Rivaria Vista Grande

A relicensure survey with complaint #CO34912, #CO34516, #CO34191, #CO34052, #CO32747, and #CO31775 was completed on 9/25/24. Deficiencies were cited. Based on interview and record review, the residence failed to ensure that there was at least one staff member onsite at all times certified in cardiopulmonary resuscitation (CPR), affecting 40 current residents. (Cross-reference S0732)Findings include: On 9/25/24 at 7:30 a.m., CPR certification for all staff was requested from the administrator. On 9/25/24 at 11:00 a.m., the certifications were provided. However, the CPR certifications revealed Staff #1-#9 did not have current certification from a nationally recognized organization. The September 2024 staff schedule revealed the following shifts did not have at least one person certified in CPR as follows:6:00 a.m.-2:00 p.m. shift on 9/6, 9/7, 9/17, and 9/18/24.2:00 p.m.-10:00 p.m. shift on 9/2-9/4, 9/9-9/11, 9/14, 9/17, 9/18, and 9/23-9/25/24.10:00 p.m.- 6:00 a.m. shift from 9/1-9/25/24.On 9/25/24 at 12:00 p.m., the administrator stated she was not aware each staff member' s CPR certification was not obtained from a nationally recognized organization. Sh.. Based on interview and record review, the residence failed to ensure that there was at least one staff member onsite at all times certified in first aid, affecting 40 current residents. (Cross-reference S0734) Findings include:On 9/25/24 at 7:30 a.m., first aid certification for all staff was requested from the administrator. On 9/25/24 at 11:00 a.m., the certifications were provided. However, the first aid certifications revealed Staff #1-#9 did not have current certification from a nationally recognized organization. The September 2024 staff schedule revealed the following shifts did not have at least one person certified in first aid as follows:6:00 a.m. - 2:00 p.m. shift on 9/6, 9/7, 9/17, and 9/18/24.2:00 p.m.-10:00 p.m. shift on 9/2-9/4, 9/9-9/11, 9/14, 9/17, 9/18, and 9/23-9/25/24.10:00 p.m.- 6:00 a.m. shift from 9/1-9/25/24.On 9/25/24 at 12:00 p.m., the administrator stated she was not aware each staff member' s first aid certification was not obtained from a nationally recognized organization. She stated the residence.. Based on interview, and record review, the residence failed to cooperation with residents to achieve maximum degree of benefits from services provided by the residence which include responding timely to call lights, affecting four current residents (15, #18, #19, #22).Findings include:1. Record reviewOn 9/24/24 at 8:20 a.m., call light logs for the months of July 2024 to September 2024 were requested. A review of the provided call light logs revealed late response times by staff which resulted in several incidents where residents who required urgent assistance were left unattended. Examples include:On 9/8/24, Resident #15 called for assistance at 7:33 p.m., staff responded after one hour, 24 minutes and 20 seconds.On 9/22/24, Resident #18 called for assistance at 9:46 p.m., staff responded after one hour, 10 minutes and 49 seconds.On 9/8/24, Resident #21 called for assistance at 3:12 p.m., staff responded after one hour, four minutes and 47 seconds.On 9/8/24, Resident #21 called for assistance at 6:03 a.m., staff responded a..

A licensure complaint, prompted by #CO28553, #CO29070 and #CO30500 was completed on 1/12/23. Deficiencies were cited. Based on observation, interview and record review, the residence failed to be responsible for the coordination of resident care services with known external service providers, affecting one of six sample residents (#3).Findings include:1. Residence Policiesa. The residence' s undated handbook read in part; "Transportation. Most communities offer scheduled transportation to stores and doctor appointments within a designated service area. We can help make arrangements if you need transportation outside of our regular schedule or service area."b. The residence' s Transportation policy, dated August 2022, read in part; "Associates will assist residents to maintain their community involvement and to meet scheduled appointments as needed. Families and/or responsible party are the first transportation resource. Public transportation options are next. The assisted living community' s vehicle should be the last choice."2. Resident #3 was admitted to the residence on 12/30/16.a. ObservationOn 1/11 and 1/12/23, Resident #3 was absent from the residence, due to a hospitalization.b. Record ReviewJanuary 2023 progress notes for Resident #3 read, in part:On 1/4/23, Resident #3 was transferred to the hospital for nausea, vomiting and loose stool.On 1/4/23, Resident #3 returned to the residence and was diagnosed with acute urinary retention and a catheter was pl.. Based on record review and interview, the residence failed to be responsible for complying with authorized practitioner orders associated with medication administration except for those medications which a resident self administers, affecting one of four sample residents (#2).Findings include:1. Residence PolicyThe residence' s Medication and Treatments policy, dated August 2022, read in part; "The community is responsible for obtaining newly ordered medication or refills for mediation and treatment orders ... Trained and/or licensed associates may administer or assist the resident with medication management or medication administration and treatments per physician/health care provider order and as per state regulation."2. Resident #2 was admitted to the residence on 6/8/34.a. LorazepamA written practitioner' s order, dated 11/21/22, read to discontinue lorazepam oral concentrate 2 mg/ml three times daily. However, the December 2022 and January 2023 electronic medication administration record (eMAR) for Resident #2 read the medication was still administered on 12/23-12/24/22 8:00 p.m. dose, 12/28/22 8:00 a.m. dose, 12/30/22 8:00 p.m. dose, 1/6/23 8:00 p.m. dose and 1/7/23 8:00 a.m. dose, for a total of six additional doses administered.On 1/12/23 at 1:23 p.m., the health and wellness director (HWD) acknowledged the lorazepam w..