Myron Stratton Home, the

A revisit survey was completed on 4/3/24 for all previous deficiencies cited on 12/27/23. 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 recertification survey was completed on 12/27/23. A deficiency was cited. Based on observation, interview and record review, the facility (residence) failed to maintain and follow written policies and procedures for the administration of medication in accordance with 6 CCR 1011-1, Chapter VII Medication Administration Regulations, affecting one of three sample participants (residents) (#2).1.Chapter VII regulations governing assisted living residents part 14.20, states the assisted living residence shall contact the authorized practitioner for clarification of any orders which are incomplete or unclear and obtain new orders in writing.a. Resident #2 was admitted to the residence on 8/31/23.LisinoprilA written practioner' s order, dated 11/20/23 instructed the facility to administer Liisinopril 40 mg daily.A written practitioners order, dated 9/25/23 directed the facility to check blood pressure twice daily and call the office if blood pressure is over 170. However the November and December Medication administration record read the medication was not given on 11/12, 11/29, 12/1, 12/17, 12/20, 12/23, 12/27/23.The November Medication Administration Record read:11/12/23, Held Lisinopril low BP 96/6011/29/23, Held Lisinopril BP 98/60The December Medication Administration Record read:12/1/23 at 7:40 a.m., Held Lisinopril BP 98/6412/17/23 at 8:00 a.m., Held Lisinopril low BP12/20/23 at 7:15 a.m., Held Lisinopril BP 104/7012/23/23 at 7:15 a.m., Held Lisinopril BP 101/6512/27/23 at 9:00 a.m., Held Lisinopril BP 98/52b. ObservationOn 12/27/23 at 8:37 a.m., Staff #1 took the blood pressure of Resident #2. After reading the results Staff #1 removed a medication from the medication cup and reported Resident #2 had a low blood pressure reading and could not be administered medication. c. InterviewOn 12/27/23 at approximately 11:00 a.m., the nursing supervisor stated she did not have a hold parameter order for Lisinopril for Resident #2 blood pressure reading. She said (Staff #1) was using her nursing judgment to hold the medication for low blood pressure.On 12/27/23 at 11:51 p.m., Staff #..

A relicensure survey was completed on 12/27/23. A deficiency was cited. Based on observation, record review and interview the residence failed to contact the authorized practitioner for clarification of orders which were incomplete or unclear and obtain new orders in writing, affecting one of three sample residents (#2).Findings Include:1. Resident #2 was admitted to the residence on 8/31/23. LisinoprilA written practioner ' s order, dated 11/20/23 instructed the residence to administer Lisinopril 40 mg daily.A written practitioners order, dated 9/25/23 directed the residence to check blood pressure twice daily and call the office if blood pressure was over 170. However the November and December 2023 Medication administration record (MAR) read the medication was not given on 11/12, 11/29, 12/1, 12/17, 12/20, 12/23, 12/27/23.The November Medication Administration Record read:11/12/23, Held Lisinopril low BP 96/6011/29/23, Held Lisinopril BP 98/60The December Medication Administration Record read:12/1/23 at 7:40 a.m., Held Lisinopril BP 98/6412/17/23 at 8:00 a.m., Held Lisinopril low BP12/20/23 at 7:15 a.m., Held Lisinopril BP 104/7012/23/23 at 7:15 a.m., Held Lisinopril BP 101/6512/27/23 at 9:00 a.m., Held Lisinopril BP 98/522. ObservationOn 12/27/23 at 8:37 a.m., Staff #1 took the blood pressure of Resident #2. After reading the results Staff #1 removed a medication from t.. 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 2.2.3.6. Applicants must show compliance with the Colorado Adult Protective Services Data System (CAPS Check) requirements as set forth in section 26-3.1-111, C.R.S.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 7.22.27 The assisted living residence shall prohibit the use of portable heaters in resident rooms. The use of fireplaces, space heaters, and like units that generate heat shall be prohibited in the common areas of the assisted living residence unless the ALR is able to ensure that such devices have a UL (Underwriters Laboratory) or similar certification label, do not present a resident burn risk, and are used in accordance with manufacturer instructions.