Chateau Des Mons Care and Assisted Living

A revisit survey was completed on 3/6/24 for all previous deficiencies cited on 11/30/23. 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 #CO34309. Deficiencies were cited. A change of owenership occured on 11/30/23. Based on observation and interview, the residence failed to ensure medications were stored in a locked cabinet, cart or storage area when unattended by qualified medication administration persons or other licensed staff, affecting ten current residents. (#4, #6, #7 and #9-#15)Findings include:1. Residence PolicyThe residence medication administration agreement, dated 7/2023, read in part; all medication storage areas and carts were locked when not attended by a q.. Based on observation, interview and record review the residence failed to contact the authorized practitioner for clarification of any orders in which were unclear and obtain new orders in writing affecting one of three sample residents (#3).Findings include:1. The residence' s undated resident agreement read in part: The residence agreed to provide medication administration services to residents.2. Resident #3 was admitted to the residence on 9/28/22.A .. Based on observation, interview and record review the residence failed to ensure that only medication that was ordered by a practitioner was prepared and administered to residents affecting one of three sample residents (#4). Findings include:1. Record ReviewResident #4 was admitted to the residence with diagnoses including schizoaffective disorder, bipolar disorder.The record for Resident #4 revealed the resident had three medications administered in w.. Based on observation, interview and record review, the residence failed to comply with authorized practitioner' s orders associated with medication administration affecting two of three sample residents (#3, #4) and one former resident (#16).Findings include:1. The residence' s undated resident agreement read in part: The residence agreed to provide medication administration services to residents.2. Resident #4 was admitted to the residence with diagnoses .. Based on observation, interview and record review, the residence failed to ensure staff files included qualified medication administration person (QMAP) certification documentation for three of three sample staff (#1-#3) affecting 44 current residents.Findings include:1. Observations On 11/28/23 at 7:30 a.m., Staff #1 prepared and administered medications to residents. 2. Record ReviewThe personnel files for Staff #1-#3 were reviewed and revealed Staff #1-#.. Based on observation, record review and interview, the residence failed to ensure that staff members and volunteers are of good moral and responsible character by requesting 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 three of three sample staff (#1-#3) affecting 44 current residents.Findings include:a. Personnel files for Staff #1-#3 were provided a..

A recertification survey with complaint #CO34310 was completed on 11/30/23. A deficiency was cited. Based on interview and record review the facility (residence) failed to follow written policies and procedures for the administration of medication in accordance with 6 CCR 1011-1, Chapter VII, Medication Administration Regulations, affecting three of four sample participants (residents) (#3, #4) and one former resident (#16).Findings Include:1. Chapter VII regulations governing assisted living residence, require in part 14.21, that the assisted living residence shall be responsible for complying with authorized practitioner orders associated with medication administration except for those medications which a resident self-administers.Residence policy The residence' s Medication Administration Policy, dated June 2023, read in part; a medication record would be maintained on residents for whom the staff monitors or administers medications, this includes, physician order for the medication. The residence' s undated resident agreement read in part: The residence agreed to provide medication administration services to residents.b. Resident #4 was admitted to the residence with diagnoses including schizoaffective disorder, bipolar disorder.A written practitioner' s order, dated 9/26/23, directed the residence to administer Lithium 300 mg twice daily. However, November 2023, Medication administration record (MAR) read Lithium 900 mg was administer.. Based on observation, interview and record review the facility (residence) failed to develop and implement a rights modification affecting six of six sample participants (residents) (#4-#9).Findings include:1. Residence PolicyThe residence' s undated Resident Rights policy read in part: Residents had the right to choices and decisions.2. Observations:On 11/28/23 at approximately 7:05 a.m., a small group of residents were located outside in the secure outdoor courtyard, smoking. 3. Record ReviewA list of resident who smoked, provided by the wellness director read Residents #4-#6 smoked at the residence. a. Resident #4The record for Resident #4 contained a Smoking Evaluation, dated 7/5/23, which read in part: Resident #4 had cognitive loss, smoked morning, afternoon, evening and night. The assessment further read the resident did not keep smoking materials in his room for safety and was not able to smoke independently due to safety skills. However, the smoking assessment contained no evidence of unsafe smoking behavior. The record further read Resident #4 had a rights modification, dated 7/13/23, for placement in a secure environment; however, the record contained no evidence of a rights modification regarding Resident #4' s right to make decisions and choices regarding their own schedules and activities. b. Resident #5The record for Reside..