Constant Care IV Woodburn

A revisit survey was completed on 4/16/24 for all previous deficiencies cited on 1/31/23. 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

Deficiency cited from Occurrence #242305U1001. The facility failed to provide the final report for Physical Abuse occurrence event #242305U1001.The findings:On 2/13/24, the facility submitted an initial report for a Physical Abuse occurrence. Upon review of the initial report information, the facility indicated no police notification occurred with a report of alleged abuse. In addition, the facility failed to provide a final occurrence report within the required timeframe. Department staff sent electronic late final report notices through the COHFI system on 2/21/24 and 2/27/24. The messages were not opened or read by the facility. On 3/5/24, an external email was sent to a facility representative requesting submission of the final report. This email remained unopened and unread.As of 3/21/24, the facility had not submitted the final report.

A relicensure survey was completed on 1/31/23. Deficiencies were cited. A change of ownership occurred on 6/15/21. Based on observation, record review and interview, the residence failed to ensure all over-the-counter (OTC) medications prescribed for administration were labeled or marked with residents' full names, affecting two of three sample residents (#1, #2). Findings include: 1. Resident #1On 1/31/23 at 12:37 p.m., a medication cart audit revealed the medication cart contained the following OTC medications which were not labeled with the resident' s full name nor any other identifying information:Calcium 600 plus D3Fiber capsuleVitamin B complexZinc Gluconate2. Resident #2On 1/31/23 at 12:37 p.m., a medication cart audit revealed the medication cart contained the following OTC medication which were not labeled with the resident' s full name nor any other identifying information:Senna-S 8.6 mg3. InterviewOn 1/31/23 at approximately 12:15 p.m., the director of operations stated she was unaware that OTCs were required to be labeled with the resident' s full name. On 1/31/23 at approximately 12:15 p.m., the house manager st.. Based on record review and interview, the residence failed to ensure the administrator complied with all applicable state laws to help prevent the possible development and transmission of coronavirus (COVID-19), affecting five current residents. Findings include: 1. ReferenceThe Residential Care Facility (RCF) Comprehensive Mitigation Guidance dated 1/12/23, required residences to:-Ensure at least one designated person completes the Colorado RCF Infection Prevention Training using CO.TRAIN within two weeks of the assignment of duties and each following calendar year thereafter. The information must be reported in EMResource and remain updated.-Ensure staff vaccination status was reported to EMResource.-Ensure EMResource was updated bi-monthly.2. Record ReviewOn 1/31/23, documentation for infection prevention training was requested from the director of operations (DOP); however, she was unable to provide the documentation. Review of EMResource, dated 1/31/23, revealed it had not been updated twice per mon.. 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 7.7.1 In order to ensure that staff members and volunteers are of good, moral, and responsible character, the assisted living residence shall request, prior to staff hire or volunteer on-boarding, a name-based criminal history record check for each prospective staff member and volunteer.14.40 All refrigerated medications shall be stored in a refrigerator that does not contain food and that is not accessible to residents.(A) All medication stored in a refrigerator shall be clearly labeled with the resident' s name and prescribing information.22.28 The assisted living residence shall prohibit the use of electric blankets and/or heating pads in resident rooms unless there is staff supervision or written documentation that the administrator has assessed the resident and determined he or she is c..