Inglenook at Brighton

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

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 relicensure survey with complaint #CO34107, #CO39758 was completed on 4/16/25. Deficiencies were cited. Based on interview and record review, the residence failed to be responsible for the coordination of resident care services with known external service providers (ESPs), affecting one of three former residents sampled (#51).Findings include:Former Resident #51 was admitted to the independent living portion of the residence on 2/7/25 and subsequently started receiving assisted living services on 2/21/25, with diagnoses including atypical intracranial meningioma (brain tumors). Former Resident #51 was no longer living at the residence as of 3/18/25. An authorized .. Based on interview and record review, the residence failed to detail personal service needs along with the staff tasks necessary to meet those needs in the care plan, affecting one of three former residents sampled (#46).Findings include:Former Resident #46 was admitted to the residence on 11/7/22, with diagnoses including cancer.Progress notes for Former Resident #46 on 3/18/25 read that Former Resident #46 was admitted to an external hospice provider.An external hospice provider note for Former Resident #46, on 4/2/25, read Former Resident #46 had a stag.. Based on interview and record review, the residence failed to observe food consumption on a regular basis in order to detect unplanned changes such as dehydration and the need for assistance with eating, affecting one of three former residents sampled (#46) and residents who ordered a room tray for meals.Findings include:The residence' s meal census tracker form, dated 4/16/15, noted who requested and received a meal tray to be delivered to their rooms. However there was no indication that food consumption was observed to detect unplanned changes such as dehydration and t.. Based on record review and interview the residence failed to obtain a practitioner' s assessment when a resident sustained an injury or accident affecting one of eight sample residents (#48). (Cross-reference S1324)Findings include:1. Resident #48 was admitted to the residence on 12/16/23 with a diagnosis of acute ischemic stroke, chronic pain, chronic obstructive pulmonary disease, and dementia of Alzheimer' s type.An incident report dated 3/21/25 read that Staff #14 heard a noise from the hallway and saw Resident #48 standing with his walker and reported they had f.. Based on record review and interview, the residence failed to ensure residents had the right to be free from neglect affecting one of eight sample residents (#48). (Cross-reference S1130).Specifically, Resident #48 had a fall on 3/21/25 resulting in an injury of the trochanter in the right femur. The resident reported pain and not being able to bear weight on their right leg after the fall on 3/21/25. Staff failed to contact emergency medical services (EMS). Resident #48 reported pain and denied pain on 3/22/25. Staff still failed to contact EMS. On 3/23/25, Resident #48 had extre.. 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 7.12.7 The comprehensive assessment shall include all the following items:(A) Information from the comprehensive pre-admission assessment described in Part 11.1;(B) Information regarding the resident ' s overall health and physical functioning ability;(C) Information regarding the resident ' s advance directives;(D) Communicati..

A recertification survey with complaint #CO34108, #CO39760 was completed on 4/16/25. Deficiencies were cited. Based on record review and interview, the facility (residence) failed to ensure residents (members) had the right to be free from neglect affecting one of eight sample residents.Specifically, Resident #48 had a fall on 3/21/25 resulting in an injury of the trochanter in the right femur. The resident reported pain and not being able to bear weight on their right leg after the fall on 3/21/25. Staff failed to contact emergency medical services (EMS). Resident #48 reported pain and denied pain on 3/22/25. Staff still failed to contact EMS. On 3/23/25, Resident #48 had extreme pain and was unable to ambulate or sit up straight in his wheelchair. Staff contacted EMS for Resident #48 to be sent to the emergency department. Resident #48 was diagnosed with an injury of the trochanter in the right femur that required surgery.Findings include:1. References Chapter VII regulations governing assisted living residences, part 2.12, defines "Caretaker Neglect" as neglect that occurs when adequate food, clothing, shelter, psychological care, physical care, medical care, habilitation, supervision, or any other service necessary for the health or safety of an at-risk person is not secured for that person or is not provided by a caretaker in a timely manner and with the degree of care that a reasonable person in the same situation would exercise, or a caretaker knowingly uses harassment, undue influence or intimidation to create a hostile or fearful environment for an at-risk person.2. Resident #48 was admitted to the residence on 12/16/23 with a diagnosis of acute ischemic stroke, chronic pain, chronic obstructive pulmonary disease, and dementia of Alzheimer' s type.An incident report dated 3/21/25 read that Staff #14 heard a noise from the hallway and saw Resident #48 standing with his walker and reported they had fallen and needed assistance with activities of daily living (ADL). Staff #14 assisted Resident #48 into their wheelchair and asked them how they had fallen. Resident #48 was confused and explained he had lost his balance and had fallen. Staff #14 checked for bruises, color changes, ..