Harvard Square Retirement Community

A revisit survey was completed on 4/2/25 for all previous deficiencies cited on 12/4/24. 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

12.2.1 (A) "All facilities licensed under this chapter shall establish maintain, and implement an infectious disease mitigation, vaccine and treatment plan. The plan must demonstrate prevention of and responsiveness to communicable diseases that are or may become present in the individual facility setting. The plan may include testing, vaccination, and treatment. This plan shall address, at a minimum, the following:(1) Identification of design.. 12.2.2 (B) "Each facility shall assign at least one (1) staff member responsible for the site management of the facility' s Infection Prevention and Control Program and training. This individual shall be responsible for the following:(1) Completing an infection prevention and control training from a nationallyrecognized provider or the Department' s training program within two (2) weeks of appointment/designation that meets the following requirements based on f.. A relicensure survey with complaints #CO33481 and #CO38339 was completed on 12/4/24. Deficiencies were cited. Based on observation, record review, and interview, the residence failed to maintain the residence' s water temperature, which was accessible to residents, at or below 120 degrees Fahrenheit (F), affecting 125 residents.Findings Include:1. ObservationsOn 12/3/24 at 12:00 p.m., water temperatures were taken in the residence as follows:The common area bathroom sink #1 water measured 145.6 degrees F.The common area resident bathroom.. Based on record review and interview, the residence failed to ensure the administrator completed 40 hours of administrator training as required, affecting 125 current residents. Findings include:On 12/3/24 at 7:45 a.m., the acting administrator' s 40-hour training was requested; however, the acting administrator was unable to provide the documentation. On 12/4/24 at 2:30 p.m., the acting administrator acknowledged he did not complete a 40-hour cour.. Based on record review and interview, the residence failed to have a resident roster, including the residents' emergency contact information, readily available, affecting 125 current residents. Findings include:On 12/3/24 at 8:00 a.m., a resident roster was provided but failed to have emergency contacts for residents.On 12/3/24 at 8:00 a.m., the administrator stated he was unaware of what was required to be included in the resident roster. He said h.. Based on record review and interview, the residence failed to provide, upon request, residence documents and other records requested by the department, affecting 124 current residents. Findings include:1. Record Review Resident records were requested as follows:On 12/3/24 at 7:40 a.m., the residence policy binder was requested and was provided at 9:07 a.m.; however, at 3:02 p.m., an updated and new policy binder was provided. On 12/3/24 at 8:33 a.. 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 System (CAPS Check) requirements as set forth in section 26-3.1-111, C.R.S. The residence was advised it must ..