Blessings Senior Services II

A revisit survey was completed on 2/25/26 for previous deficiencies cited on 12/11/25. The agency 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

A relicensure survey was completed on 12/11/25. Deficiencies were cited. Based on the interview and observation, the residence failed to follow the practitioner' s orders, affecting two of two sample residents (#2). Findings include:1.Record Review Resident #1 was admitted to the residence on 5/30/25 with a diagnosis of alcohol dependence, hypertension, myocardial infarction, and schizoaffective disorder.a. GlecaprevirA written practitioner' s order, dated 9/17/25, directed the residence to administer glecaprevir-pibrentasvir three 100mg tablets by mouth in the morning. The October, November, and December 2025 medication administration record (MAR) read that the medication was not administered from 10/1-10/2, 10/7-10/15, 10/18-22, 10/25-10/30, 11/4-11/14, 11//22-11/30, 12/1-12/9/25 due to the medication not being available. b. Aspirin A written practitioner' s order, dated 9/17/25, directed the residence to administer aspirin 81MG tablet by mouth once daily. The October 2025 MAR read that on 10/1-10/2 and 10/7-10-/12 the medication was not administered due to the medication not being available. C. TerbinafineA written practioner' s order, dated 9/17/25, directed the residence to administer terbinafine 250mg tablet by mouth in the morning. The December MAR read that from 12/1 to 12/9/25, the medication was not administered due to the medication not being available. 2. InterviewsOn 12/11/25 at approximately 2:55 p.m., the a.. 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.

A recertification survey was completed on 12/11/25. A deficiency was cited. Based on record review and interview, the facility (residence) failed to follow the practitioner' s orders, affecting two of two sample members (residents) whose medications were reviewed (#1, #2.)Findings include:1. Record Review Resident #1 was admitted to the residence on 5/30/25 with a diagnosis of alcohol dependence, hypertension, myocardial infarction and schizoaffective disorder.a. GlecaprevirA written practitioner' s order, dated 9/17/25, directed the residence to administer glecaprevir-pibrentasvir three- 100mg tablets by mouth in the morning. The October, November, and December 2025 medication administration record (MAR) read that the medication was not administered from 10/1-10/2, 10/7-10/15, 10/18-22, 10/25-10/30, 11/4-11/14, 11//22-11/30, 12/1-12/9/25 due to the medication not being available. b. Aspirin A written practitioner' s order, dated 9/17/25, directed the residence to administer aspirin 81MG tablet by mouth once daily. The October 2025 MAR read that on 10/1-10/2 and 10/7-10-/12 the medication was not administered due to the medication not available. C. TerbinafineA written practitioner' s order, dated 9/17/25, directed the residence to administer terbinafine 250mg tablet by mouth in the morning. The December MAR read that from 12/1 to 12/9/25, the medication was not administered due to the medication not being available. 2. InterviewsOn 12/11/25 at approximately 2:55 p.m., the administrator assistant acknowledged that the medication for Resident #2 was not administered because it was not available. On 12/11/25 at 3:13 p.m., the administrator stated the reason the residence failed to administer the medication was two-fold; the family wanted Resident #1 to have a private pharmacy and provider, the provider refused to order new refills for the glecaprevir. The resident family failed to bring in the medication in a timely manner so Resident #1 went without the terbinafine.

A revisit survey was completed on 2/3/25 for all previous deficiencies cited on 5/1/24. 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 certification complaint, prompted by #CO35457 was completed on 5/1/24. A deficiency was cited. Based on observation, interview, and record review, 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 six current residents. Findings include: 1. Chapter VII regulations governing assisted living residences, part 14.29, requires all prescribed and PRN medications shall be listed and recorded on a medication administration record (MAR) which contains the name and date of birth of the resident, the resident' s room location, any known allergies, and the name and telephone number of the resident' s authorized practitioner (C) Each qualified medication administration person, nurse, or practitioner shall accurately document each medication administration or monitoring event at the time the event is completed for each resident. (D) Each qualified medication administration person, nurse, or authorized practitioner shall document accurate information in the medication administration record including any medication omissions, refusals, and resident reported responses to medications. a. Record Review Resident #1 was admitted to the residence on 3/11/24. A written practitioner' s order, dated 2/29/24, directed the residence to administer the following medications: Atorvastatin 20 mg one tablet daily. Benztropine 1 mg one tablet twice daily (BID). Vitamin D 25 mcg two tablets daily. Docusate 100 mg one capsule BID. Haloperidol 10 mg one tablet BID. Psyllium oral powder mix one tablespoon in water BID. Risperidone 3 mg one tablet BID. However, the April 2024 medication administration record (MAR) revealed a blank space for all of the above medications on 4/30/24. b. Evidence obtained during the onsite visit revealed the residence additionally failed to accurately document medication administration in the MAR at the time of the administration event for Residents #2-#6.c. Interviews On 4/30/24 at 3:00 p.m., Staff #2 stated she usually documented medication administration at the time of the event; ho..

A licensure complaint, prompted by #CO35455 was completed on 5/1/24. Deficiencies were cited. Based on interview and record review, the residence failed to ensure each qualified medication administration person (QMAP) accurately documented each medication administration at the time the event was completed for each resident, affecting six of seven sample residents (#1-#6). Findings include: 1. Record Review Resident #1 was admitted to the residence on 3/11/24. A written practitioner' s order, dated 2/29/24, directed the residence to administer the following medications: Atorvastatin 20 mg one tablet dailyBenztropine 1 mg one tablet twice daily (BI.. Based on interview and record review, the residence failed to on a quarterly basis audit the accuracy and completeness of the medication administration records affecting seven current residents. Findings include: On 4/30/24 at 7:30 a.m., the last three medication cart audits were requested from the administrator designee (AD). However, the documentation was not provided. On 4/30/24 at 7:45 a.m. the AD stated the residence conducted medication cart audits on a monthly basis; however, there was no documentation of the audits. She acknowledged th.. Based on observation, interview and record review, the residence failed to ensure each staff member completed training relevant to their specific duties and responsibilities prior to working independently for two of two sample staff (#1, #2), affecting seven current residents.Findings include: 1. ObservationOn 4/30/24 from 7:30 a,m, to 4:00 p.m., Staff #2 was observed providing care and services to the residents.2. Record Review Review of the personnel files for Staff #1 and #2 revealed they were hired as qualified medication administration persons (QMAPs) on 12/29/2.. Based on observation, interview, and record review, the residence failed to ensure all medication reminder boxes (MRBs) were labeled, affecting two residents (#1, #2) who received medications from MRBs. Findings include: On 4/30/24 at 10:00 a.m., a medication cart audit revealed the residence utilized MRBs for medication administration for two residents. The medication cart contained two seven-day MRBs. The two MRBs were labeled with the first and last names of Residents #1 and #2. However, the MRBs were not labeled with medication names, dosages, quantities, rou.. Based on observation, interview, and record review, the residence failed to ensure that each staff member received initial orientation prior to providing any care or services to a resident for one of two sample staff (#2), affecting seven current residents.Findings include:1. ObservationOn 4/30/24 from 7:30 a.m. to 4:00 p.m., Staff #2 was observed providing care and services to residents.2. Record ReviewThe personnel file for Staff #2 revealed she was hired on 2/8/24. However, the orientation documentation provided was blank and did not indicate the residence completed i.. 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 2 and Chapter 7.2.3.6. Applicants must show compliance with the Colorado Adult Protective Services Data System (CAPS Check) requirements as set forth in section 26-3.1-111, C.R.S. 7.1 In order to ensure that staff members and volunteers are of good, moral, and responsible character, the assisted living residence shall reque..