Nourish Assisted Living at Rowland2, LLC

A relicensure survey was completed on 11/18/25. Deficiencies were cited. Based on observation and interview, the residence failed to appoint a qualified designee to satisfactorily fulfill the administrator' s duties and ensure the name and contact information of the qualified designee were readily available to residents, residence staff, and the public while the administrator was unavailable, affecting five current residents. (.. Based on observation and interview, the residence failed to ensure that food handlers, cooks, and servers always washed their hands during food preparation, as often as necessary to remove soil and contamination, to prevent cross-contamination when changing tasks, and after caring for a resident, affecting five current residents. (Cross Ref.. Based on observation, record review, and interviews, the residence failed to ensure a direct-care staff member received required dementia training for two of the two sample Staff (#1 and #2), affecting five current residents. (Cross Reference U0290, U0542)Findings include:1. ObservationDuring an on-site survey on 11/17/25 from 7:15 a.m. .. Based on observations and interviews, the residence failed to ensure that qualified medication administration persons (QMAP) applied nationally recognized protocols for basic infection control and prevention when preparing and administering medication, affecting five current residents. (Cross Reference U1862)Findings include:1. ObservationsD.. Based on observations, record review, and interviews, the residence failed to provide, upon request, access to the requested documents, affecting five current residents. (Cross Reference U0542, U0642, U0910, U0912, U0920, U1530, U1604)Findings include:1. ObservationsDuring an on-site survey on 11/17/25 from 7:15 a.m. to 12:45 p.m., the admi.. 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), gas explosion, power outages, tornado, flooding, and threatened or actual acts of violence, affecting five current reside.. Based on record review and interview, the residence failed to develop and implement emergency preparedness policies and procedures, which included all required elements, affecting five current residents. (Cross Reference U0290, U0542)Findings include:1. Record ReviewOn 11/17/25 at 7:43 a.m., the residence' s emergency preparedness .. Based on record review and interview, the residence failed to ensure that only medications ordered by an authorized practitioner were prepared for and administered to residents, affecting two of three sample residents (#1 and #3).(Cross Reference U0290, U0542, U1604)Findings include:1. Record ReviewOn 11/17/25 at 12:01 p.m., Resident #.. Based on record review and interview, the residence failed to ensure the administrator and qualified medication administration person (QMAP) supervisor audited the accuracy and completeness of the medication administration records (MARs), controlled substance list, medication error reports, and medication disposal records on a quarterly b.. Based on record review and interview, the residence failed to have a readily available roster of current residents along with a residence diagram showing room locations, affecting five current residents. (Cross Reference U0290, U0542)Findings include:1. Record ReviewOn 11/17/25 at 7:43 a.m., the residence' s resident roster was requested fro.. 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 07.7.2 In order to ensure that staff members and volunteers are of good, ..

A recertification survey was completed on 11/18/25. Deficiencies were cited. Based on observations, record review, and interviews, the facility (residence) failed to provide, upon request, access to the requested documents, affecting five current members (residents). Findings include:1. ObservationsDuring an on-site survey on 11/17/25 from 7:15 a.m. to 12:45 p.m., the administrator or the administrator' s designee was not available and failed to assist with providing any documents upon request during the state survey event.During an off-site survey on 11/17/25 from 1:15 p.m. to 4:30 p.m., the administrator or the administrator' s designee was not available and failed to assist with providing any documents upon request during the state survey event.2. Record ReviewOn 11/17/25 at 7:43 a.m., the following documents were requested via electronic email:Resident roster to in.. Based on record review and interview, the facility (residence) failed to develop and implement emergency preparedness policies and procedures, which included all required elements, affecting five current members (residents). Findings include:1. Record ReviewOn 11/17/25 at 7:43 a.m., the residence' s emergency preparedness policies and procedures were requested from the administrator via electronic mail; however, it was not provided.On 11/17/25 at 9:08 a.m., the residence' s emergency preparedness policies and procedures were requested from Staff #1; however, it was not provided.On 11/17/25 at 12:01 p.m., the residence' s emergency preparedness policies and procedures were requested from the administrator via electronic mail again; however, it was not provided.On 11/18.. Based on record review and interview, the facility (residence) failed to ensure that only medications ordered by an authorized practitioner were prepared for and administered to residents, affecting two of three sample residents (#1 and #3). Findings include:1. Record ReviewOn 11/17/25 at 12:01 p.m., Resident #1 and #3' s practitioners' orders that were signed, dated, and reflected the October 2025 and November 2025 medication administration records (MAR), were requested from the administrator via electronic email; however, they were not provided.On 11/17/25 at 6:28 p.m., Resident #1 and #3' s medication lists were received; however, they failed to be signed and dated by a practitioner.On 11/18/25 at 8:18 a.m., practitioners' orders that were signed, dated, and reflected the October 2025.. THIS PORTION OF THE REPORT IS FOR INFORMATIONAL PURPOSES ONLY. No response is necessary. The facility was advised it must review and maintain the following processes in accordance with existing program regulations found at 6 CCR 1011-1, 10 CCR 2505-10 8.7000.8.7409.E.2 Colorado Adult Protective Services (CAPS) and Criminal Background Checks2. Provider Agencies shall comply with the CAPS check requirements set forth at §26-3.1- 111(6)(a), C.R.S. and 12 C.C.R. 2518-1, § 30.960.G-J. The Provider Agency shall maintain accurate records and make records available to the Department upon request.8.7506.F Alternative Care Facility Provider Agency Requirements 4. Provider Care Plan a. The following information must be documented in the Member ' s Provider Care Plan: i. ..