Brookdale Lowry

A revisit survey was completed on 4/17/25 for all previous deficiencies cited on 1/23/25. 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 relicensure survey was completed on 1/23/25. A deficiency was cited. Based on interview and record review, the residence failed to complete a pre-admission assessment to determine the appropriateness and need for a secure environment residency that described the resident' s medical condition and any cognitive deficits that contribute to wandering, compromised safety awareness and other types of conduct. Additionally, the residence failed to include detailed information in the pre-admission assessment that included information from the residents' family concerning the resident' s recent relevant history and patterns of reduced safety awareness and wandering, along with any strategies used to prevent unsafe wandering or successful exiting or any other types of known conduct, affecting three of three sample residents (#7-#9) who resided in the secure environment. Findings include:Residents #7, #8 and #9 were admitted to the residence on 1/17/25, 4/29/24 and 11/20/24, respectively.Residents #7-#9 had forms in their records titled Evaluation for a Secure Environment. The forms were last revised in February 2009. The forms consisted of six checked boxes for the practitioner to fill out. The last page had an area for recommendations, if the practitioner had any. The forms for Residents #7-#9 did not include detailed information from the resident' s practitioners to determine the appropriateness and need for a secure enviro.. 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 7,12.1 The assisted living residence shall make available, either directly or indirectly through a resident agreement, the following services, sufficient to meet the needs of the residents: (C) A physically safe and sanitary environment including, but not limited to, measures to reduce the risk of potential hazards in the physical environment related to the unique characteristics of the population; Room and board; Personal services including, but not limited to, a system for identifying and reporting resident concerns that require either an immediate individualized approach or on-going monitoring and possible re-assessment; 42 6 CCR 1011-1 Chapter 7 CODE OF COLORADO REGULATIONS Health Facilities and Emergency Medical Services Division;(E) Protective oversight including, but not limited to, taking appropriate measures when confronted with an unanticipated situation or event involving one or more residents and the identification of urgent issues or concerns that require an immediate individualized approach; and Social care and resident engagement. 12.18 The assisted living residence' s policy shall a..