Forgetmenot Memory Care Assisted Living

A licensure revisit was completed on 9/12/23 for all previous deficiencies cited on 2/7/23. The residence is in compliance with all regulations surveyed. 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 relicensure survey was completed on 2/7/23. Deficiencies were cited. Based on interviews and record review, the residence failed to ensure the administrator complied with all applicable state laws to help prevent the possible development and transmission of coronavirus (COVID-19), affecting two current residents. (Cross-reference Q0910 and Q2580) Findings include:1. References The Ninth Amended Public Health Order, dated 10/11/22, required residences to implement the COVID-19 infection prevention and management strategies as .. Based on observation and interview, the residence failed to ensure there was a storage area which was inaccessible to residents for items that could pose a risk or danger, affecting two current residents. Findings include: The residence' s Laundry Practice' s policy, dated 10/2020, read in part: "Cleaning compounds and other hazardous substances (including products labeled "Keep out of reach of children" on their original containers) shall be clearly labeled to ind.. Based on observation and interview, the residence failed to ensure there was toilet paper, liquid soap, and paper towels or hand drying devices in all common bathrooms, in three of three common area bathrooms, affecting one current resident (#2). (Cross-reference Q0540)Findings include: On 2/7/23 at approximately 8:30 a.m., an environmental tour of the residence revealed three common area bathrooms. Two of the bathrooms had signs on the.. Based on observation, record review and interview, the residence failed to ensure only medication ordered by an authorized practitioner was administered to residents, affecting one sample resident (#2) who was administered eight of eight doses of as needed (PRN) medication by unlicensed staff from 1/15/23 to 2/5/23. Findings include: The residence' s January and February 2023 medication administration record (MAR) for Resident #2 read he was administ.. Based on observation, record review and interview, the residence failed to place in a visible location a list of all staff who have current certification in first aid or cardiopulmonary resuscitation (CPR), affecting two current residents. Findings include:On 2/7/23 at approximately 8:30 a.m., an environmental tour of the residence revealed there was not a list of all staff members who maintained current certification in first aid or CPR.Review of the residence' s pers.. Based on record review and interview, the residence failed to ensure a Colorado Adult Protective Services Data Systems (CAPS) check was performed prior to hiring two of two sample staff (#1, #2) who provided direct care to at-risk residents, affecting two current residents. Findings include:1. References and Residence Policya. According to 2022 Colorado Revised Statutes (C.R.S.) Title 26 - Human Services Code Article 3.1 - 101 Protective Services for At-ris.. Based on record review, the residence failed to have readily available a roster of current residents, their room assignments and emergency contact information, along with a residence diagram showing room locations, affecting two current residents. (Cross-reference Q0540) Findings include: The residence' s Emergency Preparedness policy, dated 10/2020, read in part: "The community has readily available a roster of current residents, their room assignme.. THIS PORTION OF THE REPORT IS FOR INFORMATIONAL PURPOSES ONLY.No response is necessary.The assisted living residence was advised it must review and maintain the following processes in accordance with existing program regulations found at 6 CCR 1011-1, Chapter 7:13.1 The assisted living residence shall adopt, and place in a publicly visible location, a statement regarding the rights and responsibilities of its residents. The assisted living residence an..