Bridge at Alamosa the

A relicensure survey with complaint #CO34178 was completed on 1/12/23. Deficiencies were cited. Based on interview and record review, the administrator and the qualified medication administration person (QMAP) supervisor failed to, on a quarterly basis, audit the accuracy and completeness of the medication administration records (MARs), controlled substance list, and medication disposal records, affecting four of four sample residents (#.. Based on interview and record review, the residence failed to ensure that each qualified medication administration person (QMAP) accurately documented each medication administration or monitoring event at the time the event was completed for each resident, affecting two of four sample residents (#2, #4). Findings include:1. Residence PolicyTh.. Based on observation, interview, and record review, the residence failed to have at least one staff member onsite at all times who has current certification in cardiopulmonary resuscitation (CPR) and obstructed airway techniques from a nationally recognized organization such as the American Red Cross, the American Heart Association, the National S.. Based on record review and interview the residence failed to ensure applicants complied with Colorado Adult Protective Service Data System (CAPS) requirements prior to hiring staff who provided care to the residents, for two of three sample staff (#1, housekeeper) affecting 41 current residents.Findings include:1. Referencesa. According to Co.. Based on record review and interview, the residence failed to have a roster of current residents, including emergency contact information and a residence diagram showing room locations, affecting 41 current residents.Findings include: 1. Record review On 1/11/24 at 7:20 a.m., a resident roster of was provided by Staff #1. However, the roster did not.. Based on record review and interview, the residence failed to provide, upon request, residence documents, staff information, and other records requested by the department, affecting 41 current residents. (Cross-reference Q734, Q910, Q1514, Q1510)Findings include:1. Referencesa. Chapter VII regulations governing assisted living residences, pa.. Based on record review and interviews, the residence failed to discharge residents who had displayed a rapid cognitive decline that resulted in safety concerns affecting one sample resident (#1). (Cross-reference Q720) 1. Residence Policiesa. The residence' s Residency Agreement, dated April 2016, read "if a resident had a cognitive change, decline.. Based on record review, observation and interview the residence failed to request a name-based criminal history check, prior to staff hire for each prospective staff member for three of three sample staff (#1, #2, the housekeeper), affecting 41 current residents.Findings include:1. ReferencesChapter VII regulations governing assisted living residen.. Based on record review, observation, and interview the residence failed to ensure each staff member was provided training relevant to their specific duties and responsibilities prior to working independently, for one staff member (the housekeeper), affecting 41 current residents.Findings include:1. Referencesa. Chapter VII regulations governing assis.. Based upon observation, interview, and record review, the residence failed to ensure appropriate routine staffing levels, at a minimum, considering the acuity and needs of the residents, the services outlined in the care plan, and services set forth in the resident agreement, affecting three of four sample residents. (Cross-reference 1060)Findings..