Almond Tree Senior Care - Centennial

A revisit survey was completed on 8/31/23 for all previous deficiencies cited on 1/19/23. The facility is in compliance with all deficiencies that were cited. Citation coded "0000" or "9999" are initial and final comments of an inspection for informational purposes, this field may also have been left blank intentionally

A relicensure survey was completed on 1/19/23. Deficiencies were cited. A change of ownership occurred on 10/1/21. Based on record review and interview, the residence failed to ensure the administrator complied with all applicable state laws to help prevent the possible development and transmission of coronavirus (COVID-19), affecting five current residents. Findings include: 1. ReferenceThe Residential Care Facility (RCF) Comprehensive Mitigation Guidance dated 1/12/23, required residences to:-Ensure at least one designated person completes the Colorado RCF Infection Prevention Training using CO.TRAIN within two weeks of the assignment of duties and each following calendar year thereafter. The information must be reported in EMResource and remain updated.-Ensure the residence establish and maintain a COVID-19 mitigation, vaccine, and treatment plan that promotes vaccine confidence and acceptance. The COVID-19 ongoing vaccination plan must be kept current by the facility. 2. Record ReviewOn 1/19/22 at approximately 11:00 a.m., the residence' s ongoing COVID-19 vaccination plan was requested from the administrator. However, the .. Based on record review and interview, the residence failed to ensure the resident roster contained a residence diagram that showed room location, affecting five current residents. Findings include: On 1/19/23 at approximately 7:45 a.m., the resident roster was requested from Staff #3. The roster provided contained the resident names, emergency contacts, and room number; however, it did not contain a residence diagram that showed the room location of the residents.On 1/19/23 at approximately 12:00 p.m., the administrator confirmed the roster that was provided was what they used if there was an emergency. She stated the resident roster needed to contain the resident name, room number, and emergency contact. The administrator stated she was unaware the resident roster was required to contain a residence diagram that showed the room location of each resident. 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 7.25.26 A secure environment shall meet the following criteria:(C) There shall be a storage area which is inaccessible to residents for storage of items that could pose a risk or danger such as chemicals, toxic materials, and sharp objects.