Meadowview of Greeley

A licensure complaint survey prompted by #CO40265 and #CO40624 was completed on 4/1/26. Two deficiencies were cited. Based on observation and interview, the residence failed to provide social care and resident engagement activities as scheduled, affecting 14 of 14 residents in the secure environment.1. ObservationAn observation of the residence' s secure environment was conducted on 3/31/26 from 7:45 a.m. until 11:05 a.m. During this time, the only activity conducted was a movie.Observation revealed a calendar that was hung up on the wall across from the dining room. The calendar reflected activities scheduled for the secure environment during the month of March 2026. The calendar noted the following morning activities, specific to 3/31/26: 9:00 a.m. Daily News, 9:30 a.m. Fit and Fabulous, 10:30 a.m. Tuesday Trivia and Tea, and 11:00 a.m. Guess That TasteAt 9:05 a.m., the residential care coordinator (RCC) in the commons asking residents if they would like to engage in watching a movie after breakfast. There was no activity of "Daily News" conducted as the activity calendar reflected.At 9:15 a.m., the RCC put a movie on for .. Based on record review and interview, the residence failed to follow the residence policy and procedure for the identification, reporting, and investigation of injuries of unknown origin, affecting two out of two (#1, #3) residents with injuries.Findings include:1. Record ReviewA review of residence documentation revealed a policy titled, "Resident Abuse, Neglect and Exploitation" revised on 8/20/22. The policy read, specific in part, "Injuries of Unknown Origin - The assisted living residence shall identify and document resident injuries for which the origin of the injury was not observed by or otherwise known by staff, and either: The resident cannot explain how the injury occurred or the resident can explain the source of the injury, but the source could be addressed to prevent future injuries." 2. Resident #1Resident #1 was admitted to the residence' s secure environment on 1/12/25 with a diagnosis of dementia. A review of Resident #1' s record revealed a document titled "Third Party Coordination Form" dated 2/18/26. The for.. 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 7.13.1 D The right to choice and personal involvement regarding care and services, including: (1) The right to be informed and participate in decision making regarding care and services, in coordination with family members who may have different opinions; (2) The right to be informed about and formulate advance directives; (3) The right to freedom of choice in selecting a health care service or provider; (4) The right to expect the cooperation of the assisted living residence in achieving the maximum degree of benefit from those services which are made available by the assisted living residence; (a) For residents with limited English proficiency or impairments that inhibit communication, the assisted living residence shall find a way to facilitate communication of care needs. (5) T..

A relicensure survey with complaint #CO36853 was completed on 2/24/25. 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 7.12.15 The assisted living residence shall develop policies and procedures to establish a fall management program. The program shall include the following: (B) Detailing in each resident' s care plan the individualized approach necessary to address fall risk related to deficits in strength, balance, and eyesight, or effects of medication as identified during the comprehensive resident assessment;14.29 All prescribed and PRN medications shall be listed and recorded on a medication administration record (MAR) which contains the name and date of birth of the resident, the resident' s room location, any known allergies, and the name and telephone number of the resident' s authorized practitioner. (C) Each qualified medication administration person, nurse, or practitioner shall accurately document each medication administration or monitoring event at the time the event is completed for each resident.18.8 Resident records shall contain, but not be limited to, the following items: (D) Progress notes which shall include information on resident status and wellbeing, as well as documentation regarding any out of the ordinary event or issue that affects a resident' s physical, behavioral, cognitive and/or functional condition, along with the action taken by staff to address that resident' s changing needs;(1) The assisted living residence shall require staff members to document, before the end of their shift, any out of the ordinary event or issue regarding a resident that they personally observed, or was reported to them.25.10 In addition to the information required for a resident care plan at Part 12.10, the care plan for each resident in a secure environment shall include the following:(A) A description of the resident' s wandering patterns and known behavioral expressions, along with individualized approac..

