Apex Assisted Living LLC

A certification complaint, prompted by #CO39602, was completed on 8/6/25. A deficiency was cited. Based on observation, record review, and interview revealed that the facility failed to offer opportunities that encouraged participation in community engagements when appropriate, affecting seven members. Observations:During the on-site on 8/6/25, a July 2025 activity schedule was posted on the side of the fridge. On 8/6/25 at 9:00 a.m., the August 2025 activities schedule was requested from the Administrator. On 8/6/25 at 10:00 a.m., no observation of "Exercise" was conducted. On 8/6/25 at 11:00 a.m., approximately 1.5 cups of ice cream was observed in one of two freezers. On 8/6/25 at 2:00 p.m., no observation of the activity "Ice Cream" was conducted. Interviews:On 8/6/25 at 7:30 a.m., Member #3 stated the facility did not do the activities listed on the posted activity calendar, except for watching baseball games on the television. Member #3 stated that several residents, including herself, needed social interaction. Member #3 stated that she had visited the library years ago and had been asking to return so she could return a book she had checked out. On 8/6/25 at 11:55 a.m., Member #4 stated that staff did not facilitate activities listed on the activity calendar. She stated that she would have participated in activities if the residence offered those that interested her, such as painting, coloring, or crocheting. On 8/6/25 at 12:00 p.m., Member #1 stated that she enjoyed participating in activities and would have liked the opportunity to do them with other members in the facility.On 8/6/25 at 2:15 p.m., Resident #2 stated that the facility did not conduct the activities listed on the schedule with the members. She said that the staff had never asked her what she would like to do for an activity. She stated that on 8/5/25, "Social" did not happen, on 8/6/25, "exercise", and at 2:00 a.m., "Ice cream". She stated that very few of the activities listed on the schedule were of interest to her. On 8/6/25 at approximately 2:30 p.m., the administrator stated that "from time to time" staff asked who wanted to participate ..

A licensure complaint, prompted by #CO00039601, was completed on 8/6/25. Deficiencies were cited. Based on observation and interview, the residence failed to keep the residence grounds free of garbage and rubbish, affecting seven current residents.Findings include:On 8/6/25 from 7:00 a.m. to approximately 11:00 a.m., a bag of garbage containing a used brief, with brown substance, and that smelled of bowel movement was observed in a paper bag outside a sliding glass door near a common area near the kitchen. Additionally, large pieces of wood and drywall were observed in an open space under the deck, used by residents. On 8/ 6/2025, at approximately 11:45 a.m., the administrator stated that he was unaware of the bag containing a used brief. He acknowledged that it smelled and was garbage. His expectations were that garbage was kept in a closed container. He said that the wood and drywall had been there for a long time because the "Large trash pickup" offered by the collection service occurs only a few times a year, and was coming up. He stated that he would move the rubbish to the side of the house until the collect.. Based on observation, record review, and interview, the residence failed to provide all residents with regular opportunities to participate in structured engagement and support the pursuit of each resident' s interests, affecting seven current residents. Findings Include:During the on-site on 8/6/25, a July 2025 activity schedule was posted on the side of the fridge. On 8/6/25 at 9:00 a.m., the August 2025 activities schedule was requested from the Administrator. On 8/6/25 at 10:00 a.m., no observation of "Exercise" was conducted. On 8/6/25 at 11:00 a.m., approximately 1.5 cups of ice cream was observed in one of two freezers. On 8/6/25 at 2:00 p.m., no observation of the activity "Ice Cream" was conducted. Interviews:On 8/6/25 at 7:30 a.m., Resident #3 stated the residence did not do activities listed on the posted activity calendar except for watching baseball games on the television. Resident #3 stated that several residents, including herself, needed social interaction. Resident #3 stated that.. Based on record review and interview, the residence failed to provide nourishing meal substitutes and between-meal snacks, affecting seven current residents. Findings include:ObservationsOn 8/6/25 from 7:00 a.m. to 2:15 p.m., no nutritional snacks were observed to be available to residents.On 8/6/25 at 2:00 p.m., Resident #2 was observed eating a healthy snack that she had purchased. On 8/6/25 at 2:00 p.m., Resident # 5 was observed eating a healthy snack that she had purchased. InterviewsOn 8/6/24 at 7:40 a.m., Resident # 3 stated, "They do not supply snacks; we only get the three meals." Additionally, she stated that she will save food from other meals so she can have a snack if she is hungry. On 8/6/25 at 10:50 a.m., Staff #1 stated that they have crackers for snacks. She acknowledged that the crackers are not a nutritious option. She said that if they get fruit, they will eat it. On 8/6/25 at 2:00 p.m., Resident #2 said that she had to purchase celery and cheese because the residence had not provided any nutritional snacks. O..

