Stonecreek of Littleton

A revisit survey was completed on 4/7/26 for all previous deficiencies cited on 12/30/25. The facility 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 suvey with complaint revisit was completed on 12/30/25 for the previous deficiencies cited on 3/18/25. Deficiencies were cited. The regulations governing Assisted Living Residences were revised. The Chapter 7 regulations were implemented on 7/1/25. Based on record review and interview the residence failed to ensure that only medications ordered by an authorized practitioner were prepared for and administered to residents, affecting one of eight sample residents (#60).Tag 14.11 was not cited in the previous event; however, the deficiency was included in the previous event' s informational 999 tag.Findings include:1. Resident #60 was admitted to the residence on 11/7/25.The November 2025 and December 2025 medication administration records (MAR) had one medication listed and being administered without a signed and dated practitioners' order on file for aspirin. The November MAR read that the residence administered aspirin in the morning from 11/8/-11/30/25 and the evenings from 11/7-11/16 and 11/17-11/30/25. The December MAR read that .. Based on records review and interviews, the residence failed to comply with authorized practitioner orders for three of eight sample residents (#55, #61, and #59).This deficiency was cited previously during a complaint investigation that concluded on 3/18/25. Although the residence corrected the deficiency, based on the findings below, the residence has not maintained compliance with this regulatory requirement.Findings Include:Resident #55 was admitted to the residence on 3/5/25 with diagnoses of congestive heart failure, major depressive disorder and hypertension. A practitioner' s order, dated 5/28/25, directed the residence to administer to Resident #55 one 20mg tablet of torsemide by mouth two times a day. The November 2025 medication administration record (MAR) indicated that Res.. 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 7.14.7 The assisted living residence shall ensure that each resident receives proper administration and/or monitoring of medications. 14.20 The assisted living residence shall contact the authorized practitioner for clarification of any orders which are incomplete or unclear and obtain new orders in writing. 14.33 The assisted living residence shall ensure that the resident ' s authorized practitioner and resident' s legal representative are promptly notified of: (B) A resident' s pattern of refusal 18.9 The face sheet ..

A complaint revisit was completed on 12/30/25 for the previous deficiencies cited on 3/18/25. A deficiencies was cited. The regulations governing Assisted Living Residences were revised. The Chapter 7 regulations were implemented on 7/1/25. Based on records review and interviews, the residence failed to comply with authorized practitioner orders for three of eight sample residents (#55, #61, and #59).This deficiency was cited previously during a complaint investigation that concluded on 3/18/25. Although the residence corrected the deficiency, based on the findings below, the residence has not maintained compliance with this regulatory requirement.Findings Include:Resident #55 was admitted to the residence on 3/5/25 with diagnoses of congestive heart failure, major depressive disorder and hypertension. A practitioner' s order, dated 5/28/25, directed the residence to administer to Resident #55 one 20mg tablet of torsemide by mouth two times a day. The November 2025 medication administration record (MAR) indicated that Resident #55 did not receive torsemide on the listed dates because it was unavailable and "awaiting mail delivery," from 11/7/25-11/17/25. On 12/30/25 at 3:36 p.m., the wellness director (WD) stated that Resident #55 ordered her own medication, would refuse to do so even with reminders from residence staff, and different plans were in place to help her be more compliant with ordering her medications more timely. On 12/30/25 at 3:40 p.m., the administrator stated that though the residence has made improvements, the residence failed to correct the citation due to Resident #55 ordering her own medication. He also agreed with the statements the WD had stated above. He said he knew it was the residences responsibility to ensure the medications were available.Similar deficient practice was found for Residents #59 and #61 related to missed doses of medications or not documented to indicate if medication was given.

A complaint revisit was completed on 12/30/25 for the previous deficiencies cited on 3/18/25. A deficiency was cited. The regulations governing Assisted Living Residences were revised. The Chapter 7 regulations were implemented on 7/1/25. Based on records review and interviews, the residence failed to comply with authorized practitioner orders for three of eight sample residents (#55, #61, and #59).This deficiency was cited previously during a complaint investigation that concluded on 3/18/25. Although the residence corrected the deficiency, based on the findings below, the residence has not maintained compliance with this regulatory requirement.Findings Include:Resident #55 was admitted to the residence on 3/5/25 with diagnoses of congestive heart failure, major depressive disorder and hypertension. A practitioner' s order, dated 5/28/25, directed the residence to administer to Resident #55 one 20mg tablet of torsemide by mouth two times a day. The November 2025 medication administration record (MAR) indicated that Resident #55 did not receive torsemide on the listed dates because it was unavailable and "awaiting mail delivery," from 11/7/25-11/17/25. On 12/30/25 at 3:36 p.m., the wellness director (WD) stated that Resident #55 ordered her own medication, would refuse to do so even with reminders from residence staff, and different plans were in place to help her be more compliant with ordering her medications more timely. On 12/30/25 at 3:40 p.m., the administrator stated that though the residence has made improvements, the residence failed to correct the citation due to Resident #55 ordering her own medication. He also agreed with the statements the WD had stated above. He said he knew it was the residences responsibility to ensure the medications were available.Similar deficient practice was found for Residents #59 and #61 related to missed doses of medications or not documented to indicate if medication was given.