Assured Senior Living 7

A relicensure survey was completed on 10/8/24. No deficiencies were cited. 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 07.9.2 The assisted living residence shall have written policies and procedures regarding the visitation rights detailed in Section 25-3-125(3)(a), C.R.S. Such policies and procedures shall: (A) Set forth the visitation rights of the resident, consistent with 42 CFR 482.13(h); 42 U.S.C. 1396r(c)(3)(C); 42 U.S.C. 1395i(c)(3)(C); 42 CFR483.10(a), (b), and (f); and Section 2527-104, C.R.S., as applicable to the facility type; (B) Describe any restriction or limitation necessary to ensure the health and safety of residents, staff, or visitors and the reasons for such restriction or limitation; (C) Be available for inspection at the request of the Department; (D) Be provided to residents and/or family members upon request; (E) and Include the right of each resident of an assisted living residence to have at least one visitor of the resident ' s choosing during their stay at the residence, unless restrictions or limitations under federal law or regulation, other state statute, or state or local public health order apply. This visitation right shall be exercised in accordance with the following: (1) A visitor to provide a compassionate care visit to alleviate the resident' s physical or mental distress. (2) For a resident with a disability: (a) A visitor or support person, designated by the resident, orally or in writing, to support the resident during the course of their residency. The support person may visit the resident and may exercise the resident ' s visitation rights even when the resident is incapacitated or otherwise unable to communicate. (b) When the resident has not otherwise designated a support person and the resident is incapacitated or otherwise unable to communicate their wishes, an individual may provide an advance medical directive designating the individual as the resident ' s support person or another term in..

A licensure revisit was completed on 3/30/23 for all previous deficiencies cited on 8/17/2022. Deficiencies were cited. Based on observation, record review and interview, the residence failed to comply with conditions imposed by the department on the license, affecting five current residents.Findings include:1. Records Department records read the residence was currently required to retain a consultant for six months. Following the completion of Event FVPG12 on 8/17/22, a licensure revisit, the department imposed a consultant for six months to address the cited deficiencies and to also ensure compliance with all other pertinent regulations. The intermediate condition read the nurse consultant was required to complete the following, during the first month of the contract period:- Review each of the cited deficiencies identified in the Deficiency List, for Event FVPG12 dated August 17, 2022, with the Administrator, and evaluate the Residence' s current compliance with corresponding regulations as outlined in 6 CCR 1011-1 Chapters 2, 7, and 24, where applicable.The consultant was required to complete the following, during the first two months of the contract period:- Evaluate the residence' s compliance with the other regulations in Chapters 2, 7, and 24, and provide recommendations to the Administrator on any additional areas of noncompliance. The Consultant would also implement a monitoring program, to be completed at least monthly, to ensure the Residence remains in compliance .. Based on observations, record review and interview, the residence failed to notify the department of a change in administrator, at least 30 days calendar days in advance, affecting five current residents. Findings include:On 3/30/23 at 7:00 a.m., upon entrance to the residence, the acting administrator' s administrator certification was posted on the wall in the front entry way. On 3/30/23 at approximately 7:05 a.m., Staff #4 stated the administrator of record had resigned from the residence approximately three to four weeks prior to the onsite visit (3/30/23). She stated the acting administrator had started working at the residence, as the administrator, approximately two to three weeks prior to the onsite visit. Staff #4 stated the acting administrator was the person she contacted in the event of any need or concern.On 3/30/23 at 7:21 a.m., email communication from a representative of the department read, in part; the last change of administrator notification for the residence was submitted to the department in February 2023. Additionally, the email read the last notification to the department was to change the administrator to the administrator of record. On 3/30/23 at 8:15 a.m., the acting administrator stated she had begun employment at the residence as the administrator at the beginning of March 2023. She stated she had not notified the department of th..