Bent County Healthcare Center

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Emergency Preparedness Deficiencies

Implement emergency and standby power systems.

Resident Rights Deficiencies

Honor the resident's right to organize and participate in resident/family groups in the facility.

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Nursing and Physician Services Deficiencies

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Nursing and Physician Services Deficiencies

Observe each nurse aide's job performance and give regular training.

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Pharmacy Service Deficiencies

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Nutrition and Dietary Deficiencies

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Emergency Preparedness Deficiencies

List the names and contact information of those in the facility.

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

A recertification survey with Incidnet #39730 was completed on 4/28/25 to 5/1/25. Three deficiencies were cited. An Emergency Preparedness survey was conducted from 4/28/25 to 5/1/25. No deficiencies were cited. Based on observations and interviews, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety in the main kitchen.Specifically, the facility failed to develop a maintenance program to ensure environmental concerns in the kitchen, entrance to the dish room and the dish receiving room were identified and corrected in a timely manner.Findings include:I. Facility policies and proceduresThe Floors policy, revised December 2009, was provided by the nursing home administrator (NHA) on 5/1/25 at 11:51 a.m. The policy revealed all floors should be mopped, cleaned and or vacuumed daily in accordance with the facility' s established procedures. The environmental services director (ESD) maintained floor-cleaning proce.. Based on observations, record review and interviews, the facility failed to ensure four (#29, #32, #35 and #36) out of 14 received activities to meet the needs and interests of the residents out of 20 sample residents. Specifically, the facility failed to:-Provide person-centered activities for Resident #29, Resident #32, Resident #35 and Resident #36; and, -Ensure Resident #32 and Resident #36 were assisted to a group activity when they requested to attend. Findings include:I. Facility policy and procedureThe Activities policy, revised June 2018, was provided by the nursing home administrator (NHA) on 5/1/25 at 5:29 p.m. It read in pertinent part, "Attendance and participation is recorded for every resident in group and individual activities on a daily basis. Records are reviewed on a regular basis, and at leas.. Based on observations, record review, and interviews, the facility failed to ensure one (#36) out of one of 20 sample residents received food and fluids prepared in a form designed to meet his or her needs. Specifically, the facility failed to ensure Resident #36 received nectar thick liquids per physician' s orders. Findings include:I. Manufacture' s recommendations The Simply Thick Easy Mix packet was provided by the director of nursing (DON) on 5/1/25 at 11:05 a.m., the directions read: add to four fluid ounces (oz) (120 milliliters - ml) of liquid. Stir briskly for 30 seconds. II. Facility policy and procedureThe Dysphagia Clinical Protocol was provided by the nursing home administrator (NHA) on 5/1/25 at 2:14 p.m. It read in pertinent part, "The staff and physician will identify individual with a history of swallo..

A complaint survey, prompted by #CO37223 and #CO37224 was conducted 9/19/24. One deficiency was cited. Based on observations, record review and interviews the facility failed to maintain an effective pest control program so the facility was free from pests and cockroaches, in one of one kitchen and one of two dining rooms. Specifically, the facility failed to:-Ensure an effective pest control program that eliminated the presence of live and dead cockroaches in the kitchen and dining room, food preparation area, storage area, serving and eating areas; -Ensure dead and decaying roaches were removed from the dining room lower cupboard space; and, -Ensure heavily occupied sticky pest traps, containing a large amount of trapped dead and decaying cockroaches were removed timely and when the traps were full. Findings include: I. Professional referencesAccording to the Colorado Department of Public Health and Environment, Colorado Retail Food Establishment Regulations, effective 3/16/24, was retrieved on 9/25/24 from https://cdphe.colorado.gov/dehs"Controlling Pests. The premises shall be maintained free of insects, rodents, and other pests. The presence of insects, rodents, and other pests shall be controlled to eliminate their presence on the premises by: routinely inspecting incoming shipments of food and supplies; routinely inspecting the premises for evidence of pests; using methods, if pests are found, such as trapping devices or other means of pest control; eliminating harborage conditions; and, removing dead or trapped insects and other pests."Dead or trapped insects and other pests shall be removed from control devices and the premises at a frequency that prevents their accumulation, decomposition, or the attraction of pests."According to the National Pest Management Association (NPMA) The Truth About Cockroaches and Health, 2024, was retrieved on 9/25/24 from https://www.pestworld.org/news-hub/pest-health-hub/the-truth-about-cockroaches-and-health/#"Cockroaches have many negative consequences for human health because certain proteins (called allergens) found in cockroach feces, ..