Greenridge Place

A Relicensure Survey and complaint revisit was completed on 9/9/25 for all previous deficiencies cited on 6/10/25. The residence is in compliance with all regulations surveyed. 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 #CO40194, #CO40181, and #CO39269 was completed on 6/10/25. Deficiencies were cited.A change of ownership occurred on 5/1/25. Based on interview and record review, the residence failed to thoroughly investigate allegations of abuse in accordance with the residence' s written policy, affecting two of six sample residents (#1, #3). (Cross-reference T3062)Specifically, on 4/20/25 Resident #3 struck Resident #7. The residence failed to investigate and protect Resid.. Based on observations and interviews, the residence failed to maintain interior areas free from accumulations of extraneous materials, affecting 66 current residents.Findings include:An environmental tour on 6/9/25 at 9:15 a.m. revealed the fire suppression sprinkler control room contained a large mobile toolbox, a large ladder, and gardening .. Based on observations and interviews, the residence failed to maintain the grounds free of garbage and rubbish, affecting 66 current residents.Findings include:An environmental tour on 6/10/25 at 9:15 a.m. revealed that the dumpster storage area contained garbage and rubbish and had a lid left open, allowing wildlife access. Additionally, .. Based on record review and interview, the residence failed to ensure residents had the right to be treated with dignity, affecting one of six sample residents (#1).Findings include:1. Resident #1 was admitted to the residence on 4/4/23 with diagnoses including vascular dementia with behavioral disturbance and cerebral infarction.An Investigati.. Based on record review and interview, the residence failed to ensure that no medication was administered by a qualified medication administration person (QMAP) on a pro re nata (PRN) or "as needed" basis if the resident did not understand the purpose of the medication or was not capable of voluntarily requesting the medication, affecting one.. Based on record review and interview, the residence failed to update the care plan to reflect changes in the staff approach required to meet resident needs and when any medical assessment, appraisal, or observations indicated the resident' s care needs had changed, affecting two of four residents (#3, #4) who experienced challenging behaviors (C.. Based on record review and interviews, the residence failed to comply with authorized practitioner orders for three of eight sample residents (#2, #4, #6).Findings include:Resident #4 was admitted on 1/19/24 with diagnoses of dementia, major depressive disorder, and nonpsychotic mental disorder.A practitioner ' s order dated 8/8/24 directed lorazepa.. Based on record review and interviews, the residence failed to have a readily available roster of current residents that included emergency contact information, affecting 66 current residents.Findings include:A roster provided by Staff #3 on 6/9/25 at 7:20 a.m. did not include residents ' emergency contact information.A second roster, provided b.. Based on record review and interviews, the residence failed to maintain documentation of jointly counted controlled substances, affecting one of eight sample residents (#4).Findings include:Resident #4 was admitted on 1/19/24 with diagnoses of dementia, major depressive disorder, and nonpsychotic mental disorder.A practitioner ' s order dated 8/.. 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 7.5.1 Assisted living residence personnel engaged in the admission, care or treatment of at-ris..

