Golden Valley Assisted Living

A recertification survey was completed on 12/29/25. No deficiencies were cited. THIS PORTION OF THE REPORT IS FOR INFORMATIONAL PURPOSES ONLY.No response is necessary. The service agency was advised it must review and maintain the following processes in accordance with existing program regulations found at 10 CCR 2505-10.8.7410 Rendering services according to the Person-Centered Support PlanA. Provider Agencies shall provide all Provider Agencies identified in the Person-Centered Support Plan (PCSP) a copy of the PCSP. Provider Agencies shall maintain this plan on file and ensure it is accessible to all staff who need it.B. Provider Agencies shall utilize the Person-Centered Support Plan as the basis for completing a Provider Care Plan. Any member of the Member Identified Team should be included in the development of the Provider Care Plan.C. Provider Care Plan1. All Provider Agencies identified in the Person-Centered Support Plan shall develop a Provider Care Plan for each Member.2. The Provider Care Plan should, at a minimum, identify the following:a. The service and care needs of the Member;b. Provider Care Plan development date;c. Goals or Objectives of the service(s);d. A description of the specific services, supports, methodologies or interventions used to address the identified needs of the Member, written in plain language including;i. information about the Member ' s preferences8.7506.F.4 Person-Centered Support Plana. The following information must be documented in the Member ' s Provider Care Plan:i. Medical Information:1) Medications the Member takes and how they are administered, with reference to the Medication Administration Record (MAR)

A relicensure survey was completed on 12/29/25. 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 7.12.1 The assisted living residence shall make available, either directly or indirectly through a resident agreement, the following services, sufficient to meet the needs of the residents:(C) Personal services including, but not limited to, a system for identifying and reporting resident concerns that require either an immediate individualized approach or on-going monitoring and possible re-assessment;(D) Protective oversight including, but not limited to, taking appropriate measures when confronted with an unanticipated situation or event involving one or more residents and the identification of urgent issues or concerns that require an immediate individualized approach; 13.12 The assisted living residence shall develop and implement policies and procedures for the identification, reporting, and investigation of injuries of unknown origin. Such policies and procedures shall include, but not be limited to, the following requirements:(A) The assisted living residence shall identify and document resident injuries for which the origin of the injury was not observed by or otherwise known by staff, and either:(1) The resident cannot explain how the injury occurred; or(2) The resident can explain the source of the injury, but the source could be addressed to prevent future injuries.(B) The assisted living residence shall document the following:(1) The investigation and identification of any injury identified in (A), above.(2) The implementation and outcome of the following for injuries for which the investigation determines the source/origin:(a) Compliance with Part 13.11, when the source/origin of the injury is suspected to be abuse, neglect, or exploitation; or(b) The steps taken to prevent or mitigate future injuries of like nature for both the injured resident and other residents when the..

A revisit survey was completed on 1/23/25 for all previous deficiencies cited on 10/16/24. 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 licensure complaint, prompted by #CO33381, was completed on 10/16/24. A deficiency was cited. Based on record review and interview the residence failed to ensure that each staff member met the dementia training requirements in 7.9(B), affecting 14 current residents.Findings include:On 10/16/24 at approximately 8:30 a.m., personnel files for Staff #1 and #2 revealed no evidence that the direct care staff members met the dementia training requirements in part 7.9(B).On 10/16/24 at approximately 11:30 a.m., the case manager and resident care coordinator acknowledged Staff #1 and #2 did not have dementia training. 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 7.9.3 The assisted living residence shall have an involuntary discharge grievance policy that complies with Section 25-27-104.3, C.R.S., and includes, at a minimum:(A) The individual designated by the assisted living residence to receive involuntary discharge grievances.(B) The ability for any of the persons the assisted living residence is required to notify in accordance with Part 11.16 to file a grievance challenging the involuntary discharge and/or reasons for the discharge with the individual designated in subpart (A), above, within 14 calendar days after written notice of the involuntary discharge is provided by the assisted living residence.(C) The ability for the resident, or other person allowed to file a grievance to receive assistance in preparing and filing a grievance without interference from the assisted living residence.(D) A requirement that grievances related to involuntary discharge be submitted to the individual designated by the facility in accordance with subpart (A) as follows:(1) In writing, or(2) Orally submitted to the individual designated in accordance with subpart (A), above. In the case of an oral submissio..

A revisit survey was completed on 9/13/23 for all previous deficiencies cited on 4/5/23. 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 revisit survey was completed on 9/13/23 for all previous deficiencies cited on 4/5/23. 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