Wecare Colorado Assisted Living East

A certification complaint, prompted by #CO41940 and #CO41942, was completed on 3/25/26. Deficiencies were cited. Based on observation, record review and interview, the residence failed to obtain a check of the Colorado Adult Protective Services Data System (CAPS Check) for Staff #2, affecting five current residents.Findings include:On 3/25/26 from approximately 8:00 a.m. to 5:00 p.m., Staff #2 was observed providing care and services and providing medication administration to residents.A review of the personnel file for Staff #2 revealed no documentation that the residence requested a CAPS check prior to the staff providing care and services to five current residents.On 3/25/26 at 2:45 p.m., the administrator/owner stated that Staff #2 had worked at the residence for approximately two weeks. He stated he did not request a CAPS check prior to hiring the staff member because he was on vacation and then .. Based on observation, record review, and interview, the facility (residence) failed to ensure that the qualified medication administration person (QMAP) supervisor, before initial assignment of the QMAP, conduct a competency assessment with direct observation tasks that the QMAP was assigned to perform, affecting three of five members (residents) (#1, #3, #5) whose medication were administered by QMAPs.Findings include:On 3/25/26 from approximately 8:00 a.m. to 5:00 p.m., Staff #2 was observed providing medication administration to residents.A review of the personnel file for Staff #2 revealed no documentation that the residence' s QMAP supervisor completed a competency assessment prior to the QMAP performing medication administration tasks.On 3/25/26 at 2:45 p.m., the .. Based on observations, record review and interviews, the facility (residence) failed to provide members (residents) with access to the kitchen at all times, affecting all current residents.Finding include:1. Observations:On 3/25/26 at 11:05 a.m., there were two side by side refrigerators in the kitchen. The white side by side refrigerator had a lock on the outside of the refrigerator. The lock was unlocked. The silver side by side refrigerator also had a lock on the outside of the refrigerator. The lock was unlocked. The entrance to the kitchen had a white half swinging door that was attached to the wall. The door had a lock on it. The kitchen door was open.On 3/25/26 at 1:50 p.m., the white side by side refrigerator, Resident #2 ' s had her frozen meals stored in the freezer side. In the silver side by side refr.. THIS PORTION OF THE REPORT IS FOR INFORMATIONAL PURPOSES ONLY.No response is necessary. The service agency was advised it must review and maintain the following processes in accordance with existing program regulations found at 10 CCR 2505-10.8.7506.F.5.c. Alternative Care Facilities shall maintain a comfortable temperature throughout the Alternative Care Facility and Member rooms, sufficient to accommodate the use and needs of the Members, never to fall outside the range of 68 degrees to 76 degrees Fahrenheit.

A licensure complaint, prompted by #CO41939 and #CO41941, was completed on 3/25/26. Deficiencies were cited. Based on observation, record review and interview, the residence failed to conduct at least one safety check of all consenting residents between 10:00 p.m. and 6:00 a.m., affecting one of five current residents (#4).Findings include:Resident #4 was admitted to the residence on 10/11/25.On 3/25/26 at approximately 10:30 a.m., Resident #4 stated that, despite her request, the overnight staff did not complete a night check on her. She stated she required a continuous positive airway pressure (CPAP) machine at night, adding that she sometimes removed the CPAP during h.. Based on observation, record review and interview, the residence failed to obtain a check of the Colorado Adult Protective Services Data System (CAPS Check) for Staff #2, affecting five current residents.Findings include:On 3/25/26 from approximately 8:00 a.m. to 5:00 p.m., Staff #2 was observed providing care and services and providing medication administration to residents.A review of the personnel file for Staff #2 revealed no documentation that the residence requested a CAPS check prior to the staff providing care and services to five current residents.On 3/25/26 .. Based on observation, record review and interview, the residence failed to obtain a name-based criminal history report conducted by the Colorado Bureau of Investigation (CBI) before Staff #2' s hire date, affecting five current residents.Findings include:On 3/25/26 from approximately 8:00 a.m. to 5:00 p.m., Staff #2 was observed providing care and services and providing medication administration to residents.A review of the personnel file for Staff #2 revealed no documentation that the residence completed a CBI background check prior to the staff providing care an.. Based on observation, record review, and interview, the residence failed to ensure that the qualified medication administration person (QMAP) supervisor, before initial assignment of the QMAP, conduct a competency assessment with direct observation tasks that the QMAP was assigned to perform, affecting three of five residents (#1, #3, #5) whose medication were administered by QMAPs.Findings include:On 3/25/26 from approximately 8:00 a.m. to 5:00 p.m., Staff #2 was observed providing medication administration to residents.A review of the personnel file for Staff .. Based on observation, record review, and interview, the residence failed to have qualified medication administration personnel (QMAPs) sign a disclosure that they had not had their QMAP certification revoked in this or any other state, affecting three of five residents (#1, #3, #5), who were administered medication by the residence' s QMAPs.Findings include:On 3/25/26 throughout the onsite visit from approximately 8:00 a.m. to 5:00 p.m., Staff #2 was observed administering medication to residents, and maintained the keys to the medication room.The personnel file for Staff .. Based on record review and interview, the residence, either directly or indirectly through a resident agreement, failed to provide personal services sufficient to meet the needs of the residents, affective one of five current residents (#5).Findings include:1. Record ReviewResident #5 was admitted on 11/28/25, with diagnoses including diabetes mellitus, hypertension and hyperlipidemia.The residence' s house rules and responsibilities read in part, "Residents are required to take a bath or shower at least weekly, (but will be scheduled two times a week at a minimum) or as indic..

