Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

CASEY'S POND SENIOR LIVING

STEAMBOAT SPRINGS, CO · 66 certified beds · Last Life Safety survey March 21, 2024

CMS Certification Number 065341 · first certified July 1995

Ownership

Independently operated (no chain recorded by CMS) · Non profit - Corporation

  • New ownershipOwnership changed October 1, 2024 (change of ownership)to NORTHWEST COLORADO VISITING NURSE ASSOCIATION from COLORADO SENIOR RESIDENCES, INC.
11
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
6
Inspection & testing records
Of the citations on file

Position within CO

11 citations — more than 32% of the 210 certified nursing homes in CO. Compared within CO rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 3 citations; the earlier surveys in the window averaged 4. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (August 2025 to March 2026), and past the point by which nine in ten CO facilities have been surveyed. This facility’s last Life Safety survey was March 2024. Facilities in CO are typically surveyed 17–24 months after the last one (median 19), measured over 177 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Physical environment (health survey)

3 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 11 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0919 Make sure that a working call system is available in each resident's bathroom and bathing area.

How that compares

Citations on file over three years

Compared with the median facility in CO, and nationally. Surveyors differ markedly between states, so the CO figure is the meaningful one.

This facility11CO median16National median11
Citations on file over three years, compared
MeasureCitations
This facility11
Median facility in CO16
Median facility nationally11

Survey history

Citations at each Life Safety survey
32018-1152019-1032024-03
Citations at each Life Safety survey
Survey dateCitations
November 15, 20183
October 31, 20195
March 21, 20243

Most-cited tags

Most-cited tags at this facility
K-03533K-02111K-03241K-03471K-09201K-02911K-07411K-03451
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0353Inspect, test, and maintain automatic sprinkler systems.32024-03-21
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.12019-10-31
K-0324Provide properly protected cooking facilities.12019-10-31
K-0347Properly provide smoke detection systems in areas open to corridors.12018-11-15
K-0920Ensure proper usage of power strips and extension cords.12018-11-15
K-0291Install emergency lighting that can last at least 1 1/2 hours.12019-10-31
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.12019-10-31
K-0345Have approved installation, maintenance and testing program for fire alarm systems.12024-03-21

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 6
  • Gas, Vacuum, and Electrical Systems Deficiencies 2
  • Egress Deficiencies 2
  • Miscellaneous Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies6
Gas, Vacuum, and Electrical Systems Deficiencies2
Egress Deficiencies2
Miscellaneous Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

March 21, 2024 — 3 citations

Citations issued on March 21, 2024
TagWhat the surveyor checksStatus
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (June 9, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (June 9, 2024)
K-0927Have proper fire barriers, ventilation and signs for the transfilling of oxygen.Deficient, Provider has date of correction (June 9, 2024)

October 31, 2019 — 5 citations

Citations issued on October 31, 2019
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (December 13, 2019)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (December 13, 2019)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (December 13, 2019)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (December 13, 2019)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (December 13, 2019)

November 15, 2018 — 3 citations

Citations issued on November 15, 2018
TagWhat the surveyor checksStatus
K-0347Properly provide smoke detection systems in areas open to corridors.Deficient, Provider has date of correction (December 12, 2018)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (November 30, 2018)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (November 30, 2018)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.