Aspen Meadows Assisted Living LLC

A revisit survey was completed on 3/6/24 for all previous deficiencies cited on 12/12/23. 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 12/12/23. A deficiency was cited. Based on interviews and record review, the residence failed to ensure personnel files for three of three current staff ( #1, #2, and the administrator designee) were readily available onsite for Department review. Findings include:Chapter VII regulations governing assisted living residences, part 7.12, requires that each personnel file shall include, but not be limited to, written documentation regarding the following items:(A) A description of the employee or volunteer duties;(B) Date of hire or acceptance of volunteer service and date duties commenced;(C) Orientation and training, including first aid and CPR certification, if applicable;(D) Verification from the Department of Regulatory Agencies, or other state agency, of an active license or certification, if applicable;(E) Results of background checks and follow up, as applicable; and(F) Tuberculin test results, if applicable.On 12/12/23 at 7:30 a.m., the administrator designee (AD) was able to provide proof of current training for cardiovascular resuscitation (CPR).On 12/12/23 at 8:00 a.m., the administrator was asked to provide personnel files for department review for three sample staff (#1, #2, and the administrator designee).On 12/12/23 at 9:15 a.m., the administrator stated that he had the files at his home and not on site. He stated he had taken them home the week before to update and organize them; however, he had not retu.. 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 7.12.1 The assisted living residence shall make available, either directly or indirectly through a resident agreement, the following services sufficient to meet the needs of the residents: (A) A physically safe and sanitary environment including, but not limited to, measures to reduce the risk of potential hazards in the physical environment related to the unique characteristics of the population; 12.10 Each resident care plan shall: (A) Be developed with input from the resident and the resident ' s representative; (B) Reflect the most current assessment information; (C) Promote resident choice, mobility, independence and safety; (D) Detail specific personal service needs and preferences along with the staff tasks necessary to meet those needs; (E) Identify all external service providers along with care coordination arrangements; and (F) Identify formal, planned, and informal spontaneous engagement opportunities that match the resident ' s personal choices and needs.21.1 The assisted living residence grounds shall be kept free of high weeds, garbage, and rubbish.