Gardens Care Homes - Meadow Hills, the

A licensure complaint, prompted by #CO31117 was completed on 3/8/23. Deficiencies were cited. Based on interview and record review, the residence failed to follow the written policies and procedures that address the transmission of communicable diseases with significant risk of transmission to other persons, affecting 15 current residents.Findings include: a. References and residence policies1. The residence' s Infection Control / Infection Prevention policy read in part, "Assisted living residences must also develop, implement, and follow written policies and procedures that address the transmission of communicable diseases with a significant risk of transmission to other persons and for reporting diseases to the state and/or local health department, pursuant to 6 CCR 1009-1 Epidemic and Communicable Disease Control. The policies and procedures include at a minimum, all of the following criteria; the method for monitoring and encouraging employee wellness, the method for tracking infection patterns and trends and initiating a response, the method for determining when to seek assistance from a medical professional and/or local health department, isolation techniques, and appropriate handling of linen and clothing of residents with communicable infections." 2. 6-CCR 1009-1 Epidemic and Communicable Disease Control, Regulation 1, Reportable Diseases, read in part: "The Board of Health also requires the reporting of any unusual illness, or outbreak, or epidem.. Based on record review and interviews, the residence failed to comply with authorized practitioner orders associated with medication administration, affecting one of four sample residents (#2).Findings include: 1. ReferencesAccording to WebMD, Zofran is used alone or with other medications to prevent nausea and vomiting. If you stop taking the drug suddenly or don' t take it at all: You could have nausea and vomiting that' s not controlled. WebMD (2005-2023) Zofran, retrieved from:https://www.webmd.com/drugs/2/drug-30/zofran-oral/details/list-sideeffects2. Resident #2 was admitted to the residence on 2/15/23 with the diagnoses including vomiting, diarrhea.A written practitioner' s order, dated 2/26/23, directed the residence to administer Zofran 4 mg two times a day for two days. However, the February 2023 electronic medication administration record (eMAR) read the residence did not administer the medication for both doses from 2/27-2/28/23, for a total of four missed doses due to the medication being out of stock.On 3/8/23 at 1:42 p.m., the administrator designee (AD) stated the medication for Resident #2 was not in stock and not administered because the medication was not delivered by the pharmacy. She added she reached out to the practitioner to notify that the medication for Resident #2 was not given. However, no proof or documentation was pr..

A relicensure survey was completed on 2/8/23. No deficiencies were cited. 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 7.14.29 All prescribed and PRN (as needed) medications shall be listed and recorded on a medication administration record (MAR) which contains the name and date of birth of the resident, the resident' s room location, any known allergies, and the name and telephone number of theresident' s authorized practitioner.(A) The medication administration record shall reflect the name, strength, dosage, and mode of administration of each medication, the date the order was received, the date and time of administration, any special considerations related to administration, and the signature or initial of the person administering the medication.