Hillcrest of Loveland

A revisit survey was completed on 4/17/25 for all previous deficiencies cited on 1/7/25. 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

12.2.2 Infection Control Officer (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 nationally recognize.. A relicensure survey with complaint #CO36039 was completed on 1/7/25. Deficiencies were cited. Based on an interview and record review, the residence failed to ensure that at least one staff member was onsite with a current certification in first aid, affecting 24 current residents. (Cross-reference S0736)Findings include:On 1/7/25, from 9:13 a.m. to 10:43 a.m., the residence provided first aid certifications for the administrator, the busin.. Based on interview and record review, the residence failed to ensure that at least one staff member onsite at all times was certified in cardiopulmonary resuscitation (CPR) and obstructed airway techniques from a nationally recognized organization and included a skills assessment observed and evaluated by an instructor, affecting 24 current residents.. Based on observation and interview, the residence failed to ensure that qualified medication administration persons (QMAPs) were trained in and applied nationally recognized protocols for basic infection control and prevention when preparing and administering medications, affecting nine of 11 sample residents (#1, #2, #5-#11) whose medications w.. Based on observation and interview, the residence failed to place in a visible location a list of all staff who have current certification in first aid or cardiopulmonary resuscitation (CPR) so that the information is readily available to staff at all times, affecting 24 current residents. (Cross-reference S0732, S0734)During the onsite visit on 1/7/25, the.. Based on observation, record review, and interview, the residence failed to request, prior to staff hire, a check of the Colorado Adult Protective Services (CAPS) data system for each prospective staff member for two staff (#1, #2), affecting 24 current residents.Findings include:On 1/7/25 from 7:00 a.m. to 3:00 p.m., Staff #1 and Staff #2 worked .. Based on observation, record review, and interview, the residence failed to request, prior to staff hire, a name-based criminal history record check conducted by the Colorado Bureau of Investigation (CBI) for each prospective staff member for two staff (#1, #2), affecting 24 current residents.Findings include:On 1/7/25 from 7:00 a.m. to 3:00 p.m.. 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 two staff (#1, #2) affecting 10 current residents in the secure environment (SE). Findings include:On 1/7/25, from 7:.. 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 7.13.12 The assisted living residence shall develop and implement policies and procedures for ..

A licensure complaint, prompted by #CO32152, was completed on 11/6/23. Deficiencies were cited. Based on record review and interview, the residence failed to ensure its written resident agreement specified the understanding between parties regarding the services not provided, affecting seven of seven sample residents (#1-#7). Findings include:The residence' s written resident agreement did not specify the services the residence would not provide. (Cross-reference P1110).On 11/1/23 at approximately 3:00 p.m, the administrator reviewed the agreement and agreed it did not include what services the residence would not provide. The administrator stated the residence .. Based on record review and interview, the residence failed to hold family council meetings, affecting nine residents currently residing in the secure environment of the residence. Findings include: The director of health services (DHS) and administrator were asked to provide the meeting minutes from the Family Council meetings. Subsequently, at 10:59 a.m, the DHS stated the residence did not hold organized, family council meetings and just met with family members on a one on one basis. Subsequently, the administrator stated multiple nurses had quit recently, and a plan.. Based on record review and interview, the residence failed to provide training on the care plans of each resident, before being allowed to work independently in the secure environment, for five of five sample staff (#1-#5), affecting nine current residents residing in the secure environment.Findings include:1. References: Chapter VII regulations governing assisted living residences, part 7.12, requires each personnel file to include written documentation regarding orientation and training. 2. During the 11/1/23 onsite visit, the following was revealed:The.. Based on record review and interviews, the residence failed to provide the required orientation, prior to providing any care or services to residents, for five of five sample staff (#1-#5), affecting nine current residents who resided in the secure environment . Findings include:1. References a. Chapter VII regulation governing assisted living residences, in part 7.8 A, requires residences to ensure each staff member receives orientation and training. The orientation is to include the following topics:The care and services provided by the assisted living residence.Assignm.. Based on record review and interviews, the residence failed to provide the required training, prior to a staff member working independently, for five of five sample staff (#1-#5), affecting nine current residents, residing in the secure environment. Findings include:1. References a. Chapter VII regulation governing assisted living residences, in part 7.8 B, requires residences to ensure each staff member receives training relevant to their specific duties and responsibilities, prior to that staff member working independently. The training is required to include the following t.. Based upon observation, record review and interview, the residence failed to provide protective oversight and personal services, sufficient to meet the needs of six of seven sample residents (#1-#6). Findings include: 1. ReferencesChapter VII regulations governing assisted living residences, part 2.34 defines "Personal services" as those services that an assisted living residence and its staff provide for each resident including, but not limited to: Assistance with activities of daily living.Chapter VII regulations governing assisted living residences, part 2...