High Plains Crossing

A licensure complaint survey, prompted by #CO40163, was completed on 6/5/25. Deficiencies were cited. Based on interview and record review the residence failed to comply with practitioner' s orders, affecting two of three sample residents for whom medications were reviewed (#1, #2). (Cross-Reference T1600)Specifically, a practitioner' s order for Resident #1, dated 5/2/25, directed the residence to administer morphine sulfate solution 100mg/5ml (20 mg/ml) orally by mouth every six hours. The May 2025 medication administration record (MAR) read Staff #1 did not administer medication on 5/5/25 at 8:00 a.m., and 12:00 p.m., and on 5/6/25 at 8:00 a.m. as the MAR did not match the order. Therefore, the resident went without three doses of morphine and subsequently experienced pain. Findings include:1. Resident #1 was admitted to the residence on 8/12/20 a diagnosis including Alzheimer' s disease.MorphineA written practitioner' s order, dated 5/2/25, directed the residence to administer morphine 100 mg/5mL every six hours. However, the May 2025 MAR read the morphine was not administered on 5/5 and 5/6. Additionally, it r.. Based on observation, record review and interview, the residence failed to ensure there was at least one staff member onsite at all times with current certification in cardiopulmonary resuscitation (CPR) and obstructed airway techniques from a nationally recognized organization and shall include a skills assessment observed and evaluated by an instructor affecting seven current residents who may require obstructed airway techniques. Findings include:The May 2025 schedule read in part that Staff #4 and #5 worked from 2 p.m. to 10 p.m. at the residence on 5/1, 5/7, 5/14, 5/21, 5/27 and 5/28 with no other staff scheduled during that shift. Additionally, Staff #4 worked the same shift alone on 5/5 and Staff #5 on 5/2, 5/3, 5/9, and 5/10.The residence provided a list of staff that were currently CPR certified by a nationally recognized organization. The residence did not provide CPR certifications for Staff #4 and #5. On 5/4/25 at approximately 12:35 p.m., the area director acknowledged the shifts and times lacking someone with a CPR certifi.. Based on record review and interview, the residence failed to ensure that each medication administration record (MAR) included the time of administration for each medication and failed to ensure that each qualified medication administration person (QMAP) accurately documented each medication administration event at the time the event was completed for each resident, affecting one of three sample residents (#1). (Cross-reference T1568)Resident #1 was admitted to the residence on 8/12/20 a diagnosis including Alzheimer' s disease. A written practitioner' s order, dated 5/2/25, directed the residence to administer morphine 100 mg/5mL every six hours. However, the May 2025 MAR directed the residence to administer the medication at 3:00 a.m., 8:00 a.m., 12:00 p.m., 1:30 p.m., 5:00 p.m., 7:30 p.m., and 9:00 p.m., which was not every six hours as the order directed.The May 2025 MAR exceptions read:On 5/3, at 5:17 p.m., the morphine 100 mg/5 ml read that the order read that the residence was to administer the medi..

A revisit survey was completed on 1/21/25 for previous deficiencies cited on 10/8/24. The agency 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 licensure complaint, prompted by #CO37591, #CO36972 and #CO37563, was completed on 10/8/24. Deficiencies were cited. Based on interview and record review, the residence failed to ensure that qualified medication administration persons (QMAP) did not administer as-needed medications (PRNs) to residents who were not capable of requesting the medication affecting one sample resident (#3). Findings include:Resident #3 was admitted to the secure environment on 7/27/23 with diagnoses including dementia, psychotic disturbance, mood disturbance, anxiety, and hypertensive heart disease with heart failure.A written practitioner' s order, dated 9/20/24, directed the residence to administer S.. Based on observation, record review and interview the residence failed to ensure that two qualified individuals jointly counted all controlled substances at the end of each shift and signed documentation regarding the results of the count at the time it occurred; affecting seven residents prescribed narcotics. (Cross-reference S1604)Findings include:On 10/8/24 at approximately 7:45 a.m., the north medication cart revealed the controlled substance count for 10/8/24 had not been signed by two qualified individuals going "off duty" and "on duty". At approximately 7:50 a.m., .. Based on record review and interview the residence failed to comply with authorized practitioner ' s orders affecting two of three sample residents (#2, #3). (Cross-reference S1604)Findings include1. The residence policy and procedure titled Medication Administration, dated May 2024, read in part: Medications were administered to residents in compliance with all applicable federal and state laws. The medication order and medication label were carefully compared and the six rights of medication administration were followed for each resident.2. Resident #2 was admitt.. Based on record review and interview the residence failed to provide each staff member a minimum of six hours of general training and education on providing care and services for residents with dementia/cognitive impairment for one staff (#1) affecting 28 current residents. Findings include1. Record reviewThe personnel files for Staff #1 revealed no evidence that they had completed a minimum of six hours of general training and education on providing care and services for residents with dementia/cognitive impairment.The residence' s new employee orientation checklist under.. Based on record review and interview, the residence failed to ensure the administrator and the qualified medication administration person (QMAP) supervisor on a quarterly basis, audited the accuracy and completeness of the medication administration records, and controlled substance list, affecting 28 current residents.Findings include"1. Record reviewThe residence controlled substances audit tool a controlled medication audit was completed on 5/30/24 by the residential care coordinator (RCC), the health service director (HSD), and the administrator. The document re.. 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 7.14.20 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.

A revisit survey was completed on 9/13/24 for all previous deficiencies cited on 6/19/24. 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 9/13/24 for all previous deficiencies cited on 6/19/24. 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 9/13/24 for all previous deficiencies cited on 6/19/24. 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