Helping Hands Homecare Ltd Liability Co

A revisit survey was completed on 9/22/25 for all previous deficiencies cited on 4/22/25. 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

8.7408.A.12 Written Plans to Address Emergencies (a) An emergency can be defined as an unforeseen situation that may endanger the lives of Members and/or staff, as well as disrupt for a short time the normal operations within a setting or Agency. (b) Emergencies can include, but are not limited to: (i) Medical Emergencies (ii) Public Health Emergencies (iii) Fire (iv) Natural Disasters (c) Each HCBS Provider Agency shall have written policies and procedures to address emergencies, unless otherwise specified within service regulations. (i) Plans should include how the agency prepares for loss of staff, various emergencies, back up plans, protocols, etc. should any staff be affected.Based on r.. 8.7506.F.5.d The Alternative Care Facility shall develop and follow written policies and procedures to ensure the continuation of necessary care to all Members for at least 72 hours immediately following any emergency including, but not limited to, a long-term power failure.Based on record review and interview, the facility (residence) failed to develop written policies and procedures to ensure the continuation of necessary care to all members (residents) for at least 72 hours immediately following any emergency, affecting five current residents. (Cross-reference S0001)Findings include:On 4/22/25 at 7:45 a.m., the surveyor requested the residence' s emergency preparedness plan via electronic.. A recertification survey with complaint #CO39078 was completed on 4/22/25. Deficiencies were cited. Based on observation, record review, and observation, the facility (residence) failed to comply with the restrictions on smoking near entryways outlined in the Colorado Clean Indoor Air Act (CCIAA), affecting five current members (residents).Findings include:On 4/22/25 at 7:05 a.m., observations of the residence' s grounds revealed two ashtrays and chairs located within three to five feet of the front entrance of the residence. Cigarette butts filled both ashtrays.On 4/22/25 at 9:25 a.m., observation of the residence' s backyard revealed Resident #1 had an electronic vaping device within five to ten feet of the rear entrance of the residence.On 4/22/25 at 9:28 a.m., observation of o.. Based on record review and interview, the facility (residence) failed to comply with the CAPS check requirements, affecting five current members (residents). (Cross-reference A0830)Findings include:On 4/22/25, observations revealed the nurse worked from 7:00 a.m. to 5:30 p.m.The residence' s criminal history record checks policy, undated, read in part: the residence must request a check of the CAPS data system during the hiring process of new employees who provide direct care to at-risk adults. All staff members must agree and sign a consent form to have a CAPS check prior to employment. Additionally, the administrator will evaluate the results of the CAPS check.The residence' s Mar.. Based on record review and interview, the facility (residence) failed to ensure the members' rights as required, affecting five current members (residents).Findings include:A review of the residence' s discharge and grievance policies and the termination section of the resident agreement revealed that the residence did not include the following required parts of the involuntary discharge grievance policy: (1) The ability for any of the persons the assisted living residence must notify under Part 11.16 to file a grievance challenging the involuntary discharge and/or reasons for the discharge with the individual designated in subpart (A), within 14 calendar days after the assisted livi..

A relicensure survey with complaint #CO39077 was completed on 4/22/25. Deficiencies were cited. Based on observation and interview, the residence administered stock medication and failed to properly label over-the-counter (OTC) medications with the residents' full names, affecting five current residents.Findings include:The residence' s medication preparation and handling policy, undated, read in part: Stock medications must n.. Based on observations, record review, and interview, the residence failed to comply with the Colorado Clean Indoor Air Act (CCIAA), affecting five current residents.Findings include:On 4/22/25 at 7:05 a.m., observations of the residence' s grounds revealed two ashtrays and chairs located within three to five feet of the front entrance of the re.. Based on record review and interview, the residence failed to develop written policies and procedures to ensure the continuation of necessary care to all residents for at least 72 hours immediately following any emergency, affecting five current residents. (Cross-reference S0910 and S0920)Findings include:On 4/22/25 at 7:45 a.m., the surveyor req.. Based on record review and interview, the residence failed to have a readily available roster of current residents that included residents' emergency contact information and a residence diagram showing room locations, affecting five current residents. (Cross-reference S0914 and S0920)Findings include:On 4/22/25 at 7:10 a.m., the surveyor requeste.. Based on record review and interview, the residence failed to have an involuntary discharge grievance policy that included all required elements, affecting five current residents.Findings include:A review of the residence' s discharge and grievance policies and the termination section of the resident agreement revealed that the residence did not inc.. Based on record review and interview, the residence failed to have emergency policies addressing all required elements, affecting five current residents. (Cross-reference S0910 and S0914)Findings include:On 4/22/25 at 7:45 a.m., the surveyor requested the residence' s emergency preparedness plan via electronic communication from the ad.. Based on record review and interview, the residence failed to include written documentation of orientation and training for one of three sample staff (#1), affecting five current residents.Findings include:The residence' s personnel files policy, undated, read in part: Personnel files include, but are not limited to, written documentation regarding o.. Based on record review and interview, the residence failed to obtain a check of the Colorado adult protective services (CAPS) data system for two of three sample staff (#1 and Nurse), affecting five current residents.Findings include:On 4/22/25, observations revealed the nurse worked from 7:00 a.m. to 5:30 p.m.The residence' s criminal history record .. 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 and 7.12.2.2 Infection Control Officer (A) Applicability (1) The requirements of this part 12...