Senior Care Assisted Living Jersey House INC

A revisit survey was completed on 12/8/25 for all previous deficiencies cited on 9/25/24. The facility 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 complaint, prompted by #CO40835, was completed on 8/26/25. A deficiency was cited. Based on record review and interview the residence failed to submit an acceptable plan of correction (POC) within the time frame given by the department, affecting eight current residents. Findings include: 1. Record ReviewOn 8/26/25 at 8:00 a.m., review of Department records read in part the following: . On 3/5/25, the Department sent a message to the residence that read the POC was past due. The residence read the message on 8/19/25.On 3/10/25, the Department sent a second notice to the residence that read the POC was past due. The residence read the message on 8/19/25.On 5/23/25, the Department contacted the administrator via telephone and the administrator stated he had submitted the POC. He was asked to submit and if he was unable to please reach out to the Department for additional assistance. On 7/10/25, the Department sent a message to the residence that the POC was not received. The residence read the message on 8/19/25. 2. InterviewsOn 8/26/25 at 9:40 a.m., the administrator designee stated she was not told by the administrator about the POC and had not been given access to the Department system by the administrator. She stated she was unfamiliar with the POC process. On 8/26/25 at 11:15 a.m., the administrator stated he had submitted the required documentation to the Department. During the onsite visit, , the administrator accessed the Department system and realized he had not submitted the POC correctly and proceeded to submit the POC. He also acknowledged he had read the messages from the Department regarding the POC not being properly submitted.

A relicensure survey was completed on 9/25/24 deficiencies were cited. Based on observation and interview the residence failed to ensure the residence grounds were maintained to protect residents from hazards affecting eight current residents.Findings include:On 9/25/24 at approximately 10:00 a.m., the residence' s back outdoor patio had the following hazards that could cause harm to the residents utilizing the back outdoor patio:A cart with a circular saw power tool, extension cords, and a measuring tool in it.A wood board alongsi.. Based on record review and interview the residence failed to comply with authorized practitioner' s orders associated with medication administration affecting one of the three sample residents (#1).Findings Include:1. ReferenceChapter VII regulations governing assisted living residences, part 2.35, defines "medication administration" as means assisting a person in the ingestion, application, inhalation, or, using universal precautions, rectal or vaginal insertion of medicat.. Based on record review and interview the residence failed to meet the required elements and have written policies and procedures regarding the visitation rights detailed in Section 25-3-125(3)(a), C.R.S affecting all eight current residents.Findings include:1. Record ReviewThe residence visitation policy read, "This assisted living residence encourages families, friends, and others to visit at any time. However, the assisted living residence reserves the righ.. Based on record review and interview the residence failed to prevent a qualified medication administration person (QMAP) from masking or deceiving administration of a medication administered, affecting one of the three sample residents (#3).1. Resident #3 was admitted to the residence on 10/4/13 with a diagnosis of hypercholesterolemia, atherosclerosis of the aorta, and late-onset Alzheimer' s disease without behavioral disturbance.On 8/24/24 the resid.. Based on record review and interview, the residence failed to, on a quarterly basis, audit the accuracy and completeness of medication administration records (MARs), affecting eight current residents.On 9/25/24 at 7:20 a.m., the last two quarterly medication audits were requested from the administrator for record review.On 9/25/24 at 7:20 a.m., the administrator designee reported she reviewed the MARs daily to check what medications were signed off o.. Based on record review and observation the residence failed to ensure devices that facilitated a resident' s well-being or independence were used only when there was an order from a practitioner, a practitioner and therapist documented the benefits and hazards associated with the device and information on its appropriate use, the continued use of the device was re-evaluated by both therapist and practitioner at least annually or whenever the 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 6 CCR 1011-1, Chapter 7.10.6 Each assisted living residence ' s emergency policies shall address, at a minimum, all of the following items: (A) Written instructions for each identified risk that includes persons to be notified and steps to ..