Home Care at Moma's Assisted Living

A relicensure survey with complaint #CO32632 was completed on 3/14/24. Deficiencies were cited. Based on interview and record review, the residence failed to ensure each qualified medication administration person (QMAP) accurately documented each medication administration at the time the event was completed for each resident, affecting two of three sample residents (#2, #3). (Cross Reference Q1568)Findings include:1. Residence Policy The residence' s Medication Administration policy, dated 1/2020, read in part: "Each QMAP, nurse, or practitioner must accurately document each medication administration or monitoring event at the time the event is .. Based on observation and interview, the residence failed to ensure all medications were stored in a locked storage area when unattended by a qualified medication administration person (QMAP) or other licensed staff, affecting all current residents. Findings include: On 3/13/24 at 8:00 a.m., and environmental tour revealed the medication storage area was located on the main level of the residence across from a common are restroom and Resident #2' s bedroom. The medication storage area contained a locked cabinet with medications the residents were currently taking. Howe.. Based on observation and interview, the residence failed to ensure each common bathroom contained paper towels or a hand drying device at all, affecting all current residents. No paper towels or hand drying devices were located in the common area restroomsFindings include:On 3/13/24 at 8:30 a.m., an environmental tour of the residence revealed the two common area restrooms on the second floor and one common area restroom on the first floor. None of the common area restrooms contained paper towels or hand drying devices; only cloth hand towels. On 3/13/24 a.. Based on observation, interview and record review, the residence failed provide therapeutic diets when the diet is prescribed by the resident' s practitioner, affecting one of three sample residents (#1). (Cross Reference Q2112)Findings include:1. References and resident agreementa. Chapter VII regulations governing assisted living residences, in section 2.46 defines "Therapeutic diet" as a diet ordered by a practitioner or registered dietician as part of a treatment of disease or clinical condition, or to eliminate, decrease, or increase specific nutrients in the diet. E.. Based on observation, interview and record review, the residence failed to include a variety of food and appealing substitutes to satisfy residents' appetites that were of nutritional value, affecting one of three sample residents (#1). (Cross Reference Q2140)Findings include:1. Residence Policy The residence' s undated Resident Agreement, read in part: "The residence provides three nutritionally balanced meals. Between meal snacks of nourishingly quality are also available ..." 2. ObservationOn 3/13/24 at 7:30 a.m. a tour of the residence revealed there was a dry erase b.. Based on observation, interview, and record review, the residence failed to comply with authorized practitioner' s orders associated with medication administration, affecting three of three sample residents (#1-#3).Findings include:1. Reference and Residence Policya. The residence' s Medication Administration policy, dated 1/2020, read in part: "The assisted living residence is responsible for complying with authorized practitioner orders associated with medication administration except for those medications which a resident self-administers ..." b.According to ..

A certification complaint, prompted by #CO32634 was completed on 3/14/24. A deficiency was cited. Based on observation, interview, and record review, the facility (residence) failed to follow written policies and procedures for the administration of medication in accordance with 6 CCR 1011-1, Chapter VII, affecting three of three sample participants (residents) (#1-#3).Findings include:1. Chapter VII regulations governing assisted living residences, part 14.21, requires residences to comply with authorized practitioner orders associated with medication administration except for those medications which a resident self-administers.Reference and Residence PolicyThe residence' s Medication Administration policy, dated 1/2020, read in part: "The assisted living residence is responsible for complying with authorized practitioner orders associated with medication administration except for those medications which a resident self-administers ..." According to MedlinePlus, "Quetiapine tablets and extended-release tablets are also used alone or with other medications to treat episodes of mania (frenzied, abnormally excited or irritated mood) ... If you suddenly stop taking quetiapine, you may experience withdrawal symptoms such as nausea, vomiting, and difficulty falling asleep or staying asleep ..."a. Resident #1 was admitted to the residence on 4/3/23 with a diagnosis of dementia. Quetiapine A written practitioner' s order, dated 7/25/20, directed the residence to administer quetiapine 25 mg two tablets at bedtime (HS). However, the May 2023 medication administration record (MAR) read from 5/8-5/18/23, the medication was unavailable. A total of 11 doses were missed.On 3/14/24 at 3:15 p.m., the care coordinator (CC) stated she was aware that Resident #1 had been out of her quetiapine between 5/8–5/18/24 because the pharmacy stated there was an issue with the insurance provider and they would not pay for it. Additionally, she stated she had informed the family and they also refused to pay for it. The CC stated she had not noticed any adverse affects with Resident #1 because she had not been t..