Thornton Assisted Living-120th East

A relicensure survey was completed on 2/9/23. Deficiencies were cited. Based on observation and interview, the residence failed to place in a visible location a list of all staff who had current first aid and cardiopulmonary resuscitation (CPR) certifications, affecting eighteen current residents. Findings include: On 2/9/23 at approximately 10:40 a.m., the administrator tried to locate staff CPR and first aid certifications, and printed out individual CPR and first aid certifications for certified staff on each shift. An environm.. Based on observation, interviews and record review, the residence failed to ensure the administrator failed to be responsible for overseeing the overall day-to-day operation of the residence, affecting 15 current residents. (Cross reference Q262).Findings include:On 2/9/23 at 9:52 a.m., a framed management document at the entrance to the residence had the administrator of record listed as the administrator of the residence, and the acting administrator l.. Based on observation, record review and interviews, the residence failed to notify the department of a change in administrator, affecting 15 current residents. (Cross reference Q540).Findings Include:Chapter II regulations governing assisted living residences, part 1.36, defines Letter of Intent as, the notification provided to the Department related to an application for a license, to make of changes to an existing license, to make changes in services provided by th.. Based on observation, record review, and interview, the residence failed to ensure personnel files for current employees shall be readily available onsite for department review for two of two sample staff (#1-#2), affecting 15 current residents.Findings include: Chapter VII regulations governing assisted living residences, part 2.45, defines "Staff" as employees and contracted individuals intended to substitute for or supplement employees who provide pers.. Based on record review and interview, the residence failed to accurately document each medication administration event at the time the event was completed, affecting three of four sample residents (#1-#2 and #3).Findings include: 1. Residence PolicyThe residence' s medication administration policy, dated 5/11/17, read in part: "QMAPS (qualified medication administration persons) document results of a medication passed in (the) MAR (medication administration.. Based on record review and interviews, the residence failed to comply with authorized practitioner orders associated with medication administration, affecting four of four sample residents (#1-#4).Findings include: 1. Residence PolicyThe residence' s medication administration policy, dated 5/11/17, read in part: "QMAPS (qualified medication administration persons) must prepare medication at the time of administration as ordered (by practitioner' s)...each r.. 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 7.14.10 Unless otherwise allowed by statute, the assisted living residence shall not permit a qualified medication administration person to perform any of the following tasks: (H) Pre-pouring of medication.