Kraft Home INC

A revisit survey was completed on 3/23/26 for all previous deficiencies cited on 9/2/25. 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 recertification survey with complaint #CO39856 was completed on 9/2/25. Deficiencies were cited. Based on observation, record review, and interviews, the facility (residence) failed to provide training to employees prior to having unsupervised contact with members (residents) for one (#1) staff for six current residents.Findings Include:Observations of the residence on 9/8/25 from 8:30 a.m. to 5:30 p.m., revealed Staff #1 working independently with residents.Staff #1' s personnel file read that the residence hired the staff member on 7/1/18; however, the file contained no dementia training.On 9/2/25 at approximately 8:40 a.m., Staff #1 stated that .. Based on observations and interviews, the facility (residence) failed to provide an outdoor area accessible to members (residents) without staff assistance that is well maintained for six current residents.Findings Include:An environmental tour on 9/2/25 at 12:30 p.m., revealed a five-inch drop in the concrete sidewalk next to the designated smoking area; additionally, a section of the privacy fence was unstable and leaning away from its supports, appearing to have been struck by a fallen tree.On 9/2/25 at approximately 12:30 p.m., Resident #1 stated that the drop off in the sidewalk n.. Based on record review and interviews, the facility (residence) failed to conduct assessment prior to admission and whenever a significant change in care needs, affecting two of three sample residents (#2 and #7). (Cross-reference B0760)Findings Include:1. Record ReviewResident #7 was admitted to the residence on 4/16/25 with a diagnosis of alcohol intoxication, pulmonary emphysema, and bilateral carpal tunnel syndrome. The record for Resident #7 contained no evidence of a pre-admission assessment completed by the residence.There was no evidence of an asses.. Based on record review and interviews, the facility (residence) failed to document changes in members' (residents' ) condition and action taken because of changes, affecting one sample resident ( #7). (Cross-reference B1710)Findings Include:Resident #7 was admitted to the residence on 4/16/25.On 9/2/25 at 8:40 a.m., Staff #1 stated that when Resident #7 was at the hospital from 8/21-8/29/25 a bag of unidentified medication was found in Resident #7' s room when completing housekeeping tasks. Staff #1 stated she reported it to the administrator; however, she did not docu.. Based on record review and interviews, the facility (residence) failed to maintain a personnel record which contained documentation all trainings and of criminal background check for one (#1) sample staff, affecting six current members (residents).Findings Include:The administrator' s personnel file revealed no evidence of a current CPR/First-Aid certification.Staff #1' s personnel file read that the residence hired the staff member on 7/1/18; however, the file contained no evidence of CPR/First-Aid certification or the results of a background check.On 9/2/2.. Based on records review and interviews, the facility (residence) failed to provide sufficient support to members (residents) in the use of medications, affecting three of three sample residents (#2, #6 and #7).Findings Include:1. Record reviewa. Inaccurate MAR informationA record review of the August 2025 MAR for Resident #6 revealed that four medications (bupropion HCL XL, clopidogrel, donepezil, and fluticasone prop) were marked as "DC" on the MAR. However, there was no discontinued date included on or from the practitioner' s order.Similar deficient practice occu..

