Enriched Assisted Living at Rolling Ridge LLC

A revisit survey was completed on 2/6/26 for all previous deficiencies cited on 10/15/25. 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 recertification survey was completed on 10/15/25. Deficiencies were cited. Based on observation and interview the facility (residence) failed to provide a well maintained environment affecting eight current members (residents). Findings include:1. ObservationOn 10/14/25 at approximately 9:30 a.m., during the environmental tour of the outside of the residence weeds, carpets, and garbage around the grounds was observed. On 10/14/25 at approximately 3:30 p.m., Room A of the residence was observed with very stained and worn out carpet. 2. InterviewOn 10/14/25 at approximately 5:15 p.m., the administrator stated that she was aware of the rubbage outside of the residence. The administrator stated that she was aware of the stained worn carpet in Room A and that she would have it cleaned. Based on record review and interview the facility (residence) failed to follow written policies and procedures to ensure the continuation of necessary care to all residents for at least 72 hours immediately following any emergency, to include a long-term power failure, affecting eight current members (residents).Findings include:On 10/14/25 at approximately 8:40 a.m., the emergency binder and policy which included the continuation of necessary care to residents for at least 72 hours was requested. An undated document titled Power Outages, read that resident staff were required to have a generator readily available. On 10/14/25 at approximately 5:15 p.m., the administrator stated that the residence did not have a generator for use during emergencies. Based on record review and interview the facility (residence) failed to maintain practitioners orders associated with medication administration affecting two of eight sample members (residents) (#2 and #3).Findings include:1. Record ReviewResident #2 was admitted to the residence on 3/4/2025 with a diagnosis of hypertension.A practitioner' s order for Resident #2, dated 5/15/2025, read to administer Aspirin 81 mg once daily.A medication administration record for Resident #2, dated September 2025, did not have record that the residence administered Aspirin 81 mg once daily. A medication administration record for Resident #2, dated October 2025, did not have record that the residence administered Aspirin 81 mg once daily. An email communication from the administrator dated 10/15/2025, read that she followed up with Resident #2' s practitioner and verified that Resident #2 did need to take Aspirin 81 mg once daily.2. InterviewOn 10/14/2025 at approximately 5:00 p.m., the administrator stated that the residence did not hav..

A relicensure survey was completed on 10/15/25. Deficiencies were cited. Based on observation and interview the residence failed to ensure that qualified medication administration persons (QMAPs) were trained in and applied nationally recognized protocols for basic infection control and prevention when preparing and administering medications affecting eight current residents. (Cross-reference U0647)Findings include:On 10/14/25 the house manager passed medication to Resident #2 wearing gloves. She then returned to the medication cart, did not remove the gloves and continued to pass the next residents medication without removing the used glov.. Based on observation and interview the residence failed to provide a sanitary environment affecting eight current residents. Findings include:1. ObservationOn 10/14/25 at approximately 9:30 a.m., during the environmental tour of the outside of the residence weeds, carpets, and garbage around the grounds was observed. On 10/14/25 at approximately 3:30 p.m., Room A of the residence was observed with very stained and worn out carpet. 2. InterviewOn 10/14/25 at approximately 5:15 p.m., the administrator stated that she was aware of the rubbage outsi.. Based on record review and interview the residence failed to comply with authorized practitioner orders associated with medication administration affecting two of eight sample residents (#2 and #3).Findings include:1. Record ReviewResident #2 was admitted to the residence on 3/4/2025 with a diagnosis of hypertension.A practitioner' s order for Resident #2, dated 5/15/2025, read to administer Aspirin 81 mg once daily.A medication administration record for Resident #2, dated September 2025, did not have record that the residence administered Aspirin 81 mg once daily. A.. Based on record review and interview the residence failed to follow written policies and procedures to ensure the continuation of necessary care to all residents for at least 72 hours immediately following any emergency, to include a long-term power failure, affecting eight current residents.Findings include:On 10/14/25 at approximately 8:40 a.m., the emergency binder and policy which included the continuation of necessary care to residents for at least 72 hours was requested. An undated document titled Power Outages, read that resident staff were required to have a generat.. Based on record review and interview the residence failed to provide training to staff members relevant to their specific duties and responsibilities prior to working independently, affecting eight current residents. (Cross-reference U1596)Finding include:On 10/14/25 when staff records were reviewed, the house manager staff file did not have documentation of training specific to the population and/or relevant to specific duties and responsibilities prior to her working independently.On 10/14/25 at approximately 5:15 p.m., the administrator stated that the house manager di.. 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 existingprogram regulations found at 6 CCR 1011-1, Chapter 7.22.17 Each sleeping room shall have at least one window of 8 square feet which shall have opening capability.

A licensure complaint, prompted by #CO30611, was completed on 12/9/24. A deficiency was cited. Based on record review and interview the residence failed to develop a care plan affecting one of two sample residents (#9). & nbsp; Findings include: Resident #9 was admitted to the residence on 03/22/24 with a diagnosis of bipolar disorder.The record for Resident #9 was reviewed and revealed no evidence of a care plan.On 12/9/24 at 11:03 a.m., the administrator stated she did not have a care plan for Resident #9.

A certification complaint, prompted by #CO30612, was completed on 12/9/24. A deficiency was cited. Based on record review and interview the facility failed to develop a care plan affecting one of two sample members (Member #9). Findings include:Member #9 was admitted to the facility on 12/21/24 with a diagnosis of bipolar disorder.The record for Member #9 was reviewed and revealed no evidence of a care plan.On 12/9/24 at 11:03 a.m., the administrator stated she did not have a care plan for Member #9