Home Care at Kettles Assisted Living

An off-site relicensure survey was completed on 3/12/26. No deficiencies were cited. 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 7.14.21 The assisted living residence shall be responsible for complying with authorized practitioner orders associated with medication administration except for those medications which a resident self-administers.

A relicensure survey with complaint #CO35774 and #CO35778 was completed on 12/9/24. Deficiencies were cited. Based on observations and interviews, the residence failed to have paper towels or hand-drying devices in each common bathroom affecting six current residents.Findings include:On 12/9/24 at 8:45 a.m., the common bathroom on the main floor did not have paper towels or hand-drying devices available.On 12/9/24 at 10:00 a.m., it was observed that the common bathroom in the basement did not have paper towels or hand-drying devices available.On 12/9/24 at 8:45 a.m., Staff #3 stated the residence did not use paper towels in the common bathroom, only a machine-washable hand towel; staff were instructed to change out the hand towel every evening.On 12/9/24 at 2:45 p.m., the administrator stated they had tried to keep paper towels in the common bathrooms; unfortunately, residents had a tendency to take the paper towels to their rooms or flush the paper towels down the toilet. Based on records review and interview the residence failed to re-assess residents to determine their continued need for placement in a secured environment every six months affecting two of three sample residents (#1, #3).Findings include:Resident #1 was admitted to the residence on 12/22/22 with a diagnosis of Alzheimer' s disease and dementia.A secure environment placement assessment, dated 8/9/22, for Resident #1 was completed by a practitioner, however, no other secure environment assessments were in the resident record.Resident #3 was admitted to the residence on 12/2/23 with a diagnosis of vascular dementiaA secure environment placement assessment, dated 12/11/23 for Resident #3 was completed by a practitioner, however, no other secure environment assessments were in the resident record.On 12/9/24 at 2:45 p.m., the administrator stated she was unaware the residence was required to re-assess residents for secure environment placement by a practitioner every six months. 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 7.7.1 In order to ensure that staff members and volunteers are of good, moral, and responsible character, the assisted living residence shall request, prior to staff hire or volunteer on-boarding, a name-based criminal history record check for each prospective staff member and volunteer. 12.12 The comprehensive assessment shall be updated for each resident at least annually and whenever the resident ' s condition changes from baseline status. 14.28 The assisted living residence shall ensure that qualified medication administration persons are trained in and apply nationally recognized protocols for basic infection control and prevention when preparing and administering medications.

A recertification survey with complaint #CO35776 and #CO35779 was completed on 12/9/24. A deficiency was cited. Based on observation and interview the facility failed to protect members' right to privacy, the right to be free from audio monitoring devices affecting six current members.Findings include:On 12/9/24 at 12:00 p.m., a device was installed in the kitchen for audio monitoring of occupants in the common area. The device was a video security camera positioned in such a way that the view from the camera was outside the house. However, because the camera was located inside the facility, the audio recording from the device was able to be used to monitor the occupants of the common area of the facility.On 12/9/24 at 11:11 a.m., the care manager stated she had a listening device located in the kitchen to monitor staff and ensure they were appropriately caring for the members. She further explained the listening device was actually a camera that she had positioned to view out the kitchen window. She added she knew the facility was not allowed to video record members inside the facility.On 12/9/24 at 2:45 p.m., the administrator stated she was aware the device was installed and that it was used to monitor staff job performance. On 12/9/24 at 2:45 p.m., the care manager stated she was able to hear residents while monitoring staff.