Casey's Pond Senior Living

A revisit survey was completed on 10/12/23 for all previous deficiencies cited on 6/22/23. 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 relicensure survey with complaint #CO30029 was completed on 6/22/23. A deficiency was cited. Based on record review and interview, the residence failed to have a roster of current residents, their room assignments and emergency contact information, along with a residence diagram showing room locations, affecting 36 current residents.Findings include:On 6/22/23 at 7:58 a.m., the resident roster was requested from the executive director. The provided resident roster had resident names and room numbers; however, it did not include emergency contact information or a residence diagram. On 6/22/23 at 1:35 p.m., the administrator confirmed the resident roster provided by the executive director was the residence' s current resident roster. She stated the residence had a binder with all of the required information; however, the residence did not have one roster with all required information. The administrator confirmed the residence did not have a resident roster with emergency contact information or a residence diagram showing room locations. 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 and 6 CCR 1011-1, Chapter 2.14.19 Any orders received from medical staff on behalf of an authorized practitioner must be countersigned by said practitioner as soon as possible. 14.29 All prescribed and PRN medications shall be listed and recorded on a medication administration record (MAR) which contains the name and date of birth of the resident, the resident' s room location, any known allergies, and the name and telephone number of the resident' s authorized practitioner. (D) Each qualified medication administration person, nurse, or authorized practitioner shall document accurate information in the medication administration record including any medication omissions, refusals, and resident reported responses to medications.