Brookdale Boulder Creek

A relicensure survey with complaint #CO30614 was completed on 1/29/25. Deficiencies were cited. Based on interview and record review, the residence failed to notify the practitioner of the resident' s pattern of refusals, affecting three of seven sample residents (#14, #16, #18).Findings include:Resident #14 was admitted to the residence on 3/8/23 with a diagnosis of idiopathic peripheral autonomic neuropathy.A written practitioner' s order, d.. Based on observation and interview, the residence failed to provide a physically safe and sanitary environment including, but not limited to, measures to reduce the risk of potential hazards in the physical environment affecting one of seven sample residents (#15). (Cross-reference S540)Findings include:1. ObservationsOn 1/27/25 at approxima.. Based on observation, interview, and record review, the residence failed to comply with practitioner orders, affecting four of six sample residents (#15-#17, #19).Findings include:1. Resident #19 was admitted to the residence on 1/23/25 with diagnoses including severe cognitive impairment, atrial fibrillation, a urinary tract infection, edema, anxiety, a.. Based on observation, interview, and record review, the residence failed to ensure devices, such as a bed rail, were only used if the device supported the resident' s well-being or independence, the resident was able to remove the bed rail, it was ordered by a practitioner, and the practitioner and a therapist documented the benefits and hazards asso.. Based on observation, record review, and interview, the residence failed to contact the resident' s primary practitioner when the resident experienced a significant change in their baseline status in accordance with its written policies, affecting three of six sample residents (#14-#16). (Cross-reference S0540)Specifically, on 1/24/25-1/26/25, Resident .. Based on observation, record review, and interview, the residence failed to request, prior to staff hire, a name-based criminal history record check conducted by the Colorado Bureau of Investigation (CBI) for each prospective staff member for one staff (#7), affecting 70 current residents.Findings include:On 1/28/25 from 6:00 a.m. to 2:00 p.m., .. Based on record review and interview, the residence failed to ensure that staff members documented in progress notes before the end of their shifts any out-of-the-ordinary events or issues regarding a resident' s wellbeing that they observed or reported to them, affecting five of seven sample residents (#14-#16, #18, #19). (Cross-reference S1130)F.. Based on record review and interview, the residence failed to ensure the administrator complied with all applicable state regulations to help prevent the possible development and transmission of gastrointestinal illness (GI) caused by suspected Norovirus, affecting 70 current residents. (Cross-reference S1130)Findings include: 1 . References an.. Based on record review and interview, the residence failed to promptly notify the residents' responsible parties regarding the residents' potential exposure to a communicable gastrointestinal illness (GI) affecting 70 current residents. (Cross-reference S0540)Findings include: Posted signs, dated 1/17/25, on the front entrance and in the din.. 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 7.5.1 Assisted living residence personnel engaged in the admission, care or treatment of at-ris..

A relicensure survey and complaint revisit was completed on 1/29/25 for the previous deficiencies cited on 12/30/21. A deficiency was cited.The regulations governing Assisted Living Residences were revised. The Chapter 7 regulations were implemented on 7/1/24. Based on observation, interview, and record review, the residence failed to comply with practitioner orders, affecting four of six sample residents (#15-#17, #19).This deficiency was cited previously during a relicensure survey with complaint on 12/30/21. Although the residence corrected the deficiency, based on the findings below, the residence has not maintained compliance with this regulatory requirement.Findings include:1. Resident #19 was admitted to the residence on 1/23/25 with diagnoses including severe cognitive impairment, atrial fibrillation, a urinary tract infection, edema, anxiety, age-related osteoporosis, and current pathological fracture of the vertebrae.a. Record ReviewA signed practitioner order, dated 1/22/25, directed the residence to administer levofloxacin 750 mg daily for seven days. However, the January 2025 medication administration record (MAR) revealed the residence failed to administer the medication on 1/24-1/28/25 due to being out of stock.A signed practitioner order, dated 1/24/25, directed the residence to administer apixaban 2.5 mg twice daily. However, the January 2025 MAR revealed the residence failed to administer one dose of the medication on 1/24/25 due to being out of stock .A signed practitioner order, dated 1/23/25, directed the residence to administer furosemide 20 gm daily. However, the January 2025 MAR revealed the residence failed to administer the medication on 1/23-1/26/25 due to being out of stock.A signed practitioner order, dated 1/24/25, directed the residence to administer olanzapine 2.5 mg daily at bedtime. However, the January 2025 MAR revealed the residence failed to administer the medication on 1/24-1/27/25 due to being out of stock.Record review revealed the residence additionally failed to comply with practitioner' s orders for Resident #19' s acetaminophen, mirtazapine, cyanocobalamin, multivitamin, sennosides, and psyllium husk powder for the same reason.3. InterviewsOn 1/29/25 at 8:08 a.m., the health and wellness director stated it was the responsibility of the ..