Brookdale Littleton

A relicensure survey with complaint #CO34236 was completed on 3/19/25. Deficiencies were cited. Based on observations, interviews, and record reviews, the residence failed to implement a policy and procedure for an effective information management system, affecting 31 residents.Findings include:1. ObservationOn 3/19/25 at approximately 10:30 a.m., a shift report log was in the health and wellness director' s office as well as unfiled and incomplete paper documents scattered throughout. 2. Record reviewThe shift report log was documented by room numbers, and included short descriptions, such as, "fell out of bed" or "complained of chest pain". It was unclea.. Based on record review and interview, the residence failed to ensure a Colorado Adult Protective Services Data Systems (CAPS) check was performed for one of seven sample staff (#1) who provided direct care to at-risk residents, affecting 31 current residents. Findings include:A review of the personnel file for Staff #1 revealed no evidence of CAPS checks being completed.The residence' s January 2025 staff schedule revealed Staff #1 worked from 2:00 p.m. to 6:00 a.m., on 1/3, 1/4, 1/10, 1/11, 1/17, 1/18, and 1/25. Staff #1 worked from 2:00 p.m. to 10:00 p.m. on 1/19 and.. Based on record review and interviews the residence failed to have at least one staff member onsite at all times who had current certification in cardiopulmonary resuscitation (CPR) from a nationally recognized organization which included the skills assessment observed and evaluated by an instructor, affecting 31 current residents. Findings include:A review of the personnel file for former Staff #7 revealed a CPR certification not from a nationally recognized organization, which did not include a skills assessment observed and evaluated by an instructor.A review of the perso.. Based on record review and interviews, the residence failed to have at least one staff member onsite at all times who had current certification in first aid from a nationally recognized organization, affecting 31 current residents. Findings include:A review of the personnel file for former Staff #7 revealed a first-aid certification not from a nationally recognized organization.A review of the personnel file for Staff #6 revealed a first-aid certification not from a nationally recognized organization.A review of the personnel file for Staff #2 revealed a first-aid certification not fro.. Based on record review, observation, and interview, the residence failed to ensure all medications were stored in a locked storage area when unattended by a qualified medication administration person (QMAP) or other licensed staff, affecting two of four sample residents (#2, #4).Findings include:1. ObservationOn 3/19/25 at 10:02 a.m., an environmental tour revealed that a bottle of Nystatin for Resident #4 was on her bathroom countertop. The staff did not store the medication in a locked storage area; therefore, the medication was accessible to the resident.On 3/19/.. Based on record review, observation, and interviews, the residence failed to be responsible for complying with authorized practitioner orders associated with medication administration except for those medications that a resident self-administers, affecting two of four sample residents (#2, #4). Findings include:Resident #2 was admitted to the residence on 2/19/25. A practitioner' s order for Resident #2, dated 2/19/25, directed the residence to administer olopatadine 0.1% ophthalmic solution, one drop in each eye twice daily.The March 2025 Medication Administration R..

A revisit survey was completed on 4/27/23 for all previous deficiencies cited on 11/17/22. The facility is in compliance with all deficiencies 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