Seneca House Assisted Living

A licensure complaint, prompted by #CO40388, was completed on 1/20/26. No deficiencies were cited. 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 VII.21.2 The assisted living residence grounds shall be maintained to protect residents from slopes, holes or other hazards, and shall be consistent with any landscape plan approved by the local jurisdiction.

A revisit survey was completed on 2/25/25 for previous deficiencies cited on 12/30/24. 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 #CO36110 was completed on 12/30/24. Deficiencies were cited. Based on observation and interview, the residence failed to ensure the residence grounds were maintained to protect residents from slopes and hazards, affecting 13 current residents.Findings include:On 12/30/24 at approximately 8:00 a.m., 9:30 a.m., and 4:00 p.m, environmental tours revealed the residence had a back yard that faced south and spanned the length of the house from east to west. The sidewalk that spanned the length of the house had a 12 foot span of concrete that had approximately ledges with drop-offs that measured between six inches to one foot onto a rocky area where trees were planted. The designated smoking area was approximately two feet away from the drop-off. Along the east side of the yard, the sidewalk continued toward the north side of the residence. There was an approximate three inch drop-off from the sidewalk to the ground that contained dirt and mulch. On 12/30/24 at approximately 2:35 p.m., the administrator acknowledged the slopes and drop-off ledges in the backyard were a haz.. Based on observation and interview, the residence failed to store refrigerated medications in a refrigerator that was not accessible to residents, affecting 13 current residents.Findings include:Throughout the onsite visit on 12/30/24 from 7:45 a.m. to 4:00 p.m., one of two refrigerators in the residence located in the kitchen was unlocked and accessible to residents. The refrigerator contained 10 pre-filled syringes of Resident #2' s lorazepam 2 mg/ml.Staff #1 directed the surveyor to the unlocked refrigerator containing resident food and beverages when he was asked where Resident #2' s narcotics were stored.On 12/30/24 at approximately 2:30 p.m., the administrator said he expected the residence to store Resident #2' s refrigerated medication in a locked refrigerator and not with resident food. He added he was unsure how long the medication was in the unlocked refrigerator. 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 7.12.18 The assisted living residence ' s policy shall also require documentation of the action taken by staff and ongoing efforts to prevent a reoccurrence of the situation in the future.14.20 The assisted living residence shall contact the authorized practitioner for clarification of any orders which are incomplete or unclear and obtain new orders in writing.16.5 Staff preparing or serving food shall complete recognized food safety training and maintain evidence of completion on site. Food safety training shall be provided by recognized food safety experts or agencies, such as the Department ' s Division of Environmental Health and Sustainability, local public health agencies, or Colorado State University Extension Services. At a minimum, a certificate of completion of the available online mo..

A recertification survey with complaint #CO36111 was completed on 12/30/24. Deficiencies were cited. Based on interview and record review, the facility' s (residence) lease agreement failed to specify the rent or room and board charges associated with the services, affecting three sample residents (#1-#3).Findings include:The record for Resident #1 revealed the resident agreement was signed on 9/13/24. However, there was no room, board or rent amount listed.The record for Resident #2 revealed the resident agreement was signed on 3/24/23 with a monthly rent of $5850. However, the administrator acknowledged Resident #2' s family was paying less than the agreed upon amount.The record for Resident #3 revealed the resident agreement was signed on 12/1/22. However, there was no room, board or rent amount listed.On 12/30/24 at approximately 2:30 p.m., the administrator acknowledged he had not listed the room/board/rent amount for Resident #1. The administrator also acknowledged that Resident #2' s agreement needed to reflect the current amount the family was paying. The administrator added he probably should have added/updated the rent/room/board amount for Resident #3. Based on observation and interview, the facility (residence) failed to store medications under proper conditions with regard to safety, affecting 13 current members (residents). Findings include:Throughout the onsite visit on 12/30/24 from 7:45 a.m. to 4:00 p.m., one of two refrigerators in the residence located in the kitchen was unlocked and accessible to residents. The refrigerator contained 10 pre-filled syringes of Resident #2' s lorazepam 2 mg/ml.Staff #1 directed the surveyor to the unlocked refrigerator containing resident food and beverages when he was asked where Resident #2' s narcotics were stored.On 12/30/24 at approximately 2:30 p.m., the administrator said he expected the residence to store Resident #2' s refrigerated medication in a locked refrigerator and not with resident food. He added he was unsure how long the medication was in the unlocked refrigerator.