Slp Colorado
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State Inspection History
State Inspections
Source: CO Dept. of Public Health & Environment
Apr 14, 2026Complaint
A relicensure survey with complaint #CO40054 was completed on 4/14/26. 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 7.18.9 The face sheet shall be updated at least annually and contain the following information: (K) diagnosis 14.36 The assisted living residence shall report non-compliance, misuse, or inappropriate use of known medications by a resident who is self-administering to that resident' s authorized practitioner. 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.
Apr 14, 2026Complaint
A recertification survey with complaint #CO40055 was completed on 4/14/26. 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 10 CCR 2505-10 8.7000 8.7414.B. For Members who are independent in the administration of medications and who do not require monitoring each time medication is taken, the Provider Agency shall review of medications quarterly to determine that medications are taken correctly.8.7506 G. 3. Provide an outdoor area accessible without staff assistance, which shall be level, well maintained, and appropriately equipped for the population served.
Sep 12, 2023Follow-upCleanReport
No deficiencies found during this inspection.
Sep 12, 2023Follow-up
A revisit survey was completed on 9/12/23 for all previous deficiencies cited on 6/16/23. 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
Jun 16, 2023Other
A relicensure survey was completed on 6/16/23. Deficiencies were cited. Based on interview and record review, the residence failed to ensure at least one staff member was onsite at all times who had current certification in cardiopulmonary resuscitation (CPR) and obstructed airway techniques from a nationally recognized organization, affecting six current residents. Findings Include:1. References and Residence Policya. According to Mayo Clinic, "Cardiopulmonary resuscitation (CPR) is a lifesaving technique that' s useful in many emergencies, such as a heart attack or near drowning, in which someone' s breathing or heartbeat has stopped. The American Heart Association recommends starting CPR with hard and fast chest compressions. This hands-only CPR recommendation applies to both untrained bystanders and first responders." Mayo Clinic (5/1/21) Cardiopulmonary R.. Based on observation, record review, and interview, the residence failed to comply with authorized practitioner orders associated with medication administration except for those medications which a resident self-administers, affecting two of three sample residents (#1, #3). Findings include: 1. Referencesa. According to WebMD, "This combination medication is used to treat attention deficit hyperactivity disorder - ADHD. It works by changing the amounts of certain natural substances in the brain. Amphetamine/dextroamphetamine belongs to a class of drugs known as stimulants. It can help increase your ability to pay attention, stay focused on an activity, and control behavior problems. It may also help you to organize your tasks and improve listening skills. If you suddenly stop using.. Based on record review and interview, the residence failed to ensure that medications were accurately documented at the time the administration was completed, affecting two of three sample residents (#1, #3). Findings include: 1. Resident #1 was admitted to the residence on 2/25/22.A written practitioner' s order, dated 8/2/22, directed the residence to administer carbidopa-levodopa 25-250 mg one tablet three times a day. However, the June 2023 medication administration record (MAR) revealed the medication was not documented at the time of administration on 6/13/23 for the afternoon dose. On 6/15/23 at 2:30 p.m., the assistant administrator (AA) stated she was unsure if the medication had been administered or if the resident refused. She stated either way, the qualified medication admini.. THIS PORTION OF THE REPORT IS FOR INFORMATIONAL PURPOSES ONLY.No response is necessary.The residence was advised they must review and maintain the following processes in accordance with existing Assisted Living Residences program regulations: 7.1 In order to ensure that staff members and volunteers are of good, moral, and responsible character, the assisted living residence shall request, prior to staff hire or volunteer on-boarding, a name-based criminal history record check for each prospective staff member and volunteer.(A) If the applicant has lived in Colorado for more than three (3) years at the time of application, the assisted living residence shall obtain a name-based criminal history report conducted by the Colorado Bureau of Investigation (CBI).(B) If the applicant has li..
Jun 16, 2023Other
A recertification survey was completed on 6/16/23. A deficiency was cited. 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 C.C.R. 1011-1, Chapter VII, affecting two of three sample participants (residents) (#1, #3). Findings include:1. Chapter VII regulations governing assisted living residences, part 14.21, requires 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. ReferencesAccording to WebMD, "This combination medication is used to treat attention deficit hyperactivity disorder - ADHD. It works by changing the amounts of certain natural substances in the brain. Amphetamine/dextroamphetamine belongs to a class of drugs known as stimulants. It can help increase your ability to pay attention, stay focused on an activity, and control behavior problems. It may also help you to organize your tasks and improve listening skills. If you suddenly stop using this medication, you may have withdrawal symptoms (such as severe tiredness, sleep problems, mental/mood changes such as depression)." WebMD (2023) Adderall - Uses, Side Effects, and More, retrieved from: https://www.webmd.com/drugs/2/drug-63163/adderall-oral/detailsAccording to MedlinePlus, "Pregabalin capsules, oral solution (liquid), and extended-release (long-acting) tablets are used to relieve neuropathic pain (pain from damaged nerves) that can occur in your arms, hands, fingers, legs, feet, or toes if you have diabetes and postherpetic neuralgia (PHN; the burning, stabbing pain or aches that may last for months or years after an attack of shingles). Pregabalin capsules and oral solution are also used to relieve neuropathic pain that can occur after a spinal cord injury and to treat fibromyalgia (a long-lasting condition that may cause pain, muscle stiffness and tenderness, tiredness, and difficulty falling asleep or staying asleep)." MedlinePlus (5/15/20) Pregabalin..
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