Kavod Senior Life

A revisit survey was completed on 1/13/26 for all previous deficiencies cited on 9/16/25. 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 1/13/26 for all previous deficiencies cited on 9/16/25. 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 9/16/25. Deficiencies were cited. Based on observation and interview the residence failed to ensure that qualified medication administration persons (QMAP) are trained in and apply nationally recognized protocols for basic infection control and prevention when prep.. Based on observation and interview, the residence failed to maintain a physically safe and sanitary environment, affecting 26 current residents.Findings include:On 9/15/25 at approximately 7:36 a.m., Resident #5 was observed am.. Based on record review and interview the residence failed to ensure that only medications ordered by an authorized practitioner were prepared for and administered to residents, affecting two of four sample residents (#1 and #3). (Cr.. Based on record review and interview the residence failed to meet the required elements and had written policies and procedures regarding the visitation rights detailed in Section 25-3-125(3)(a), C.R.S, affecting 26 current residents.Fin.. Based on record review and interview, the residence failed to complete a risk assessment of all hazards and preparedness measures to address natural and human-caused crises, including, but not limited to, fire(s), gas explosi.. Based on record review and interview, the residence failed to comply with the authorized practitioner' s orders associated with medication administration, affecting one of four sample residents (#3) (Cross Reference U1530, U160.. Based on record review and interview, the residence failed to develop and implement emergency preparedness policies and procedures, which included all required elements, affecting 26 current residents.Findings include:On 9/.. Based on record review and interview, the residence failed to ensure the administrator and qualified medication administration person (QMAP) supervisor audited the accuracy and completeness of the medication administration re.. Based on record review and interview, the residence failed to ensure two individuals who were qualified medication administration persons (QMAP), nurses, or practitioners jointly counted all controlled substances at the end of each s.. Based on record review and interview, the residence failed to have an involuntary discharge grievance policy that complied with Section 25-27-104.3, C.R.S., affecting 26 current residents.Findings include:On 9/15/25 at 7:45 a.m., .. Based on record review and interview, the residence failed to have policies and procedures to ensure the continuation of care to all residents for 72 hours following any emergency, affecting 26 current residents.Findings include:On 9/15.. THIS PORTION OF THE REPORT IS FOR INFORMATIONAL PURPOSES ONLY. No response is necessary. The residencewas advised it must review and maintain the following processes in accordance with existing program regul..

A recertification survey was completed on 9/16/25. Deficiencies were cited. Based on record review and interview the residence failed to ensure that only medications ordered by an authorized practitioner were prepared for and administered to residents, affecting two of four sample residents (#1 and #3). Findings include:1. Resident #1 was admitted to the residence on 7/23/21.The August 2025 and September 2025 medication administration records (MAR) had the following medications listed and were being administered with no signed and dated practitioners' orders on file: ferrous gluconate, preserVision, and tamsulosin HCl.2. Similar deficien.. Based on record review and interview, the residence failed to complete a risk assessment of all hazards and preparedness measures to address natural and human-caused crises, including, but not limited to, fire(s), gas explosion, power outage, tornado, flooding, and threatened or actual acts of violence, affecting 26 current residents.Findings include:On 9/15/25 at 7:45 a.m., a risk assessment of all hazards and preparedness measures to address natural and human-caused crises was requested. However, no risk assessments were provided for fire, gas ex.. Based on record review and interview, the residence failed to develop and implement emergency preparedness policies and procedures, which included all required elements, affecting 26 current residents.Findings include:On 9/15/25, record review revealed the residence' s emergency plans and procedures dated in March, April, May, and June of 2025 did not address all of the required elements of Chapter VII, Regulation 10.6.On 9/16/25 at 3:41 p.m., the administrator stated the residence did not have an emergency policy and procedure for a gas explosion and expected.. Based on record review and interview, the residence failed to have an involuntary discharge grievance policy that complied with Section 25-27-104.3, C.R.S., affecting 26 current residents.Findings include:On 9/15/25 at 7:45 a.m., the involuntary discharge grievance policy was requested; however, it was not provided. On 9/15/25 at 2:15 p.m., the residence provided a discharge notice letter that they gave to residents to notify of the discharge from the residence; however, the letter did not meet the required elements of Chapter VII, Regulation 9.3 (A-I).On 9/15/25 at 2:28 p.m... Based on record review and interview, the residence failed to have policies and procedures to ensure the continuation of care to all residents for 72 hours following any emergency, affecting 26 current residents.Findings include:On 9/15/25 at 7:45 a.m., a 72-hour continuation of care policy and procedure was requested; however, it was not provided.On 9/16/25 at 3:26 p.m., the administrator stated that the residence did not have a 72-hour continuation of care policy and procedure. She stated she was aware of needing it and expected the residence to have it. THIS PORTION OF THE REPORT IS FOR INFORMATIONAL PURPOSES ONLY. No response is necessary. The residencewas advised it must review and maintain the following processes in accordance with existing program regulations found at 10 CCR 2505-10 8.7000.8.7409 PersonnelA. Employee and Contractor records 1. The Provider Agency shall maintain records documenting the qualifications and training of employees and contractors who provide services to Members. 2. Provider Agencies shall maintain a personnel record for each employee or Contractor. The re..

A licensure revisit was completed on 7/20/23 for all previous deficiencies cited on 9/28/23. The residence is in compliance with all regulations surveyed. 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