Grand at Broomfield, the

A licensure complaint, prompted by #CO36578 and #CO39037, was completed on 5/19/25. Deficiencies were cited. Based on observation, record review, and interview, the residence failed to ensure that each resident received proper administration and monitoring of medications for two of eight sample residents (#2, #5).Findings include:On 5/19/25 at 9:15 a.m., Staff #2 was observed leaving a mixture of polyethylene glycol and water with Resident #5 before walking away to administer medications to another resident.The residence ' s medication policy handbook, dated 2014, stated: "Be sure to observe the Resident taking his/her medication."Resident #5 was admitted to the residence on 9/11/23.A signed practitioner ' s order, dated 8/13/24, directed staff to administer polyethylene glycol (Miralax) 17 grams mixed with six ounces of fluid once daily.On 5/19/25 at approximately 9:20 a.m., Staff #2 told Resident #5, "I will come back in five minutes to make sure you got it taken."On 5/19/25 at approximately 9:35 a.m., Staff #2 stated that staff were instructed to remain with the resident to monitor medication ingestion. She noted that Resident #5 drinks her Miralax slowly, and that she would return to confirm ingestion or send another caregiver to check. Staff #2 acknowledged that there is no way to confirm ingestion unless it is directly monitored.On 5/19/25 at 3:10 p.m., the administrator stated he expected staff to remain with each resident until all medications are ingested. He agreed th.. Based on observation, record review, and interview, the residence failed to label over-the-counter (OTC) medications with each resident ' s full name for two of eight sample residents (#5, #7).Findings include:On 5/19/25 at 8:35 a.m., an observation of the medication storage cart revealed that OTC medications, acetaminophen and magnesium bottles were not properly labeled with the residents' full names.The residence ' s medication policies handbook, dated 2014, read in part: "If a resident had his/her OTC medications stored in the medication room or cart, each OTC medication must be labeled with the Resident ' s name, unit number, and date the medication was opened."Resident #5 was admitted to the residence on 11/14/23.A signed practitioner ' s order, dated 12/14/23, directed the administration of magnesium 250 mg once daily.A signed practitioner ' s order, dated 4/24/25, directed the administration of acetaminophen (Tylenol) every eight hours.On 5/19/25 at 3:10 p.m., the administrator stated that he expected OTC medications to be labeled to match the practitioner ' s order and confirmed that unlabeled medications constituted a deficient practice.Similar deficient practice of failing to properly label OTC medications was found with Resident #7.

A revisit survey was completed on 4/30/24 for all previous deficiencies cited on 1/25/24. 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 complaints #CO34334 and #CO34595, was completed on 1/25/24. Deficiencies were cited. Based on observation and interview, the residence failed to ensure the secure outdoor area was available year-round and independently accessible to residents without staff assistance for entrance or exit, affecting 15 current residents in the secure environment.Findings include:On 1/24/24 at approximately 11:45 a.m., the secure environment section of the residence had a total of three doors leading to the secure courtyard. Two of the doors had keypads that illuminated a red light. Both doors locked and were unable to be opened. The third door was an egress door that was alarmed. The doors remained locked throughout the onsite visits on 1/24 and 1/25/24 from approximately 8:00 a.m. to 4:00 p.m.On 1/24/24 at 4:40 p.m., a door to the courtyard was locked and could not be accessed without a key. O.. Based on observation, record review and interview, the residence failed to place in a visible location an up-to-date list of all staff who had current certification in first aid or CPR (cardiopulmonary resuscitation), so that the information was readily available to staff at all times, affecting 91 current residents.Findings include:The residence' s Required Certifications policy, dated 9/10/23 read, in part, "The assisted living residence shall place a list of all staff who have current certification in first aid, CPR, or obstructed airway techniques in a visible location so that the information is readily available to staff at all times."On 1/24/24 from approximately 7:30 a.m. to 4:30 p.m., there was no list of all staff who had current first aid or CPR certification posted anywhere in the residence.On 1/24/24 at 3:26 p.m., the a.. Based on record review and interview the residence failed to comply with authorized practitioner orders associated with medication administration, affecting five out of seven sample residents (#1-#3,#5).1. Residence Policiesa. The residence' s qualified medication administration person(QMAP) training policy,dated January 2023, read in part, the residence and administrator would ensure that the QMAP would adhere to and complies with the medication administration requirements in 6 CCR 1011-1, Chapter 24, and Section 25-1.5-301 through 25-1.5-303, C.R.S.b. The residence' s orders policy, dated January 2023, read in part, the residence would be responsible for complying with authorized practitioner orders and treatments.2. Record reviewa. Resident #2 was admitted to the residence on 6/1/.. 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 7.6.6 An administrator training program shall meet all of the following requirements:(B) The curriculum includes at least 40 actual hours, 20 of which shall focus on applicable state regulations. The remaining 20 hours shall provide an overview of the following topics: (1) Business operations including, but not limited to: (a) Budgeting, (b) Business plan/service model, (c) Insurance, (d) Labor laws, (e) Marketing, messaging and liability consequences, and (f) Resident agreement. (2) Daily business management including, but not limited to, (a) Coordina..