Park Hill Residence

A revisit survey was completed on 3/20/25 for previous deficiencies cited on 2/5/25. The agency 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 revisit survey was completed on 3/20/25 for previous deficiencies cited on 2/5/25. The agency 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 certification complaint, prompted by #CO38640 and #CO38153, was completed on 2/5/25. A deficiency was cited. Based on record review and interview the facility failed to have an organized program of orientation and training of sufficient scope for employees to carry out their duties and responsibilities effectively, for one former (#1) and one current of four sample staff (#8), affecting 35 current members.Findings include:A personnel file for Staff #8 revealed a hire date of 1/16/08. Staff #8 previously worked at a former sister facility as of 1/16/08 and was transferred to the current members on 1/22/25.The personnel file for Staff #8 did not have any training transcripts for the current facility. A personnel file for Former Staff #1 revealed a hire date of 2/26/24 and a termination date of 2/4/25.A review of Former Staff #1' s training transcripts revealed no evidence of training related to fall management and lift assistance.On 2/5/25 at 1:30 p.m., Staff #8 said she had just started working at the facility and had not completed any required training, including fall management and lift assistance.On 2/5/25 at 1:49 p.m., Former Staff #1 stated, she did not receive any training on lift assistance or fall management.On 2/5/25 at approximately 2:00 p.m., the administrator acknowledged that Staff #8 had not completed any required training since she started working at the facility in January 2025.On 2/5/25 at 2:45 p.m., the administrator agreed that she expected all staff members to be .. 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 10 CCR 2505-10, Section 8.7000.8.7414 Medication Administration (A) Provider Agencies shall provide sufficient support to Members in the use of prescription and non- prescription medications. Members shall be presumed capable of self-administration unless they are determined otherwise. The type and level of medication administration support provided shall be determined by the results of an assessment performed by a qualified person. Medications shall be administered only by persons authorized in accordance with 6 C.C.R. 1011-1, Chapter VII and XXIV. (4) Qualified medication administration personnel shall record all medications administered, including the date, time and amount of each medication administered.

A licensure complaint, prompted by #CO38639 and #CO38152, was completed on 2/5/25. Deficiencies were cited. Based on observation and interview the residence failed to make available a physically safe environment sufficient to meet the needs of residents, affecting 24 residents who resided on the second floor.Findings include:On 2/5/25 at 7:13 a.m., observation of the residence' s bathroom E (one of five and a half bathrooms on the second floor) had dislodged tiles from the outside corner of the shower. The tiles were sharp and located next to the entrance of the shower which presented a partial risk of injury.On 2/5/25 at 2:45 p.m., the administrator stated, she was unaware that bathroom E had a dislodged tile from the corner of the shower. She stated she agreed that this posed a risk of injury. Based on record review and interview the residence failed to ensure that each staff member received orientation and training related to fall prevention and lift assistance prior to staff members working independently, for one former staff (#1) and one current of four sample staff (#8), affecting 35 current residents. (Cross-reference S1192)Findings include:A personnel file for Staff #8 revealed a hire date of 1/16/08. Staff #8 previously worked at a former sister residence as of 1/16/08 and was transferred to the current residence on 1/22/25.The personnel file for Staff #8 did not have any training transcripts for the current residence. A personnel file for Former Staff #1 revealed a hire date of 2/26/24 and a termination date of 2/4/25.A review of Former Staff #1' s training transcripts revealed no evidence of .. Based on record review and interview the residence failed to ensure that it had trained staff available to physically perform lift assistance when determined appropriate instead of relying on emergency medical responders, affecting 35 current residents. (Cross-reference S648) Findings include:Resident #7 was admitted to the residence on 3/21/23 with diagnoses of anemia, type one diabetes mellitus, obesity, pain syndrome, and atrial fibrillation with flutter.An incident report, dated 10/28/24, read in part: overnight shift staff reported to morning shift staff that Resident #7 had been in the bathroom all night. When the morning shift staff went to check on him, Resident #7 was lying on the bathroom floor with fecal matter all over the floor and him. Staff contacted emergency services for lift assistance.A .. 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 7.14.7 The assisted living residence shall ensure that each resident receives proper administration and/or monitoring of medications.14.29 All prescribed and PRN medications shall be listed and recorded on a medication administration record (MAR) which contains the name and date of birth of the resident, the resident' s room location, any known allergies, and the name and telephone number of the resident' s authorized practitioner. (C) Each qualified medication administration person, nurse, or practitioner shall accurately document e..

A complaint revisit was completed on 2/5/25 for all previous deficiencies cited on 10/21/24. A deficiency was cited. Based on observation and interview the residence failed to make available a physically safe environment sufficient to meet the needs of residents, affecting 24 residents who resided on the second floor.This deficiency was cited previously during a state licensure survey on 10/21/24. Although the residence corrected the deficiency, based on the findings below, the residence has not maintained compliance with this regulatory requirement.Findings include:On 2/5/25 at 7:13 a.m., observation of the residence' s bathroom E (one of five and a half bathrooms on the second floor) had dislodged tiles from the outside corner of the shower. The tiles were sharp and located next to the entrance of the shower which presented a partial risk of injury.On 2/5/25 at 2:45 p.m., the administrator stated, she was unaware that bathroom E had a dislodged tile from the corner of the shower. She stated she agreed that this posed a risk of injury.