A relicensure survey with complaint #CO39855 was completed on 9/2/25. Deficiencies were cited. Based on interviews and record review, the residence failed to document any out-of-the-ordinary event before the end of the shift, affecting one sample resident (#7). (Cross-reference U1010, U1146)Findings Include:Resident #7 was ad.. Based on observation and interviews, the residence failed to maintain the grounds free of hazards, affecting six current residents.Findings Include:An environmental tour on 9/2/25 at 12:30 p.m., revealed a five-inch drop in the c.. Based on observation, record review and interviews, the residence failed to ensure a direct-care staff member received required dementia training for one sample staff (#1), affecting six current residents.Findings Include:Observ.. Based on record review and interview, the residence failed to complete a pre-admission assessment of a resident' s physical, mental, and social needs; cultural, religious, and activity needs; preferences; and capacity for self-care, af.. Based on record review and interview, the residence failed to count jointly, document results, and sign all controlled substances by two individuals at the beginning and end of each shift, for three of three controlled substance counts f.. Based on record review and interviews, the residence failed to have an involuntary discharge grievance policy, affecting six current residents.Findings Include:On 9/2/25 at approximately 8:45 a.m., the residence' s involuntary dis.. Based on record review and interviews, the residence failed to have written policies and procedures regarding visitation rights, affecting six current residents.Findings Include:On 9/2/25 at approximately 8:45 a.m., the residenc.. Based on record review and interviews, the residence failed to maintain a separate sheet of controlled substances, which contained the date and time administered, name of authorized practitioner, and the quantity of the controlle.. Based on record review and interviews, the residence failed to maintain documentation of cardio-pulmonary resuscitation and first aid (CPR/First-Aid) certification, and the results of a background check in the personnel file fo.. Based on record review and interviews, the residence failed to update each resident' s comprehensive assessment whenever there was a condition change from baseline status, affecting two of three sample residents (#2 and #7). (C.. Based on record review and interviews, the residence medication administration record (MAR) failed to maintain a legible list of the names of the persons utilizing the record for medication administration, along with each of their si.. 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 a..

A licensure complaint, prompted by #CO39773, was completed on 4/10/25. Deficiencies were cited. Based on observations, record reviews, and interviews, the residence failed to comply with applicable fire codes from the county where the residence was located, affecting six current residents. (Cross-reference S2610, S2614)Findings include:1. ReferencesChapter 3 of the International Fire Code (IFC) governing general building requirements, part 31.. Based on observations, record reviews, and interviews, the residence failed to contract with a licensed pest control company. The residence also failed to ensure pesticides were not stored in resident areas, and only properly trained staff were allowed to apply pesticides, affecting one of six (#6) current residents. (Cross-reference S2614 & S28.. Based on observations, record reviews, and interviews, the residence failed to handle and store oxygen in accordance with state requirements, affecting six current residents. (Cross-reference S2702)Findings include:1. ReferencesSection 99 of the Regulation National Fire Protection Association (NFPA) governing health care facilities code regulations, par.. Based on observations, record reviews, and interviews, the residence failed to have effective policies and procedures for the control and eradication of insects and other pests, affecting six current residents. (Cross-reference S2812)Findings include:On 4/9/25 at 7:40 a.m., an environmental tour of the residence revealed an extension cord in.. Based on observations, record reviews, and interviews, the residence failed to keep all interior areas, including basements, free from acculturations of extraneous materials, affecting six current residents. (Cross-reference B0420 & S2510)Findings include: On 4/9/25 at 7:40 a.m., an environmental tour of the residence revealed hallways on .. Based on observations, record reviews, and interviews, the residence failed to keep the grounds free of garbage and rubbish, affecting six current residents. (Cross-Reference B0420, S2610)Findings include: On 4/9/25 at 7:40 a.m., an environmental tour of the residence revealed garbage, rubbish, discarded furniture, mops, ladders, paint cans, a dis.. Based on observations, record reviews, and interviews, the residence failed to maintain a readily available list and safety data sheet of potentially hazardous substances used by staff, affecting six current residents. (Cross-Reference S2812)On 4/9/25 at 7:40 a.m., an environmental tour of the residence revealed multiple types of cleaning compound.. Based on observations, record reviews, and interviews, the residence failed to prohibit smoking in areas where oxygen was stored and used, affecting six current residents. (Cross-reference S2700)Specifically, the residence failed to prohibit Resident #1 from smoking in his room while using oxygen and storing a large number of oxygen cylinders in h.. Based on record reviews and interviews, the residence failed to have a readily available roster of current residents that included emergency contact information, affecting six current residents.Findings include:On 4/9/25 at 7:48 a.m., the administrator provided the current resident roster; however, the roster failed to include the residents' emergenc..