Assured Senior Living 27

A revisit survey was completed on 2/14/24 for all previous deficiencies cited on 11/15/23. 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 11/15/23. A deficiency was cited. A change of ownership occurred on 8/3/23. Based on observation, record review and interview, the residence failed to ensure qualified medication administration persons (QMAPs) applied nationally recognized protocols for basic infection control and prevention when preparing and administering medications, affecting three of five sample residents for whom medication administration was observed (#1, #4, #5).Findings include:1. Referencesa. According to the Centers for Disease Control and Prevention, "Washing hands can keep you healthy and prevent the spread of respiratory and diarrheal infections. Germs can spread from person to person or from surfaces to people when you touch your eyes, nose, and mouth with unwashed hands, prepare or eat food and drinks with unwashed hands, touch surfaces or objects that have germs on them, or blow your nose, cough, or sneeze into hands and then touch other people' s hands or common objects." Centers for Disease Control and Prevention (1/8/21), retrieved from: https://www.cdc.gov/handwashing/when-how-handwashing.htmlb. According to the Centers for Disease Control and Prevention, "Change gloves and perform hand hygiene during patient care, if: gloves become damaged, gloves become visibly soiled with blood or body fluids following a task, moving from work on a soiled body site to a clean body site on the same patient or if another clinical indication for hand hygiene .. 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 7.14.31 The administrator and the QMAP supervisor shall, on a quarterly basis, audit the accuracy and completeness of the medication administration records, controlled substance list, medication error reports, and medication disposal records. Any irregularities shall be investigated and resolved. The results of the audits shall be documented and routinely included as part of the assisted living residence' s Quality Management Program assessment and review.17.10 An assisted living residence may provide therapeutic diets when the following conditions are met:(A) The diet is prescribed by the resident' s practitioner, and(B) The assisted living residence has trained staff to prepare the food in accordance with the diet and ensure it is being served to the appropriate resident.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 2.2.9.6 Each licensee shall submit to the Department a letter of intent of any change in the information required by Part 2.3.3 of this Chapter from what was contained in the last su..

A recertification survey was completed on 11/15/23. A deficiency was cited. Based on observation, record review and interview, the facility (residence) failed to follow written policies and procedures for the administration of medication in accordance with 6 CCR 1011-1, Chapter VII, affecting three of five sample participants (residents) for whom medication administration was observed (#1, #4, #5).Findings include:1. Chapter VII regulations governing assisted living residences, part 14.28, requires the assisted living residence to ensure that qualified medication administration persons are trained in and apply nationally recognized protocols for basic infection control and prevention when preparing and administering medications. a. According to the Centers for Disease Control and Prevention, "Washing hands can keep you healthy and prevent the spread of respiratory and diarrheal infections. Germs can spread from person to person or from surfaces to people when you touch your eyes, nose, and mouth with unwashed hands, prepare or eat food and drinks with unwashed hands, touch surfaces or objects that have germs on them, or blow your nose, cough, or sneeze into hands and then touch other people' s hands or common objects." Centers for Disease Control and Prevention (1/8/21), retrieved from: https://www.cdc.gov/handwashing/when-how-handwashing.htmlb. According to the Centers for Disease Control and Prevention, "Change gloves and perform hand hygiene during patient care, if: gloves become damaged, gloves become visibly soiled with blood or body fluids following a task, moving from work on a soiled body site to a clean body site on the same patient or if another clinical indication for hand hygiene occurs.Never wear the same pair of gloves in the care of more than one patient." Centers for Disease Control and Prevention (1/8/21), retrieved from: https://www.cdc.gov/handhygiene/providers/index.html c. ObservationsOn 11/15/23 from 8:02 a.m. to 8:09 a.m., Staff #1 removed plastic gloves after preparing breakfast and did not perform any hand hygiene before he prepared ..