Ara at Lander Circle

A supportive living program complaint, prompted by #CO40933, was completed on 9/16/25. Deficiencies were cited. Based on interview, record review, and observation, the residence failed take all appropriate measures necessary to protect residents, reassess the resident to be discharged and revise her care plan to identify the resident ' s current needs and what services the assisted living residence would provide to meet those needs; and ensure all staff were aware of any new directives placed in the care plan and were properly trained to provide supervision and actions consistent with the care plan when a resident demonstrated that he or she has become a danger to self or others pending discharge, affecting all four current residents. Specifically, Resident #1 had increasing behavioral expressions including aggression toward others, screaming, and refusal of treatment of kidney stones. The residence addressed the concerns by auditory safety checks, contacting law enforcement (LE) and by staff removing themselves from the residents' presence. On 9/8/25, the residence issued the resident a 30-day involuntary discharge; however, they failed to reassess, update the care plan, or train staff on new approaches to protect Resident #1 or other residents pending discharge. On 9/12/25, the hospital and residence believed the resident required a mental health evaluation; however, the resident left the hospital prior to the evaluation and returned to the residence. The residence contacte.. Based on records review, interviews, and observation, the residence failed to have an updated policy and investigate an allegation of abuse of a resident under Chapter 7, Part 5.3; Specifically, following reporting and documentation requirements, affecting one resident (#1). (Cross Reference U662)1. PolicyThe abuse and neglect policy, revised 12/2015, failed to include: A requirement that within 24 hours of the assisted living residence becoming aware of the allegation. A requirement that reporting requirements to the appropriate agencies, such as the adult protection services of the appropriate county. A requirement that a copy of the report with the investigation findings shall be retained by the facility and available for Department review.2. Record ReviewOn 9/15/25 at approximately 9:20 a.m., the investigation of the abuse and neglect policy and the investigation of the abuse allegation for Resident #1 was requested. On 9/15/25 at 12:00 p.m., a second request for investigation of abuse for Resident #1 was requested; however, an occurrence and incident report was provided. An incident report, dated 9/7/25 at 12:40 p.m., read Resident #1 accused Staff #1 of abuse. Resident #1 reported that Staff #1 slammed her hand on the door. Additionally, the residence contacted the emergency medical service (EMS) to check on Resident #1.3. InterviewsOn 9/15/25 at ap..

A licensure complaint, prompted by #CO40932, was completed on 9/16/25. Deficiencies were cited. Based on interview, record review, and observation, the residence failed take all appropriate measures necessary to protect residents, reassess the resident to be discharged and revise her care plan to identify the resident ' s current needs and what services the assisted living residence would provide to meet those needs; and ensure all staff were aware of any new directives placed in the care plan and were properly trained to provide supervision and actions consistent with the care plan when a resident demonstrated that he or she has become a danger to self or others pending discharge, affecting all four current residents. Specifically, Resident #1 had increasing behavioral expressions including aggression toward others, screaming, and refusal of treatment of kidney stones. The residence addressed the concerns by auditory safety checks, contacting law enforcement (LE) and by staff removing themselves from the residents' presence. On 9/8/25, the residence issued the resident a 30-day involuntary discharge; however, they failed to reassess, update the care plan, or train staff on new approaches to protect Resident #1 or other residents pending discharge. On 9/12/25, the hospital and residence believed the resident required a mental health evaluation; however, the resident left the hospital prior to the evaluation and returned to the residence. The residence contacte.. Based on records review, interviews, and observation, the residence failed to have an updated policy and investigate an allegation of abuse of a resident under Chapter 7, Part 5.3; Specifically, following reporting and documentation requirements, affecting one resident (#1). (Cross Reference U662)1. PolicyThe abuse and neglect policy, revised 12/2015, failed to include: A requirement that within 24 hours of the assisted living residence becoming aware of the allegation. A requirement that reporting requirements to the appropriate agencies, such as the adult protection services of the appropriate county. A requirement that a copy of the report with the investigation findings shall be retained by the facility and available for Department review.2. Record ReviewOn 9/15/25 at approximately 9:20 a.m., the investigation of the abuse and neglect policy and the investigation of the abuse allegation for Resident #1 was requested. On 9/15/25 at 12:00 p.m., a second request for investigation of abuse for Resident #1 was requested; however, an occurrence and incident report was provided. An incident report, dated 9/7/25 at 12:40 p.m., read Resident #1 accused Staff #1 of abuse. Resident #1 reported that Staff #1 slammed her hand on the door. Additionally, the residence contacted the emergency medical service (EMS) to check on Resident #1.3. InterviewsOn 9/15/25 at ap..

A recertification survey of the suppportive living program was completed on 10/24/23. No deficiences were cited. THIS PORTION OF THE REPORT IS FOR INFORMATIONAL PURPOSES ONLY. No response is necessary. The program was advised it must review and maintain the following processes in accordance with existing program regulations found at 10 CCR 2505-10, volume 8.515.85.8.515.5.C (1)(b) Supportive Living Program services consist of structured services designed to provide: protective oversight and supervision. 8.515.5.C (1)(i) Supportive Living Program services consist of structured services designed to provide: health maintenance activities.