Morningstar at Jordan

A licensure complaint, promted by #CO31308, was completed on 3/22/23. Deficiencies were cited. Based on interviews and record review, the residence failed to ensure it and staff observed the resident' s right to be free from neglect, affecting one former resident (#6). (Cross-reference Q1360). Specifically, on 8/30/22, at approximately 11:00 a.m., Staff #3, who was assigned as Former Resident #6' s primary caregiver for that day, took Former Resident #6 to the activity area as he was to take his lunchbreak. Former Resident #6 was last seen in the dining area at approximately 11:30 a.m. when he was administered medications. When Staff #3 returned from his break, he did not let other staff know and proceeded to assist another resident with dining in the resident' s room. &n.. Based on interviews and record review, the residence failed to ensure the secure outdoor area was directly supervised by staff for one former resident (#6) who resided in the secure environment. Specifically, Former Resident #6 was last seen by staff inside the residence on 8/30/22 at 11:30 a.m. At approximately 12:55 p.m., staff were notified by another resident' s family member that Former Resident #6 was observed on the ground in the residence' s secure outdoor area. The former resident was found in direct sunlight, shaking and with injuries to his lower extremities. Staff attempted to stabilize Former Resident #6 before having the former resident transported to the hospital for tre.. Based on interviews and record review, the residence personnel failed to report suspected caretaker neglect of an at-risk resident to law enforcement within 24 hours of discovery, affecting one former resident (#6). (Cross-reference Q1312, Q1360). Findings include:1. References and Residence Policya. Chapter VII regulations governing assisted living residences, part 2.7, defines an at-risk person as any person who is 70 years of age or older, or any person who is 18 years of age or older and meets one or more of the following criteria: (E) Is a person with a mental health disorder as defined in Section 27-65-102(11.5), Colorado Revised Statutes (C.R.S.).b. C.R.S. 27-65-102, defines a mental health d.. Based on record review and interview, the residence failed to follow their written policy regarding investigations of allegations of abuse and neglect, affecting one former resident (#6). (Cross-reference Q0410). Findings include: 1. References and Residence Policiesa. Chapter VII regulations governing assisted living residences, part 2.10, defines caretaker neglect as neglect that occurs when adequate food, clothing, shelter, psychological care, physical care, medical care, habilitation, supervision or any other service necessary for the health or safety of an at-risk person is not secured for that person or is not provided by a caretaker in a timely manner and with the degree of care that a r.. Based on record review and interviews, the residence failed to ensure an occurrence involving neglect was reported to the Department, affecting one former resident (#6). (Cross-reference Q410).Findings include:1. Reference and Residence Policiesa. Chapter II regulations governing assisted living residences, part 1.44, defines "Neglect" as the failure to provide goods and services necessary to attain and maintain physical and mental well-being.b. The residence' s Abuse Prevention, Investigation & Reporting Policy & Procedure Policy, dated July 2021, defined neglect as: "Active or passive failure to provide the care, supervision, or services necessary to maintain the physical ..