2730 at Adeo Colorado

A licensure complaint, prompted by #CO41726 and #CO41734, was completed on 3/3/26. A deficiency was cited. Based on record review and interviews, the residence failed to comply with the Colorado Clean Indoor Air Act, affecting 13 residents.Findings include:1. Reference The Colorado Clean Indoor Air Act, section 25-14-203 (7), defines "Entryway" as the outside of the front or main doorway leading into a building or facility that is not exempted from this part 2 under section 25-14-205. "Entryway" also includes the area of public or private property within a specified radius outside of the doorway. The specified radius may be determined by the local authority pursuant to section 25-14-207 (2)(a), but must be at least twenty-five feet unless section 25-14-207(2)(a)(II)(B) or (2)(a)(II)(C) applies. If the local authority has not acted, the specified radius is twenty-five feet. Colorado Public Health and Environment.2. Record ReviewAn incident report, which was the same as the residence' s progress notes for Resident #4 dated 11/16/25, read that staff smelled cigarette smoke in front of his apartment, and Resident #4 later told staff he was smoking in his room and would stop. The report further read the resident was spoken to by a manager about smoking in his room.An incident report, which was the same as the residence' s progress notes dated 2/19/26, read Resident #4 was observed smoking a cigarette outside the southeast exit, and staff noted it was not the designated smoking area. Leadership, including the administrator, were notified.A second incident report, which was the same as the residence' s progress notes, dated 2/19/26, read Resident #5 and another unspecified resident were observed smoking outside the southeast exit. Staff noted it was not the designated smoking area, and leadership, including the administrator, were notified.3. InterviewsOn 3/3/26 at 11:00 a.m., Staff #7 stated Resident #4 had been smoking in his room, and staff had reported the concern to the administrator.On 3/3/26 at 1:15 p.m., Resident #4 stated he smoked in his room, acknowledged it was dangerous, and stated he stopped after receiving a warning.On 3/3/26 at 4..

A supportive living program complaint, prompted by #CO41728 and #CO41736, was completed on 3/3/26. A deficiency was cited. Based on record review and interviews, the facility (residence) failed to comply with the Colorado Clean Indoor Air Act, affecting 13 members (residents).Findings include:1. Reference The Colorado Clean Indoor Air Act, section 25-14-203 (7), defines "Entryway" as the outside of the front or main doorway leading into a building or facility that is not exempted from this part 2 under section 25-14-205. "Entryway" also includes the area of public or private property within a specified radius outside of the doorway. The specified radius may be determined by the local authority pursuant to section 25-14-207 (2)(a), but must be at least twenty-five feet unless section 25-14-207(2)(a)(II)(B) or (2)(a)(II)(C) applies. If the local authority has not acted, the specified radius is twenty-five feet. Colorado Public Health and Environment.2. Record ReviewAn incident report, which was the same as the residence' s progress notes for Resident #4 dated 11/16/25, read that staff smelled cigarette smoke in front of his apartment, and Resident #4 later told staff he was smoking in his room and would stop. The report further read the resident was spoken to by a manager about smoking in his room.An incident report, which was the same as the residence' s progress notes dated 2/19/26, read Resident #4 was observed smoking a cigarette outside the southeast exit, and staff noted it was not the designated smoking area. Leadership, including the administrator, were notified.A second incident report, which was the same as the residence' s progress notes, dated 2/19/26, read Resident #5 and another unspecified resident were observed smoking outside the southeast exit. Staff noted it was not the designated smoking area, and leadership, including the administrator, were notified.3. InterviewsOn 3/3/26 at 11:00 a.m., Staff #7 stated Resident #4 had been smoking in his room, and staff had reported the concern to the administrator.On 3/3/26 at 1:15 p.m., Resident #4 stated he smoked in his room, acknowledged it was dangerous, and stated he stopped after receiving a warning.On 3..

