Nourish Assisted Living at Kendall LLC

A revisit survey was completed on 8/21/25 for all previous deficiencies cited on 6/3/25. 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

A relicensure survey with complaint #CO36192 was completed on 6/3/24. Deficiencies were cited. Based on interview and record review, the residence failed to ensure that each staff member met the dementia training requirements in 7.9(B), affecting four current residents.Findings include:On 5/30/24 at approximately 1:59 p.. Based on observation and interview, the residence failed to ensure that each resident received proper monitoring of medications, affecting four current residents (#1-#4).Findings include:The residence' s undated medication administra.. Based on observation and interview, the residence failed to keep the residence grounds free of garbage and rubbish, affecting four current residents.Findings include:On 5/30/24 throughout the onsite visit from approximately 7:30 a.m.. Based on observation and interview, the residence failed to prohibit a qualified medication administration person to pre-pour medication, affecting four current residents (#1-#4).Findings include:On 5/30/24 at 7:37 a.m., a shelf withi.. Based on observation, interview and record review, the residence failed to develop and implement a visitation policy which described any restriction or limitation necessary to ensure the health and safety of residents, staff and visitors.. Based on record review and interview, the residence failed to complete a risk assessment of all hazards and preparedness measures to address natural and human-caused crises including, but not limited to, fire(s), gasexplosio.. Based on record review and interview, the residence failed to ensure there was at least one staff member onsite at all times with current certification in cardiopulmonary resuscitation (CPR) and obstructed airway techniques from a nati.. Based on record review and interview, the residence failed to ensure there was at least one staff member onsite at all times with current certification in first aid from a nationally recognized organization such as the American Red Cross.. Based on record review and interview, the residence failed to have an involuntary discharge grievance policy that complied with Section 25-27-104.3, C.R.S., affecting four current residents.Findings include:1. Residence PolicyThe r.. Based on record review and interview, the residence failed to have personnel files for current employees onsite and readily available for department review, affecting two of two current staff (#1, #2).Findings include:On 5/30/24 at a.. Based on record review and interview, the residence failed to have policies and procedures to ensure the continuation of care to all residents for 72 hours following an emergency including, but not limited to, a long-term power failure, .. Based on record review and interview, the residence failed to have readily available a roster of current residents along with a residence diagram showing room locations, affecting four current residents.Findings include:On 5/30/24 at 8:.. Based on record review and interviews, the residence failed to ensure its emergency policies addressed storage and preservation of medications during emergencies, specific tasks and responsibilities for staff members during emergen.. 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 a..