South Platte Rehabilitation and Nursing, LLC

A complaint survey, prompted by #CO38600, #CO38601, Incident #38602 and Incident #38603 was conducted on 1/6/25 to 1/7/25. Three deficiencies were cited. Based on observations, record review and interviews, the facility failed to ensure resident assessments were provided by qualified persons for three (#8, #3 and #5) of eight residents out of eight sample residents.Specifically, the facility failed to:-Ensure Resident #8 and Resident #3, who experienced unwitnessed falls, were assessed by a registered nurse (RN) before they were assisted from the floor; and,-Ensure Resident #5, who was the victim of resident-to-resident physical abuse, was assessed by a RN following the resident-to-resident altercation.Findings include:I. Failed to have a RN assess Resident #8 and Resident #3 after unwitnessed falls, prior to assisting the residents from the floorA. Facility policy and procedureThe Falls - Clinical Protocol policy, revised 10/2012, was provided by the regional director of quality and compliance (RDQC) on 1/6/25 at 11:59 a.m. The policy revealed as part of the initial assessment, nursing staff would identify individuals with a history of falls and risk factors for subsequent falling. Staff would ask the resid.. Based on observations, record review and interviews, the facility failed to ensure two (#5 and #6) of two residents reviewed for abuse out of eight sample residents were kept free from physical abuse. Resident #4 was admitted to the facility on 7/15/23 with diagnoses which included alcohol abuse and encephalopathy (brain disease that affects brain function). The resident had a mood problem related to being quick tempered, had poor coping skills and could exhibit verbally aggressive outbursts towards others when he disagreed with them.On 10/21/24, certified nurse aide (CNA) #1 witnessed Resident #4, who was coming inside from the smoking area, purposefully run his wheelchair into Resident #5, who was in the hallway in her wheelchair waiting to go outside to the smoking area. Resident #5 sustained redness to the left lower leg above the ankle and an abrasion to her right forearm where the top layer of skin had come off, in addition to right shoulder and leg pain.Resident #5, who had a diagnosis of anxiety disorder, reported she had increa.. Based upon observations, record review and interviews, the facility failed to ensure that two (#4 and #5) of two residents out of eight sample residents, received the appropriate treatment and services to correct the assessed problem or to attain the highest practicable mental and psychosocial well-being.Resident #4 was admitted to the facility on 7/15/23 with diagnoses of alcohol abuse and encephalopathy (brain disease that affects brain function). The resident had a mood problem related to being quick tempered, had poor coping skills and could exhibit verbally aggressive outbursts towards others when he disagreed with them. The facility failed to implement effective interventions for Resident #4 and appropriately address Resident #4' s abuse behaviors towards other residents. The facility failed to protect residents from continued verbal and mental abuse from Resident #4. Interviews and observations revealed Resident #4' s behaviors resulted in Resident #5' s increased anxiety and social isolation.The staf..

A survey prompted by complaint #CO38980 was completed on 1/6/25 to 1/7/25. Two deficiencies were cited. Based on observations, record review and interviews, the facility failed to ensure two (#5 and #6) of two residents reviewed for abuse out of eight sample residents were kept free from physical abuse. Resident #4 was admitted to the facility on 7/15/23 with diagnoses which included alcohol abuse and encephalopathy (brain disease that affects brain function). The resident had a mood problem related to being quick tempered, had poor coping skills and could exhibit verbally aggressive outbursts towards others when he disagreed with them.On 10/21/24, certified nurse aide (CNA) #1 witnessed Resident #4, who was coming inside from the smoking area, purposefully run his wheelchair into Resident #5, who was in the hallway in her wheelchair waiting to go outside to the smoking area. Resident #5 sustained redness to the left lower leg above the ankle and an abrasion to her right forearm where the top layer of skin had come off, in addition to right shoulder and leg pain.Resident #5, who had a diagnosis of anxiety disorder, reported she had increased anxiety and felt more isolated since the incident with Resident #4 because she would stay in her room when Resident #4 was in the hallway due to the anxiety she felt when she was around him.Due to the facility' s failures to protect Resident #5 from physical abuse from Resident #4 on 10/21/24, Resident #5 suffered psychosocial harm follo.. Based upon observations, record review and interviews, the facility failed to ensure that two (#4 and #5) of two residents out of eight sample residents, received the appropriate treatment and services to correct the assessed problem or to attain the highest practicable mental and psychosocial well-being.Resident #4 was admitted to the facility on 7/15/23 with diagnoses of alcohol abuse and encephalopathy (brain disease that affects brain function). The resident had a mood problem related to being quick tempered, had poor coping skills and could exhibit verbally aggressive outbursts towards others when he disagreed with them. The facility failed to implement effective interventions for Resident #4 and appropriately address Resident #4' s abuse behaviors towards other residents. The facility failed to protect residents from continued verbal and mental abuse from Resident #4. Interviews and observations revealed Resident #4' s behaviors resulted in Resident #5' s increased anxiety and social isolation.The staff failed to thoroughly assess Resident #5 for changes in behavior after Resident #4 purposefully ran his wheelchair into Resident #5 on 10/21/24, which caused a skin tear on Resident #5' s right forearm, shoulder pain, anxiety and self isolation. Due to the facility' s failures to address Resident #4' s behaviors, Resident #5 suffered physical abuse from R..