Gardens Care Homes - Meadow Hills Memory Care, the

A licensure complaint, prompted by #CO41296, was completed on 1/7/26. Deficiencies were cited. Based on record review and interview, the residence failed to comply with occurrence report requirements required by state law, affecting 12 current residents.Findings include:On 1/7/26 at approximately 10:30 a.m., during record and documentation reviews, neither the administrator nor the administrator designee submitted an occurrence report for the incident on 11/3/25, when Staff #2 abandoned her shift and left 12 residents alone without any staff members present. As of 1/7/26 there was not an occurrence report submitted to the department.On 1/7/26 at 11:19 a.m., the administrator designee stated that he did not submit an occurrence report and was unsure that he was required to d.. Based on record review and interviews, the residence failed to conduct a thorough investigation of an allegation of neglect, including outlining the investigative process and ongoing monitoring, and failed to provide documented findings of the abuse investigation to the department upon request, affecting 12 current residents.Findings Include:On 1/7/26 at approximately 10:30 a.m., all internal investigation documents related to the incident that occurred on 11/3/25 were requested; however, the residence failed to provide a comprehensive investigation of any aspect of the abuse and neglect incident, including documentation that the legal representative was notified within 24 hours, the i.. Based on record review and interviews, the residence failed to ensure the administrator managed the day-to-day delivery of services including completing, maintaining and submitting all reports and records required by the department, affecting 12 current residents.Findings included:On 1/7/26 at approximately 10:30 a.m., during a record review of the sampled residents, no documentation, including progress notes, incident reports, or any other records, indicated that the residents were left without any staff members onsite for approximately 30 minutes.On 1/7/26 at 10:29 a.m., the administrator designee (AD) stated that he did not know he was required to complete an occurrence .. Based on record review and interviews, the residence failed to ensure the residents were free from neglect, affecting 12 current residents.Findings Include:An undated admission agreement, in part, stated that the residence shall provide, either directly or indirectly, a physically safe environment with protective oversight, including ensuring that at all times at least one trained staff member is present in the secure environment, with zero tolerance for abuse and neglect.On 1/7/26 at 11:33 a.m., the administrator designee submitted to the human resources representative (HRR) a text message he received from Staff #2 stating, in part, that on 11/3/25, Staff #2 left the residence without any ot.. 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 VI 18.8- Resident records shall contain, but not be limited to, the following items: (D) Progress notes which shall include information on resident status and wellbeing, as well as documentation regarding any out of the ordinary event or issue that affects a resident ' s physical, behavioral, cognitive and/or functional condition, along with the action taken by staff to address that resident ' s changing needs; (1) The assisted..

A relicensure revisit was completed on 1/7/25 for the previous deficiency cited on 10/28/22. 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