Bonaventure of Thornton LLC

A revisit survey was completed on 4/2/26 for all previous deficiencies cited on 11/24/25. 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 licensure revisit was completed on 11/24/25, for the previous deficiency cited on 3/12/25. A deficiency was cited. The regulations governing Assisted Living Residences were revised. The new Chapter VII regulations were implemented on 7/1/25. Based on the interview and observation, the residence failed to follow the practitioner' s orders, affecting two of 11 sample residents (#29 and #38). This deficiency was cited previously during a state licensure survey on 3/12/25. Although the facility corrected the deficiency, based on the findings below, the facility has not maintained compliance with this regulatory requirement.Findings include:1. Record Review Resident #38 was admitted to the residence on 4/28/22 with a diagnosis of deep vein thrombosis.TylenolA written practitioner' s order, dated 9/17/25, directed the residence to administer two 500 mg tablets by mouth every eight hours. The October 2025 Medication Administration Record (MAR) read the medication was not administered on 10/25/25 at 2:00 p.m. and 8:00 p.m., because it was not available. 2. InterviewsOn 11/24/25 at approximately 4:30 p.m., the administrator stated that she expected that the residence would have the medication available to be administered. She acknowledged that the medication for Resident #38 was not administered because it was not available. The administrator further stated she was unaware why the deficiency had not been corrected. 3. Evidence obtained during the on-site visit revealed that the residence additionally failed to comply with practitioner orders for Resident #29.

A relicensure survey and complaint revisit was completed on 11/24/25, for all previous deficiences cited on 3/12/25. Deficiences were cited. The regulations governing Assisted Living Residences were revised. The new Chapter VII regulations were implemented on 7/1/25. Based on interview and record review the residence failed to, on a quarterly basis, audit the accuracy and completeness of medication administration records (MARs), affecting 88 current residents.This deficiency was cited previously during a complaint investigation on 3/12/25. Although the residence corrected the deficiency, based on the findings below, the residence has not maintained compliance with this regulatory requirement.Findings include:On 11/24/25 at 1:45 p.m., the last three quarterly medication audits were provided. However, the medication cart audits revealed no evidence that the investigations and resolutions of irregularities were marked on the audit. On 11.. Based on record review and interview, the residence failed to ensure that the enhanced care plan included a description of how the resident will have continuous independent access to his or her individual room, along with the residence' s plan to protect the resident from unwanted visitation by other residents; Documentation describing the personal grooming and hygiene items that are determined safe for the resident to have in their own possession for self-care, and how those items are stored to prevent unauthorized access by other residents; Documentation describing the resident' s behavioral expressions along with individualized approaches to be implemented by staff to p.. Based on record review and interview, the residence failed to report suspected physical abuse to law enforcement within 24 hours of discovery pursuant to Colorado Revised Statutes (C.R.S.), affecting two of eleven sample residents (#39 and #41).This deficiency was cited previously during a state licensure survey on 4/16/25. Although the facility corrected the deficiency, based on the findings below, the facility has not maintained compliance with this regulatory requirement.Findings include:1. References and Policiesa. Chapter VII regulations governing assisted living residences: Part 2.8, defines an "At-risk person" means any person who is 70 years of age or older, or any person who is 18 years .. Based on the interview and observation, the residence failed to follow the practitioner' s orders, affecting two of 11 sample residents (#29 and #38). This deficiency was cited previously during a state licensure survey on 3/12/25. Although the facility corrected the deficiency, based on the findings below, the facility has not maintained compliance with this regulatory requirement.Findings include:1. Record Review Resident #38 was admitted to the residence on 4/28/22 with a diagnosis of deep vein thrombosis.TylenolA written practitioner' s order, dated 9/17/25, directed the residence to administer two 500 mg tablets by mouth every eight hours. The October 2025 Medication Administration..