Eqc Accent Assisted Living Incorporated

A relicensure survey was completed on 12/30/25. Deficiencies were cited. Based on interview and record review, the residence failed to ensure the administrator completed the additional 10 hours of training as required, affecting two current residents. Findings include: On 12/20/25 at 8:00 a.m., the 40-hour administrator training certification was requested. However, the administrator training certification provided, dated November 2006, contained only 30 hours of the required training. On 12/30/25 at 1:00 p.m., the administrator designee (AD) stated she was aware of the requirement needing the additional 10 hours of training. The AD stated bo.. Based on record review and interview, the residence failed to ensure each staff member received required dementia training for two of two sample staff (#1, #2), affecting two current residents. Findings include: A review of the personnel files for Staff #1 and Staff #2 revealed that they were hired on 6/17/17 and 10/1/25, respectfully. However, the files revealed no evidence of initial or ongoing dementia training as required. On 12/30/25 at 1:00 p.m., the administrator designee stated that since the residence was not a secure environment, she did not think that staff we.. Based on record review and interview, the residence failed to ensure each staff member received training of their specific duties and responsibilities prior to working independently for one of two (Staff #2) staff members. Findings include: The personnel file for Staff #2 revealed a hire date of 10/1/25; however, there was no evidence of specific training on their duties and responsibilities prior to working independently. The December 2025 staff schedule revealed that Staff #2 worked the following shifts:12/1-12/2/25 from 10:00 p.m. to 6:00 a.m.12/3/25 from 7:00 a.m.. Based on record review and interview, the residence failed to ensure that each staff member received initial orientation and training for one of two sample staff (#2), affecting two current residents.Findings include: The personnel file for Staff #2 revealed a hire date of 10/1/25. However, there was no evidence that Staff #2 had received the initial orientation as required under Chapter 7, Part 7, 7.9(A), specifically:1. The care and services provided by the assisted living residence; 2. Assignment of duties and responsibilities, specific to the staff member or volunteer; .. Based on record review and interview, the residence failed to request, prior to hire, a criminal history record check conducted by the Colorado Bureau of Investigations (CBI) for one sample staff (#2), affecting two current residents. Findings include: Staff #2 was hired in October 2025. However, there was no evidence that a CBI background check had been completed prior to his hire date.The December 2025 staff schedule revealed that Staff #2 worked the following shifts:12/1-12/2/25 from 10:00 p.m. to 6:00 a.m.12/3/25 from 7:00 a.m. to 8:00 p.m.12/4-12/5/25 from 1.. Based on record review and interview, the residence failed to show compliance with the Colorado Protective Services Data System (CAPS Check), prior to hiring staff who provided direct care to at-risk residents for one of two sample staff (#2), affecting two current residents. Findings include: The personnel file for Staff #2 revealed a hire date of 10/1/25, however, there was no evidence that a CAPS check had been completed. On 12/30/25 at 1:00 p.m., the administrator designee stated she was aware that the residence was required to complete a CAPS check on all new e..

A recertification survey was completed on 12/30/25. 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 two sample residents (#1, #2). Findings include: The records for Residents #1 and #3 revealed that the resident agreements were signed on 10/23/23 and 5/21/23, respectively. The resident agreements were not updated annually as required by regulation 8.7.001.B.3.a.1.On 12/30/25 at 1:00 p.m., the administrator designee stated she was aware that the resident agreements were required to be updated annually. She stated she was certain the resident agreements for Residents #1 and #2 had been updated, but could not explain why the agreements were not in the resident files.

A revisit survey was completed on 3/12/24 for all previous deficiencies cited on 9/21/23. 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 licensure revisit was completed on 9/21/23 for all previous deficiencies cited on 11/2/22. Deficiencies were cited. Based on observation, interview, and record review, the residence failed to ensure personnel files for current employees were onsite and readily available for department review, affecting two of two sample staff (#1, #2).This deficiency was cited previously during a state licensure survey on 11/2/22. Although the residence corrected the deficiency, based on the findings below, the residence has not maintained compliance with this regulatory requirement.Findings include:Chapter VII regulations governing assisted living residences, part 2.45, defines "Staff" as employees and contracted individuals intended to substitute for or supplement employees who provide resident care services. "Staff" does not include individuals providing external services, as defined herein.On 9/21/23 at 9:00 a.m., the personnel files for Staff #1 and #2 were requested. However, as of 9:20 a.m., no personnel files were available onsite for Staff #1 or Staff #2. On 9/21/23 at 9:20 a.m., the owner stated that the personnel files for Staff #1 and St.. Based on record review and interview, the residence failed to provide, upon request, residence documents and other records as requested by the department, affecting one current resident (#1).This deficiency was cited previously during a state licensure survey on 11/2/22. Although the residence corrected the deficiency, based on the findings below, the residence has not maintained compliance with this regulatory requirement.Findings include:1. ReferenceChapter VII regulations governing assisted living residences, part 6.8, requires that 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.2. Record ReviewOn 9/21/23 at approximately 9:00 a.m., the owner was requested to provide the resident record for Resident #1. On 9/21/23 at approximately 9:20 a.m., the owner stated she was unable to locate the record for Resident #1. She state.. 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