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Source: CO Dept. of Public Health & Environment
No deficiencies are reported in this inspection record.
A revisit survey was completed on 3/12/24 for all previous deficiencies cited on 10/18/23. 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 3/12/24 for all previous deficiencies cited on 10/18/23. 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 10/18/23. A deficiency was cited. Based on observation, record review and interview, the residence failed to provide a physically safe and sanitary environment, including measures to reduce the risk of potential hazards in the physical environment related to the unique characteristics of the population, affecting 12 current residents.Findings include: 1. Residence PolicyAn undated Resident Agreement read in part, the residence staff would determine if the immediate environment posed any safety risks to the resident ... the residence would provide 24-hour ... services ... necessary to protect the resident' s health, safety and well-being. 2. ObservationsOn 10/18/23 at approximately 10:00 a.m., an environmental tour of the residence revealed the following:The front entryway flooring contained broken laminate/vinyl flooring with black holes in it that prohibited cleaning.The kitchen had sections of laminate/vinyl flooring that were broken and cracked two and a half feet horizontally and one and a half feet vertically that had black lines with white patches that revealed the cement underneath. There were two other cracked tile segments that were black with the vinyl peeling off two feet in front of the other and both were one and one half feet in length horizontally. The entire flooring segment in the south corner of the kitchen by the refrigerators prohibited cleaning.The threshold between the kitche.. 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 7.14.29 All prescribed and PRN medications shall be listed and recorded on a medication administration record (MAR) which contains the name and date of birth of the resident, the resident ' s room location, any known allergies, and the name and telephone number of the resident ' s authorized practitioner. (C) Each qualified medication administration person, nurse, or practitioner shall accurately document each medication administration or monitoring event at the time the event is completed for each resident.14.40 All refrigerated medications shall be stored in a refrigerator that does not contain food and that is not accessible to residents.21.4 Porches, stairs, handrails, and ramps shall be maintained in good repair.
A recertification survey was completed on 10/18/23. A deficiency was cited. Based on observations, interviews and record review, the facility (residence) failed to provide and maintain a homelike quality and feel to the environment that supports individual comfort affecting 12 current participants (residents).Findings include: 1. Residence PolicyAn undated Resident Agreement read in part, the residence staff would determine if the immediate environment posed any safety risks to the resident ... the residence would provide 24-hour ... services ... necessary to protect the resident' s health, safety and well-being. 2. ObservationsOn 10/18/23 at approximately 10:00 a.m., an environmental tour of the residence revealed the following:The front entryway flooring contained broken laminate/vinyl flooring with black holes in it that prohibited cleaning.The kitchen had sections of laminate/vinyl flooring that were broken and cracked two and a half feet horizontally and one and a half feet vertically that had black lines with white patches that revealed the cement underneath. There were two other cracked tile segments that were black with the vinyl peeling off two feet in front of the other and both were one and one half feet in length horizontally. The entire flooring segment in the south corner of the kitchen by the refrigerators prohibited cleaning.The threshold between the kitchen and the resident dining area contained black patches of lami.. 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, 8.400.8.485.6 (H) (2) Alternative Care Facility Providers shall maintain and follow written policies and procedures for the administration of medication in accordance with 6 CCR 1011-1, Chapter VII and XXIV, Medication Administration Regulations.
No deficiencies are reported in this inspection record.
No deficiencies are reported in this inspection record.
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