Rock Creek Assisted Living at Kenton

A revisit survey was completed on 5/15/25 for previous deficiencies cited on 1/28/25. 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 5/15/25 for previous deficiencies cited on 1/28/25. 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 relicensure survey with complaint #CO37923 was completed on 1/28/25. Deficiencies were cited. Based on interview and record review the residence failed to ensure the administrator and qualified medication administration person (QMAP) supervisor on a quarterly basis audited the accuracy and completeness of the medication administration records (MARs), affecting 10 current residents. Findings include:On 1/28/25 at 8:46 a.m., the last quarterly medication audit was requested; however, the medication audit that was provided was a weekly medication audit. The weekly medication audit dated January 2025 revealed no evidence of an audit completed to ensure the accuracy and completeness of the MARs. Additionally, the audit had no evidence that they were complete.. Based on observation and interview, the administrator failed to be responsible for organizing, conducting, and evaluating resident engagement, affecting 10 current residents.Findings include:ObservationThroughout the onsite visit on 1/28/25, a monthly activity schedule was posted in the common area. The schedule included two activities to take place throughout the day of the onsite visit. The scheduled activities were television shows. During the onsite survey, on 1/28/25, between approximately 8:00 a.m. and 3:45 p.m., residents watched television in their rooms or the common areas. There was no evidence that the administrator made any effort to facilitate any resident engagem.. Based on observation and interview, the residence failed to comply with the Colorado Clean Indoor Air Act and maintain a smoke-free entryway, affecting 10 current residents. (Cross-reference S1110)The Colorado Clean Indoor Air Act, section 25-14-203 (7), defines "Entryway" as the outside of the front or main doorway leading into a building or facility that is not exempted from this part 2 under section 25-14-205. "Entryway" also includes the area of public or private property within a specified radius outside of the doorway. The specified radius may be determined by the local authority pursuant to section 25-14-207 (2)(a), but must be at least twenty-five feet unless section 25-14-207(2)(a)(II.. Based on observation, record review and interview, the residence failed to make available, either directly or indirectly through a resident agreement, a physically safe and sanitary environment, affecting 10 current residents. (Cross-reference S2720)Findings include:1. Resident AgreementThe residence' s undated resident agreement read in part: "The facility will provide a physically safe and sanitary environment."2. ObservationsOn 1/28/25 from approximately 8:20 a.m. to 1:30 p.m., an environmental tour of the residence revealed the following:The residence' s carpeted stairs had brown and black stains throughout. The carpet appeared loose and rippled in the middle of the st.. 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 7.12.11 The assisted living residence shall be responsible for the coordination of resident care services with known external service providers.14.21 The assisted living residence shall be responsible for complying with authorized practitioner orders associated with medication administration except for those medications which a resident self-administers.

A recertification survey with complaint #CO37924 was completed on 1/28/25. Deficiencies were cited Based on observation and interview, the administrator failed to provide social and recreational engagement opportunities both within and outside the setting (residence) affecting 10 current members (residents).Findings include:ObservationThroughout the onsite visit on 1/28/25, a monthly activity schedule was posted in the common area. The schedule included two activities to take place throughout the day of the onsite visit. The scheduled activities were television shows. During the onsite survey, on 1/28/25, between approximately 8:00 a.m. and 3:45 p.m., residents watched television in their rooms or the common areas. There was no evidence that the administrator made any effort to facilitate any resident engagement or have the staff engage the residents in any daily activity. Interviews On 1/28/25 at approximately 7:45 am, an unknown resident reported that the residence did not conduct any type of organized activity. On 1/28/25 at approximately 7:45 a.m., Staff #1 reasoned that the residence.. Based on observation, record review and interview, the facility (residence) failed to maintain a home-like quality and feel for members at all times, affecting 10 current members (residents). Findings include:1. Resident AgreementThe residence' s undated resident agreement read in part: "The facility will provide a physically safe and sanitary environment."2. ObservationsOn 1/28/25 from approximately 8:20 a.m. to 1:30 p.m., an environmental tour of the residence revealed the following:The residence' s carpeted stairs had brown and black stains throughout. The carpet appeared loose and rippled in the middle of the steps. An outlet was not attached to the wall in Resident #1 ' s bedroom. The outlet ' s faceplate was tilted and exposed a clump of dust and wire materials. In Resident #3 ' s bedroom, the carpet and walls displayed numerous brown, dark brown, and black stains. An unknown resident' s bedroom walls showed brown and red stains while the carpet had a line of dust buildup along the wall. The unknown .. THIS PORTION OF THE REPORT IS FOR INFORMATIONAL PURPOSES ONLY.No response is necessary. The service agency was advised it must review and maintain the following processes in accordance with existing program regulations found at 10 CCR 2505-10.8.7414.A.1. No prescription medication shall be administered without a written order by a medically licensed provider. Medications/prescriptions shall be reviewed by a licensed medical professional annually, or more frequently if recommended by the licensed medical professional or required by law.

A revisit survey was completed on 8/18/23 for all previous deficiencies cited on 1/26/23. 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 licensure revisit was completed on 1/26/23 for the previous deficiency cited on 7/20/22. A deficiency was cited. Based on record review and interview, the residence failed to comply with an intermediate condition, affecting nine current residents.Findings include: The department completed a licensure complaint survey on 7/20/22. The event resulted a citation for Tag Q0540 at a B level. This deficiency was cited due to the failure of the administrator to comply with all applicable state laws and ensure infection control processes were established and maintained to help prevent the possible development and transmission of Covid-19. Specifically, the administrator failed to ensure proper procedures for the wearing of masks, screening and testing.The department imposed a $500 civil fine payable by 11/12/22. The residence did not appeal the intermediate condition.As of the date of the onsite visit on 1/26/23, the residence had not paid the required fine of $500 due to the department on 11/12/22On 1/26/23 at 10:00 a.m., the administrator stated he had not been aware that a civil fine of of $500 had been imposed on the residence. He stated he knew the information was provided, but he added: "I must have just missed it."