Apple Leaf Assisted Living

A certification complaint, prompted by #CO39303, #CO39305, #CO39307, #CO39672, was completed on 4/1/25. Deficiencies were cited. Based on observation and interview, the facility failed to ensure the residents had the right to be free from cameras in common areas and failed to ensure residents had a rights modification in place affecting 10 current residents.Findings include:On 3/31/25, from 7:53 to 8:01 a.m., observations revealed that there were three internal cameras that were installed in the dining room, kitchen, and a hallway of the member' s living spaces.On 4/1/25 at 1:14 p.m., the owner acknowledged that the facility was not free from cameras in the common areas, none of the residents had a rights modification in place for the cameras, stated he would work with an external care managing service to ensure each resident had a right modification in place, and stated the cameras were had been used to monitor residents, prevent theft, and report fall events. Based on the interview and record review the residence (facility) failed to ensure the written agreement in place specified rent, affecting three current residents (members) (#1-#3), and one former resident (#7). (Cross-reference S02060, S0530, and S1326). Findings include: On 3/31/25 at 1:19 p.m., the owner provided an email dated 2/28/25 sent to each resident and their family about the rent increases that would take effect April 1, 2025.The record of Resident #6 revealed that the resident agreement was last signed on 10/1/23 by a different owner of the residence. The monthly dollar amount on the agreement read "Medicaid rate." The record did not include any additional breakdown of any other monies that the residence would receive from any other family member, relative, or representative of the resident.On 3/31/25 at approximately 12:41 p.m., Confidential Resident #1 stated that Resident #2 was not given a new resident agreement to sign annually and only signed one upon moving in. Confidential Resident #1 also stated that Resident #2 had been paying the new owner $650.00 in addition to the "Medicaid rate" since January 2025, making three deposits, one in January, one at the beginning of February, and one at the end of February for March 2025. Confidential Resident #1 continued to say that Resident #2 was not given prior notice, the i..

A licensure complaint, prompted by #CO39302, #CO39304, #CO39306, #CO39671, was completed on 4/1/25. Deficiencies were cited. Based on record review and interview, the licensee failed to notify the department of a change in the administrator-of-record at least 30 calendar days in advance, affecting 10 current residents. (Cross-reference S0530, S1034). Findings include:On 3/31/25 at 1:44 p.m., the owner stated that the former acting administrator took over the administrator' s duties once the owner purchased the building in September 2024. He continued to say that the former acting administrator had been the acting administrator from September 2024 to February 2025 and left without notice on 2/21 or 2/22/25, and the interim administrator (IA) had been filling the role since.On 3/31/25 at 2:20 p.m., the owner stated the administrator-on-record had helped with the transition of the change of ownership and stayed in the building until November 2024.On 3/31/25 at 3:24 p.m., the interim administrator (IA) stated that the administrator-on-record had been "hands-off with the residence since November 2024."On 4/1/25 at 1:12 p.m., the o.. Based on record review and interview, the residence failed to ensure the administrator completed the required 40-hour training prior to assuming the administrator role, affecting 10 current residents. (Cross-reference S0260, S1034). Findings include:On 3/31/25 at 7:50 a.m., the interim administrator' s 40-hour training certificate was requested.On 3/31/25 at approximately 7:55 a.m., the registered nurse consultant (interim administrator) stated she and the owner were under the impression that because she had been a nurse for 20 years, they did not need to get her certified for her to be the administrator. On 3/31/25 at 9:07 a.m., the owner confirmed what the registered nurse consultant stated and added that he too, did not have his 40-hr training certificate.On 3/31/25 at 4:08 p.m., the owner provided the 40-hour training certificate for the administrator-on-record but could not give the owner or the interim administrator' s certificate since they had not received their training.On 4/1/25 at 1:07 p.m., the owner admi.. Based on the interview and record review the residence failed to update the residents' agreements on an annual basis or during a change of ownership, affecting three current residents (#1-#3), and one former resident (#7). (Cross-reference S0260, S0530). Findings include:On 3/31/25 at 1:19 p.m., the owner provided an email dated 2/28/25 sent to each resident and their family about the rent increases that would take effect April 1, 2025.The record of Resident #6 revealed that the resident agreement was last signed on 10/1/23 by a different owner of the residence. The monthly dollar amount on the agreement read "Medicaid rate." The record did not include any additional breakdown of any other monies that the residence would receive from any other family member, relative, or representative of the resident.On 3/31/25 at approximately 12:41 p.m., Confidential Resident #1 stated that Resident #2 was not given a new resident agreement to sign annually and only signed one upon moving in. Confidenti..

A revisit survey was completed on 2/12/24 for all previous deficiencies cited on 11/15/23. 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 11/15/23. A deficiency was cited. Based on observation, record review, and interview, the residence failed to ensure applicants complied with Colorado Adult Protective Service Data Systems (CAPS) requirements prior to hiring staff who provided care to the residents, affecting two of two sample staff (#1-#2).Findings include:1. References and Residence Policya. According to Colorado Revised Statutes (2020) 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 (1.8) reads a "CAPS check" means a check of the Colorado Adult Protective Services data system pursuant to section 26-3.1-111.c. Chapter VII regulations governing assisted living residences, part 2.7, defines an "At-risk person" as any person who is.. THIS PORTION OF THE REPORT IS FOR INFORMATIONAL PURPOSES ONLY.No response is necessary. The residence was advised they must review and maintain the following processes in accordance with existing Assisted Living Residence program regulations.14.11 Only medication that has been ordered by an authorized practitioner shall be prepared for or administered to residents.14.21 The assisted living residence shall be responsible for complying with authorized practitioner orders associated with medication administration except for those medications which a resident self-administers.14.39 Controlled substances shall be kept in double lock storage.(A) Two individuals who are either qualified medication administration persons, nurses, or practitioners shall jointly count all controlled substances at the end of each shift and sign documentation regarding the results of the count at the time it occurs. Any discrepancy in the controlled substance count shall be immediately reported to the administrator