A recertification survey with complaint #CO41716 and #CO41723 was completed on 3/3/26. Deficiencies were cited. Based on interviews and record review, the facility (residence) failed to ensure each resident' s care plan promoted detailed, specific personal service needs and preferences along with the staff tasks necessary to meet those needs and identify formal, planned, and informal spontaneous engagement opportunities that match the resident' s personal choices and needs, affecting three of three sample members (residents) (#1-#3).Findings Include:1. Residence PolicyThe residence' s undated resident agreement, read that the residence, along with the resident and legal representative, family, and other health care providers, will develop and carry out a care plan that addresses the resident ' s physical, mental, and social well-being and functional abilities. It also reads that it will be reviewed after.. Based on interviews and record review, the facility (residence) failed to thoroughly investigate allegations of abuse or report allegations of abuse to the appropriate agencies in accordance with the residence' s written policy, affecting three out three sample members (residents) (#1-#3).Findings Include:1. Residence PolicyA residence' s undated Resident Abuse/Neglect policy, read, in part, that the residence will document the investigation. A report with the investigation findings will be available for review by the department not later than five working days of the allegation being lodged with a staff member of the residence. An incident report is completed and all findings are documented in the resident' s record.2. Resident #1 was admitted to the residence on 10/31/25. On 3/3/26 at approximately 11:00 a.. Based on observation and interviews, the facility (residence) failed to ensure that members (residents) were treated with dignity and respect, affecting two of three sample residents (#1, #2). Findings Include:1. Observation On 3/3/26 at approximately 8:00 a.m., during an environmental tour the residence had a posting titled "Resident' s Rights." The undated document read in part: "Residents had the right to be treated with dignity and respect."2. InterviewsOn 3/3/26 at approximately 8:30 a.m., the manager stated that the administrator had raised their voice at Resident #1 and Resident #2 on multiple occasions. She further stated that the administrator had engaged in confrontational discussions with residents in her presence and that residents were not consistently treated with dignity and respect. .. Based on observations and interviews, the facility (residence) failed to provide social and recreational engagement opportunities that take into consideration the individual interests and wishes of the members (residents), affecting five current residents.Findings Include:During the onsite investigation on 3/3/26 from 7:30 a.m. to 4:00 p.m., the following was observed: On 3/3/26, there were no activities offered by the residence, either scheduled or spontaneous.On 3/3/26, Staff #1 was observed sitting on the couch, engaging with her phone throughout the day. On 3/3/26 at approximately 11:00 a.m., Staff #1 stated that the residence had a schedule for activities; however, the activities were not offered or conducted. Staff #1 further stated that when family members visited, the family memb..

A relicensure survey with complaint #CO41722 and #C041713 was completed on 3/3/26. Deficiencies were cited. Based on interviews and record review, the residence failed to ensure each resident' s care plan promoted detailed, specific personal service needs and preferences along with the staff tasks necessary to meet those needs and identify formal, planned, and informal spontaneous engagement opportunities that match the resident' s personal choices and needs, affecting three of three sample residents (#1-#3). (Cross-reference U0540)Findings Include:1. Residenc.. Based on interviews and record review, the residence failed to thoroughly investigate allegations in accordance with the residence' s written policy, affecting three out three sample residents (#1-#3) (Cross-reference U1320)Findings Include:1. Residence PolicyA residence' s undated Resident Abuse/Neglect policy, read, in part, that the residence will document the investigation. A report with the investigation findings will be available for review by.. Based on observation, interviews, and record review, the administrator failed to manage the day-to-day delivery of services to ensure residents received the care that was described in their resident agreements, resident care plans and assessments, in addition to training and completing and maintaining all records required by the Department, affecting five current residents. Findings Include:1. Residence PoliciesA residence' s undated Resident Agreement, read, in part.. Based on observations and interviews, the residence failed to be responsible for organizing, conducting, and evaluating resident engagement, affecting five current residents. (Cross-reference U0540)Findings Include:During the onsite investigation on 3/3/26 from 7:30 a.m. to 4:00 p.m., the following was observed: On 3/3/26, there were no activities offered by the residence, either scheduled or spontaneous.On 3/3/26, Staff #1 was observed sitting on the .. Based on observations and interviews, the residence failed to ensure residents were treated with dignity and respect, affecting two of three sample residents (#1, #2). (Cross-reference U1410) Findings Include:1. Observation On 3/3/26 at approximately 8:00 a.m., during an environmental tour the residence had a posting titled "Resident' s Rights." The undated document read in part: "Residents had the right to be treated with dignity and respect."2. InterviewsOn 3/3.. Based on record review and interviews, the residence failed to ensure that each staff member received initial orientation and training for three of the three sample Staff (#1-#3), affecting five current residents. (Cross-reference U0540)Findings Include:1. Record ReviewReview of the Personnel files for Staff #1- #3 revealed they did not receive orientation and training, including infection control, emergency response policies and procedures, and reporting req.. 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 7.14.31 The administrator and the QMAP supervisor shall, on a quarterly basis, audit the accuracy and completeness of the medication administration records, controlled substance list, medi..