Limelight Assisted Living LLC

A licensure complaint, prompted by #CO41438, was completed on 1/21/26. A deficiency was cited. Based on interview and record review, the residence failed to reflect the most current assessment information and the staff tasks necessary to meet needs in the resident care plan, affecting one of four residents (Former Resident #4).Findings include:1. Former Resident #4 was admitted to the residence on 11/20/25 with a diagnosis including agitation due to dementia.A care plan, updated 1/12/26, read staff were required to perform hourly checks on Former Resident #4. The updated care plan did not indicate a life alert system was in place as an intervention to assist in the prevention of Former Resident #4 wandering.2. InterviewsOn 1/21/26 at 11:50 a.m., Staff #1 stated hourly safety checks and a life alert pendant were interventions the residence put in place after 1/6/26 to prevent Former Resident #4 from wandering. Staff #1 went on to state he knew to charge Former Resident #4 ' s life alert pendant battery daily because he had gone missing from the residence prior, but did not indicate this intervention was included in Resident #4 ' s updated care plan. Staff #1 stated Resident #4 left the residence on 1/18/26 at 6:00 p.m.; twenty minutes after Staff #1 performed an hourly safety check. Staff #1 stated Former Resident #4 was wearing his life alert pendant around his neck on 1/18/26, but acknowledged it was not charged and could not identify Former Resident #4 ' s whereabouts when he left the residence. Staff #1 went on to state Former Resident #4 continually refused to allow staff members to charge the life alert pendant, and further explained Forner Resident #4 refused three out of four times he could recall attempting to charge it. Staff #1 acknowledged he was unaware the life alert pendant was in the care plan, and also acknowledged the life alert pendant and hourly checks were not successful at preventing Former Resident #4 from leaving the residence without the ability of residence staff to locate him.On 1/21/26 at 10:06 a.m., the residence manager stated Former Resident #4 was provided a life alert pendant to alert residence staff of his loc..

A licensure complaint, prompted by #CO41378, was completed on 1/6/26. A deficiency was cited. Based on record review and interview, the residence failed to comply with occurrence report requirements required by state law, affecting one of three sample residents (#1).Findings include:1. Record ReviewResident #1 was admitted to the residence on 11/20/25, with diagnoses that included bipolar disorder with manic psychotic symptoms and generalized anxiety disorder.An incident report, dated 12/12/25, read that Resident #1 left the residence at 9:30 a.m. to an adult day center; however, never arrived. The report further read the residence staff initiated elopement procedures at 11:00 a.m., and Resident #1 was found and brought back to the residence by law enforcement at about 10:00 p.m.2. InterviewsOn 1/6/26 at approximately 10:00 a.m., the administrator stated that on 12/12/25, Resident #1 was scheduled to be transported by bus to an adult day center at 9:30 a.m. from the residence; however, did not get on the bus. The administrator stated Resident #1 told the residence staff he would transport himself. The administrator further stated that he contacted an external service provider at the day center at 11:30 a.m. and was informed Resident #1 was not there. The administrator explained residence staff initiated elopement procedures; which entailed searching for Resident #1, while also calling law enforcement and the family member of Resident #1. The administrator stated Resident #1 was found by law enforcement at a downtown restaurant, and transported to the residence at 7:30 p.m. The administrator stated he did not report this occurrence to the Department as he did not feel it was appropriate to do. On 1/6/26 at approximately 10:10 a.m., Resident #1 stated he left the residence on 12/12/25 and was gone for approximately 10 hours before law enforcement found him. Resident #1 went on to state he did not think he signed out the visitation log when he left the residence on 12/12/25. Resident #1 also stated that he usually would go to the adult day center, but decided not to go on 12/12/25.On 1/6/26 at approximately 1:58 p...

An Initial Certification revisit was completed on 7/14/25 for the previous deficiency cited on 1/28/25. A deficiency was cited. Based on record review, observations, and interview the facility (residence) failed to provide full access ofindividuals to the greater community, including opportunities to engage in community life outside of the settingaffecting 13 current members (residents).This deficiency was cited previously during an initial certification revisit on 1/28/25. Although the facility correctedthe deficiency, based on the findings below, the facility has not maintained compliance with this regulatoryrequirement.Findings include: 1. ObservationsOn 7/14/25 during the onsite visit postings of residence activities were observed hung in the kitchen. The post didnot contain a list of activities available to the residents in the greater community. 2. Record reviewA document labeled activities schedule outlined the activities within the residence for each week of the month,however, no listing of activities available to the residents in the greater community were listed. 3. InterviewOn 7/14/25 at approximately 1:30 p.m., Resident #9 stated that the residents were not offered any communityengagement opportunities. On 7/14/25 at approximately 3:40 p.m., the administrator stated that he was aware that the facility needed tohave community engagement opportunities for the residents he stated he thought that they were posted. Hestated that he was not sure why it did not get posted.

A relicensure survey was completed on 7/14/25. Deficiencies were cited. Based on observations and interview the residence failed to keep the residence grounds free of garbage andrubbish affecting 13 current residents. Findings Include:1. ObservationOn 7/14/25 throughout the onsite visit from approximately 7:30 a.m. to 3:30 p.m., the backyard of the residencehad cigarette buts piled on the ground by the back porch. On the side of the residence two moldy paint buckets,an old carpet, and moldy cardboard laid on the ground. On the opposite of the residence two old cardboard boxeslaid on the seat of a bench. 2. InterviewOn 7/14/25 at approximately 3:40 p.m., the administrator stated that the residents would throw the cigarette butson the ground. He stated that he was aware of the paint buckets and thought that they were being used to sit onby the resi.. Based on observations and interview the residence failed to provide a physically sanitary environment affecting13 current residents. Findings Include:1. ObservationsAn onsite tour of the residence on 7/14/25 revealed that the kitchen available to all of the residents, and used toprepare resident meals was in the following condition:The dry goods cupboard had flour and dry noodles on the shelves, and the lower cupboards of the kitchen had abuild up of food and grease which rubbed off to the touch leaving a brown residue. The onsite tour of the residence on 7/14/25 revealed that the common areas of the residence was in the followingcondition:Dirt and grease build up was observed on light switches, dirty dishes, personal mail, snack foods and generalclutter were on common surface areas. The ons.. Based on observations and interviews the residence failed to comply with the Colorado Clean Indoor Air Act atSections 25-14201 through 25-14-209, C.R.S., smoking areas must be at least 25 feet from the entrance, affecting13 current residents. Findings Include:1. ObservationsOn 7/14/25 during the onsite inspection a measurement of the smoking area from the backyard entrance of theresidence was found to be less than eight feet. 2. InterviewsOn 7/14/25 at approximately 3:40 p.m., the administrator stated that he was aware of the regulation but could notrecall how many feet the smoking area was meant to be from the entrance of the residence. Based on record review and interview the residence failed to have at least one staff member onsite at all timeswho had a current certification in cardiopulmonary resuscitation (CPR) and obstructed airway techniques from anationally recognized organization affecting 13 current residents.Findings Include:A CPR certification for Staff #9 showed an expiration date of February 2025.A staff schedule read that Staff #9 was the only staff member working on the following shifts: 6/23/25, 6/28/25,6/29/25, 6/30/25, 7/5/25, 7/6/25, 7/7/25, 7/12/25, 7/13/25, 7/14/25, 7/19/25, and 7/20/25 7:00 p.m.-7:00 a.m.On 7/14/25 at approximately 3:40 p.m., the administrator stated that he was aware that Staff #9 had an expiredCPR certification. He stated that he would ensure that Staff #9 updated his certification.