Towers, the

A revisit survey was completed on 10/18/23 for all previous deficiencies cited on 6/6/23. 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 recertification survey was completed on 6/6/23. A deficiency was cited. Based on interview and record review, the facility (residence) failed to follow written policies and procedures for the administration of medication in accordance with 6 CCR 1011-1, Chapter VII Medication Administration Regulations, affecting three of three sample participants (residents) (#1-#3).a. Residence PolicyThe residence' s undated medication administration policy read in part that qualified medication administration persons (QMAPs) were expected to ensure they follow the seven rights of medication administration, including but not limited to: the right medication, the right person, the right dose, the right time, and the right route.b. ObservationsOn 6/6/23 at approximately 7:12 a.m., Staff #1 dispensed Resident #1' s medications into a medication cup and poured water into a larger plastic cup. Staff #1 handed Resident #1 the cup with her medication and a cup of water in the residence dining area where the resident sat for breakfast. However, Staff #1 walked away back into the medication room without observing Resident #1 ingest her medication. On 6/6/23 at approximately 7:26 a.m., Staff #1 dispensed Resident #2' s medications into a medication cup and poured water into a larger plastic cup. Staff #1 handed Resident #2 the cup with her medication and a cup of water in the residence dining area where the resident sat for breakfast. However, Staff #1 walked away back into the medication room without observing Resident #2 ingest her medication. On 6/6/23 at approximately 7:33 a.m., Staff #1 dispensed Resident #3' s medications into a medication cup and poured water into a larger plastic cup. Staff #1 handed Resident #3 the cup with his medication and a cup of water in the residence dining area where the resident sat for breakfast. However, Staff #1 walked away back into the medication room without observing Resident #3 ingest his medication. On 6/6/23 at approximately 7:34 a.m., Resident #1 had finished taking her medications and Resident #2 had just finished all her medications except her nasal spray, which Staff #1 had left Resident #1 with on the dining ro..

A relicensure survey was completed on 6/6/23. Deficiences were cited. Based on observations, record review and interviews, the residence failed to ensure that each resident received proper administration and/or monitoring of medications, affecting three of three sample residents observed during medication administration (#1-#3).Findings include:1. Reference and Residence Policya. Chapter VII regulations governing assisted living residences, part 2.27, defines "Medication Monitoring" as: (C) Visual observation of the resident to ensure compliance.b. The residence' s undated medication administration policy read in part that qualified medication administration persons (QMAPs) were expected to ensure they follow the seven rights of medication administration, including but not limited to: the right medication, the right person, the right dose, the right time, an.. Based on record review and interview, the residence failed to implement a policy for an effective information management system that allowed effective continuity of care which included a method of integration for both paper-based and electronic records in the effective management for storing and retrieving care/service data and information, affecting three of three sample residents (#1-#3).Findings include:1. Referencesa. Chapter VII regulations governing assisted living residences, part 9.1, requires that the assisted living residence shall develop and at least annually review, all policies and procedures. At a minimum, the assisted living residence shall have policies and procedures that address the following items:(M) Health information management.b. Chapter VII regulations gove.. Based on record review and interviews, the residence failed to ensure the resident roster contained emergency contact information along with a residence diagram that showed room locations, affecting 14 current residents.Findings include:1. Record Review On 6/6/23 at approximately 7:30 a.m., a resident roster was requested from the administrator. On 6/6/23 at approximately 8:03 a.m., the administrator provided a resident roster which included the residents' full name and room number. However, it did not contain emergency contact information or a residence diagram that showed room locations for any of the residents.On 6/6/23 at 12:29 p.m., during exit, the administrator provided a second resident roster that had an attached page with emergency contact information. How.. 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 7.14.15 The assisted living residence shall ensure each resident' s right to privacy and dignity with respect to medication monitoring and administration.