Sunrise at Orchard

A revisit survey was completed on 2/8/24 for all previous deficiencies cited on 12/7/23. No deficiencies 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 with complaints #CO34190, #CO34377 was completed on 12/7/23. Deficiencies were cited. Based on observation and interview, the residence failed to prohibit the use of portable heaters in the residents ' rooms, affecting four of six sample residents (#8, #9, #10, #11) who experienced heating concerns in their rooms.Findings Include:1. ObservationsOn 12/8/23 at 12:31 p.m., two portable heaters were present in the room of Resident #11, one heater was turned on.On 12/8/23 at 12:59 p.m., a portable heater was in the room of Resident #9.On 12/8/23 at 1:19 p.m., a portable heater was in the room of Resident #10 and was turned on. The thermostat in the room measured 74 degrees fahrenheit.On 12/8/23 at 1:25 p.m., a portable heater was in the room of Resident #8 and was turned on.2. InterviewsOn 12/8/23 at 12:15 p.m., the maintenance coordinator stated the individual room c.. Based on observation, record review, and interview, the residence failed to ensure a name-based criminal history report was requested prior to hire and conducted by the Colorado Bureau of Investigation (CBI) for four of four sample staff (#1-#4), affecting 61 current residents.Findings include:1. Residence PolicyThe residence' s Background Check policy, dated 5/31/19, read that the residence conducted multi-county and federal criminal history; however, the policy contained no reference to state-level name-based checks conducted by the CBI.2. ObservationOn 12/7/23 from approximately 7:20 a.m. to 7:35 a.m., Staff #1 worked as a qualified medication administration person (QMAP) at the residence. 3. Record ReviewThe personnel record for Staff #1 read the staff was hired on 6/26/23. The residence' s n.. Based on record review and interview, the residence failed to have at least one staff member onsite at all times who has current certification in cardiopulmonary resuscitation (CPR) and obstructed airway techniques from a nationally recognized organization such as the American Red Cross, the American Heart Association, the National Safety Council or the American Safety and Health Institute, affecting 61 current residents.Findings include:1. ReferenceAccording to the National CPR Foundation, "(National CPR Foundation) NCPRF provides self-training through the materials found on the Website(s) you' re your own (teacher). Our services are designed with OSHA (Occupational Safety and Health Administration), the ECC (Emergency Cardiovascular Care)/ILCOR (The International Liaison Committee on Resuscitat.. 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 7.13.1 The assisted living residence shall adopt, and place in a publically visible location, a statement regarding the rights and responsibilities of its residents. The assisted living residence and staff shall observe these rights in the care, treatment, and oversight of the residents. The statement of rights shall include, at a minimum, the following items: (D) The right to choice and personal involvement regarding care and services, including: (4) The right to expect the cooperation of the assisted living residence in achieving the maximum degree o..

A licensure revisit was completed on 8/30/23 for all previous deficiencies cited on 5/26/22. A deficiency was cited. Based on record review and interview, the residence failed to comply with authorized practitioner orders associated with medication administration, affecting three of three sample residents (#3, #7, #8).This deficiency was cited previously during a state licensure survey 5/26/22. Although the residence corrected the deficiency, based on the findings below, the residence has not maintained compliance with this regulatory requirement.Findings include:1. Residence PolicyThe residence' s Medication policy, dated 7/1/19, read in part, "Resident medication administration or assistance is performed in accordance with all state regulations and (residence) standards." 2. Resident #3 was admitted to the residence on 4/10/22 with diagnoses including myocardial infarction, presence of a pacemaker, and overactive bladder. a. Dutasteride A written practitioner' s order, dated 6/9/23, directed the residence to administer dutasteride 0.5 mg at bedtime (HS). However, the August 2023 medication administration record (MAR) read on 8/27 and 8/28/23, the medication was unavailable, for a total of two missed doses. b. Venlafaxine A written practitioner' s order, dated 6/9/23, directed the residence to administer venlafaxine 75 mg three tablets once daily. However, the August 2023 MAR read on 8/20 and 8/21/23, the medication was unavailable, for a total of two missed doses. c. CarvedilolA written practitioner' s order, dated 6/9/23, directed the residence to administer carvedilol 6.25 mg one tablet two times daily. However, the August 2023 MAR read the medication was unavailable on 8/25/23 for the morning dose, for a total of one missed dose. 3. Resident #7 was admitted to the residence on 11/17/20 with a diagnosis of anxiety disorder. A written practitioner' s order, dated 8/8/23, directed the residence to administer busprione 10 mg one tablet twice daily. However, the August 2023 MAR read from 8/8-8/10/23 the medication was unavailable, for a total of six missed doses. 4. Resident #8 was admitt..