Tender Care Assisted Living LLC

A relicensure revisit was completed on 9/3/25 for the previous deficiencies cited on 7/10/25. The residence is in compliance with all regulations surveyed. The deficiencies cited for Event DB3N11were cited prior to the regulation revision that was implemented on 7/1/25. 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 7/10/25. Deficiencies were cited. Based on observation, record review and interview, the residence failed to have at least one staff member present who was capable of responding to an emergency, affecting seven current residents.Specifically, the residence staff were required to provide assisted living services to seven current residents. On 7/10/25 at 7:30 a.m., Staff #1 who resided in the basement of the residence, dismissed resident requests to come upstairs, claiming it was his day off. H.. Based on observations and interviews, the residence failed to comply with the Colorado Clean Indoor Air Act, affecting seven current residents. (Cross reference T616 and T2734)Findings include:1. ObservationsOn 7/10/25 at 7:30 a.m., an environmental tour revealed the residence' s designated smoking areas were on the front and back porch of the residence, less than 25 feet from the doors.On 7/10/25 at 7:30 a.m., Residents #1, #2 and #5 were observed smoking.. Based on observations and interviews, the residence failed to ensure it had designated outdoor smoking areas with fire-resistant waste disposal containers, affecting seven current residents. (Cross reference T2720)Findings include:On 7/10/25 at 7:30 a.m., the designated outdoor smoking areas had metal coffee cans and a tin tray for cigarette disposal. The cans and tray did not indicate that they were fire-resistant. Resident #4 was observed disposing of his c.. Based on observations, record review and interview, the residence failed to ensure resident rooms occupied by smokers had fire resistant wastebaskets, affecting five of five current residents who smoked (#1, #2 and #4-#6). (Cross reference T2720)Findings include: 1. ObservationsOn 7/10/25 at 7:30 a.m., Residents #1, #2 and #5 were observed smoking on the front porch of the residence.On 7/10/25 at 7:35 a.m., Resident #4 was observed smoking on the back.. Based on observations, record review and interview, the residence failed to provide a physically safe environment, including measures to reduce the risk of potential hazards in the physical environment related to the unique characteristics of the population, affecting seven current residents.Findings include:1. Residence PolicyThe residence' s undated resident agreement read in part: "(The residence) agrees to make available ... a physically safe and s.. Based on record review and interviews, the residence failed to have a readily available roster of current residents that included emergency contact information, affecting seven current residents.Findings include:On 7/10/25 at 7:47 a.m., the current resident roster for emergency preparedness was requested. On 7/10/25 at 8:58 a.m., a roster was provided by the administrator; however, it did not include residents' emergency contact information.On 7/10/25 at 9.. 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 7.22.24 Toilet paper in a dispenser, liquid soap, and paper towels or hand drying devices shall be available at all times in each common bathroom.

A recertification survey was completed on 7/10/25. Deficiencies were cited. Based on observation, record review, and interviews, the facility (residence) failed to comply with the restrictions on smoking near entryways outlined in the Colorado Clean Indoor Air Act (CCIAA), affecting seven current members (residents).Findings include:1. ObservationsOn 7/10/25 at 7:30 a.m., an environmental tour revealed the residence' s designated smoking areas were on the front and back porch of the residence, less than 25 feet from the doors.On 7/10/25 at 7:30 a.m., Residents #1, #2 and #5 were observed smoking on the front porch of the residence, less than 25 feet from the door. Additionally, only the screen door was closed.On 7/10/25 at 7:35 a.m., Resident #4 was observed smoking on the back porch of the residence, less than 25 feet from the door.On 7/10/25 at 9:35 a.m., Resident #6' s room smelled strongly of cigarette smoke and marijuana. 2. Record ReviewA list of current smokers provided by the administrator read that Residents #1, #2 and #4-#6 smoked.3. InterviewOn 7/10/25 at 12:40 p.m., the administrator .. Based on observations, record review and interview, the facility (residence) failed to maintain a home-like quality and feel for members (residents) at all times, affecting seven current residents.Findings include:1. Residence PolicyThe residence' s undated resident agreement read in part: "(The residence) agrees to make available ... a physically safe and sanitary environment."2. ObservationsOn 7/10/25 from approximately 7:30 a.m. to 1:00 p.m., an environmental tour of the residence revealed the following:At 7:50 a.m., Resident #1 and #5 were sitting in the television room of the residence next to two empty plastic water bottles on the ground, a bunched up piece of toilet paper, an empty box, a leafblower, a weed whacker, a hedge trimmer, a bike pump, a pair of pruners, two bottles of weed killer and tubing. The carpet in the front living room near the doorway had a medium-sized tear that exposed the tile underneath.The tan leather couch closest to the front door had a small tear on the armrest, making it difficu.. Based on record review and interview, the facility (residence) failed to have staffing sufficient in number to provide services described in the provider care plan, affecting seven current members (residents) who were left unattended at the residence.Findings include:1. References Chapter VII regulations governing assisted living residence, part 2.45 defines "Staff" as employees and contracted individuals intended to substitute for or supplement employees who provide personal services. Chapter VII regulations governing assisted living residence, part 8.7, requires each assisted living residence shall 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. The certification shall either be in Adult CPR or include Adult CPR.2. Record ReviewThe staff sched..

A revisit survey was completed on 6/15/23 for all previous deficiencies cited on 8/8/22. 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