Jaxpointe at Allison Ct Assisted Living

A licensure complaint, prompted by #CO39295, #CO39533, was completed on 4/2/25. Deficiencies were cited. Based on record review and interview, the residence failed to comply with occurrence reporting required by state law, affecting one of four sample residents (#1).Findings include:1. Record ReviewResident #1 was admitted to the residence on 9/9/24 with a diagnosis of Alzheimer' s, dementia, dislocation of right hip, missing ball (head) of right hip, history of falls, and mood disturbance with anxiety.An investigation report dated 2/19/25 provided by the residence titled, investigation finding of reported allegation of medications missing by POA (power of attorney) read in part, it was suggested that a new bottle of buspirone was brought to the facility close to the date of the investigation. It would have been a 90-day supply. At that time the practitioner' s order was for once a day. The POA reported the medication was dropped off and given to former Staff #10. The normal routine was to receive the medications, note the receipt, and add the medication to the overflow. The residence did not find any record of having received the medication from the POA. The residence' s findings did not produce any evidence of any foul play or substantiation that the medication had been brought. All staff that were employed were asked to respond to this investigation. No staff could support the idea that the medication was received. In an effort to keep peace with the POA, the external servi.. Based on record review and interview, the residence failed to ensure the resident' s medication administration record (MAR) contained accurate information, affecting one of four sample residents (#1).Findings include:1. Record ReviewResident #1 was admitted to the residence on 9/9/24 with a diagnosis of Alzheimer' s, dementia, dislocation of right hip, missing ball (head) of right hip, history of falls, and mood disturbance with anxiety.A written practitioner' s order dated 1/23/25 directed the residence to administer Tylenol 325 mg every six hours, however, the February 2025 MAR revealed a blank space at the time of administration on 2/1/25 at 1:00 a.m., 2/16/25 at 1:00 a.m., and 2/27/25 at 7:00 p.m., for a total of three undocumented missed doses.The February 2025 MAR revealed blank spaces at the time of administration for the following medications:Buspirone hydrochlorideArtificial tears2. InterviewOn 4/1/25 at 2:52 p.m., confidential Staff #2 explained if there was a blank space on the MAR the qualified medication administration person (QMAP) did not sign off to confirm if medication was administered. They explained they would inform upper management when they noticed blanks on the MAR.On 4/1/25 at 3:02 p.m., the administrator assistant reported that where there was a blank space on the MAR, she would ask staff if they had forgotten to sign off after a..

A licensure complaint, prompted by #CO34652, was completed on 1/17/24. Deficiencies were cited. Based on interviews and record review, the residence administration failed to report suspected verbal and emotional abuse of at-risk residents to law enforcement within 24 hours of discovery, affecting eight current residents. (Cross-reference Q1312, Q1360, Q1362)Findings include1. References and Residence Policiesa. Chapter VII regulations governing assisted living residencies, part 2.7 defines an "at-risk person" as any person who is 70 years of age or older. b. Chapter VII regulations governing assisted living residencies, part 2.1 defines "abuse" as any of the following acts of omissions: (A) the non-accidental infliction of bodily injury, serious body injury or death, (B) confinement or restraint that is unreasonable under generally accepted caretaking standards, Or (C) suspicion of sexual conduct or contact th.. Based on observation, interview, and record review, the residence failed to treat the residents with dignity and respect and protect them from verbal, physical, and emotional abuse, humiliation, intimidation, or punishment, affecting five of five sample residents (Confidential Residents #1 and #2 and Residents #1-#3) (Cross-reference Q1410, Q1360, Q1362)Specifically, three residents alleged Staff #1 abused them. Staff and external service providers alleged Staff #1 had also abused two other at risk residents who were unable to answer questions due to cognitive impairments. Two residents wished to remain anonymous out of fear of retaliation from Staff #1. Confidential Resident #1 stated when s/he would stand up, Staff #1 told her/him to "Sit down," which made her/him feel like a child. If s/h.. Based on observation, record review, and interview, the residence failed to develop and implement policies and procedures for the identification, reporting, and investigation of injuries of unknown origin, affecting two of three sample residents (#1, #5). (Q410, Q1316, Q1360)Findings include:1. Reference and Residence Policy a. Chapter VII regulations governing assisted living residences requires in part 13.12 that the assisted living residence shall develop and implement policies and procedures for the identification, reporting, and investigation of injuries of unknown origin. b. The residence' s Accident / Incident Reporting dated 3/1/16 read in part that incidents or accidents will be reported to the administrator; the incident is thoroughly documented, and the accident/ incident report form.. Based on record review and interview, the residence failed to follow their written policy regarding investigations of allegations of abuse and neglect, affecting eight current residents in the secure environment. (Cross-reference Q0410, Q1312, Q1362)Findings include: 1. References and Residence Policiesa. Chapter II regulations governing assisted living residences, part 1.1, defines "Abuse" as the willful infliction of injury, unreasonable confinement, intimidation, or punishment, with resulting physical harm, pain, or mental anguish.b. Chapter VII regulations governing assisted living residences, part 2.10, 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 heal..