Flourish Supportive Living at Reed

A relicensure survey with complaint #CO36281 was completed on 6/13/24. Deficiencies were cited. Based on interview and record review, the residence failed to ensure staff observed a resident' s right to be free of sexual abuse, affecting one resident (#3). (Cross-reference S0410, S0430, S1410)Specifically, on 4/4/24, Resident #3 reported that Former Staff #6 sent him a picture of her breasts. The residence did not put measures in place to protect the resident or suspend or transfer the staff member, as the resident reportedly later denied the pictures were from a staff member. The residence continued to schedule Former Staff #6 at the residence, providing care and services to residents until 6/4/24. On 5/22/24, Resident #3 reported a romantic relationship with an unnamed femal.. Based on interviews and record reviews, 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 those needs, affecting three sample residents (#1, #3, #4).Findings include:1. Resident #3 was admitted to the residence on 8/25/22 with a diagnosis of traumatic brain injury (TBI).The care plan documented Resident #3 required redirecting when he had negative attitudes and comments. Staff were required to prompt and cue residents to enforce positive relationships. Staff would not approach the resident from behind.On 4/4/24, Resident #3 received a contract violation, documenti.. Based on record review and interview, the residence failed to comply with occurrence reporting requirements, affecting four of four sample residents (#1, #3-#5) who alleged abuse. (Cross-reference S0410, SS0430, S1410, S1322)Findings include:According to the Occurrence Reporting Manual, dated May 2018, the residence must report an occurrence to the Department when: "Any occurrence involving physical...abuse of a patient or resident, as described in Section 18-3-202, 18-3-203, and 18-3-204...C.R.S., by another patient or resident, an employee of the facility, or a visitor to the facility. Two elements (were) needed: Intent OR Knowingly OR Recklessly AND Bodily injury. Any occurr.. Based on record review and interview, the residence failed to investigate allegations of abuse in accordance with regulation and written policy, affecting four of five sample residents (#1, #3-#5). (Cross-reference S0410, SS0430, S1322)Findings include:The residence' s Abuse, Neglect, and Exploitation policy, dated 9/26/22, read in part: "(Residence Name) will report the suspected abuse, neglect, and exploitation to the appropriate agencies such as the adult protection services (APS) of the appropriate county. (Residence Name) will investigate the suspected abuse, which includes interviewing the resident and witnesses, if any. If another resident is involved ... The a.. Based on record review and interview, the residence failed to report suspected physical or sexual abuse and exploitation to law enforcement within 24 hours of observation or discovery, affecting four of four sample residents (#1, #3-#5). (Cross-reference S0430, S1410, S1322)Findings include:1. Resident #3 was admitted to the residence on 8/25/22 with a diagnosis of traumatic brain injury (TBI).An investigation report dated 4/4/24 documented that Resident #3 showed Former Staff #7 a photograph of bare breasts. Resident #3 said it was a photograph of Former Staff #6. The administrator telephoned Resident #3 and asked about the picture. The administrator told Resident #3 ..

A recertification survey with complaint #CO36282 was completed on 6/13/24. Deficiencies were cited. Based on interview and record review, the facility (residence) failed to ensure a participant (resident) was protected from all forms of sexual exploitation and freedom from coercion affecting one resident (#3). Specifically, on 4/4/24, Resident #3 reported that Former Staff #6 sent him a picture of her breasts.. The residence did not put measures in place to protect the resident or suspend or transfer the staff member, as the resident reportedly later denied the pictures were from a staff member. The residence continued to schedule Former Staff #6 at the residence, providing care and services to residents until 6/4/24. On 5/22/24, Resident #3 reported a romantic relationship with an unnamed female staff member. The residence did not put measures in place to protect the resident as the resident reportedly later denied the allegation of a romantic relationship with an unnamed female staff member. Subsequently, on 6/4/24, Resident #3 reported to his APS case manager (CM) that he had nonconsensual sexual intercourse and sexual contact with Former Staff #6 and was fearful of reporting. The residence interviewed Former Staff #6, and the staff member stated that the sexual allegations were true. 1. Residence Policies The residence' s Resident Rights policy, dated 9/26/22, read in part: "(The residence) and staff shall observe resident rights in the car.. Based on interviews and record reviews, the facility (residence) failed to ensure that each participant' s (resident) care plan reflected current personal services needs and preferences along with staff tasks necessary to meet those needs, affecting three sample participants (#1, #3, #4).Findings include:1. Resident #3 was admitted to the residence on 8/25/22 with a diagnosis of traumatic brain injury (TBI).The care plan documented Resident #3 required redirecting when he had negative attitudes and comments. Staff were required to prompt and cue residents to enforce positive relationships. Staff would not approach the resident from behind.On 4/4/24, Resident #3 received a contract violation, documenting that the resident had failed to adhere to the residence' s house rules. Documenting Resident #3 could not exhibit threatening behavior, including verbal, sexual, and physical abuse toward other residents and staff.On 5/14/24, Resident #3 received a behavioral contract. The contract documented that the resident would not engage in verbal or physical aggression and would not make false allegations. The resident would collaborate with his team to develop appropriate goals and objectives to improve his quality of life.An incident report dated 5/23/24 documented Resident #3 yelled at his counselor and then yelled at his roommate.An incident report dated 5/24/24 d..