A revisit survey was completed on 4/9/25 for all previous deficiencies cited on 12/31/24. 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 revisit survey was completed on 4/9/25 for all previous deficiencies cited on 12/31/24. 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 complaint revisit was completed on 12/31/24 for all previous deficiencies cited on 9/19/24. Deficiencies were cited. Based on observation, and record review, the residence failed to provide protective oversight, affecting one of four sample residents (#25). Findings include:1. Resident #25a. Record ReviewResident #25 was admitted to the residence on 12/7/24 with a diagnosis of pneumonia.A signed practitioner order, dated 11/21/24, read that the practitioner ordered oxygen (O2) at two liters per minute for continuous use at night/sleep by the resident.An electronic medication administration record (eMAR) dated 12/1/24 to 12/31/24 revealed Resident #25 was prescribed O2 at two liters per minute for continuous use at night/sleep. The eMAR revealed the residence failed to administer O2 for Resident #25 from 12/7-12/16/24.b. InterviewOn 12/31/24 at 1:30 p.m., the administrator could not explain why O2 was not administered to Resident #25 from 12/7-12/16/24. She stated "there was confusion as to what she needed". Based on observation, interview, and record review, the residence failed to comply with practitioner orders, affecting three of four sample residents (#20, #24, #25). This deficiency was cited previously during a complaint revisit on 9/19/24. Although the residence corrected the deficiency, based on the findings below, the residence has not maintained compliance with this regulatory requirement.Findings include:1. Resident #25 was admitted to the residence on 12/7/24 with a diagnosis of pneumonia.a. ObservationOn 12/30/24 at 2:51 p.m., a medication cart review was conducted with Staff #30 for Resident #25. During the review the levofloxacin bottle was observed in the cart and contained three tablets.b. Record ReviewA signed practitioner order, dated 12/13/24, directed the residence to administer Resident #25, levofloxacin 750 mg tablet once per day for seven days. However, the December 2024 medication administration record (MAR) revealed the medication was not administered until 12/15/2.. 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 7.14.10 Unless otherwise allowed by statute, the assisted living residence shall not permit a qualified medication administration person to perform any of the following tasks: (F) Decision making regarding PRN or "as needed" medication administration;14.20 The assisted living residence shall contact the authorized practitioner for clarification of any orders which are incomplete or unclear and obtain new orders in writing.14.29 All prescribed and PRN medications shall be listed and recorded on a medication administration record (MAR) which contains the name and date of birth of the resident, the resident' s room location, any known allergies, and the name and telephone number of the resident' s authorized practitioner.

A relicensure survey and a complaint revisit was completed on 12/31/24 for all previously deficiencies cited deficiencies on 9/19/24. Deficiencies were cited. Based on observation, interview, and record review, the residence failed to comply with practitioner orders, affecting three of four sample residents (#20, #24, #25). This deficiency was cited previously during a licensure survey and complaint revisit on 9/19/24. Although the residence corrected the deficiency, based on the findings below, the residence has not maintained compliance with this regulatory requirement. Findings include:1. Resident #25 was admitted to the residence on 12/7/24 with a diagnosis of pneumonia.a. ObservationOn 12/30/24 at 2:51 p.m., a medication cart review was conducted with Staff #30 for Resident #25. During the review the levofloxacin bottle was observed in the cart and contained three tablets.b. Record ReviewA signed practitioner order, dated 12/13/24, directed the residence to administer Resident #25, levofloxacin 750 mg tablet once per day for seven days. However, the December 2024 medication administration record (MAR) revealed the medication was not admin.. Based on observation, interview, and record review, the residence failed to update comprehensive assessments whenever a resident' s condition changed from baseline status, affecting two of four sample residents (#20, #24). This deficiency was cited previously during a relicensure survey and complaint revisit on 9/19/24. Although the residence corrected the deficiency, based on the findings below, the residence has not maintained compliance with this regulatory requirement.Findings include:1. Resident #20 was admitted to the residence on 2/20/24 with a diagnosis of shortness of breath.a. ObservationOn 12/30/24 at 11:35 a.m., the oxygen (O2) concentrator for Resident #20 read that it had been last set at two liters per minute.b. Record ReviewA hospital discharge note, dated 11/7/24, read that the practitioner ordered O2 at four liters per minute for continuous use by the resident. The most recent assessment, dated 11/8/24, read in part that the resident had no O2 concentrator; further, the assessment failed to contain infor.. 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 7.14.10 Unless otherwise allowed by statute, the assisted living residence shall not permit a qualified medication administration person to perform any of the following tasks: (F) Decision making regarding PRN or "as needed" medication administration;14.20 The assisted living residence shall contact the authorized practitioner for clarification of any orders which are incomplete or unclear and obtain new orders in writing.14.29 All prescribed and PRN medications shall be listed and recorded on a medication administration record (MAR) which contains the name and date of birth of the resident, the resident' s room location, any known allergies, and the name and telephone number of the resident' s authorized practitioner