Cottonwood Ridge

A relicensure survey with complaint #CO41365 was completed on 1/27/26. A deficiency was cited. Based on record review and interview, the residence failed to have a written policy that provided for effective eradication of insects, rodents, and other pests, affecting 27 current residents.On 1/27/26 at 8:00 a.m., the residence' s environmental pest control policy and procedure was requested; however, it was not provided.On 1/27/26 at 3:30 p.m., the administrator confirmed that the residence did not have a written pest control policy for effective pest control. 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 7.14.29 (C) Each qualified medication administration person, nurse, or practitioner shall accurately document each medication administration or monitoring event at the time the event is completed for each resident.

A recertification survey with complaint #CO41366 was completed on 1/27/26. A deficiency was cited. Based on interview and record review, the facility (residence) failed to ensure a lease, residency agreement, or other written agreement for each member (resident) was updated annually, affecting two of three sample residents (#1, #4). Findings include: The records for Residents #1 and #4 revealed that the resident agreements were signed on 11/1/24 and 2/5/24, respectively. The resident agreements were not updated annually as required by regulation 8.7001.B.3.a.i.On 1/27/26 at 3:30 p.m., the administrator stated she was unaware of the regulation requiring the resident agreements to be updated annually.

A revisit survey was completed on 3/26/24 for all previous deficiencies cited on 1/30/23. 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 was completed on 1/30/23. Deficiencies were cited. Based on , 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 28 current residents. Findings include:1. Reference and Residence Policya. According to the residential care facility (RCF) Comprehensive Mitigation Guidance, dated 11/3/22, residences were required to:-The designated person must complete 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.b. The residence COVID-19 ongoing vaccination plan, dated 6/9/21 identified the administrator as the responsible person for coordination of the COVID-19 vaccinations.2. InterviewOn 1/30/23 at approximately 4:15 p.m., the administrator confirmed she was aware of the CO TRAIN requirement; However, she stated neither she nor the co-administrator ha.. Based on observation and interview, the residence failed to ensure rooms occupied by smokers had fire resistant wastebaskets, affecting three of three residents who smoked cigarettes (#3-#5).Findings include: An environmental tour of the residence revealed Resident #3-#5' s rooms contained no evidence of fire resistant waste baskets. On 1/6/23 at approximately 4:00 p.m., the administrator confirmed resident' s #3-#5 were smokers and stated she was not aware that residents who were smokers were required to have special fire resistant trash baskets. 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 7.6.8 The administrator shall be responsible for the overall day-to-day operation of the assisted living residence, including, but not limited to: (I) Completing, maintaining, and submitting all reports and records required by the Department;14.21 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. 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. (C) Each qualified medicati..