Gardens Care Homes - Thomas Park Memory Care, the

A revisit survey was completed on 11/14/24 for all previous deficiencies cited on 7/31/24. 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 relicensure survey with complaint #CO34602 was completed on 7/31/24. Deficiencies were cited.A change of ownership occurred on 10/19/2022. Based on record review and interview, the residence failed to comply with occurrence reporting required by state law, affecting one of four sample residents (#4).Findings include:1. Referencea. The Health Facilities and Emergency Medical Services Division Occurrence Reporting Manual (2018), read in part that the residence was required to report "any occurrence involving physical...abuse of a patient or resident, as described in section...18-3-402, 18-3-403, 18-3-404, or 18-3-405 C.R.S., by another patient or resident, an employee of the facility, or a visitor to the facility."2. Record Review An incident report, dated 11/12/23, read in part that staff "observed [Resident #4] being hit by a resident. [Resident #4] has a small scratch on the right side of her nose from the way her glasses fell off her face."On 7/31/24 at approximately 9:30 a.m., a review of the department' s database revealed that the residence failed to report the above allegations of physical abuse to the department as occurrences. 3. InterviewOn 7/31/24 at 1:42 p... Based on record review, observation and interview, the residence failed to be responsible for complying with authorized practitioner orders associated with medication administration, affecting two of three sample residents (#1, #2).Findings include:1. Resident #1 was admitted to the residence on 4/17/24.a. MorphineA written practitioner' s order, dated 7/27/24, directed the residence to administer morphine 100 mg per 5 ml every four hours. However, the July 2024 medication administration record (MAR) read that the residence failed to administer the medication on 7/31/24 at 8:00 a.m. and 12:00 p.m., for a total of two missed doses due to the medication being unavailable.b. OxycodoneA written practitioner' s order, dated 7/26/24, directed the residence to discontinue administration of oxycodone 10 mg three times daily on 7/27/24. However, the July 2024 MAR read that the residence administered the medication from 7/27/24 to 7/31/24 for a total of 13 doses provided after the medication was discontinued.2. Interv.. 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 7.13.1 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 and staff shall observe these rights in the care, treatment, and oversight of the residents. The statement of rights shall include, at a minimum, the following items: The right to privacy and confidentiality, including: The right to have private and unrestricted communications with any person of choice; The right to private telephone calls or use of electronic communication; The right to receive mail unopened; The right to have visitors at any time; and The right to private, consensual sexual activity.

A revisit survey was completed on 5/4/23 for all previous deficiencies cited on 6/23/22. No deficiencies 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