A relicensure survey was completed on 2/10/26. Deficiencies were cited. Based on interview and record review, the residence failed to provide quarterly basis audits ensuring accuracy, complete medication administration records, controlled substance lists, medication error reports, and medication disposal records, affecting all 13 current residents. Findings Include:On 2/10/26 at approximately 8:30 a.m., the qua.. Based on observation, record review, and interview, the residence failed to make available directly or indirectly through a resident agreement, protective oversight, including taking appropriate measures when confronted with an unanticipated situation or event, affecting one of one sample residents ( #4 ) whose services were not provid.. Based on record review and interview the residence failed to take all measures necessary to protect other residents, revise the residents care plan to identify all current needs and services the residence will provide to meet those needs, and ensure all staff are aware of any new directives placed in the care plan and promptly train the staff to pr.. Based on record review and interview, the residence failed to comply with authorized practitioner orders associated with medication administration, affecting four of five (#1-#4) sample residents. Findings include ObservationsOn 2/10/26 at approximately 11:50 p.m., during an environmental tour of the residence, the Resident Care Manager (RC.. Based on record review and interview, the residence failed to ensure that before the next regularly scheduled resident council meeting, the residence staff responded in writing to any suggestions or issues raised at the prior meeting, affecting 13 current residents. Findings includeOn 2/10/26 at 8:00 a.m., resident council meeting minutes and notes .. Based on record review and interview, the residence failed to ensure that each staff member and volunteer receives orientation and training on all person-centered care and recognizing behavioral expressions and management techniques, specific to the population served, affecting 13 current residents. Findings include Record Review Staff #1.. Based on record review and interview, the residence failed to hold regular meetings with residents, staff, family, and friends of residents so that all have the opportunity to voice concerns and make recommendations concerning the residence' s care, services, activities, policies, and procedures, affecting 13 current residents. Findings include:On 2/.. Based on record review and interview, the residence failed to update each resident' s comprehensive assessment at least annually and whenever the resident' s condition changes from baseline status, affecting four of five sample residents (#1, #2, #4, #5).On 2/20/26 at 8:00 a.m., Residents #1, #2, #4, and #5s comprehensive assessment specific .. Based on record review and interviews, the residence failed to ensure the resident care plans reflected the most current assessment information, promote resident choice, mobility, independence, and safety affecting four of five sample residents (#1, #2, #4, #5).Findings Include:1. Record ReviewResident #1 was admitted to the residence on 8/.. Based on records review and interviews, the residence failed to review and update the residency agreements annually or amend as needed, affecting two (#2, #4) of the five sample residents.Findings Include:On 2/10/26, record review revealed Resident #2 did not have a resident agreement specific to this residence. On 2/10/26, record review reveal.. THIS PORTION OF THE REPORT IS FOR INFORMATIONAL PURPOSES ONLY. No response is necessary. The residence was advised it must review and maintain the following processes in accordance with existing program regulations found at 6 CCR 1011-1, Chapter 7.12.11 The assisted living residence shall be responsible for the coordina..

A supportive living program recertification survey was completed on 2/10/26. Deficiencies were cited. Based on observation, record review, and interview, the facility (residence) failed to provide protective oversight, affecting one of one sample member (resident) ( #4 ) whose services were not provided.Findings included:Observation On 2/10/26, throughout the onsite visit, from 7:30 a.m. to 5:30 p.m., Resident #4 ' s unit contained all of his belongings, and Resident #4 was observed still on premises and residing at the residence. After re.. Based on record review and interview, the facility (residence) failed to ensure all members (residents) are free from cameras, and if cameras are used, a rights modification is in place, affecting 13 current residents. Findings include ObservationOn 2/10/26 from 7:30 a.m., to 5:50 p.m., approximately six cameras were observed throughout the residence. The residence consisted of a central building containing the dining area and medication room, which open.. Based on record review and interview, the facility (residence) failed to ensure coordination with the case management agency and failed to ensure Person-Centered Support Plans were updated at least every six months, affecting 13 current members (residents).Findings include On 2/10/26, at approximately 10:00 a.m., documentation demonstrating coordination with the case management agency and evidence that Person-Centered Support Plans were reviewed and.. Based on record review and interview, the facility (residence) failed to ensure coordination with the case management agency and failed to ensure Person-Centered Support Plans were updated at least every six months, affecting 13 current members (residents).Findings include:On 2/10/26, at approximately 10:00 a.m., documentation demonstrating coordination with the case management agency and evidence that Person-Centered Support Plans were reviewed and.. Based on record review and interview, the facility (residence) failed to ensure that each staff member and volunteer receives orientation and training on all person-centered care and recognizing behavioral expressions and management techniques, specific to the population served, affecting 13 current members (residents). Findings include 1. Record Review Staff #1 was hired on 5/23/2022.The residence ' s February 2026 schedule read, staff #1 worked on 2/2, 2/3, .. Based on record review and interviews, the facility failed to develop and implement policies and procedures for the handling of soiled linen and clothing, storing personal care items, general cleaning to minimize the spread of pathogenic organisms, and keeping the home free from offensive odors and accumulations of dirt and garbage, affecting 13 current members. Findings includes:On 2/10/26 at 8:00 a.m., policies and procedures regarding the han.. Based on record review, observations, and interviews, the facility (residence) failed to provide community-centered activities, affecting all 13 current members (residents).Record ReviewOn 2/10/26, the resident agreement read that the residence would provide social and recreational opportunities per the resident ' s areas of interest and would assist with community engagement.ObservationsOn 2/10/26, the residence did not provide scheduled activities for residen..