Heidi's Chateau

A relicensure survey with complaints #CO32958, #CO33101 was completed on 2/7/24. A deficiency was cited. Based on observations, interviews and record reviews, the residence failed to evaluate its resident engagement program at least every three months or offer residents relevant and well-received engagement activities, affecting 25 current residents.Findings include:1. Residency AgreementThe residence' s Resident Agreement, dated 1/2017, read in part: "social and recreational programs ... the administrator or an assigned staff person will help plan and facilitate a daily activity program ... which may include: intellectual, creative, physical, social, spiritual, and psychosocial stimulating events, outings and shopping trips, and other activities as requested by the residents." 2. ObservationsOn 2/7/24, residents were observed sitting alone or with others in the common living room area, in the residence' s library area and in the dining room or wandering around the residence' s hallways, or spending time in their rooms. No formal activities were observed on 2/7/24. 3. Record ReviewOn 2/7/24, the residence' s posted February 2024 calendar read that on 2/7/24, the following activities were to be offered: bible reading, exercise, and singing. On 2/7/24, the residence' s resident council meeting minutes read in part: "more games, chair dance (secret) game, and poker." 4. Interviews On 2/7/24 at approximately 12:00 p.m., the administrator stated that the activity director was responsible for ensuring scheduled activities and review of the residence' s activity program occurred; as required. She added that if the activity director was not present that it' s the responsibility of a caregiver to ensure that the scheduled activities get offered and provided. She acknowledged that the scheduled activities on 2/7/24 did not occur. She confirmed that the residence had not evaluated their activity program at least every three months and that changes were not made according to resident feedback related to her not having an understanding of the requirement.

A certification revisit was completed on 1/26/23 for the previous deficiency cited on 1/20/22. A deficiency was cited. Based on record review and interview, the facility failed to comply with written policies and procedures for the administration of medication in accordance with 6 CCR 1011-1, Chapter VII, affecting one of six sample participants (#10).Findings include:Chapter VII regulations governing assisted living residences, part 14.33, requires that the assisted living residence shall ensure that the resident' s authorized practitioner and resident' s legal representative are promptly notified of: A resident' s pattern of refusal.The residence' s Medication policy, dated January 2016, read in part: "If a resident refuses to take a medication more than once, the primary physician will be notified." Resident #10 was admitted to the residence on 8/28/17 with diagnoses including depression.A written practitioner' s order, dated 1/11/23, directed the residence to administer propranolol 20 mg once daily. However, the January 2023 medication administration record revealed the resident refused the medication on 1/18-1/26/23. There was no documentation that the residence notified the resident' s practitioner that Resident #10 refused the medication.On 1/26/23 at 1:31 p.m., Resident #10 stated she refused the propranolol because she felt it made her depression worse. She added that her practitioner was not aware that she refused to continue taking the medication. On 1/26/23 at 1:35 p.m., the administrator stated she thought that Resident #10 had informed her practitioner that she refused to continue taking propranolol. She added that she was aware the residence was required to ensure that practitioners were aware of medication refusals.