Just for Seniors Living Center II

A revisit survey was completed on 12/29/25 for all previous deficiencies cited on 9/9/25. 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 12/29/25 for all previous deficiencies cited on 9/9/25. 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 relicensure survey was completed on 9/9/25. Deficiencies were cited. Based on interview and record review, the residence failed to ensure the administrator completed the additional 10 hours of training as required, affecting 21 current residents.Findings include: On 9/8/25 at 7:55 a.m., the 40-hour administrator training certification was requested. However, the administrator training certification provided, dated June 15, 1993, contained only 30 hours of the required training. The administrator was unable to provide the additional 10-hour training required. On 9/8/25 at approximately 2:00 p.m., the administrator stated she did not have any additional training after receiving her administrator training certification on June 15, 1993. The administrator went on to state she was not aware of the requirement needing the additional 10 hours of training. Based on observation, record review, and interview, the residence failed to ensure that each staff member received training related to recognizing behavioral expression and management techniques, affecting two sample staff (#2, #3). (Cross-reference U540)This deficiency was cited previously during a licensure complaint survey on 11/14/22. Although the residence corrected the deficiency, based on the findings below, the residence has not maintained compliance with this regulatory requirement.Findings include:On 9/8/25 from approximately 7:00 a.m. to 4:30 p.m., Staff #2 and #3 provided care and services to residents.Personnel files for Staff #2 and #3 revealed hire dates of 10/15/05 and 4/27/23, respectively. Neither personnel file revealed any training on recognizing behavioral expressio.. Based on record review and interview, the residence failed to have emergency policies addressing all required elements, affecting 21 current residents. Findings include:1. Record ReviewThe residence' s undated Emergency Manual failed to contain the required elements, including, an evacuation policy containing a signed agreement with the residence ' s sister community in the event of evacuation: Storage and preservation of medications, including oxygen, were not clearly outlined in the residence evacuation policy: The protection and transfer of health information as needed to meet the care needs of residents was not included in the emergency preparedness policy. 2. InterviewOn 9/8/25, at 9:21 a.m., Staff #4 acknowledged there was not a clear outline in the emergency evacuation .. 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 7.7.9 The assisted living residence shall ensure that each staff member and volunteer receives orientation and training, as follows:(A) The assisted living residence shall ensure each staff member or volunteer completes an initial orientation prior to providing any care or services to a resident. Such orientation shall include, at a minimum, all of the following topics:(f) Practitioner assessment,(g) Serious illness, injury, and/or death of a resident.(5) Reporting requirements, including occurrence reporting procedures within the facility;(8) Where to imm..

A complaint revisit was completed on 9/9/25. A deficiency was cited. The deficiencies cited for Event Z7ZX11 were cited prior to the regulation revision that was implemented on 7/1/25. Based on observation, record review, and interview, the residence failed to ensure that each staff member received training related to recognizing behavioral expression and management techniques, affecting two sample staff (#2, #3). (Cross-reference U540)This deficiency was cited previously during a licensure complaint survey on 11/14/22. Although the residence corrected the deficiency, based on the findings below, the residence has not maintained compliance with this regulatory requirement.Findings include:On 9/8/25 from approximately 7:00 a.m. to 4:30 p.m., Staff #2 and #3 provided care and services to residents.Personnel files for Staff #2 and #3 revealed hire dates of 10/15/05 and 4/27/23, respectively. Neither personnel file revealed any training on recognizing behavioral expression and management techniques training, as required prior to working independently.On 9/8/25 at 1:48 p.m., Staff #4 said neither Staff #2 or #3 had received behavioral expression and management techniques training. On 9/9/25 at 12:30 p.m., the administrator said Staff #4 was responsible for training newly hired staff and the consultant was responsible for continuing education to all staff. She added she expected all staff to have training on behavioral expression and management techniques but was not aware that Staff #2 and #3 had not received the training. The administrator said the reason the citation was not corrected because it was overlooked.

A Recertification Survey completed on 9/9/25. Deficiencies were cited. Based on interview and record review, the facility (residence) failed to ensure that each resident care plan included special health or behavioral management needs that support the member (resident) affecting one (#11) of 11 sample residents.Findings include:Resident #11 was admitted to the residence on 6/25/25 with a diagnosis including schizophrenia. A care plan, dated 6/28/25, completed by the administrator, read in part, Resident #11 was experiencing depression, loneliness, disorientation, and sadness. The care plan did not provide behavioral interventions related to Resident #11 ' s state at admission or diagnosis, and did not indicate changes in condition during Resident #11 ' s stay at the residence from the time of admission. A care plan reflecting changes in condition, .. Based on observation and interview, the facility (residence) failed to display the monthly schedule of daily recreational and social engagement opportunities in a visible location so that it is always available to members (residents) and visitors, affecting 21 current residents.Findings include:On 9/8 and 9/9/25 from approximately 7:30 a.m. to 1:30 p.m., there was no monthly schedule of daily and recreational and social engagement opportunities in a visible location.On 9/8/25, at approximately 8:00 a.m., Staff #4 stated the only activity residents enjoyed playing at the residence was bingo. Staff #4 acknowledged the recreational activities and social engagement opportunities calendar was located inside resident charts.On 9/8/25 at 1:48 p.m., Staff #2 and #3 said the monthly schedule of dai.. Based on record review and interview, the facility (residence) failed to specify in their lease agreement, rent or room-and-board charges, affecting one sample resident #10.Findings include:Resident #10 was admitted to the residence on 6/17/25.The signed resident agreement in Resident #10' s record revealed no rent or room-and-board charges.On 9/9/25 at 12:30 p.m., the administrator said Staff #4 was responsible for creating and reviewing the resident agreements with residents. She added that Resident #10' s family member paid privately for room and board until his medicaid started. She added she was not aware she was required to add the private pay room and board rates if it was private pay. THIS PORTION OF THE REPORT IS FOR INFORMATIONAL PURPOSES ONLY.No response is necessary.The facility was advised it must review and maintain the following processes in accordance with existing program regulations found at 10 CCR 2505-10, 8.7000.8.7506.F.2 Member EngagementIn consultation with Members served, Alternative Care Facility Provider Agencies shall provide social and recreational engagement opportunities both within and outside the setting.

A revisit survey was completed on 6/1/23 for all previous deficiencies cited on 10/5/22. No deficiencies 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