Assured Senior Living 31

A licensure complaint, prompted by #CO41506, was completed on 1/29/26. Deficiencies were cited. Based on observation, record review, and interviews, the residence failed to ensure staffing in sufficient numbers to help residents who needed or were potentially at risk of needing assistance, considering individual needs, such as the risk of accidents and hazards, or other challenging events, affecting one of three sample residents (#1). (Cross-reference U1192)Specifically, Resident #1 had a diagnosis that included dementia and muscle weakness and was unable to bear weight. Resident #1 required two-person assistance with all transfers and care. The January 2026 staffing schedule indicated that one staff member was assigned to overnight shifts from 7:00 p.m. to 7:00 a.m. On 1/9/26, Resident #1 sustained a fall with no injuries. The residence staff were directed to call Emergency Medical Responders (EMR) to help Resident #1 from the floor to her bed. Subsequently, this failure created an immediate jeopardy risk of harm to Resident #1, due to the absence of necessary staff to meet their needs. On 1/29/26, the department directed the residence to provide written evidence that the risk had been removed. Findings Include:1. Reference and Residence Policya. Chapter VII regulations require residences to 12.17, (A) Each situation shall be evaluated to determine if the resident can be assisted in a safe manner, such as when the resident has no pa.. Based on observation, record review, and interviews, the residence staff failed to evaluate a resident who had fallen and was unable to get off the floor. Instead, staff were trained and relied on emergency medical responders to lift the resident, affecting one of three resident sample residents (#1). (Cross-reference U0772)Findings include:1. Record ReviewResident #1 was admitted to the residence on 11/5/2025 with a diagnosis including dementia and muscle weakness. A care plan dated 11/4/25 read in part that resident #1 required a two-person assist with transfers and care. An external service provider note dated 1/26/26 read: "Resident #1 was non-weight-bearing on the right and left legs." Resident #1' s weight was 217 lbs on admission- unable to obtain current weight due to inability to safely stand on scale." A progress note dated 1/9/26 read in part that resident #1 was assisted to the floor by staff. Emergency Medical Responders (EMR) had been contacted to assist the resident off the floor. An external service provider note dated 1/10/26 read in part Resident #1 is a 3-person max assist w/transfer.An external service provider (ESP) note dated 1/10/26 read, in part, that Resident #1 had a fall and that EMR had been called to assist with lifting the resident. Three EMR lifted the resident into her bed.2. Interviews On 1/29/26 at 7:45 a.m., Staff #1 a..

A licensure complaint, prompted by #CO33090, was completed on 8/2/23. A deficiency was cited. Based on interview and record review, the residence failed to observe the residents' right to choice and personal involvement regarding care and services, affecting two of three sample residents (#2, #3).Findings include:1. References and Residence Policya. Chapter VII regulations governing assisted living residences, part 2.21, defines external services as personal services and protective oversight services provided to a resident by family members or healthcare professionals who are not employees, contractors, or volunteers of the facility. External service providers include, but are not limited to, home health, hospice, private pay caregivers and family members.b. Chapter VII regulations governing assisted living residences, part 2.34, defines personal services as services that an assisted living residence and its staff provide for each resident including, but not limited to:(A) An environment that is sanitary and safe from physical harm,(B) Individualized social supervision,(C) Assistance with transportation, and(D) Assistance with activities of daily living.c. The residence' s posted resident rights policy, dated June 2018, read, in part, "The right to choice and personal involvement regarding care and services, including ... The right to freedom of choice in selecting a health care service or provider."2. Record ReviewAn undated email, written by the chief operating officer (COO) read, in part, "You absolutely will not use services or companies you like in any (Residence) homes. You will use and write orders for (the residences preferred external service provider). They are our preferred provider and for continuity of care that' s who you will write orders for my communities ... Email or send all PT (physical therapy) OT (occupational therapy) hospice wound care (sic) all outside vendor orders to (the residences preferred external service provider)."3. InterviewsOn 8/2/23 at 7:50 a.m., Staff #1 stated Residents #1, #2, and #3 were enrolled with external service providers that the residence chose. She added the residence always worked with the residence' s preferred ex..

A licensure revisit was completed on 8/2/23 for the previous deficiency cited on 12/1/22. The residence is in compliance with all regulations surveyed. 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