Assisted Living of Denver Ne LLC

A licensure complaint, prompted by #CO37417 was completed on 9/12/24. Deficiencies were cited. Based on observation, interview and record review the residence failed to ensure either directly or indirectly through a resident agreement protective oversight affecting three of three (#1-#3) sample residents and one (#4) former resident.Findings include:1. ReferencesThe residence' s undated resident agreement read in part, the residence agrees to make available, either directly or indirectly; a physically safe and sanitary environment, and protective oversight. The residence' s undated resident agreement pertaining to medical appointment scheduling read, "An appointment will be made by the resident and/or his or her responsible party with the appropriate health care provider. (The assisted living residence will help with this process as indicated.) A physician' s office/health care contact form will be initiated and will be placed in the front of the resident' s record.". The residence' s undated missing persons policy read, " When a resident is presumed missing from the assisted living residence, appropriate actions are taken to locate the resident. A missing persons' report is filed with the police department and the appropriate individuals are notified according to established procedures.".2. Record Review Former Resident #4 was admitted to the residence on 7/1/23 with diagnosis of a brain injury. An incident report dated 8/26/24 read " [Former Resident #4] went to the Podiatrist office but he .. Based on observation, record review and interview the residence failed to ensure each staff member completed training relevant to their specific duties and responsibilities prior to working independently for one of one sample staff (House Manager) whose training was reviewed, affecting eight current residents. Findings include:1. References The residences' undated staff education, training and development policy read in part, the residence would regularly schedule inservice education, on the job training, orientation and staff development activities to improve the quality of care for residents.2. Record Review On 9/11/24 at 7:45 a.m., the house manager' s staff file was requested and reviewed. There was no orientation and training documented prior to working with residents. The residence' s August 2024 staff schedule read, the house manager worked on 8/21-8/23 and 8/26-8/30 from 7:00 a.m., to 11:00 p.m.3. Interviews On 9/11/24 at 10:55 a.m., the house manager stated she provided resident care however, she did not remember what training she received prior to working with residents. Also, she stated she did not remember any ongoing training throughout her employment.On 9/11/24 at 1:55 p.m., the administrator acknowledged the house manager had no training prior to working with residents and no ongoing training.

A certification complaint, prompted by #CO37419 was completed on 9/12/24. A deficiency was cited. Based on observation, interview and record review the facility (residence) failed to provide protective oversight to members (residents) every day of the year for 24 hours a day, affecting three of three (#1-#3) sample residents and one (#4) former resident.Based on observation, interview and record review the residence failed to ensure either directly or indirectly through a resident agreement protective oversight affecting three of three (#2-#4) sample residents and one (#4) former resident.Findings include:1. ReferencesThe residence' s undated resident agreement read in part, the facility agrees to make available, either directly or indirectly; a physically safe and sanitary environment, and protective oversight. The residence' s undated resident agreement pertaining to medical appointment scheduling read, "An appointment will be made by the resident and/or his or her responsible party with the appropriate health care provider. (The assisted living residence will help with this process as indicated.) A physician' s office/health care contact form will be initiated and will be placed in the front of the resident' s record.". The residence' s undated missing persons policy read, " When a resident is presumed missing from the assisted living residence, appropriate actions are taken to locate the resident. A missing persons' report is filed with the police department and the appropriate individuals are notified according to established procedures.".2. Record Review Former Resident #4 was admitted to the residence on 7/1/23 with diagnosis of a brain injury. An incident report dated 8/26/24 read " [Former Resident #4] went to the Podiatrist office but he walked out from the Podiatrist office so when his medicaid taxi ride driver went to pick him up, he was not there. House manager, called the Podiatrist office right away then called the Administrator to report. Administrator drove right away to Podiatrist office area and searching the area for around three hours while the house manager called [Former Resident #4' ] sister. [Former Resident #4' s] sister called the poli..

A relicensure survey was completed on 5/2/23. Deficiencies were cited. Based on observation and interview, the residence failed to have a fire resistant waste disposal container in the designated outdoor smoking area, affecting all current residents.Findings include: On 5/2/23 at 8:00 a.m., an environmental tour of the residence' s outdoor designated smoking area revealed there was no fire resistant wastebaskets. The designated smoking areas in the front and back of house contained coffee tins filled with water, which were used as disposal containers for cigarettes.On 5/2/23 at 3:00 p.m., the administrator stated she was aware of the requirement for fire-resistant wastebaskets in resident rooms; however, she was unaware that the outdoor designated smoking areas were required to have fire-resistant disposal bins. She stated she thought if the residence used coffee tins with water, that would be okay. Based on record review and interview, the residence failed to ensure the administrator complied with all applicable state laws to help prevent the possible development and transmission of coronavirus (COVID-19), affecting eight current residents.Findings include:The Residential Care Facility (RCF) Comprehensive Mitigation Guidance updated 2/22/23, required residences to:-Ensure EMResource was updated bi-monthly.Review of EMResource, dated 5/2/23, revealed it had not been updated twice per month as required by the RCF comprehensive mitigation guidance. The last update occurred on 3/29/23.On 5/2/23 at 3:00 p.m., the administrator stated that the assistant manager was responsible for updating EMResource; however, was not aware it had not been updated since 3/29/23. She stated she was aware EMResource was required to be updated bi-monthly. On 5/2/23 at 3:05 p.m., the assistant manager stated she reported to EMResource at the beginning of each month. She stated she was unaware EMResource was required to be updated bi-monthly. Additionally, she stated that she had thought she only had to report bi-monthly if there was a COVID-19 outbreak. The assistant manager stated the reason the last update occurred was 3/29/23 was because she could not access EMResource in April 2023. She stated there was an issue with her login password and that she had co..