St Petro Laurel Haus

A revisit survey was completed on 5/7/25 for all previous deficiencies cited on 10/23/24. The facility is in compliance with all deficiencies that 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

A revisit survey was completed on 5/7/25 for all previous deficiencies cited on 10/23/24. The facility is in compliance with all deficiencies that 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

A relicensure survey was completed on 10/23/24. Deficiencies were cited. Based on observation and interview, the licensee failed to provide accurate and truthful information to the department during an investigation, affecting one current resident. Findings include:During the onsite visit on 10/22.. Based on observation and interview, the residence failed to ensure that staff did not transfer residents off site solely for the convenience of the assisted living residence or its staff, affecting one current resident.Findings include:1. Ob.. Based on observation and record review the residence failed to maintain a physically safe and sanitary environment, affecting one current resident.Findings include:On 10/16/24 during an onsite environmental tour, the following was .. Based on record review and interview, the residence failed to complete a risk assessment of all hazards and preparedness measures to address natural and human-caused crises including, but not limited to, fire(s), gas explosio.. Based on record review and interview, the residence failed to comply with Colorado Adult Protective Services (CAPS) Data System prior to hiring staff who provided direct care to at-risk residents for one of one sample staff (#1), affect.. Based on record review and interview, the residence failed to develop and implement policies and procedures regarding resident rights, grievance procedure and complaint resolution, infection control, medication errors and me.. Based on record review and interview, the residence failed to ensure that at the time of admission, the resident record contained a signed copy of the resident agreement in the resident record, affecting one current resident.Find.. Based on record review and interview, the residence failed to ensure that each staff member met the dementia training requirements in 7.9(B), affecting one current resident.Findings include:On 10/22/24 at approximately 10:13 .. Based on record review and interview, the residence failed to have a policy and procedure in place to prevent the spread of influenza from unvaccinated workers, affecting one current resident.Findings include:On 10/22/24 at appr.. Based on record review and interview, the residence failed to have a readily available roster of current residents, their room assignments, and emergency contact information, along with a facility diagram showing room locations, a.. Based on record review and interview, the residence failed to have policies and procedures to ensure the continuation of care to all residents for 72 hours following any emergency, affecting one current resident.Findings include:On 10/.. Based on record review and interview, the residence failed to, on a quarterly basis, audit the accuracy and completeness of the medication administration records list, controlled substance list, medication error reports and .. 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 regul..

A recertification survey was completed on 10/23/24. Deficiencies were cited. Based on observation and interview the residence (facility) failed to promote the resident' s (member) right to dignity and privacy affecting one current resident.Findings include:During an onsite event on 10/22/24, the residence front door required staff to enter a code to unlock the door to enter and exit the residence.During an environmental tour on 10/22/24 at 2:30 p.m., the residence bedroom doors failed to have locks and a lockable place for resident belongings.On 10/22/24 at 2:23 p.m., the administrator designee reported that due to this being a secure environment the residents were not able to lock their bedrooms or have a place to lock personal belongings. She reported that residents required staff' s permission to enter and exit the residence.On 10/22/24 at 4:00 p.m. the administrator rep.. Based on record review and interview the residence failed to comply with Colorado Adult Protective Services (CAPS) Data System prior to hiring staff who provided direct care to at-risk residents for one of one sample staff (#1), affecting one current resident.Findings include:The personnel file for the administrator designee revealed no documentation of a CAPS request or report. The administrator designee was hired and began providing services to residents on 9/10/2024 per record review.On 10/22/24 at 2:40 p.m., the administrator designee reported that she was unsure why she did not have a CAPS check before being hired, but was aware that she needed one.On 10/22/24 at 3:44 p.m., the administrator reported he was unaware the administrator designee did not have a CAPS check before .. Based on record review and interview, the residence (facility) failed to ensure that at a lease, residency agreement, or other form of written agreement was in place for each individual, affecting one current resident (member).Findings include:On 10/22/24 at 10:40 a.m. personal files were requested for Resident #1. Record review revealed no signed copy of a resident agreement in the resident file.On 10/22/24 at approximately 2:45 p.m., the administrator designee reported she was not sure where the signed resident agreement was and would have to ask the administrator.On 10/22/24 at approximately 4:00 p.m., the administrator was unaware that a signed resident agreement was not in Resident #1' s file. He reported that he would expect one to be on file and that the administrator designee should hav.. 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 8.7000.8.7505.F Alternate Care Facility Provider Agency Requirements 4. Person-Centered Support Plan a. The following information must be documented in the Person-Centered Support Plan:i. Medical Information: 1) Medications the Member takes and how they are administered, with reference to the Medication Administration Record (MAR); 2) Special dietary needs, if any; and 3) Physician orders. ii. Social and recreational engagement: 1) The Member ' s preferences and current relationships; and 2) Any recommended restrictions on social..