Learning Services Bear Creek

A revisit survey was completed on 4/17/25 for all previous deficiencies cited on 8/5/24. 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 relicensure survey with complaint #CO33551 was completed on 8/5/24. Deficiencies were cited. Based on interview and record review, the residence failed to develop and implement an involuntary discharge grievance policy affecting 12 current residents.Findings include:The residence' s discharge policy, dated 2023, read in.. Based on interview and record review, the residence failed to ensure that each qualified medication administration person (QMAP) documented accurate information in the medication administration record (MAR), including any medic.. Based on observation and interview, the residence failed to ensure there was a list of all staff who had current certification in first aid and cardiopulmonary resuscitation (CPR) in a visible location and readily available at all time.. Based on observation and interview, the residence failed to place written house rules in a publicly visible location so that they were always available to residents and visitors, affecting 12 current residents. (Cross-reference S1382)Findi.. Based on observation, record review and interview the residence failed to ensure a correct name-based criminal history check conducted by the Colorado Bureau of Investigation (CBI) was completed for each prospective staff mem.. Based on observation, record review and interview the residence failed to ensure that each staff member had documentation in their personnel files for competency that included specialized techniques for three current staff (#.. Based on observation, record review and interviews, the residence failed to be responsible for complying with authorized practitioner orders associated with medication administration except for those medications which a resid.. Based on record review and interview, the residence failed to complete a pre-admission assessment to determine the appropriateness and need for secure environment residency that included detailed information from the resident' s fa.. Based on record review and interview, the residence failed to ensure that each staff member met the dementia training requirements in 7.9(B), affecting 12 current residents.Findings include1. Record ReviewPersonnel files for St.. Based on record review and interview, the residence failed to ensure the house rules included actions taken if any rule is knowingly violated, affecting 12 current residents. (Cross-reference S1380)Findings include: On 8/1/24 at 8:58 a.m.. Based on record review and interview, the residence failed to have readily available a roster of current residents along with a residence diagram showing room locations, affecting 12 current residents.Findings include:1. Record ReviewO.. 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..