Bright Assisted Living CORP

A revisit survey was completed on 4/26/24 for all previous deficiencies cited on 12/4/23. 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 revisit survey was completed on 4/26/24 for all previous deficiencies cited on 12/4/23. 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 recertification survey was completed on 12/4/23. A deficiency was cited. Based on observation, record review, and interview, the facility failed to ensure individuals' right to privacy and to be free of cameras in the interior of residential settings, including common areas and residential hallways, affecting eight current participants. Findings include:1. Facility PoliciesThe facility' s House Rules, Resident Rights and Responsibilities policy addendum to the Resident/Provider Agreement, dated 2023, read in part that the facility observed the rights of each resident, including the right to privacy.The facility' s Video Surveillance policy addendum to the Resident/Provider Agreement, dated 2023, read in part that the facility used video surveillance in the facility common areas.2. ObservationOn 12/4/23 at approximately 1:45 p.m., the facility had two cameras. The facility mounted one camera near the ceiling of the north hallway and another near the ceiling of the west hallway. The cameras faced the hallway, including the doorways of participant rooms.3. Record ReviewThe facility' s Resident/Provider Agreement for Participant #1, dated 6/27/22, contained no information regarding the facility' s video surveillance policy. The facility' s Resident/Provider Agreement for Participant #3, dated 5/30/23, contained no information regarding the facility' s video surveillance policy.The care plan for Participant #1, dated 10/6/23, contained no information regarding video .. 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 Medical Assistance Section 8.400 Long Term Care, Nursing Facility Care, Adult Day Care Services.8.484.3.A All HCBS Settings must have all of the following qualities and protect all of the following individual rights, based on the needs of the individual as indicated in their Person-Centered Support Plan, subject to the Rights Modification process in Section 8.484.5:1. The setting is integrated in and supports full access of individuals to the greater community, including opportunities to seek employment and work in competitive integrated settings, control personal resources, receive services in the community, and engage in community life, including with individuals who are not paid staff/contractors and do not have disabilities, to the same degree of access as individuals not receiving HCBS.a. Individuals are not required to leave the setting or engage in community activities. Individuals must be offered and have the opportunity to select from Age Appropriate Activities and Materials both within and outside of the setting.8.484.4.A Provider-Owned or -Controlled Residential Settings must have all of the following qualities and prot..

A relicensure survey was completed on 12/04/23. Deficiencies were cited. Based on observation, record review, and interview, the licensee failed to notify the department of a change in administrator at least 30 calendar days in advance, affecting eight current residents.Findings include:1. ObservationOn 12/4/23 from approximately 7:50 a.m. until 2:30 p.m., the acting administrator (AA) ran the day-to-day operations at the residence.2. Record ReviewOn 12/4/23 at 7:15 a.m., the department database read the administrator of record revealed the name of the administrator of record and further revealed she had held this position since 9/25/17.On 12/4/23 at 8:00 a.m., a residence posting read the name and telephone number of the AA, along with the title of the administrator. Further, the posting read the administrator of record was the owner and administrator designee.On 12.. Based on observation, record review, and interview, the residence failed to ensure applicants complied with Colorado Adult Protective Service Data Systems (CAPS) requirements prior to hiring staff who provided care to the residents for two of two sample staff (#1-#2), affecting three of three sample residents (#1-#3).Findings include:1. References and Residence Policya. According to Colorado Revised Statutes (2020) Title 26 Human Services Code,"... individuals receiving care and services from persons employed in programs or facilities ... are vulnerable to mistreatment, including abuse, neglect, and exploitation. It is the intent of the general assembly to minimize the potential for employment of persons with a history of mistreatment of at-risk adults in positions that would allow those persons un.. Based on record review and interview, the residence failed to have at least one staff member onsite at all times who had current certification in cardiopulmonary resuscitation (CPR) and obstructed airway techniques from a nationally recognized organization, affecting eight current residents. Findings include:1. References and Residence Policya. According to Mayo Clinic, "Cardiopulmonary resuscitation (CPR) is a lifesaving technique that' s useful in many emergencies, such as a heart attack or near drowning, in which someone' s breathing or heartbeat has stopped. The American Heart Association recommends starting CPR with hard and fast chest compressions. This hands-on CPR recommendation applies to both untrained bystanders and first responders." Mayo Clinic (2/12/22) Cardiopulmonary .. 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 7.12.15 The assisted living residence shall develop policies and procedures to establish a fall management program. The program shall include the following:(A) Providing fall management education and materials to residents and family members;(B) Detailing in each resident ' s care plan the individualized approach necessary to address fall risk related to deficits in strength, balance, and eyesight, or effects of medication as identified during the comprehensive resident assessment;(C) Providing resident engagement activities to improve strength and balance as ..