Provide activities to meet all resident's needs.	D – Moderate Harm Potential
2026-01-29	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D – Moderate Harm Potential
2026-01-29	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D – Moderate Harm Potential
2024-06-06	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	G – Actual Harm
2024-06-06	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	E – Moderate Harm Potential
2024-06-06	Quality of Life and Care Deficiencies	Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.	E – Moderate Harm Potential
2024-06-06	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	D – Moderate Harm Potential
2024-06-06	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D – Moderate Harm Potential
2024-06-06	Infection Control Deficiencies	Implement a program that monitors antibiotic use.	D – Moderate Harm Potential
2020-02-27	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	G – Actual Harm
2020-02-27	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	G – Actual Harm
2020-02-27	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	E – Moderate Harm Potential
2020-02-27	Nutrition and Dietary Deficiencies	Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.	E – Moderate Harm Potential
2020-02-27	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D – Moderate Harm Potential
2020-02-27	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	D – Moderate Harm Potential
2020-02-27	Quality of Life and Care Deficiencies	Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.	D – Moderate Harm Potential
2020-02-27	Pharmacy Service Deficiencies	Ensure each resident’s drug regimen must be free from unnecessary drugs.	D – Moderate Harm Potential
2020-02-27	Pharmacy Service Deficiencies	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.	D – Moderate Harm Potential

Fire Safety Citation History

19 fire safety citations on record

Date	Category	Description	Severity
2024-06-06	Emergency Preparedness Deficiencies	Conduct testing and exercise requirements.	F – Moderate Harm Potential
2024-06-06	Smoke Deficiencies	Inspect, test, and maintain automatic sprinkler systems.	F – Moderate Harm Potential
2024-06-06	Egress Deficiencies	Keep aisles, corridors, and exits free of obstruction in case of emergency.	D – Moderate Harm Potential
2020-02-27	Emergency Preparedness Deficiencies	Establish procedures for tracking staff and patients during an emergency.	F – Moderate Harm Potential
2020-02-27	Emergency Preparedness Deficiencies	Establish policies and procedures for volunteers.	F – Moderate Harm Potential
2020-02-27	Emergency Preparedness Deficiencies	List the names and contact information of those in the facility.	F – Moderate Harm Potential
2020-02-27	Miscellaneous Deficiencies	Have simulated fire drills held at unexpected times.	F – Moderate Harm Potential
2020-02-27	Egress Deficiencies	Have properly spaced exits within rooms.	E – Moderate Harm Potential
2020-02-27	Smoke Deficiencies	Construct fire resistant interior walls.	E – Moderate Harm Potential
2020-02-27	Smoke Deficiencies	Inspect, test, and maintain automatic sprinkler systems.	E – Moderate Harm Potential
2020-02-27	Egress Deficiencies	Provide large enough exits.	D – Moderate Harm Potential
2020-02-27	Egress Deficiencies	Install resident room doors of proper design and width.	D – Moderate Harm Potential
2020-02-27	Egress Deficiencies	Have correct number of accessible exits for each story.	D – Moderate Harm Potential
2020-02-27	Egress Deficiencies	Have properly located and lighted "Exit" signs.	D – Moderate Harm Potential
2020-02-27	Smoke Deficiencies	Provide properly protected cooking facilities.	D – Moderate Harm Potential
2020-02-27	Smoke Deficiencies	Properly select, install, inspect, or maintain portable fire extinguishes.	D – Moderate Harm Potential
2020-02-27	Smoke Deficiencies	Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.	D – Moderate Harm Potential
2020-02-27	Smoke Deficiencies	Install corridor and hallway doors that block smoke.	D – Moderate Harm Potential
2020-02-27	Services Deficiencies	Have properly installed electrical wiring and gas equipment.	D – Moderate Harm Potential

Total Penalties & Fines

$52,988

Total Fine Amount (CMS)

Number of Fines

Total Penalties

Date	Type	Fine Amount	Payment Denial
2026-01-29	Fine	$52,988	-

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Need Help Finding Safe Care?

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3-Year Complete Report ($19)

Advisor service is free for families. We may receive referral compensation.