A revisit survey was completed on 8/1/24 for all previous deficiencies cited on 5/1/24. 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 licensure complaint, prompted by #CO33757, #CO35420 and #CO35723, was completed on 5/1/24. Deficiencies were cited. Based on interview and record review the residence failed to ensure residents were provided with, and acknowledged receipt of, information regarding whether or not the assisted living residence had smoking prohibitions and a designated area for smoking, affecting one of one sample residents who smoked (#3). Findings include:An undated s.. Based on interview and record review, the residence failed to complete a comprehensive assessment whenever the resident had a change from baseline status, affecting two of five sample residents (#2 and #3) who experienced a change from baseline status. Findings include:1. ReferenceChapter VII regulations governing assisted living residence.. Based on interview and record review, the residence failed to ensure that only medications ordered by an authorized practitioner were prepared for and administered to residents, affecting two of three sample residents whose medications were reviewed (#1 and #3). Findings include:1. Reference and Residence Policya. Chapter VII regulations.. Based on observation, interview and record review the residence failed to comply with authorized practitioner' s orders affecting three of three sample residents whose medications were reviewed (#1-#3). Findings include:1. Residence PolicyThe residence' s medication administration policy dated 4/30/19, read in part: "(medications) shall be administ.. Based on observation, interview and record review, the residence failed to ensure each resident care plan identified all external service providers and detailed specific personal service needs and preferences along with the staff tasks necessary to meet those needs affecting two of five sample residents (#3 and #5).Findings include:1. Residence Polic.. Based on observation, interview and record review, the residence failed to implement a fall management program detailing in each resident' s care plan the individualized approach necessary to address fall risks related to deficits in strength and balance and providing staff training related to fall prevention, affecting three of four sample residents .. Based on record review and interview, the residence failed to direct staff to assist residents who have fallen or are otherwise unable to get up off the floor independently, affecting 36 current residents. Findings include: 1. Record ReviewOn 4/30/24 at 10:00 a.m., the residence' s lift assistance policy and procedure was requested; however, it was.. Based on record review and interview, the residence failed to ensure each qualified medication administration person (QMAP) accurately documented each medication administration or monitoring event at the time the event was completed, affecting three of three sample residents whose medications were reviewed (#1-#3).Findings include:1. R.. 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 7.25.26 A secure environment shall meet the following criteria: (F) There shall be a secure ou..

A licensure revisit was completed on 8/29/23 for all previous deficiencies cited on 3/28/23. A deficiency was cited. Based on interview and record review, the residence failed to be responsible for complying with authorized practitioner orders associated with medication administration, affecting one of five sample residents (#3). This deficiency was cited previously during a state licensure complaint survey 3/28/23. Although the residence corrected the deficiency, based on the findings below, the residence has not maintained compliance with this regulatory requirement.Findings include:The residence' s Medication Administration Policy, dated 4/30/19, read in part: Medications shall be administered to each resident in accordance with a practitioner' s written order.Resident #3 was admitted to the residence on 10/24/14. A written practitioner' s order, dated 2/24/23, directed the residence to administer Nystatin 100,000 IU twice daily. However, the July 2023 electronic medication administration record (eMAR) for Resident #3 had circled staff initials and read no exception/nurse notified on 7/1, 7/2, 7/3 morning dose, 7/4 morning dose, 7/5, 7/6 morning dose, 7/7, 7/8 morning dose, 7/9, 7/10 morning dose, 7/18, 7/20 morning dose, and 7/24/23 morning dose, for a total of 19 missed doses.On 8/29/23 at 11:52 a.m., the administrator from a sister residence and the administrator stated when the eMAR read "no exception/nurse notified" that it meant there was an issue with the medication. Both stated that the qualified medication administration person (QMAP) was to notify the nurse whenever there was an issue with the medications not in stock or unavailable. They further stated that the nurse notified should follow up on the issue and document in the progress notes. They confirmed circled staff initials on the MAR meant the medication was not administered. On 8/29/23 at 4:14 p.m., the administrator stated she would expect that medications were in stock and administered as ordered. She said the reason the deficiency was recited was due to the documentation being insufficient.On 8/29/23 at 4:14 p.m., the regional health..