Nourish Assisted Living at Rowland1, LLC

A relicensure revisit was completed on 7/2/24 for all previous deficiencies cited on 12/9/22. The residence is in compliance with all regulations surveyed. 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 complaint revisit was completed on 7/2/24 for all previous deficiencies cited on 6/14/23. A deficiency was cited. Based on observation, record review, and interview, the residence failed to develop and implement policies and procedures for the identification, reporting, and investigation of injuries of unknown origin, affecting four of four current residents. This deficiency was cited previously during a state licensure survey 6/14/23. Although the residence corrected the deficiency, based on the findings below, the residence has not maintained compliance with this regulatory requirement.Findings include:1. Record ReviewOn 7/2/24 at approximately 9:55 a.m., the residence' s policy for investigations of injuries of unknown origin was requested but not provided.2. Observationsa. Electronic messages, dated 5/25/24, sent from Staff #1 to the administrator read, "[Resident #2] left hand found since Sunday am (morning). Forgot to report." One photo followed the message, the photo was of a large bruiseon a resident' s inner elbow on her left arm. The bruise was a dark purple color and covered the residents entire area of her inner elbow, approximately three inches in diameter.b. Resident #2 was seen with a bruise on her arm right below the inside of her elbow, the bruise was a dark purple color approximately an inch in diameter. 3. Record ReviewThe resident record for Resident #2 was requested and reviewed, however, there were no progress notes or documentation regarding the resident' s bruises.4. Interviews On 7/2/24 at 11:31 a.m., Staff #4 stated she returned to work in May 2024 and was concerned about a bruise on Resident #2 ' s left arm that "no one had answers for".On 7/2/24 at approximately 1:25 p.m., Resident #2 stated she did not remember where the bruise on her left arm came from. However, she stated she stated she may have fallen and gotten the bruises.On 7/2/24 at 1:29p.pm., Staff #1 confirmed the resident in the photos was Resident #2. He stated there was no documentation of the bruise other than the electronic message and stated he was unaware of how she received the bruise. However, he stated he speculated it was from transferring Re..

A licensure complaint, prompted by #CO32438, was completed on 6/14/23. Deficiencies were cited. Based on observation, record review, and interview the residence failed to make available a physically safe environment, affecting four current residents. (Cross-reference Q1314)Findings include:1. References and Residence Policya. The residence' s resident agreement, dated 1/1/14, read in part that the residence provided services and care to protect residents' safety from unanticipated situations or events in a physically safe environment.b. The residence' .. Based on observation, record review, and interview, the residence failed to develop and implement policies and procedures for the identification, reporting, and investigation of injuries of unknown origin, affecting four current residents. (Cross-reference Q2130)Findings include:1. Record ReviewOn 6/14/23 at approximately 11:45 a.m., the residence' s policy for investigations of injuries of unknown origin was requested but not provided.2. ObservationsElec.. Based on record review and interview, the residence failed to ensure each resident care plan detailed specific personal service needs and preferences along with staff tasks necessary to meet those needs and identified all service providers along with care coordination arrangements, affecting three of four current residents (#1, #3, #4). (Cross-reference Q1110)Findings include:1. Residence Policya. The residence' s resident agreement, dated 1/1/14, re.. Based on record review and interview, the residence failed to ensure residents had the right to privacy and confidentiality, affecting one of four current residents (#1). (Cross-reference Q1110)Findings include:1. Residence Policya. The residence' s resident agreement, dated 1/1/14, read in part that the residence allowed residents to live as independently as possible, with as much personal privacy, dignity, and personal decision-making as possible. b... Based on record review and interview, the residence failed to ensure that resident records contained progress notes which included 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, affecting three of four current residents (#1, #3, .. Based on record review and interview, the residence failed to ensure the residents' right to live free from restraint and involuntary confinement, affecting one of four sample residents (#1).Findings include:1. Residence Policya. The residence' s resident agreement, dated 1/1/14, read in part that the residence allowed residents to live as independently as possible in the least restrictive environment. Egress alert devices were not provided by the residen.. Based on record review and interview, the residence failed to have staff sufficient in number to help residents needing or potentially needing assistance, considering individual needs such as the risk of accident, hazards, or other challenging events, affecting four current residents.Findings include:1. Residence PolicyThe residence' s undated staffing policy read in part that the residence arranged work schedules to provide safe and effective resident care se..