Flourish Supportive Living at Owens

10 CCR 2505-10 Chapter 8.500 HOME AND COMMUNITY BASED SERVICES 8.515.85 SUPPORTIVE LIVING PROGRAMSection 8.515.85.C.SUPPORTIVE LIVING PROGRAM (SLP) INCLUSIONS1. SLP services consist of structured services designed to provide:i. Health Maintenance Activities. Based on observation, interview and record review, the program (residence) failed to maintain and follow written policies and procedures for the administration of medication, affecting seven current individuals (residents). Findings include:1. Section 8.515.85.A.10 defines Health Maintenance Activities as those routine and repetitive health-related tasks which are necessary for health and normal bodily functioning, that an individual with a disability would carry out if he/she were physically able, or that would be carried out by family members or friends if they were available. These activities include, but are not limited to, catheter irrigation, administration of medication, enemas, suppositories, and wound care.2. Chapter VII regulations governing assisted living residences, part 14.21, requires the residence to comply with authorized practitioner orders associated with medication administration except for those medications which a resident self-administers.A. Resident #3 was admitted to the residence on 4/27/23.EnuloseA written practitioner' s order, dated 8/21/24, directed the residence to administer Enulose 30 mL twice daily. However, the September and October 2024 electronic medication administration record (eMARs) read the residence failed to administer the medication on 9/9 and 10/15 in the morning, 9/8 and 10/8 in the evening, and two doses on 9/19, 9/30, 10/9-10/12 and 10/14/24, for a total of nineteen missed doses.Levocarnitine A written practitioner' s order, dated 4/3/24, directed the residence to administer the levocarnitine 330 mg once daily at noon. However, the October 2024 eMAR revealed that the residence failed to administer the medication on 10/1/24, for a total of one missed dose. B. Evidence obtained during the on site visit r.. A recertification supportive living program survey was completed on 10/15/24. A deficiency was cited.

8.515.85.C.1.e.i. Supportive Living Program Inclusions1. SLP services consist of structured services designed to provide:i. Health Maintenance Activities.Based on record review, observation and interview, the facility failed to be in compliance with Chapter 7 regulations.Findings include:1. Reference and Residence Policya. Chapter 10 regulations governing supportive living programs, section 8.515.85.A.10, defines health maintenance activities as those routine and repetitive health-related tasks which are necessary for health and normal bodily functioning, that an individual with a disability would carry out if he/she were physically able, or that would be carried out by family members or friends if they were available. These activities include, but are not limited to, catheter irrigation, administration of medication, enemas, suppositories, and wound care.b. The residence ' s undated Medication Administration policy, read in part, "Only individuals that are practitioners, nurses, qualified medication administration persons (QMAP), acting within his or her scope of practice are allowed to administer medications to residents".2. Chapter VII regulations governing assisted living residents part 14.10, unless otherwise allowed by statute, the assisted living residence shall not permit a qualified medication administration person to perform any of the following tasks: (G) Assessment of residents or use of judgment including, but not limited to, medication effect.a. Resident #2 was admitted on 5/16/23 with a diagnosis of type two diabetes.HumulinA written practitioner order, dated 8/9/23, instructed the resident to inject 90 units of Humulin by subcutaneous route every morning.b. ObservationOn 11/14/23 at 7:33 a.m. Staff #1 assisted Resident #2 with their insulin. Resident #2 used the lancet to poke her finger to get the blood glucose reading. After the reading was taken, Staff #1 opened Resident #2 ' s insulin pen, dialed the dosage, and handed the pen to Resident #2. Resident #2 injected themselves with her insulin and handed the insulin pen back to .. A recertification supportive living program survey was completed on 11/14/23. A deficiency was cited.