Clermont Assisted Living

A licensure complaint, prompted by #CO40245 and #CO40334 was completed on 6/23/25. Deficiencies were cited. Based on record review and interview the residence failed to adhere to the requirement that all medication is theproperty of the resident and that the resident has the right to possess or self-administer any personal medicationunless an authorized practitioner has determined that the resident lacked the decisional capacity to possess or selfadminister such medication safely, affecting one of five sample residents (#2).Findings Include:1. Reco.. Based on record review and interview the residence failed to comply with authorized practitioners ordersassociated with medication administration affecting one of five sample residents (#4).Findings Include: 1. Record ReviewResident #4 was admitted to the residence on 6/26/23 with a diagnosis of hypertension, diabetes, HIV, chronicfatigue, and fibromyalgia.A practitioners order dated 2/17/25 read that the residence was to administer the following medication.. Based on record review and interview the residence failed to conduct at least one safety check of all consentingresidents between 10:00 p.m. and 6:00 a.m. affecting one of five sample residents (#2).Findings Include:1. Record ReviewResident #2 was admitted to the residence on 3/22/25 with a diagnosis of macular degeneration, hypertension,arthropathy, deafness, and atrial fibrillation.On 5/28/25 Resident #2 was taken to the emergency depa.. Based on record review and interview the residence failed to document action taken by staff and ongoing effortsto prevent reoccurrence of falls and behaviors affecting two of five sample residents (#1 and #2).Findings Include:1. Record ReviewResident #1 was admitted to the residence on 4/7/16 with a diagnosis of schizophrenia, seizure disorder,hyperlipidemia, cognitive disorder and traumatic brain injury.An admission assessment dated 4/2/16 read t.. Based on record review and interview the residence failed to have all medication stored and locked in amedication cart affecting ten current residents.Findings Include:On 6/23/25 at approximately 8:00 a.m., an observation of the medication cart unlocked, with the keys on the topof the cart, and unsupervised was made. For approximately one hour three residents walked into the room wherethe medication cart was located. On 6/23/25 at approximately 9:00.. Based on record review and interview the residence failed to obtain a check of the Colorado adult protectiveServices (CAPS) data system pursuant to Section 26-3.1-111, C.R.S. for one staff member affecting ten currentresidents.Findings Include:On 6/23/25 at 11:18 a.m. the staff file for Staff #1 was requested. When reviewed, the staff file did not contain aCAPS check. On 6/23/25 at approximately 2:00 p.m., the administrator stated that he .. Based on record review and interview the residence failed to update each resident' s comprehensive assessment atleast annually and whenever the resident' s condition changes from baseline status affecting three of five sampleresidents (#1, #2, and #4).Findings Include:1. Record ReviewResident #1 was admitted to the residence on 4/7/16 with a diagnosis of schizophrenia, seizure disorder,hyperlipidemia, cognitive disorder and traumatic brain injury.An admissi..

A certification complaint, prompted by #CO40246 and #CO40336, was completed on 6/23/25. Deficiencies were cited. Based on record review and interview the facility (residence) failed to protect the members (residents) individualrights by not adhering to the requirement that all medication is the property of the resident and that the residenthas the right to possess or self-administer any personal medication unless an authorized practitioner hasdetermined that the resident lacked the decisional capacity to possess or self administer such medication safely,affecting one of five sample residents (#2).Findings Include:1. Record ReviewResident #2 was admitted to the residence on 3/22/25 with a diagnosis of macular degeneration, hypertension,arthropathy, deafness, and atrial fibrillation.A practitioner' s order dated 3/17/25 read that Resident #2 was able to administer her medications.2. InterviewsOn 6/23/25 at approximately 10:00 a.m., Resident #2 stated, in an upset tone, that she did not know why she wasnot able to administer her own medications. She expressed that she wanted to administer her own medications.On 6/23/25 at approximately 4:00 p.m., Staff #1 stated that she administered Resident #2' s medications becausethey were in the medication cart. She stated that she was unaware that Resident #2 was able to self-administerher medications. On 6/23/25 at approximately 4:30 p.m., the administrator stated that the power of .. Based on record review and interview the facility (residence) failed to record all medications administeredincluding the date, time and amount of each medication administered affecting one of five sample members(residents) (#4).Findings Include: 1. Record ReviewResident #4 was admitted to the residence on 6/26/23 with a diagnosis of hypertension, diabetes, HIV, chronicfatigue, and fibromyalgia.A practitioners order dated 2/17/25 read that the residence was to administer the following medications toResident #4: Benzonatate 200 mg capsule one capsule once at bedtime, insulin glargine 100 unit/mL solutionpen-injector 18 unit subcutaneous at bedtime.A medication administration record (MAR) for Resident #4 for May 2025 did not contain the following medications:Insulin glargine 100 unit/mL solution pen-injector 18 unit subcutaneous at bedtime and Benzonatate 200 mgcapsule one capsule once at bedtime.A practitioners order dated 6/9/25 read that the residence was to administer the following medication to Resident#4: lamictal 25 mg one tablet once a day, Benzonatate 200 mg capsule one capsule once at bedtime, insulinglargine 100 unit/mL solution pen-injector 18 unit subcutaneous at bedtime.A medication administration record (MAR) for Resident #4 for June 2025 did not contain the followingmedication: lamictal 25 mg one tablet once a day.2..

A revisit survey was completed on 4/7/25 for all previous deficiencies cited on 10/23/24. 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 revisit survey was completed on 4/7/25 for all previous deficiencies cited on 10/23/24. 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 revisit survey was completed on 4/7/25 for all previous deficiencies cited on 10/23/24. 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