Flourish Supportive Living at Floyd

A revisit survey was completed on 8/5/24 for all previous deficiencies cited on 4/30/24. 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 revisit survey was completed on 8/5/24 for all previous deficiencies cited on 4/30/24. 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 certification complaint, prompted by #CO35867, was completed on 4/30/24. A deficiency was cited. Based on observation, interview, and record review, the facility (residence) failed to maintain and follow written policies and procedures for the administration of medication in accordance with 6 CCR 1011-1, Chapter VII Medication Administration Regulations, affecting one of two sample participants (residents) (#1).Specifically, Resident #1 had diagnoses including seizures. On 4/20/24, Resident #1 was transported to the emergency department (ED) for being unresponsive. Resident #1 was discharged back to the residence on 4/21/24 with a discharge diagnosis of seizures. A written practitioner' s order, dated 4/20/24, directed the residence to administered levetiracetam 500 mg twice daily to Resident #1. However, staff did not administer this medication on 4/21/24 in the evening nor 4/22/24 morning or evening. On 4/23/24, Resident #1 was again found unresponsive and was transported to the ED for seizure activity. Resident #1 was admitted back to the residence on 4/25/24 with a written practitioner' s order, dated 4/25/24, that directed the residence to administer levetiracetam 1500 mg twice daily. However, staff again failed to administer the ordered medication on the evening of 4/26/24. Resident #1 was again found unresponsive and again transported to the ED for seizures. Findings include:1. Chapter VII regulations governing assisted living residences, part 14.21, requires t..

A licensure complaint, prompted by #CO35865, was completed on 4/30/24. Deficiencies were cited. Based on interview and record review, the residence failed to ensure that each qualified medication administration person documented accurate information in the medication administration record (MAR), including any medication omissions, affecting one of two sample residents (#1). (Cross-reference S1568)Findings include:1. Resident #1 was admitted to the residence on 3/12/24.A written practitioner' s order, dated 4/25/24, directed the residence to administer levetiracetam 1,500 mg twice daily. However, the April 2024 MAR read on 4/26/24 the staff documented the medication was refused. On 4/30/24 at 8:19 a.m., Staff #2 said Staff #3 incorrectly documented that Resident #1 refused the levetiracetam dose on the evening of 4/26/24. She added Staff #3 should have documented that the medication was unavailable because she was unable to find it in the cart. On 4/30/24 at 10:34 a.m., the administrator acknowledged Staff #3 incorrectly documented that Resident #1 refused the medication when it was actually in stock.. Based on record review and interview the residence failed to be responsible for complying with authorized practitioner orders associated with medication administration except for those medications which a resident self-administers, affecting one of two sample residents (#1). (Cross-reference S1600)Specifically, Resident #1 had diagnoses including seizures. On 4/20/24, Resident #1 was transported to the emergency department (ED) for being unresponsive. Resident #1 was discharged back to the residence on 4/21/24 with a discharge diagnosis of seizures. A written practitioner' s order, dated 4/21/24, directed the residence to administered levetiracetam 1000 mg twice daily to Resident #1. However, staff did not administer this medication on 4/21/24 in the evening nor 4/22/24 morning or evening. On 4/23/24, Resident #1 was again found unresponsive and was transported to the ED for seizure activity. Resident #1 was admitted back to the residence on 4/25/24 with a written practitioner' s order, dated 4/25/24, that .. 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 7.7.9 The assisted living residence shall ensure that each staff member and volunteer receives orientation and training, as follows:(A) The assisted living residence shall ensure each staff member or volunteer completes an initial orientation prior to providing any care or services to a resident. Such orientation shall include, at a minimum, all of the following topics:(4) Emergency response policies and procedures, including:(a) Recognizing emergencies,(b) Relevant emergency contact numbers,(c) Fire response, including facility evacuation procedures(d) Basic first aid,(e) Automated external defibrillator (AED) use, if applicable,(f) Practitioner assessment, and(g) Serious illness injury, and/or death of a resident.(5) Reporting requirements, including occurrence reporting procedures with..

A relicensure survey was completed on 11/2/23. No deficiencies were cited. 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 7.5.1 Assisted living residence personnel engaged in the admission, care or treatment of at-risk persons shall report suspected physical or sexual abuse, exploitation and/or caretaker neglect to law enforcement within 24 hours of observation or discovery pursuant to Section 18-6.5-108, C.R.S.5.3 An assisted living residence shall comply with all occurrence reporting required by state law and shall follow the reporting procedures set forth in 6 CCR 1011-1, Chapter 2, Part 4.2. (A) An assisted living residence shall investigate an occurrence to determine the circumstances of the event and institute appropriate measures to prevent similar future situations. (1) Documentation regarding the investigation, including the appropriate measures to be instituted, shall be made available to the Department, upon request. (B) An assisted living residence shall submit its final investigation report to the Department within five business days after the initial report of the occurrence. (C) Nothing in this Part 5.3 shall be construed to limit or modify any statutory or common law right, privilege, confidentiality, or immunity.13.11 The assisted living residence shall investigate all allegations of abuse, neglect, or exploitation of residents in accordance with Part 5.3 and its written policy which shall include, but not be limited to, the following: (D) How the assisted living residence will document the investigation process to evidence the required reporting and that a thorough investigation was conducted;14.29 All prescribed and PRN medications shall be listed and recorded on a medication administration record (MAR) which contains the name and date of birth of the resident, the resident' s room location, any known allergies, and the name and telephone number of the resident' s authorized practitioner. (D) Each qualified medicatio..