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 licensure complaint revisit was completed on 4/16/25 for all previous deficiencies cited on 9/6/23. A deficiency was cited.The regulations governing Assisted Living Residences were revised. The new regulation Chapter VII was implemented on 3/17/25. 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.This deficiency was cited previously during a state licensure complaint 9/6/23. Although the residence corrected the deficiency, based on the findings below, the residence has not maintained compliance with this regulatory requirement.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 the need for assistance with eating.On 4/16/25 at 10:11 a.m., Staff #24 stated kitchen staff kept track of every meal and she was not aware of any specific meal tracker.On 4/16/25 at 11:30 a.m., Staff #28 said the residence did not monitor meal consumption for residents who ordered meal trays sent to their room.On 4/16/25 at 2:22 p.m., the health services director said the residence only tracked monthly weight in order to detect unplanned changes. She added meal consumption is not tracked for meals trays delivered to residents rooms to detect dehydrat.. 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