Springs Ranch Memory Care Community

A revisit survey was completed on 6/25/25 for previous deficiencies cited on 4/30/25. 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 #CO36966, #CO37484,and #CO38637 was completed on 4/30/25. Deficiencies were cited. Based on interview and record review, the residence failed to ensure each staff member completed training relevant to their specific duties and responsibilities prior to working independently, affecting 69 current residents. Findings include:On 4/29/25 at 7:45 a.m., Staff #3 was observed giving medications to Resident #1 and #3. A review of Staff #2-#4' s personnel files revealed no evidence of training related to caregiving and Qualified Medication Administration.. Based on interview and record review, the residence failed to ensure personnel files included certification in Cardiopulmonary resuscitation (CPR), documentation of orientation and training and documentation of initial dementia training and continuing education for direct care-staff members, for four of four sample staff members (#1-#4), affecting 69 current residents. Findings include:1. ReferenceChapter VII regulations governing assisted living residenc.. Based on observation, record review and interview, the residence failed to reassess residents when the residents condition changed from baseline status affecting three of three current residents (#6, #5 and #1) and on former resident (#11)Findings include:1. Resident #6 was admitted to the residence on 3/27/23 with a diagnosis of dementia. The record for Resident #6 contained an updated assessment, dated 3/14/25. The record contained no further evide.. Based on record review and interview, the residence failed to have a quality management program (QMP) that improved client safety and well-being, affecting 69 current residents.Findings include:On 4/29/25 at approximately 8:15 a.m., the Executive Director (ED) was asked to provide the residence' s QMP documentation. On 4/29/25 at 1:39 p.m., the ED stated that the residence did not have a QMP in place. On 4/30/25 at approximately 1:02 p.m, the ED s.. Based on record review, and interview, the residence failed to train each staff member on each new resident' s care plan that is part of the individual' s duties and responsibilities, prior to the staff member working with the resident, affecting 69 current residents.Findings include Staff #1' s personnel file revealed she was hired on 4/1/25 as the residence' s activities director; however, there was no evidence of training on all residents' care plans. Staff #2' s pers.. Based on record review, and interview, the residence failed to train each staff member specific to the population served and each resident' s care plan prior to the staff member working with the resident, affecting 69 current residents. Findings include:Staff #1' s personnel file revealed she was hired on 4/1/25; however, there was no evidence of training specific to the population of the residence or individual care plans. Staff #2' s personnel file revealed she .. 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 7.14.10 Unless otherwise allowed by statute, the assisted living residence shall not permit a qualified medication administration person to perform any of the following tasks: (H) Pre-pouring of medication