Parker Post Acute

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

Construction Deficiencies

Install noncombustible or limited-combustible interior walls.

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

Smoke Deficiencies

Provide properly protected cooking facilities.

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

Services Deficiencies

Install properly constructed and protected linen or trash chutes.

Miscellaneous Deficiencies

Have restrictions on the use of portable space heaters.

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Resident Rights Deficiencies

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Quality of Life and Care Deficiencies

Assist a resident in gaining access to vision and hearing services.

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

Quality of Life and Care Deficiencies

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Quality of Life and Care Deficiencies

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

Pharmacy Service Deficiencies

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Smoke Deficiencies

Provide properly protected cooking facilities.

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Services Deficiencies

Install properly constructed and protected linen or trash chutes.

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

A survey prompted by complaint #CO39596 was completed on 3/5/25 to 3/6/25. Two deficiencies were cited. Based on record review and interviews, the facility failed to ensure one (#5) of four residents had an effective pain management regimen in a manner consistent with professional standards of practice out of 13 sample residents. Resident #5 was admitted to the facility on 5/19/23 with a diagnosis of low back pain and dementia. The resident was on a scheduled pain regimen, which consisted of Tylenol 1000 milligrams (mg) three times a day and Aspercreme 1% (topical pain medication) to be applied to the resident' s right shoulder twice a day. On 1/23/25 at 3:40 a.m. the resident began complaining of excruciating pain to her shoulder, back of both thighs, both knees, calves and hips. The facility failed to address Resident #5' s reports of excruciating pain for three and a half hours until the nurse obtained a physician' s order to administer Valium (muscle relaxer medication). Findings include:I. Facility policy and procedureThe Pain Management policy, revised January 2025, was received from the nursing home administrator (NHA) on 3/6/25 at 1:56 p.m. The policy read in pertinent part,"Resident pain is assessed and managed by an interdisciplinary team who work together to achieve the highest practicable outcome."The facility assists each resident with pain to maintain or achieve the highest practicable level of well-being and functioning by: screening to.. This Citation text meets this visualizations limit for 32,000 characters, please reach out to CDPHE HFEMSD Records Team for the full citation text at cdphe_hfemsd_records@state.co.us. Within your email, please include Facility Name, Inspection ID and Citation Code.

A complaint survey, prompted by #CO39232, #CO39241, #CO39252, and Incident #39239 was completed on 3/5/25 to 3/6/25. Three deficiencies were cited. Based on record review and interviews, the facility failed to develop and implement a baseline care plan which included the instructions needed to provide effective and person-centered care for two (#2 and #6) of three residents reviewed for baseline care plans out of 13 sample residents. Specifically, the facility failed to ensure pertinent medical information was included on Resident #2 and Resident #6' s baseline care plans within 48 hours of admission. Findings include:I. Facility policy and procedureThe Policy/Procedure-Nursing Administration, Subject: Care planning policy, revised January 2025, was received from the nursing home administrator (NHA) on 3/6/25 at 1:56 p.m. It read in pertinent part, "It is the policy of this facility that the interdisciplinary team (IDT) shall develop a comprehensive, person-centered care plan for each resident. A care plan is initiated within 48 hours of admission per assessment findings. The care plan is developed by the IDT which includes, but is not limited to the following professionals: nursi.. Based on record review and interviews, the facility failed to ensure one (#5) of four residents had an effective pain management regimen in a manner consistent with professional standards of practice out of 13 sample residents. Resident #5 was admitted to the facility on 5/19/23 with a diagnosis of low back pain and dementia. The resident was on a scheduled pain regimen, which consisted of Tylenol 1000 milligrams (mg) three times a day and Aspercreme 1% (topical pain medication) to be applied to the resident' s right shoulder twice a day. On 1/23/25 at 3:40 a.m. the resident began complaining of excruciating pain to her shoulder, back of both thighs, both knees, calves and hips. The facility failed to address Resident #5' s reports of excruciating pain for three and a half hours until the nurse obtained a physician' s order to administer Valium (muscle relaxer medication). Findings include:I. Facility policy and procedureThe Pain Management policy, revised January 2025, was received from the nursing home administrator (NH.. This Citation text meets this visualizations limit for 32,000 characters, please reach out to CDPHE HFEMSD Records Team for the full citation text at cdphe_hfemsd_records@state.co.us. Within your email, please include Facility Name, Inspection ID and Citation Code.

A survey prompted by #CO37997 and #CO38006 was conducted 10/21/24 to 10/22/24. One deficiency was cited. Based on record review and interviews, the facility failed to ensure residents received treatment and care in accordance with professional standards of practice for one (#2) of three residents reviewed out of eight sample residents.Specifically, the facility failed to ensure transportation services were provided for Resident #2 which resulted in the resident missing an appointment with her oncologist and several chemotherapy infusion appointments.Findings include:I. Resident statusResident #2, age greater than 65, was admitted on 4/15/24. According to the October 2024 computerized physician orders (CPO), diagnoses included malignant bladder cancer with bilateral nephrostomy (kidney) tubes.The 7/22/24 minimum data set (MDS) assessment revealed the resident was cognitively intact with a brief interview for mental status (BIMS) score of 14 out of 15. Resident #2 required set up assistance with eating, oral hygiene, dressing, and showers. She required supervision for toileting, and transfers, and was independent with bed mobility.II. Facility policy and procedureThe Arranging Transportation policy, revised May 2020, was provided by the nursing home administrator (NHA) on 10/21/24 at 3:56 p.m. It read in pertinent part,"It is the policy of this facility for the facility staff to assist in arranging for transportation when such assistance is requested or needed. The cost of transportation will be covered, as dictated by insurance coverage."II. Resident interviewResident #2 was interviewed on 10/21/24 at 11:55 a.m. Resident #2 said she had missed appointments for oncology and chemotherapy infusions since being at the facility. She said there was a problem with transportation but she wanted to continue with her cancer care and be able to attend her future appointments. III. Resident care manager interviewResident #2' s third-party care manager (CM), was interviewed by telephone on 10/22/24 at 10:21 a.m. The CM said Resident #2 had missed an oncologist office visit on 9/17/24 and had missed chemotherapy infusion..