Eddie's House

A certification complaint, prompted by #CO38636, was completed on 7/23/25. A deficiency was cited. Based on record review and interview the facility failed to provide, upon request, copies of the member' s records requested by the department affecting 1 former sample member (#4).Findings Include:On 7/22/25 at approximately 12:30 p.m., Member #4' s records were requested. On 7/22/25 at approximately 1:00 p.m., the administrator stated that Member #4 records were unavailable because the file room was inaccessible due to construction in the facility' s basement.

A Relicensure Survey and Complaint Revisit was completed on 7/23/25 for all previous deficiency cited on 9/3/24. The residence is in compliance with all regulations surveyed. 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 licensure complaint, prompted by #CO38635, was completed on 7/23/25. A deficiency was cited. Based on record review and interview, the residence failed to provide, upon request, copies of the resident records requested by the department affecting 1 former sample resident (#4). Findings Include:On 7/22/25 at approximately 12:30 p.m., Resident #4' s records were requested. On 7/22/25 at approximately 1:00 p.m., the administrator stated that Resident #4' s records were unavailable because the file room was inaccessible due to construction in the facility' s basement.

A relicensure survey with complaint #CO36719 was completed on 9/3/24. A deficiency was cited. Based on observation and interview, the residence failed to make available, either directly or indirectly through a resident agreement, a safe and sanitary environment including, but not limited to, measures to reduce the risk of potential hazards in the physical environment, affecting four current residents (#1-#4).Findings include:1. Referencea. Chapter VII regulations governing assisted living residences, part 2.45, defines "Personal services" as those services that an assisted living residence and its staff provide for each resident including, but not limited to:(A) An environment that is sanitary and safe from physical harm."2. ObservationsOn 9/3/24 at 9:30 a.m., the basement of the residence had broken walls, broken windows, broken doors, clutter and broken pieces of wood laying loosely on the floor. The basement was unsafe with the potential of tripping hazards to residents. Additionally, the basement had a strong mildew odor.b. On 9/3/24 at 10:00 a.m., a broken sink filled with stains from chewed tobacco products was observed in Resident #2' s room. It emitted an unpleasant odor.3. Interviewsa. On 9/3/24 at 10:00 a.m., the house manager (HM) said the basement was undergoing reconstruction after a flooding incident had occurred. She confirmed the residents frequently entered the basement to access the washer and dryer. The HM added that the condition of t.. 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, part 9.3.9.3 The assisted living residence shall have an involuntary discharge grievance policy that complies with Section 25-27-104.3, C.R.S., and includes, at a minimum:(A) The individual designated by the assisted living residence to receive involuntary discharge grievances.(B) The ability for any of the persons the assisted living residence is required to notify in accordance with Part 11.16 to file a grievance challenging the involuntary discharge and/or reasons for the discharge with the individual designated in subpart (A), above, within 14 calendar days after written notice of the involuntary discharge is provided by the assisted living residence.(C) The ability for the resident, or other person allowed to file a grievance to receive assistance in preparing and filing a grievance without interference from the assisted living residence.(D) A requirement that grievances related to involuntary discharge be submitted to the individual designated by the facility in accordance with subpart (A) as follows:(1) In writing, or(2) Orally submitted to the individual designated in accordance with subpart (A), above. In t..