Granville Assisted Living Center, the

A revisit survey was completed on 3/25/26 for all previous deficiencies cited on 11/5/25. 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 was completed on 11/5/25. Deficiencies were cited. Based on interview and record review, the residence failed to review annually and update policies and procedures, affecting 109 current residents. Findings include: The involuntary discharge policy and visitation policy were requested but could not be provided by the residence. On 11/5/25 at approximately 2:30 p.m., the administrator stated that the residence failed to have a policy for involuntary discharge and visitation. He acknowledged he was unaware of new r.. Based on record review and interview, the residence failed to complete a risk assessment of all hazards and preparedness measures to address natural and human-caused crises, including, but not limited to, fire(s), gas explosion, power outage, tornado, flooding, and threatened or actual acts of violence, affecting 109 current residents.Findings include:On 11/5/25, at approximately 7:45 a.m., all emergency preparedness documents were req.. Based on record review and interview, the residence failed to develop written policies to ensure the continuation of necessary care to all residents for at least 72 hours immediately following any emergency, including, but not limited to, a long-term power failure, affecting 109 current residents.Findings IncludeOn 11/5/25 at approximately 9:15 a.m., the residences 72 hour continuation of care policy was requested and not recieved. On 11/5/25 at approximately 1:0.. Based on record review and interview, the residence failed to have a roster of current residents readily available, affecting 109 current residents. Findings include:On 11/5/25 at 7:00 a.m., the residence was asked to provide a resident roster with all current residents. However, a resident billing census had been provided by the receptionist. On 11/5/25 at 7:47 a.m., an outdated resident roster was provided by the accounting/marketing depart.. Based on record review and interviews the residence failed to identify the highest potential risk, hold, and document routine drills to facilitate staff and resident response to that risk, affecting 109 residents.Findings include: On 11/5/25 at 9:25 a.m., the residences risk assessment for the highest potential emergency risk and the documented drills for those risks was requested; however, the risk assessment that had been provided was dated for 2021 and no drills had.. Based on record review and interviews, the residence failed to have emergency policies addressing all required elements, affecting 109 current residents. Findings include: On 11/5/25 at 9:20 a.m., the emergency plans, policies, and procedures were requested however they did not include updated policies. The emergency preparedness binder did not include a predetermined means of communicating with residents, families, staff and other providers, storage.. 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 7.18.9 The face sheet shall be updated at least annually and contain the following information: (K) Resident ' s current diagnoses

A revisit survey was completed on 9/19/23 for all previous deficiencies cited on 3/23/23. 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 9/19/23 for all previous deficiencies cited on 3/23/23. 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 relicensure survey was completed on 3/23/23. Deficiencies were cited. Based on observation and interview, the residence failed to develop and implement a policy for investigation of injuries with unknown origin affecting 114 residents. Findings includeOn 3/23/23 at approximately 8:50 a.m., the residence' s policy on investigating injuries with unknown origin was requested from the administrator. However, .. Based on observation and interview, the residence failed to place in a visible location a 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 114 current residents.Findings include: 1. Residence PoliciesThe residence' s Cardiopul.. Based on observation, interview and record review, the residence failed to ensure all bathtubs/shower floors had proper safety features to prevent slips and falls, affecting five of eight sample residents (#1, #3, #5, #9-#10). Findings include:1. ObservationsOn 3/23/23 at approximately 2:00 p.m., an environmental tour of Resident #1, #3, #5 and #9-.. Based on record review and interview, the residence failed to ensure a name-based criminal history report conducted by the Colorado Bureau of Investigation (CBI) was obtained prior to hire, for seven of eight sample staff (#1-#3, #5-#8), affecting 114 current residents. Findings include:1. Record ReviewPersonnel files for sample staff revealed they were.. Based on record review and interview, the residence failed to ensure the grievance policy contained all required contact information, affecting 114 residents.Findings include: The residence' s posted Grievance Procedure did not contain any contact information for the advocacy services of the area' s agency on aging and the Colorado Departmen.. Based on record review and interview, the residence failed to ensure the written policy regarding allegations of abuse, neglect, or exploitation contained all the required elements, affecting 114 residents.Findings include: The residence' s Abuse Investigations Guideline policy, dated January 2019, did not include information regarding how the residence .. Based on record review and interview, the residence failed to have a readily available roster of current residents with their emergency contact information, affecting 114 residents.Findings include: On 3/23/23 at approximately 7:30 a.m. a roster of the current residents was requested.On 3/23/23 at approximately 8:30 a.m., a list of residents was provid.. Based on record review and interview, the residence failed to show compliance with the Colorado Adult Protective Services Data System (CAPS Check), prior to hiring staff who provided direct care to at-risk residents, affecting 8 of 10 sample residents (#1-#4, #6-#8, #10). Findings include:1. References a. According to Colorado Revised Statutes (2017.. 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 7.6.8 The administrator shall be responsible for the overall day-to-day operation of the assist..

A recertification survey was completed on 3/23/23. A deficiency was cited. Based on interview and record review, the facility (residence) failed to follow written policies and procedures for the administration of medication in accordance with 6 CCR 1011-1, Chapter VII Medication Administration Regulations, affecting four of nine sample participants (residents) (#1, #2, #5, #7).Findings include:1. Residence PoliciesThe residence' s Medication Documentation policy, dated 2020, read, in part, "Upon administration of medications, the qualified medication administration person (QMAP) must document immediately in the electronic medication administration record (eMAR)."2. Chapter VII regulations governing assisted living residences, part 14.21, requires the assisted living residence to be responsible for complying with authorized practitioner orders associated with medication administration.a. Resident #1 was admitted to the residence on 3/7/21 with diagnoses including anemia and kidney disease.A written practitioner' s order, dated 3/15/23, directed the residence to administer potassium chloride 10 meq once daily. However, the March 2023 eMAR for Resident #1 read the medication was not available and not in stock on 3/17-3/20/23, for a total of four missed doses. A written practitioner' s order, dated 3/15/23, directed the residence to administer ferrous sulfate 325 mg once daily. However, the March 2023 eMAR for Resident #1 read t.. 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 10 CCR 2505-10 8.400.8.495.2 B. 1. An assessment will be conducted prior to admission, annually, and whenever there is a significant change in physical, cognitive, or behavioral needs, or as requested by the participant. The annual assessment must be completed by the team outlined in 10 CCR 2505-10, Sections 8.495.2.B.8.495.6F. Care Plan1. The following information must be documented in the Care Plan:c. Any other special health or behavioral management needs that supports the participant ' s individual needs.iii. Any modifications to the participants rights, with the required supporting documentation