Residence at Skyway Park LLC, the

A certification complaint, prompted by #CO41081 was completed on 11/18/25. Deficiencies were cited. Based on interview and record review, the facility (residence) failed to provide sufficient support to members (residents) in the use of prescription and non-prescription medications, affecting five of nine sample residents (#3, #4, #23, #27, and #31).This deficiency was cited previously during a complaint investigation that concluded on 6/3/25. Although the residence corrected the deficiency, based on the findings below, the residence has not maintained compliance with this regulatory requirement. Findings include:1. Administration of medications without authorized practitioner' s orders.a. Resident #31 was admitted to the residence on 2/2/21.The August 2025 and September 2025 medication administration records (MAR) had the following medications listed and were being administered with no signed and dated practitioners' orders on file: ferrous gluconate, preserVision, and tamsulosin HCl.b. Similar deficient practice was found for Resident #3. Additionally, Resident #3' s MAR did not match the signed and dated practitioner orders provided.c. InterviewOn 9/16/25 at 1:06 p.m., the resident care coordinator acknowledged they did not have all the practitioners' orders for the medications being administered by the residence. He explained that the residence received the medication orders from the practitioner, and what was liste.. Based on record review and interview, the facility (residence) failed to meet minimum staffing numbers affecting 49 current members (residents).Findings include: 1. Record Review The staff schedule for October and November 2025 revealed that there were fewer than one staff member for every 16 members during the overnight shift for the following dates: 10/1/25-10/31/25 from 10:00 p.m. to 6:00 a.m.11/1/25-11/18/25 from 10:00 p.m. to 6:00 a.m. 2. Interviews On 11/18/25 at 3:42 p.m., the administrator stated he was not aware of the staffing ratio regulation. On 11/18/25 at 3:55 p.m., the resident care coordinator stated she was not aware of the staffing ratio regulation and thought the residence only needed a certain number of staff based on resident needs.

A complaint revisit was completed on 11/18/25 for the previous deficiency cited on 6/3/25. A deficiency was cited.The deficiency cited for Event J5OT13 was cited prior to the regulation revision that was implemented 9/30/25. Based on interview and record review, the facility (residence) failed to provide sufficient support to members (residents) in the use of prescription and non-prescription medications, affecting five of nine sample residents (#3, #4, #23, #27, and #31).This deficiency was cited previously during a complaint investigation that concluded on 6/3/25. Although the residence corrected the deficiency, based on the findings below, the residence has not maintained compliance with this regulatory requirement. Findings include:1. Administration of medications without authorized practitioner' s orders.a. Resident #31 was admitted to the residence on 2/2/21.The August 2025 and September 2025 medication administration records (MAR) had the following medications listed and were being administered with no signed and dated practitioners' orders on file: ferrous gluconate, preserVision, and tamsulosin HCl.b. Similar deficient practice was found for Resident #3. Additionally, Resident #3' s MAR did not match the signed and dated practitioner orders provided.c. InterviewOn 9/16/25 at 1:06 p.m., the resident care coordinator acknowledged they did not have all the practitioners' orders for the medications being administered by the residence. He explained that the residence received the medication orders from the practitioner, and what was listed on the MAR was correct. He stated he was unsure why they had missing orders for the medications being administered or why the MAR had not matched the practitioner' s orders provided specifically for Resident #3. He stated he would expect the MAR to match the practitioner' s order and to have all the practitioner' s orders for medications being administered.On 9/16/25 at 3:16 p.m., the administrator explained that the residence received practitioners' orders from the practitioners, the residents had their medication list signed by the practitioner when they had a practitioner' s appointment, or the residence received a signed medication list from the practitioner quarterly. The administrator st..