Soaring House

A relicensure survey with complaint #CO34258 was completed on 12/16/24. Deficiencies were cited. Based on record review and interview, the administrator failed to be responsible for organizing, conducting, and evaluating resident engagement, affecting seven current residents. Findings include:1. Record Review The September, October, November, and December 2024 activity schedules included two activities scheduled daily. One of the daily activities read "Work on Individual Goals" and was listed every day throughout each calendar month. The September and December 2024 activity calendar were exactly the same. At the bottom of each calendar month read "(Trips to the local shopping center) and outings to be announced."A posted activity calendar, dated December 2024, read that on 12/16/24 the one activity scheduled for the day was to "work on individual goals."2. ObservationOn 12/16/24, between approximately 7:30 a.m. and 4:45 p.m., residents watched television in their rooms or the common areas. The staff did not offer any structured engagement activities. 3. InterviewsOn 12/16/24 at 8:52 a.m., Staff #1 stated that residents did not always participate in the daily activities. She stated staff conducted meetings with residents to determine which activities the residents preferred to participate in. Staff #1 stated staff created an activity calendar based on that information. On 12/16/24 at approximately 11:00 a.m., Resident #3 stated that the r.. Based on record review and interview, the residence failed to ensure a Colorado Adult Protective Services Data Systems (CAPS) check was performed prior to hiring one of two sample staff (#2) who provided direct care to at-risk residents, affecting seven current residents. Findings include:The personnel file for Staff #1 revealed a hire date of 4/13/21 but no evidence that the residence requested a CAPScheck. On 11/26/24 at approximately 3:50 p.m., the administrator stated she was aware of the requirement to request CAPS checks and retain documentation in the personnel file; however, she was unable to provide any evidence that the residence did so for Staff #2.

A recertification survey with complaint #CO34259 was completed on 12/16/24. Deficiencies were cited. Based on record review and interview, the facility (residence) failed to ensure members (residents) were integrated and supported full access of individuals to the greater community, including opportunities to seek employment, receive services in the community, and engage in community life, affecting seven current members. Findings include:1. Record Review The September, October, November, and December 2024 activity schedules included two activities scheduled daily. One of the daily activities read "Work on Individual Goals" and was listed every day throughout each calendar month. The September and December 2024 activity calendar were exactly the same. At the bottom of each calendar month read "(Trips to the local shopping center) and outings to be announced."A posted activity calendar, dated December 2024, read that on 12/16/24 the one activity scheduled for the day was to "work on individual goals."2. ObservationOn 12/16/24, between approximately 7:30 a.m. and 4:45 p.m., residents watched television in their rooms or the common areas. The staff did not offer any structured engagement activities. 3. InterviewsOn 12/16/24 at 8:52 a.m., Staff #1 stated that residents did not always participate in the daily activities. She stated staff conducted meetings with residents to determine which activities the residents preferred to participate in. Staff #1 stated staff created an activity calendar based on that information. On 12/16/24 at approximately 11:00 a.m., Resident #3 stated that the residence frequently canceled outings. He could not recall any outings in November nor December 2024. He added that he would like the residence to provide more opportunities to engage in community life and the facility as well as outings that did not require money to participate. On 12/16/24 at approximately 3:00 p.m., Resident #1 stated that the November 2024 outings were canceled. He added that he would like more opportunities to go to museums, parks, or events in town. On 8/5/24 at 2:00 p.m., the administrator, assis..

A recertification survey was completed on 10/23/23. No deficiences were cited. THIS PORTION OF THE REPORT IS FOR INFORMATIONAL PURPOSES ONLY. No response is necessary. The facility was advised it must review and maintain the following processes in accordance with existing program regulations found at 10 CCR 2505-10, 8.400.8.485.6 (H) (2) Alternative Care Facility Providers shall maintain and follow written policies and procedures for the administration of medication in accordance with 6 CCR 1011-1, Chapter VII and XXIV, Medication Administration Regulations.

A relicensure survey was completed on 10/23/23. No deficiences 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 7.14.21 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.14.29 All prescribed and PRN medications shall be listed and recorded on a medication administration record (MAR) which contains the name and date of birth of the resident, the resident ' s room location, any known allergies, and the name and telephone number of the resident' s authorized practitioner. (C) Each qualified medication administration person, nurse, or practitioner shall accurately document each medication administration or monitoring event at the time the event is completed for each resident.18.3 Each assisted living residence shall implement a policy and procedure for an effective information management system that is either paper-based or electronic. If the ALR maintains both paper-based and electronic records, there shall be a method for integration of those records that allows effective continuity of care. Processes shall include effective management for capturing reporting, processing, storing and retrieving care/service data and information.22.4 Designated areas where smoking is allowed shall be equipped with fire resistant wastebaskets. Resident rooms occupied by smokers, even when house rules prohibit smoking in resident rooms, shall have fire resistant wastebaskets.22.35 Assisted living residences shall comply with the Colorado Clean Indoor Air Act at Sections 25-14-201 through 25-14-209, C.R.S.