Enriched Assisted Living at Princeton Way LLC

A revisit survey was completed on 12/4/24 for all previous deficiencies cited on 9/3/24. 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 relicensure survey with complaint #CO34620 was completed on 9/3/24. Deficiencies were cited. Based on record review and interview the residence failed to comply with Colorado Adult Protective Services (CAPS) Data System prior to hiring staff who provided direct care to at-risk residents for one of two sample staff (#2), affecting three current residents.The personnel file for Staff #2 revealed no documentation of a CAPS request or report. Staff #2 was hired and began providing service to residents on 10/2/22.On 9/3/24 at approximately 10:00 a.m., Staff #1 and the administrator stated Staff #2 had worked with the residents three times a week in the afternoon for about 90 minutes for the month of August 2024. The administrator stated the residence did not request a CAPS check for Staff #2 because of her Pro Re Nata (PRN) employment status. Based on record review and interview, the residence failed to ensure that each staff member met the dementia training requirements in 7.9(B), affecting three current residents.Findings include:On 9/3/24 at approximately 10:00 a.m., personnel files for Staff #1 and #2 revealed no evidence that the direct care staff members met the dementia training requirements in part 7.9(B).On 9/3/24 at approximately 10:30 a.m., the administrator acknowledged Staff #1 and #2 did not have dementia training as required. This portion of the report is for informational purposes only. No response 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 7.12.15 The assisted living residence shall develop policies and procedures to establish a fall management program. The program shall include the following:(A) Providing fall management education and materials to residents and family members;(B) Detailing in each resident' s care plan the individualized approach necessary to address fall risk related to deficits in strength, balance, and eyesight, or effects of medication as identified during the comprehensive resident assessment;(C) Providing resident engagement activities to improve strength and balance as specified in Part 12.22(C);(D) Routinely inspecting and maintaining a safe exterior and interior environment as specified in Parts 21 and 22; and(E) Providing staff training related to fall prevention as specified in Part 7.8(B)(6).12.20 The assisted living re..

A revisit survey was completed on 5/23/23 for all previous deficiencies cited on 11/10/22. The facility is in compliance with all deficiencies 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