A revisit survey was completed on 4/5/24 for all previous deficiencies cited on 11/30/23. 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 revisit survey was completed on 4/5/24 for all previous deficiencies cited on 11/30/23. 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 11/30/23. Deficiencies were cited. Based on record review and interview the residence failed to comply with Colorado Adult Protective Services (CAPS) Data System, for two of two sample staff (#1, #2) affecting eight current residents.Findings Include:1. Referencesa. According to Colorado Revised Statutes (2017) Title 26 Human Services Code, "... individuals receiving care and services from persons employed in programs or facilities ... are vulnerable to mistreatment, including abuse, neglect, and exploitation. It is the intent of the general assembly to minimize the potential for employment of persons with a history of mistreatment of at-risk adults in positions that would allow those persons unsupervised access to these adults. As a result, the general assembly finds it necessary to strengthen protections for vulnerable adults by requiring certain employers to request a CAPS check by the state department to determine if a person who will provide direct care to an at-risk adult has been substantiated in a case of mistreatment of an at-risk adult."b. C.R.S. 26-3.1-101 (1... Based on record review and interview, the residence failed to include written documentation of the description of the staff orientation and training in each personnel file, for two of two sample staff (#1 and #2) affecting eight current residents. Findings include: 1. Residence PolicyThe residence' s undated disclosure regarding staff first aid and training agreement, read in part; copies of the current certification must be kept in staff personnel files and available for Health Department review.2. Record ReviewPersonnel files were reviewed and revealed:Staff #1 was hired in July 2022.Staff #2 was hired in January 2021.Staff #1 and #2 did not have completed orientation and training documents. 3. InterviewOn 11/30/23 at 12:30 p.m., the administrator that Staff #1 and #2 had the required orientation training but it was not in their personnel files as required. 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 7.7.8 The assisted living residence shall ensure that each staff member and volunteer receives orientation and training, as follows:(A) The assisted living residence shall ensure each staff member or volunteer completes an initial orientation prior to providing any care or services to a resident. Such orientation shall include, at a minimum, all of the following topics:(1) The care and services provided by the assisted living residence;(2) Assignment of duties and responsibilities, specific to the staff member or volunteer;(3) Hand Hygiene and infection control;(4) Emergency response policies and procedures, including:(a) Recognizing emergencies,(b) Relevant emergency contact numbers,(c) Fire response, including facility evacuation procedures(d) Basic first aid,(e) Automat..

A recertification survey was completed on 11/30/23. Deficiencies were cited. Based on record review and interview, the administrator failed to provide individuals with a legally enforceable lease or residential agreement for two of three sample residents (#2, #3). Findings include:Record ReviewResident #2' s signed resident agreement did not include room-and-board charges. Resident #3' s signed resident agreement did not include room and board rates, as requiredInterviewsOn 11/30/23 at 12:30 p.m., the administrator stated he did not update the room and board rate for Resident #2 because he is waiting for the resident' s power of attorney to change so he could sign the new agreement. The administrator acknowledged the room and board rate had changed since the resident moved in on 11/1/22. On 11/30/23 at 12:30 p.m., the administrator stated Resident #3 had just moved in a.. Based on record review and interview, the facility (residence) failed to encourage and assist participants' (residents' ) participation in engagement opportunities and activities within the community and the wider community, when appropriate, affecting eight current residents.Findings include:1. Residence Policiesa. The residence' s undated resident agreement read in part, a daily program of planned activities is afforded that is appropriate to the interests and capabilities of the residents.b. The residence' s undated resident rights policy read in part, the right to choose to participate in social activities, in accordance with the care plan.2. ObservationsOn 11/30/23 from 7:30 a.m., to 12:00 p.m., no activities schedule was posted for the month of November 2023. On 11/30/23 at 10:04 a.m., an activities sc.. 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 10 CCR 2505-10 8.400.8.484 HOME- AND COMMUNITY-BASED SERVICES 8.484.4 ADDITIONAL CRITERIA FOR HCBS SETTINGS8.484.4.A Provider-Owned or -Controlled Residential Settings must have all of the following qualities and protect all of the following individual rights, based on the needs of the individual as indicated in their Person-Centered Support Plan, subject to the Rights Modification process in Section 8.484.5:2. Individuals have the right to dignity and privacy, including in their living/sleeping units. This right to privacy includes the following criteri.. 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 10 CCR 2505-10 8.400.PROVIDER ROLES AND RESPONSIBILITIES F. Care Plan1. The following information must be documented in the Care Plan:a. Medical Information:i. If the participant is taking any medications and how they are administered, with reference to the Medication Administration Record (MAR);ii. Special dietary needs, if any; andiii. Reference to any documented physician orders.b. Social and recreational engagement:i. The participant' s preferences and current relationships; andii. Any restrictions on social and/or recreational activities identified by a physician.PR..