Lotus Assisted Living LLC

A relicensure survey was completed on 1/20/26. Deficiencies were cited.A change of ownership occurred on 1/23/22. Based on record review and interviews, the residence failed to ensure residents' records contained an individualized care plan (ICP), affecting three of six sample residents (#4, #5, #6). (Cross-reference U1140)Findings Include:A review of the records for Resident #4, admitted to the residence on 6/30/23, revealed no evidence of an individualized care plan (ICP) established by conducting an assessment at the time of admission that reflected information requested and received from Resident #4, Resident #4' s representative, and a practitioner.In an interview with the administrator on 1/20/26 at 1:10 p.m., she stated that she does not have assessments or ICPs for any current residents. She explained that she was in the process of implementing a plan to ensure each resident had assessments and an ICP. The same de.. Based on records review and interviews, the residence failed to complete comprehensive assessments that reflect information requested and received from residents, residents' representatives, and practitioners to establish an individualized care plan, affecting three of six sample residents (#4, #5, #6). (Cross-reference U2230)Findings Include:A review of the records for Resident #4, admitted to the residence on 6/30/23, revealed no evidence of an assessment having been conducted at the time of admission that reflected information requested and received from Resident #4, Resident #4' s representative, and a practitioner to establish an individualized care plan (ICP).In an interview with the administrator on 1/20/26 at 1:10 p.m., she stated that she does not have assessments or ICPs for .. Based on records review and interviews, the residence failed to have emergency policies that addressed written agreements with other health facilities in the event relocation of residents became necessary, affecting 8 current residents.Findings Include:A review of the residence' s emergency preparedness policies and procedures (EPPP), dated 10/5/25, failed to include evidence of written agreements with other health facilities or community agencies.In an interview with the administrator and the resident care coordinator (RCC) on 1/20/26 at 1:59 p.m., they agreed that the EPPP did not include a written agreement with other health facilities or community agencies and agreed that this was a violation of regulations. THIS PORTION OF THE REPORT IS FOR INFORMATIONAL PURPOSES ONLY. No response is necessary. The residence was advised that it must review and maintain the following processes in accordance with existing program regulations found at 6 CCR 1011-1, Chapter 7.(U0610) 7.1 In order to ensure that staff members and volunteers are of good, moral, and responsible character, the assisted living residence shall request, prior to staff hire or volunteer on-boarding, a name-based criminal history record check for each prospective staff member and volunteer.(A) If the applicant has lived in Colorado for more than three (3) years at the time of application, the assisted living residence shall obtain a name-based criminal history report conducted by the Colorado Bureau of Investigation (CBI).(B) If the a..

A recertification survey was completed on 1/20/26. Deficiencies were cited.A change of ownership occurred on 1/23/22. Based on records review and interviews, the facility (residence) failed to conduct an assessment documenting that the setting will support the member (resident) and their needs, affecting three of six sample residents (#4, #5, #6). (Cross-reference B1770)Findings Include:A review of the records for Resident #4, admitted to the residence on 6/30/23, revealed no evidence of an assessment having been conducted at the time of admission that reflected information requested and received from Resident #4, Resident #4' s representative, and a practitioner to establish an individualized care plan (ICP).In an interview with the administrator on 1/20/26 at 1:10 p.m., she stated that she does not have assessments or ICPs for any current residents. She explained that she was in the process of implementing a .. Based on records review and interviews, the facility (residence) failed to document in each member' s (resident' s) Provider Care Plan (PCP) all required elements, affecting three of six sample residents (#4, #5, #6). (Cross-reference B1710)Findings Include:A review of the records for Resident #4, admitted to the residence on 6/30/23, revealed no evidence of an individualized care plan (ICP) established by conducting an assessment at the time of admission that reflected information requested and received from Resident #4, Resident #4' s representative, and a practitioner.In an interview with the administrator on 1/20/26 at 1:10 p.m., she stated that she does not have assessments or ICPs for any current residents. She explained that she was in the process of implementing a plan to ensure each resident had .. Based on records review and interviews, the facility failed to ensure the residency agreement provided the same responsibilities and protections from eviction that tenants have under the landlord/tenant law, and provide a process for individuals to dispute and seek review by a neutral decisionmaker, specify expectations for maintenance, and specify that staff and contractors will not enter a unit without providing advanced notice and agreed upon time with the members, affecting 8 current residents.Findings Include:A review of the residency agreement template provided by the administrator on 1/20/26 at 10:56 a.m. via electronic mail failed to include provisions for the same responsibilities and protections from eviction that tenants have under the landlord and tenant laws of the State, cou.. THIS PORTION OF THE REPORT IS FOR INFORMATIONAL PURPOSES ONLY. No response is necessary. The facility was advised that it must review and maintain the following processes in accordance with existing program regulations found at 10 CCR 2505-10 Section 8.7000.(B0170) 8.7001.B.4. Rights Modifications(a) Any modification of an individual' s rights must be supported by a specific assessed need and justified in the Person-Centered Support Plan, pursuant to the process set out in Sections 8.7001.B.4.c and 8.7001.B.4.d below. Rights Modifications may not be imposed across-the-board and may not be based on the convenience of the Provider Agency/its independent Contractor. The Provider Agency/its independent Contractor must ensure that a Rights Modification does not infringe..