Villas at Rock Canyon, the

A revisit survey was completed on 2/6/25 for previous deficiencies cited on 9/4/24. The agency 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 survey and complaint #CO37567 was completed on 9/24/24. A deficiency was cited. Based on observation and interview, the residence failed to make available, either directly or indirectly through a resident agreement, a physically safe and sanitary environment, affecting nine current residents. Findings include:1. Reference and Residence Policya. According to Labpedia.net, "If urine is kept for a long time at room temperature, it will give an ammonia smell produced by the bacteria." Additionally, the odor becomes increasingly foul-smelling and the number of bacteria in the urine will increase due to bacterial proliferation." Labpedia.net (4/18/23) Urine Changes When Urine Is Left At Room Temperature And Without Preservatives, retrieved from: https://labpedia.net/urine-changes-when-urine-left-at-room-temperature-and-preservatives/ 2. Observationsa. Resident Shower RoomsDuring an environmental tour of the residence on 9/24/24 from 7:16 a.m. to 7:20 a.m., the residence had three full shower rooms accessible to 17 residents. The following was observed: Shower room #3 had a toilet with urine in it and the shower floor had black residue and grime in it. In shower room #1, the sink had black spots scattered throughout the bowl and the edges. Three spiderweb spiderwebs were near the toilet. The shower had black residue and grime on the shower floor and brown staining underneath the shower chair. There were folded tow.. 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 7.9.2. The assisted living residence shall have written policies and procedures regarding the visitation rights detailed in Section 25-3-125(3)(a), C.R.S. Such policies and procedures shall: (A) Set forth the visitation rights of the resident, consistent with 42 CFR 482.13(h); 42 U.S.C. 1396r(c)(3)(C); 42 U.S.C. 1395i(c)(3)(C); 42 CFR483.10(a), (b), and (f); and Section 2527-104, C.R.S., as applicable to the facility type; (B) Describe any restriction or limitation necessary to ensure the health and safety of residents, staff, or visitors and the reasons for such restriction or limitation; (C) Be available for inspection at the request of the Department; (D) Be provided to residents and/or family members upon request; and (E) Include the right of each resident of an assisted living residence to have at least one visitor of the resident ' s choosing during their stay at the residence, unless restrictions or limitations under federal law or regulation, other state statute, or state or local public health order apply. This visitation right shall be exercised in accordance with the following: (1) A visitor to provide a compassionate ca..

A certification complaint, prompted by #CO29033, was completed on 10/10/23. A deficiency was cited. Based on record review and interview, the facility (residence) failed to follow written policies and procedures for the administration of medication in accordance with 6 CCR 1011-1, Chapter VII, affecting two of three sample participants (residents) (#1, #2).Findings include:1. Chapter VII regulations governing assisted living residences, part 14.7, requires residences to ensure that each resident received proper administration and monitoring of medications. Based on observation, record review, and interview, the residence failed to ensure that each resident received proper administration and monitoring of medications, affecting two of three sample residents (#1, #2). (Cross-reference Q1542)Findings include:The residence' s undated medication policy read in part that staff administered medications in accordance with written practitioner' s orders.On 10/10/23 at 7:36 a.m., an insulin pen was observed on a coffee table in the residence' s common living room area.On 10/9/23 at 7:50 a.m., Staff #1 knocked on Resident #2' s room door and when he answered the door, she handed him nine medications inside a small plastic medication cup. The resident took the cup from Staff #1 with the medications into his room and closed the door. Staff #1 did not observe the resident ingest the medications.On 10/9/23 at approximately 7:40 a.m., Staff #1 stated that Resident #1 did not always allow (qualified medication administration persons) QMAPs to observe when he injected his insulin. She added that the staff who worked the evening shift previous to the on site investigation gave Resident #1 his insulin pen to administer it himself and then left without observing him do so because it was the end of their shift. Staff #1 stated that Resident #2 was not in a good mood in the mornings, did not want staff to observe his medication ingestion, and she therefore administered his medication without observing ingestion for at least three months prior to the on site investigation.On 10/9/23 at 7:40 a.m. Resident #1 stated that some QMAPs watched him administer his insulin and others did not. He ..

A licensure complaint, prompted by #CO29032, was completed on 10/10/23. Deficiencies were cited. Based on observation and interview, the residence failed to ensure all medications were stored in a locked cabinet when unattended by qualified medication administration persons, affecting one of three current residents (#1). (Cross-reference Q1422)Findings include:The residence' s undated Medication Administration policy read, "Medications must be given in accordance with the written orders of the attending physician."On 10/10/23 at 7:36 a.m., an insulin pen was on a coffee table in the residence' s common living room area with two other residents around. Staff were not present. On 10/10/23 at 7:38 a.m., Resident #4 grabbed the pen from the table and took it to Staff #1, who was in the medication room adjacent to the common living room area.On 10/10/23 at 7:40 a.m., Staff #1 stated that the insulin pen was left out last night. She added that the night shift needed to collect the pen after Resident #1 administered the medication for it to be stored in a locked cabinet. Staff #1 stated she had ha.. Based on observation, record review, and interview, the residence failed to ensure that each resident received proper administration and monitoring of medications, affecting two of three sample residents (#1, #2). (Cross-reference Q1542)Findings include:The residence' s undated medication policy read in part that staff administered medications in accordance with written practitioner' s orders.On 10/10/23 at 7:36 a.m., an insulin pen was observed on a coffee table in the residence' s common living room area.On 10/9/23 at 7:50 a.m., Staff #1 knocked on Resident #2' s room door and when he answered the door, she handed him nine medications inside a small plastic medication cup. The resident took the cup from Staff #1 with the medications into his room and closed the door. Staff #1 did not observe the resident ingest the medications.On 10/9/23 at approximately 7:40 a.m., Staff #1 stated that Resident #1 did not always allow (qualified medication administration persons) QMAPs to observe when he injected his insulin. She added that the staf.. Based on observation, record review, and interview, the residence failed to ensure that no qualified medication administration person (QMAP) performed pre-pouring of medication, affecting one of three sample residents (#2). Findings include:The residence' s undated medication policy read in part that the QMAP administering the medication recorded medication administration on each resident' s medication administration record (MAR).On 10/9/23, at approximately 7:44 a.m., Staff #1 stated that a former staff, who worked during the night shift, taught the new night shift staff to pre-pour the medications during their shift so that the morning shift could administer them. Staff #1 stated, "We all know you can' t do that," adding that it had become "a bad habit." Staff #1 confirmed that the staff from the night shift pre-poured Resident #2' s medications prior to the start of Staff #1' s shift. Staff #1 stated she double checked the pre-poured medications to ensure they were the correct medications, then signed off for the ad..