Gaia's Remedy Assisted Living, LLC

A licensure complaint, prompted by #CO36730, was completed on 7/29/24. Deficiencies were cited. Based on interview and record review, the residence failed to ensure that each qualified medication administration person (QMAP) documented accurate information in the medication administration record (MAR), including any medication omissions; the residence additionally failed to ensure that, as part of the MAR, the residence maintained a legible list of the names of the persons utilizing the MAR, along with their signatures and initials, affecting three of t.. Based on observation and interview, the residence failed to ensure that qualified medication administration persons (QMAPs) were trained in and applied nationally recognized protocols for basic infection control and prevention when preparing and administering medications, affecting three of three sample residents (#1-#3) whose medications were administered.Findings include:On 7/29/24 from approximately 8:00 a.m. to 9:00 a.m., during medication administrat.. Based on observation and interview, the residence failed to prohibit a qualified medication administration person (QMAP) to make a judgment on the dosage of an insulin pen, affecting one resident prescribed insulin (#2).Findings include:On 7/30/24 at 8:55 a.m., Staff #2 removed an insulin pen from the medication refrigerator. Staff #2 connected the needle to the insulin pen and then dialed up the dosage on the insulin pen. Staff #2 then gave the dial.. Based on record review and interview, the residence failed to ensure the administrator completed the required 40-hour training prior to assuming the administrator role, affecting nine current residents.Findings include:On 7/29/24 at 7:28 a.m., the acting administrator' s 40-hour training certificate was requested; however, the acting administrator was unable to provide the certification.On 7/29/24 at approximately 7:30 a.m., the acting administrator stated she .. Based on record review and interview, the residence failed to ensure the department was notified of changes in management prior to the management change occurring, affecting nine current residents.On 7/29/24, review of the department' s database revealed the administrator of record was the administrator of the residence.On 7/29/24 at 7:09 a.m., Staff #1 stated that the acting administrator was not the administrator on record with the department.On.. Based on record review and interview, the residence failed to ensure two individuals jointly counted all controlled substances at the end of each shift and signed documentation regarding the results of the count at the time it occurred, affecting two of three sample residents (#2 and #3).Findings include:1. Resident #1A written practitioner' s order, dated 7/24/24, directed the residence to administer the following medications:Tramadol HCL 100 mg three ti.. Based on record review, observation and interview, the residence failed to be responsible for complying with authorized practitioner orders associated with medication administration, affecting three of three sample residents (#1-#3).Findings include:1. Resident #1 was admitted to the residence on 4/26/24.a. Polyethylene glycolA written practitioner' s order, dated 3/18/24, directed the residence to administer polyethylene glycol3350, 14 ounces daily. ..

A revisit survey was completed on 3/5/24 for all previous deficiencies cited on 6/5/23. 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 second initial licensure survey with complaint #CO32416 was completed on 6/5/23. Deficiencies were cited. Based on interview and record review, the residence failed to comply with authorized practitioner orders associated .. Based on interview and record review, the residence failed to ensure only medications that had been ordered by an a.. Based on interviews and record review, the residence failed to investigate an allegation of neglect, in accordance wi.. Based on observation and interview, the residence failed to place in a visible location a list of all staff who had curre.. Based on observation, interview, and record review, the residence failed to ensure residents had the right to privacy .. Based on observation, interview, and record review, the residence failed to keep the grounds free of rubbish, affecti.. Based on observation, record review and interview, the residence failed to ensure medication audits were completed.. Based on observation, record review and interview, the residence failed to retain in employee' s personnel files, who .. Based on observations, interviews, and record reviews the residence failed to only allow appropriately trained skilled.. Based on record review and interview, the residence failed to ensure a name based criminal history report was reque.. Based on record review and interview, the residence failed to ensure applicants showed compliance with Colorado A.. Based on record review and interview, the residence failed to have a quality management program (QMP) that impro.. Based on record review and interview, the residence failed to have a readily available current resident roster that in.. Based on record review and interview, the residence failed to have at least one staff member onsite at all times who.. Based on record review and interview, the residence failed to have at least one staff member onsite at all times who.. Based on record review and interview, the residence failed to include results of background checks, for one of three .. Based on record review and interview, the residence failed to provide, upon request, residence documents, staff info.. THIS PORTION OF THE REPORT IS FOR INFORMATIONAL PURPOSES ONLY. No response is necessary. The re..