Assured Senior Living 10

A revisit survey was completed on 2/27/25 for all previous deficiencies cited on 7/26/24. 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 7/16/24. Deficiencies were cited. A change of ownership occurred on 7/12/23. Based on interview and record review, the residence failed to develop and implement a visitation policy which described any restriction or limitation necessary to ensure the health and safety of residents, staff and visitors, affecting eight current residents.Findings include:On 7/16/24 at approximately 10:00 a.m., the residence' s visitation policy was provided. However, the policy provided was chapter seven section 9.2 copied and identified as the visitation policy.On 7/16/24 at 5:24 p.m., the chief operating officer confirmed the visitation policy was the regulati.. Based on observation and interview, the residence failed to ensure all medications were stored in a locked storage area when unattended by a qualified medication administration person (QMAP) or other licensed staff, affecting eight current residents. On 7/16/24 at 7:50 a.m., the residence ' s office door was open and the resident' s medications were sitting on a shelf unattended by staff. There was no staff present at the time, and three residents were seated in the common area located adjacent to the staff office. The medications were left unattended until the administrator cam.. Based on observation and interview, the residence failed to ensure each common bathroom contained liquid soap at all times. No hand soap was located in the common area restrooms, affecting eight current residents. Findings include:On 7/16/24 from 8:04 a.m. through 8:30 a.m. an environmental tour of the residence revealed the two common area bathrooms. Neither of the common area bathrooms contained hand soap. On 7/16/24 at 4:00 p.m., the administrator stated she was aware that the residence was required to ensure there was hand soap in all common ar.. Based on observation and interview, the residence failed to ensure that residents had the right to privacy and confidentiality, affecting four of eight current residents (#2-#4, and #6).Findings include:1. ObservationsOn 7/16/24, from 8:04 a.m. to 8:30 a.m., an environmental tour was conducted that revealed two double occupancy rooms in the residence. Bedroom #4 did not show any signs of a partition to provide privacy to each resident in the double occupancy room. Bedroom #9 did not show any signs of a partition to provide privacy to each resident in the double .. Based on observation, and interview the residence failed to ensure that oxygen tanks were secured upright at all times in a manner that prevents tanks from falling over, being dropped, or striking each other, affecting two of two residents on oxygen (#4, #8). Findings include:1. ObservationsOn 7/16/24 at 8:04 a.m, 15 metal oxygen tanks were observed unsecured on the closet floor in Resident ' s #8 ' s room.On 7/16/24 at 9:07 a.m., five metal oxygen tanks were observed unsecured on the closet floor in Resident #4' s room.On 7/16/24 at 1:07 p.m., one metal oxygen tank .. 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 7.14.39 Controlled substances shall be kept in double lock storage. (A) Two individuals who are either qualified medication administration persons, nurses, or practitioners shall jointly count all controlled substances at the end of each shift and sign documentation regarding the results of the count at the time it occurs. A..