Five Star Residences of Dayton Place

A licensure complaint, prompted by #CO41557, was completed on 2/25/26. No deficiencies were cited. THIS PORTION OF THE REPORT IS FOR INFORMATIONAL PURPOSES ONLY. No response is necessary. The residence was advised that it must review and maintain the following processes in accordance with existing program regulations found at 6 CCR 1011-1, Chapter 7.14.27 (A) No stock medications shall be stored or administered by qualified medication administration persons. All over-the-counter medication prescribed for administration shall be labeled or marked with the individual resident' s full name.

A relicensure survey was completed on 7/23/25. Deficiencies were cited. Based on interviews and record review, the residence failed to ensure that each resident' s care plan reflected current personal services, needs, and preferences, along with staff tasks necessary to meet the needs of the resident (#4, #6.. Based on observations and interviews, the residence failed to ensure it had designated outdoor smoking areas with fire-resistant waste disposal containers, affecting 18 current residents.Findings Include:An environmental tour of the.. Based on observations and interviews, the residence failed to ensure oxygen tanks are secured upright at all times and in a manner that prevents tanks from falling over, being dropped, or striking each other, affecting 62 current residen.. Based on observations and interviews, the residence failed to store all medications in a locked cabinet, cart, or storage area when unattended, affecting 62 current residents.Findings Include:On 7/22/25 at 7:29 a.m., observation .. Based on observations, record review, and interviews, the residence failed to have sufficient staff in number to help residents needing or potentially needing assistance, affecting all 62 current residents.Findings Include:1. Observation.. Based on record review and interview, the residence failed to reassess residents every six months for the need of a secure environment, and or having residents' representative signatures affecting three of five sample residents (#6, #.. Based on record review and interviews, the residence failed to accurately document each medication administration event at the time the event was completed, affecting one of nine sample residents (#1).Findings Include:Resident #1.. Based on records review and interviews, the residence failed to complete a risk assessment of all hazards and preparedness measures to address natural and human-caused crises, including but not limited to fire(s), gas explosio.. Based on records review and interviews, the residence failed to develop an involuntary discharge grievance policy that included all required elements affecting 62 current residents.Findings Include:The residence ' s Discharges (Move Out.. Based on records review and interviews, the residence failed to have emergency policies addressing the identified risk of fire, ensuring auxiliary power, and written agreements with other healthcare facilities for relocation, affecting 62.. Based on records review and interviews, the residence failed to have readily available a roster of current residents, which included their emergency contact information, and included a facility diagram showing room locations, affecti.. THIS PORTION OF THE REPORT IS FOR INFORMATIONAL PURPOSES ONLY.No response is necessary.The residence was advised that it must review and maintain the following processes in accordance with existing program regulations fou..