Rock Creek Assisted Living at Somerset Village

A revisit survey was completed on 2/21/24 for all previous deficiencies cited on 10/4/23. No deficiencies were cited. 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 was completed on 10/4/23. Deficiencies were cited. Based on observation and interview, the residence failed to ensure the grounds were maintained to protect residents from hazards, affecting 10 current residents.Findings include:On 10/4/23 at 7:58 a.m. to 8:18 a.m., an exterior environmental tour was conducted at the residence, slopes and hazards were identified as follows:The right side of the driveway approaching the house the sidewalk dropped off more than four inches to the grass, which posed a fall risk for residents who used this area to exit toward the front of the residence.The residence' s backyard had a patio t.. Based on observation and interview, the residents failed to ensure resident rooms occupied by smokers were equipped with fire resistant wastebaskets, affecting three of five residents who smoked cigarettes (#2, #4, #5).Findings include:1. ObservationsOn 10/4/23 at approximately 10:23 a.m., Resident #2 ' s room contained one plastic wastebasket with no label indicating it was fire resistant.On 10/4/23 at approximately 10:27 a.m., Resident #4, #5 ' s rooms contained metal mesh wastebaskets which were not fire resistant.2. InterviewsOn 10/4/23 at 8:15 a.m., Staff .. Based on record review and interview, the residence failed to have at least one staff member onsite at all times who has current certification in cardiopulmonary resuscitation (CPR) and obstructed airway techniques from a nationally recognized organization such as the American Red Cross, the American Heart Association, the National Safety Council or the American Safety and Health Institute, affecting 10 current residents.Findings include:1. Referencesa. According to Mayo Clinic, "Cardiopulmonary resuscitation (CPR) is a lifesaving technique that' s useful in many emergencies, suc.. Based on record review and interview, the residence failed to have at least one staff member onsite at all times who has current certification in first aid from a nationally recognized organization such as the American Red Cross, the American Heart Association, National Safety Council, or American Safety and Health Institute, affecting 10 current residents.Findings include:1. ReferenceAccording to VeryWell Health, "First aid is the emergency care a sick or injured person gets. In some cases, it may be the only care someone needs, while in others, it may help them until paramedi.. Based on record review, observation, and interview, the residence failed to ensure that a qualified medication administration person applied nationally recognized protocols for basic infection control, affecting seven of 10 current residents (#2-#5, #7-#9). Findings include:1. Reference and Residence Policya. According to the Centers for Disease Control and Prevention, Introduction to Hand Hygiene (2021), health care providers should wash their hands before touching a patient, after touching a patient or the patient' s immediate environment, and immediately after glove re.. 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 10 CCR 2505-10 8.400.10.1 The assisted living residence shall have readily available a roster of current residents, their room assignments and emergency contact information, along with a facility diagram showing room locations.14.20 The assisted living residence shall contact the authorized practitioner for clarification of any orders which are incomplet..

A recertification survey was completed on 10/4/23. Deficiencies were cited. Based on observation and interview, the facility (residence) failed to ensure the grounds were maintained to protect residents from hazards, affecting 10 current residents.Findings include:On 10/4/23 at 7:58 a.m. to 8:18 a.m., an exterior environmental tour was conducted at the residence, slopes and hazards were identified as follows:The right side of the driveway approaching the house the sidewalk dropped off more than four inches to the grass, which posed a fall risk for residents who used this area to exit toward the front of the residence.The residence' s backyard had a patio that connected with the grass and had a drop off of more than four inches which posed a fall risk for residents who used this area.On 10/4/23, at 9:00 a.m. to 1:00 p.m. several residents were observed utilizing the front and back yard.On 10/4/23 at 1:40 p.m.1:52 p.m., an interior environmental tour was conducted at the residence. The environmental tour revealed an auxiliary aid utilized by one of 10 residents (#3). On 10/4/23 at 1:53 p.m. to 2:13 p.m., the administrator designee acknowledged that the drop off in the front and back yards posed a fall risk for residents who used the areas. Based on observation, interview and record review, the facility (residence) failed to maintain and follow written policies and procedures for the administration of medication in accordance with 6 CCR 1011-1, Chapter VII , Medication Administration Regulations, affecting seven of 10 current participants (residents) (#2-#5, #7-#9).1. Chapter VII regulations governing assisted living residences, part 14.28, requires that the assisted living residence shall ensure that qualified medication administration persons are trained in and apply nationally recognized protocols for basic infection control and prevention when preparing and administering medications.a. Reference and Residence PolicyAccording to the Centers for Disease Control and Prevention, Introduction to Hand Hygiene (2021), health care providers should wash their hands before touching a patient, after touching a patient or the patient' s immediate environment, and immediately after glove removal. Centers for Disease Control and Prevention(January 8, 2021), Healthcare Providers and Introduction to Hand Hygiene, retrieved from: https://www.cdc.gov/handhygiene/providers/index.htmlThe residence' s Infection Control Policy, dated 10/26/2022, read in part: "Standard precautions include hand hygiene, use of PPE (personal protective equipment) (e.g., gloves, g..