Morningstar at Observatory Park

A licensure complaint, prompted by CO#41012 and #CO41018, was completed on 10/28/25. A deficiency was cited. A change of ownership occurred on 10/1/25. Based on the interview and observation, the residence failed to follow the practitioner' s orders, affecting two of two sample residents ( #2 and former Resident #4). Findings include:1.Record Review Resident #2 was admitted to the residence on 8/28/25 with a diagnosis of dementia, osteoarthritis, and bilateral Knee replacements.a. Vitamin D A written practitioner' s order, dated 8/10/25, directed the residence to administer vitamin D3 400 unit tablet by mouth once a day. The September and October 2025 Medication Administration Record (MAR) read the medication was not administered from 9/27-10/13/25 due to the medication not being available. b. Aspirin A written practitioner' s order, dated 8/7/25 directed the residence to administer aspirin 81MG tablet by mouth once daily. The September 2025 MAR read that on 9/15/25 the medication was not administered due medication not available. 2. InterviewsOn 10/28/25 at approximately 2:40 p.m., the regional vice president of wellness stated that it was her expectation that the residence have the medication prescribed by the practitioner available to be administered. She acknowledged that the medication for Resident #2 was not administered because it was not available. On 10/28/25 at 3:13 p.m., the administrator stated the family did not provide the prescribed medication of vitamin d and that he had to purchase the medication so it was available. He acknowledged that the medication was not administered or available from 9/27- 10/13/25. 3. Evidence obtained during the onsite visit revealed the residence additionally failed to comply with practitioner orders for former Resident #4.

A revisit survey was completed on 8/21/25 for all previous deficiencies cited on 4/8/25. 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

9999 INFORMATIONAL ADVISMENTTHIS 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 7.16.5 Staff preparing or serving food shall complete recognized food safety training and maintain evidence of completion on site. Food safety training shall be provided by recognized food safety experts or agencies, such as the Department ' s Division of Environmental Health and Sustainability, local public health agencies, or Colorado State University Extension Services. At a minimum, a certificate of completion of the available online modules is sufficient to comply with this part. The successful completion of other accredited food safety courses is also acceptable. (A) Personal Health 16.6 The assisted living residence may accept proof of portable training in accordance with Part 7.9(D) of these rules to fulfill this training requirement only if the accepted portable training complies with the requirements of this Part 16.5, including the requirement that the training was provided by recognized food safety experts or agencies, or other accredited food safety courses. 17.4 Assisted living residence staff shall observe resident food consumption on a regular basis in order.. A second intial survey with complaints #CO37031, #CO37363, and #CO39023 was completed on 4/8/25. A deficiency was cited. Based on interview and record review, the residence failed to update comprehensive assessments whenever a resident' s condition changed from baseline status, affecting three of eight sample residents. (#5, #7, #8)Findings include: 1. Record review Resident #8 was admitted to the residence on 10/10/24, with diagnoses including stroke. An electronic medication administration record (MAR) for March and April 2025 read that Resident #8 was administered Eliquis.A move-in assessment was completed on 9/26/24. Read in part that Resident #8 was independent with mobility device and minimal escort needed. It also read the resident had three falls in the prior year. However, the assessment did not include the most recent falls or the change in her baseline when she needed staff escorts due to safety concerns following a pattern of falls with harm and two visits to the emergency department. It also did not mention staff interventions in regards to the resident receiving staples in her head after a fall.No further assessments were performed by the residence. The residence fall records from February and March 2025 indicated that Resident #8 had fallen on 3/2/25, 3/11/25, 3/15/25, and 3/18/25. An incident report for Resident #8 dated 3/11/25 read, "Resident fell in elevator with walker on first floor (SIC) witnessed fall. Fell against her walker and bruised her right shoulder/a..