Legend of Broomfield Assisted Living & Memory Care

A licensure complaint, prompted by #CO42013, was completed on 4/15/26. No deficiencies were cited. THIS PORTION OF THE REPORT IS FOR INFORMATIONAL PURPOSES ONLY.No response is necessary.The residence was advised to review and maintain the following processes in accordance with the existing program regulations at 6 CCR 1011-1, Chapter 7.21.2 The assisted living residence grounds shall be maintained to protect residents from slopes, holes or other hazards, and shall be consistent with any landscape plan approved by the local jurisdiction.25.14 Before a staff member is allowed to work independently in the secure environment, the assisted living residence shall provide each staff member with training and education on the provision of care and services for the specific population in the assisted living residence. (A) At a minimum, the individual shall be trained on the care plan for each resident to which the individual could provide care given the staff member' s assigned duties and responsibilities. Such training shall be documented.25.26 A secure environment shall meet the following criteria: (F) There shall be a secure outdoor area that is available for resident use year-round that: (4) Has one or more areas that provides protection from weather elements.

A revisit survey was completed on 1/23/25 for all previous deficiencies cited on 8/14/24. 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 #CO37103 was completed on 8/14/24. Deficiencies were cited. Based on interview and record review, the residence failed to implement a fall management program which included providing fall management education and materials to residence and family members, detailing in the resident' s care plan the individualized approaches necessary to address fall risk, and providing staff training related to fall preventio.. Based on observation, record review and interview, the residence failed to ensure the resident record contained documentation of the actions taken by staff and the residence' s efforts to prevent the re-occurrence of falls and lift assist training for staff, affecting four of four current residents (#3-#6) and two former residents (#9 and #10) who ha.. Based on record review and interview, the residence failed to comply with practitioner' s orders for three of eight sample residents whose medications were reviewed (#2, #4, #7).Findings include:1. Record ReviewResident #4 was admitted to the residence on 6/6/24.A written practitioners order, dated 7/23/24, directed the residence to adminis.. Based on record review and interview, the residence failed to ensure its emergency policies addressed written instructions for when to evacuate the premises and the procedure for doing so, written instructions for each identified risk that included persons to be notified and steps to be taken, and, in the event relocation of residents becomes nec.. Based on record review and interview, the residence failed to ensure residents' medication administration records contained accurate information, affecting two of 10 current residents (#2, #4) and one former resident (#10) whose medications were reviewed. Findings include:1. Resident #4 was admitted to the residence on 6/6/24.a. Potassium C.. 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, and the emergency contacts for each resident, affecting 93 current residents. Findings include:On 8/13/24 at 7:49 a.m., the residence' s resident roster for emergency preparedness was.. Based on record review and interview, the residence failed to properly identify the right medication with the right resident, affecting two of two sample residents (#4 and #7) whose medications were reviewed. Specifically, Staff #3 administered Resident #7 ' s medication to Resident #4. Staff #3 did not ensure the identity of the resident prior to gi.. Based on record review, and interview, the residence failed to update resident care plans that reflected the most current assessment information, affecting two of eight sample residents (#1 and #6). Findings include:1. Record ReviewA functional capacity screening, dated 2/7/24, read in part that Resident #1 required staff supervision for wal.. 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 7.7.13 Each personnel file shall include, but not be limited to, written documentation regardi..

A licensure complaint, prompted by #CO34846 was completed on 2/13/24. No deficiencies were cited. 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 7.25.5 Before an individual moves in, the assisted living residence shall complete a pre-admission assessment to determine the appropriateness and need for secure environment residency. The pre-admission assessment shall include all the items required for the comprehensive assessment in Part 12.7(A) through (M), plus the following:(A) An evaluation by a licensed practitioner which has occurred within the previous ninety (90) calendar days and which describes the resident ' s medical condition and any cognitive deficits that contribute to wandering, compromised safety awareness, and other types of conduct; and(B) Detailed information from the resident ' s family and/or representative concerning the resident ' s recent relevant history and patterns of reduced safety awareness and wandering, along with any strategies used to prevent unsafe wandering or successful exiting, and any other known types of conduct.