Spruce House

10 CCR 2505-10 Chapter 8.500 HOME AND COMMUNITY BASED SERVICES 8.515.85 SUPPORTIVE LIVING PROGRAMSection 8.515.85.C.SUPPORTIVE LIVING PROGRAM (SLP) INCLUSIONS1. SLP services consist of structured services designed to provide:i. Health Maintenance Activities. This requirement is not met as evidenced by:Based on observation, interview and record review, the program (residence) failed to maintain and follow written policies and procedures for the administration of medication, affecting three of three sample individuals (residents) (#1-#3). Findings include:1. Section 8.515.85.A.10 defines Health Maintenance Activities as those routine and repetitive health-related tasks which are necessary for health and normal bodily functioning, that an individual with a disability would carry out if he/she were physically able, or that would be carried out by family members or friends if they were available. These activities include, but are not limited to, catheter irrigation, administration of medication, enemas, suppositories, and wound care.2. Medication Administration Record (MAR) Documentationa. Resident #1 was admitted to the residence on 5/20/22.Atorvastatin A written practitioner' s order, dated 9/1/23, directed the residence to administer atorvastatin 20 mg daily. However, the September 2023 electronic medication administration record (eMAR) revealed blanks on 9/5 and 9/14/23. Additionally, on 9/4/23, the eMAR was marked under "missed/refused," by Staff #1, and there were no corresponding eMAR documentation notes to determine whether the medication was not administered or was refused by Resident #1. QuetiapineA written practitioner' s order, dated 3/25/23, directed the residence to administer Quetiapine 100 mg twice daily. However, the September 2023 eMAR revealed a blank on 9/14/23 in the evening.TrazodoneA written practitioner' s order, dated 3/25/23, directed the residence to administer trazodone 50 mg once daily at bedtime. However, the September 2023 eMAR revealed a blank on 9/14/23.MetforminA written pra.. A recertification supportive living program survey was completed on 10/25/23. A deficiency was cited.