Aspen Cares 2 LLC

A revisit survey was completed on 12/16/25 for all previous deficiencies cited on 8/21/25. 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 12/16/25 for all previous deficiencies cited on 8/21/25. 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 recertification survey was completed on 8/21/25. Deficiencies were cited. Based on observations, record review, and interview, the facility (residence) failed to provide all members (residents) with regular opportunities to participate in structured engagement and support the pursuit of each resident' s interests, affecting all 13 current residents.Findings include:1. ObservationsOn 8/19/25 from 7:30 a.m. to 4:30 p.m., the residence did not provide planned social or recreational activities for the residents. During an on-site visit from 7:30 a.m. to 4:30 p.m., residents were observed smoking cigarettes and a green substance in the backyard of the residence, pacing the house, turning music on/off, playing video games, and watching television. 2. Record ReviewThe activities calendar posted on the residence' s refrigerator listed the following for the month of August:8/1-2/25: blan.. Based on record review and interview the facility (residence) failed to detail specific personal service needs and preferences along with the staff tasks necessary to meet those needs for one of the three sample members (residents) (#1), who required updates to the care plan. Findings include:1. Resident #1 was admitted to the residence on 4/11/25. No diagnosis was listed on the care plan or face sheet.a. Record ReviewOn 6/10/25, a progress note read in part that Resident #1 had visitors today and that a police officer talked to her and checked in to see if she was doing okay. Resident #1 requested PRN anxiety medication and stated she was hearing voices. The residence failed to detail specific personal service needs and preferences along with the staff tasks necessary to meet those needs in Resident .. Based on record review and interview the facility (residence) failed to ensure that only medications ordered by an authorized practitioner were prepared for and administered to residents, affecting three of three sample members (residents) (#1-#3).Findings include:1. Resident #1 was admitted to the residence on 4/11/25.The July 2025 and August 2025 medication administration records (MAR) had the following medications listed and were being administered with no signed and dated practitioners' orders on file: benzonatate, cephalexin, acetaminophen, and phentermine. 2. InterviewsOn 8/20/25 at 11:28 a.m., the administrator emailed stating the residence was attempting to get the practitioner to send signed and dated practitioner' s orders and was still waiting for them.On 8/21/25 at 7:.. THIS PORTION OF THE REPORT IS FOR INFORMATIONAL PURPOSES ONLY.No response is necessary.The facility was advised it must review and maintain the following processes in accordance with existing program regulations found at 10 CCR 2505-10 8.70008.7056.F.5.c Alternative Care Facilities shall maintain a comfortable temperature throughout the Alternative Care Facility and Member rooms, sufficient to accommodate the use and needs of the Members, never to fall outside the range of 68 degrees to 76 degrees Fahrenheit. 8.7001.3.a.v. Provider owned/controlled residential settings must have the following qualities and protect all the following individual rights, subject to the Rights Modification process in Section 8.7001.B.4:v. Individuals have access to food at all times, choose when and what to e..

A relicensure survey was completed on 8/21/25. Deficiencies were cited. Based on interview and record review the residence failed to ensure there was at least one staff member onsite at all times with current certification in cardiopulmonary resuscitation (CPR) from a nationally recognized organization and.. Based on observation and interview the residence failed to ensure the residence grounds were maintained to protect residents from hazards affecting 13 current residents.On 8/19/25 at 9:10 a.m. during an environmental tour, the foll.. Based on observation and interview the residence failed to maintain a physically safe and sanitary environment, affecting 13 current residents.Findings include:On 8/19/25, during an on-site environmental tour, the following was .. Based on observation and interview, the residence failed to ensure designated outdoor smoking areas had fire-resistant waste disposal containers, affecting 13 current residents. On 8/19/25 at 9:19 a.m., the designated smo.. Based on observation and interview, the residence failed to ensure that qualified medication administration persons (QMAP) are trained in and apply nationally recognized protocols for basic infection control and prevention when prep.. Based on observation and interview, the residence failed to have a locked cabinet to store medications when unattended by qualified medication administration persons (QMAP) or other licensed staff, affecting 13 current resid.. Based on observation and interview, the residence failed to store refrigerated medications in a refrigerator that was not accessible to residents, affecting 13 current residents.On 8/19/25 at 9:01 a.m., the refrigerator used to store th.. Based on observations, 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 .. Based on record review and interview the residence failed to detail specific personal service needs and preferences along with the staff tasks necessary to meet those needs for one of the three sample residents (#1), who required up.. Based on record review and interview the residence failed to ensure that only medications ordered by an authorized practitioner were prepared for and administered to residents, affecting three of three sample residents (#1-#3).Findi.. Based on record review and interview the residence failed to have at least one staff is responsible for the infection prevention and control program affecting all 13 current residentsFindings include:On 8/19/25 at 8:22 a.m., proof of .. Based on record review and interview, the residence failed to develop and implement emergency preparedness policies and procedures which included all required elements, affecting 13 current residents.Findings include:On 8/2.. Based on record review and interview, the residence failed to ensure each resident' s face sheet contained the name, contact information, and mailing address, for the legal representative and all relatives or other persons the resident .. Based on record review and interview, the residence failed to hold regular meetings with residents, staff, family, and friends of residents so that all had the opportunity to voice concerns and make recommendations concerning care, se.. 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 a..

A licensure revisit was completed on 2/7/23 for all previous deficiencies cited on 8/24/22. Deficiencies were cited. Based on observation, record review and interview, the residence failed to ensure resident rooms occupied by smokers had fire resistant wastebaskets, affecting nine of nine smokers (#2-#4, #6-#11). This deficiency was cited previously during a state licensure survey on 8/24/22. Although the residence corrected the deficiency, based on the findings below, the facility has not maintained compliance with this regulatory requirement.Findings include: On 2/7/23 at 7:20 a.m., Staff #2 confirmed Resident #2-#4, #6-#11 were smokers.On 2/7/23 at 8:30 a.m., an environmental tour was conducted with Staff #2 in the six single occupancy rooms and one double occupancy room of resident' s who smoked (#6-#11). All of the resident rooms contained wastebaskets, which were not fire resistant. On 2/7/23 at 9:40 a.m., the administrator stated he was aware the residence was required to have fire resistant wastebaskets in the resident rooms. He stated it was a challenge to find the cost effective fire resistant trash cans and added he looked around and placed an order. He stated he realized it was taking longer than expected to receive shipment of trash cans. Based on observation, record review and interview, the residence failed to provide a physically safe and sanitary environment, affecting 13 current residents. This deficiency was cited previously during a state licensure survey on 8/24/22. Although the residence corrected the deficiency, based on the findings below, the facility has not maintained compliance with this regulatory requirement.Findings include: 1. Reference and Residence Policy a. Chapter VII regulations governing assisted living residences, part 2.34, defines "Personal Services" as those services that an assisted living residence and its staff provide for each resident including, but not limited to:(A) An environment that is sanitary and safe from physical harm,b. The residence' s undated resident agreement provided by the administrator, read in part: "Resident Charge includes laundry service, care cleaning."3. Safe and Sanitary On 2/7/23 at 7:20 a.m., a tour of the external environment of the residence outdoor smoking area revealed a plastic wastebasket with a plastic liner. The wastebasket was not fire resistant. Cigarette buds were observed inside the wastebasket. On 2/7/23 at 7:25 a.m., the environmental tour also revealed that the backyard had numerous cigarette buds scattered on the land; there were 38 cigarette buds on the ground near stairs, 36 on the ground near the grill a..