Greeley Village LLC

A licensure complaint, prompted by #CO40623 and #CO40876, was completed on 9/4/25. Deficiencies were cited. Based on observation and interview, the residence failed to ensure laundry personnel or designated staff handle, store, process, transport, and return laundry in a way that prevents the spread of infection or cross contamination, affecting 58 current residents. Findings include:On 9/4/25 during an environmental tour, Staff #3 had entered Reside.. Based on observation, interview and record review the residence failed to develop and implement a fall management program affecting five of five sample residents with falls (#2, #3, #7, #8, #10). (Cross Reference S1110, S1180, 2230)Findings include:1. Residence PolicyThe residence' s fall policy, dated 9/2024, read in part: Residents wh.. Based on observation, record review, and interview, the residence failed to ensure an appropriately skilled professional, evaluated and didcumented each personal care worker (PCW) for competency before assisting residents with a mechanical lift and a colostomy bag for three sample staff (#4-#6), affecting four current residents (#4, #5, #1.. Based on observation, record review, and interview, the residence failed to ensure resident care plans contained documentation describing the personal grooming and hygiene items that were deemed safe for the resident and the residents ' access to the items, as well as documentation describing the continuous independent access to his .. Based on record review and interview the residence failed to refrain from providing Ostomy care where the ostomy site is new or unstable, affecting one of one current resident (#4) with an Ostomy bag. Findings include: A progress note dated 8/24/25 for Resident #4 read, Staff #6 changed the ostomy bag because it wasn' t sticking to the skin and .. Based on record review and interview, the residence failed to complete a pre-admission assessment to determine the appropriateness and need for secure environment residency that included detailed information from the resident' s family and/or representative concerning the resident' s recent relevant history and patterns of reduced safety awaren.. Based on record review and interview, the residence failed to ensure resident records contained documented progress notes, by staff before the end of their shift, of out of ordinary events or issues that affected a resident' s physical, behavioral, cognitive, and/or functional condition, along with the action taken by staff to address that resident' s cha.. Based on record review and interview, the residence failed to have a written policy that provided for effective control and eradication of insects, rodents, and other pests, affecting 58 current residents. (Cross Reference S1110, S1720, S2230)Findings include: On 9/3/25 at 8:30 a.m., the residence' s environmental pest control policy and procedure was.. Based on record review, observation, and interview, the residence failed to make a sanitary environment available, either directly or indirectly through a resident agreement, affecting 58 current residents. Residence agreement The residences 4/2025 residency agreement read in part, that the housekeeping manager would provide regular h.. Based on record review, observation, and interview, the residence failed to promote resident choice, mobility, independence, and safety and failed to detail specific personal service needs and preferences along with the staff tasks necessary to meet those needs in a resident care plan, affecting five of five residents (#2, #3, #7, #8, #10 ). Sp..

A revisit survey was completed on 1/23/25 for all previous deficiencies cited on 9/19/24. 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 #CO33027 was completed on 9/19/24. A deficiency was cited. Based on interviews and record review, the residence failed to have at least one staff member onsite at all times who had current certification in cardiopulmonary resuscitation (CPR) and obstructed airway techniques from a nationally recognized organization, affecting 59 current residents.Specifically, the residence failed to have at least one staff member onsite at all times who had current certification in obstructed airway techniques from a nationally recognized organization, affecting all 59 current residents in the event of an obstructed airway emergency and for two sample residents (#1, #3) who required CPR in the event of an emergency for at least five shifts from 9/1-9/18. Additionally, from 9/18-9/24/24 there was no CPR certified staff scheduled for five shifts. This failure created an immediate jeopardy risk of harm to all 59 current residents in the residence. On 9/18/24, the department directed the residence to provide written evidence that the risk had been removed.Findings include: 1. Residence PolicyThe residence' s resident agreement, dated June 2024, read in part that all residents have the right to receive CPR unless otherwise indicated.2. Record ReviewFace sheets for two of five sample residents (#1, #3) required CPR in the event of an emergency. A review of the staff' s CPR certification documentation revealed that four staff members (#2-#7) .. THIS PORTION OF THE REPORT IS FOR INFORMATIONAL PURPOSES ONLY. No response is necessary.8.8 Each assisted living residence shall place in a visible location a list of all staff who have current certification in first aid or CPR so that the information is readily available to staff at all times. The list shall be kept up to date and indicate by staff person whether the certification is in first aid or CPR or both. 10.1 The assisted living residence shall have readily available a roster of current residents, their room assignments and emergency contact information, along with a facility diagram showing room locations. 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: (A) A physically safe and sanitary environment including, but not limited to, measures to reduce the risk of potential hazards in the physical environment related to the unique characteristics of the population; 18.12 Records of former residents shall be complete and maintained for at least three (3) years following the termination of the resident ' s stay in the assisted living residence.25.9 Each resident shall be re-assessed to determine his or her continued need for a secure environment every six (6) months and whenever the resident ' s condition changes from baseline status. (A) ..