Assisted Living of Thornton LLC

A revisit survey was completed on 4/22/26 for all previous deficiencies cited on 1/5/26. 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 certification complaint, prompted by #CO40241, #CO40944 and #CO40458, was completed on 1/5/26. A deficiency was cited. Based on interview and record review, the facility (residence) failed to provide sufficient support to members (residents) in the use of prescription and non-prescription medications, affecting one of three sample residents (#4).Findings include: Resident #4 was admitted on 12/30/25.A written practitioner' s order, dated 5/14/25, directed the residence to administer polyethylene glycol one capful in eight ounces of water once daily. However, the December 2025 electronic medication administration record for Resident #4, read that the medication was not administered on 12/30-12/31/25 due to the medication being out of stock for a total of two missed doses. On 1/5/26 at 2:40 p.m., Staff #2 stated that the medication was out of stock and not administered to Resident #4 on 12/30 or 12/31/25.On 1/5/26 at 2:45 p.m., the administrator stated the expectation was medications were to be available and administered per the practitioner' s order. The administrator added that Resident #4 did not receive the medication because it was out of stock.

A licensure complaint, prompted by #CO40240, #CO40943, and #CO40460, was completed on 1/5/26. Deficiencies were cited. Based on interview and record review, the residence failed to ensure staff documented in progress notes all out-of-the-ordinary events or issues, affecting one of five sample residents (#4). Findings include:The resident roster read Resident #4 was admitted to the residence on 12/31/25. Resident #4' s face sheet read Resident #4 was admitted to the residence on 3/5/25.A progress note on 12/30/25 read that Resident #4 ate all his meals and took all prescribed medications. However, there were no progress note that indicated when he moved in.On 1/5/26 at 2:45 p.m., the administrator acknowledged Resident #4 moved in on 12/30/25 and not 12/31/25. The administrator stated he expected staff to document in Resident #4' s progress notes when he moved into the residence. Based on record review and interview, the residence failed to comply with authorized practitioner orders associated with medication administration, affecting one out of three sample residents (#4). Findings include: Resident #4 was admitted on 12/30/25.A written practitioner' s order, dated 5/14/25, directed the residence to administer polyethylene glycol one capful in eight ounces of water once daily. However, the December 2025 electronic medication administration record for Resident #4, read that the medication was not administered on 12/30-12/31/25 due to the medication being out of stock for a total of two missed doses. On 1/5/26 at 2:40 p.m., Staff #2 stated that the medication was out of stock and not administered to Resident #4 on 12/30 or 12/31/25.On 1/5/26 at 2:45 p.m., the administrator stated the expectation was medications were to be available and administered per the practitioner' s order. The administrator added that Resident #4 did not receive the medication because it was out of stock. 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 7.18.9 The face sheet shall be updated at least annually and contain the following information: (E) Date of admission and readmission, if applicable.