Green Meadows Assisted Living LLC

A revisit survey was completed on 9/13/24 for all previous deficiencies cited on 6/20/24. 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 was completed on 6/20/24. Deficiencies were cited. Based on interview and record review the residence failed to, on a quarterly basis, audit the accuracy and completeness of medication administration records (MARs), affecting seven of seven sample residents (#1-#7).Findings include:On 6/20/24 at 7:45 a.m. the last three quarterly medication audits were requested from the administrator. .. Based on observation and interview, the residence failed to ensure all medications were stored in a locked storage area when unattended by a qualified medication administration person (QMAP) or other licensed staff, affecting seven current residents. Findings include:On 6/20/24 at 7:35 a.m., a box of a resident ' s medications was observed unatte.. Based on observation and interview, the residence failed to post a conspicuous "No Smoking" sign in areas where oxygen was stored and/or used, affecting two current residents identified as requiring oxygen (#1, #5). (Cross-reference S1524, S2706)Findings include:On 6/20/24, at 7:46 a.m. Staff #1 stated Residents #1 and #5 require.. Based on observation and interview, the residence failed to properly label over the counter medications for two of three sample residents (#1, #2).Findings include:On 6/20/24 at 12:30 p.m., a medication cart audit revealed over the counter medications in a drawer for Resident #1 and Resident #2. However, the medications were not individually la.. 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 outages, tornado, flooding and threatened or actual acts of violence, affecting seven current reside.. Based on record review and interview, the residence failed to have policies and procedures to ensure the continuation of care to all residents for 72 hours following an emergency including, but not limited to, a long-term power failure, affecting four current residents. (Cross-reference S912, S920)On 6/20/24 at approximately 7:45 a.m., a 72 hour conti.. Based on record review and interview, the residence failed to have readily available a roster of current residents along with a residence diagram showing room locations, and emergency contact information, affecting seven current residents.Findings include:On 5/30/24 at 8:07 a.m., the resident roster for emergency preparedness was requested b.. Based on record review, observation, and interview, the residence failed to have a policy and procedure regarding the timeline of destruction and disposal of outdated, unused, and discontinued and/or expired medications that were not returned to the representative or legal guardian, affecting six of seven current residents who received medication ad.. 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 2.2.3.6 Applicants must show compliance with the Colorado Adult Protective Services Data Sys..