Inn at Greenwood Village, the

A revisit survey was completed on 7/30/24 for all previous deficiencies cited on 2/15/24. 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

A revisit survey was completed on 7/10/2024 for all previous deficiencies cited on 6/28/2024. 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

A licensure complaint, prompted by #CO34924, was completed on 2/15/24. Deficiencies were cited. Based on record review and interview the residence failed to comply with Colorado Adult Protective Services (CAPS) Data System, for one of one sample staff (#4).1. References a. According to Colorado Revised Statutes (2020) Title 26 Human Services Code,"... individuals receiving care and services from persons employed in programs or facilities ... are vulnerable to mistreatment, including abuse, neglect, and exploitation. It is the intent of the general assembly to minimize the potential for employment of persons with a history of mistreatment of at-risk adults in positions that would allow those persons unsupervised access to these adults. As a result, the general assembly finds it necessary to strengthen protections for vulnerable adults by requiring certain employers to request a CAPS check by the state dep.. Based on record review and interview, the residence failed to ensure that the resident' s legal representative was promptly notified of a decline from a resident' s baseline status, affecting one former resident (#8).Findings include:1. Residence PolicyThe residence' s Change in Resident Status policy, dated 5/9/22, read in part, "Community staff have the responsibility to provide care to each resident and summon medical attention when the resident has a change in status ... Notify the director of health services or med tech on duty whenever there is a change in resident status. Examples of change would include, but not be limited to ... decreased coordination ... decreased communication/responsiveness, decreased ability to communicate ... hallucinations or other unusual behavior.. Based on record review and interview, the residence failed to investigate allegations of abuse in accordance with regulation and written policy, affecting one former resident (#8).Findings include:1. Reference and Residence Policya. Chapter VII regulations governing assisted living residences, part 13.11, requires that the assisted living residence shall investigate all allegations of abuse, neglect or exploitation of residents in accordance with its written policy. The written policy is required to include the following:(A) Reporting requirements to the appropriate agencies such as the adult protection services of the appropriate county Department of Social Services, and to the assisted living residence administrator.b. The residence' s Elder Abuse, Neglect and Exploitation policy, dated 12/7/22, read in part, "Should a.. 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.(A) If the applicant has lived in Colorado for more than three (3) years at the time of application, the assisted living residence shall obtain a name-based criminal history report conducted by the Colorado Bureau of Investigation (CBI).(B) If the applicant has li..

A relicensure survey was completed on 6/28/23. A deficiency was cited. Based on observation and interview, the residence failed to ensure resident rooms occupied by smokers had fire resistant wastebaskets, affecting four residents (#4-#7). Findings include: On 6/28/23 at 9:50 a.m., the health and services coordinator provided a list that identified residents #4-#7 as smokers. On 6/28/23 at 10:00 a.m., an environmental tour revealed the rooms occupied by residents #4-#7 did not contain fire resistant wastebaskets. On 6/28/23 at 10:30 a.m., the administrator stated that smoking in resident rooms was prohibited; however, he was not aware that rooms occupied by smokers were required to contain fire resistant wastebaskets. 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.