38
Inspections
29
Deficiencies
0
Actual Harm or Above
12
Occurrences
June 22, 2026
Last Inspection
S/S A/B/C Minimal potential

The most recent inspection of WANEKA PARK ASSISTED LIVING on record is dated June 22, 2026. Across 38 published inspections, state surveyors cited 29 deficiencies, none of which reached the actual-harm level.

Colorado publishes inspections on a rolling window, so older surveys may no longer appear. Citation codes 0000 and 9999 are the surveyor's opening and closing comments, not deficiencies, and are excluded from the counts above. Where the state required one, the facility's own plan of correction is shown beneath the finding it answers.

Provider Information

Status
Active
Facility Type
Assisted Living Residence/Alternative Care Facility (Medicaid)
Administrator
Kobilan, Lori
Owner
LAFAYETTE OPCO LLC
Phone
(303) 666-0691
Payor Source
Medicaid, Private Pay
City
LAFAYETTE
ZIP
80026

Inspections & Citations

38 inspections · 29 deficiencies
6/22/2026Revisit: Licensure Complaint · ID 4GBE13No deficiencies
0000Initial CommentsSurveyor note
Findings
A complaint revisit was completed on 6/23/26 for the previous deficiency cited on 2/17/26. The residence is in compliance with all regulations surveyed.
Plan of correction
The state did not require a plan of correction for this citation.
6/22/2026Revisit: Licensure Complaint · ID KS6H12No deficiencies
0000Initial CommentsSurveyor note
Findings
The state listed this citation without publishing narrative text.
Plan of correction
The state did not require a plan of correction for this citation.
6/22/2026Revisit: Licensure Complaint · ID 7RDJ12No deficiencies
0000Initial CommentsSurveyor note
Findings
A complaint revisit was completed on 6/23/26 for the previous deficiencies cited on 2/17/26. The residence is in compliance with all regulations surveyed.
Plan of correction
The state did not require a plan of correction for this citation.
2/17/2026Revisit: Licensure Complaint · ID 4GBE121 deficiency
0000Initial CommentsSurveyor note
Findings
A complaint revisit was completed on 2/17/26 for all previous deficiencies cited on 11/6/25. A deficiency was cited.
Plan of correction
The state did not require a plan of correction for this citation.
1568Med/Med Adm-Ordrs Cmpy w/OrdrsS/S A
Findings
Based on record review and interview, the residence failed to comply with the authorized practitioner's orders associated with medication administration, affecting one of three sample residents (#7). This deficiency was cited previously during a complaint survey on 11/6/25. Although the residence corrected the deficiency, based on the findings below, the residence has not maintained compliance with this regulatory requirement. Findings include:Resident #7 was admitted to the residence on 7/2/21 with diagnoses including osteoarthritis, chronic pain and restless leg syndrome. A written practitioner's order, dated 12/22/25, directed the residence to administer oxycodone 5 mg four times daily. However, the January 2026 medication administration record (MAR) for Resident #7 read the medication was unavailable and not administered on 1/14/26; 4:00 p.m. dose. On 2/17/26 at approximately 3:30 p.m., the health and wellness director acknowledged the oxycodone medication was out of stock and not administered on 1/14/26. On 2/17/26 at approximately 4:30 p.m., the administrator said she expected medications to be administered according to their practitioner's orders and not run out of stock. The administrator said the reason this deficiency was not corrected was because of ongoing issues with an outside service provider that provided this resident's medications.
Plan of correction · submitted by the facility
1568 – Plan of CorrectionCorrective Action:Resident #7’s medical record and EMAR were immediately reviewed by the Health and Wellness Director, and review of the resident’s pain medication was conducted to ensure availability on hand. A medication error variance was completed and resident #7’s practitioner was notified of the medication error. Identification of Others:All residents residing in the community are at risk for this alleged deficient practice. Health and Wellness Director/designee will conduct a full house pain medication audit to ensure all residents residing at the community have pain medications in stock. Systemic Changes:The facility has implemented the following system changes to ensure practitioners’ orders for medications are as follows:Health and Wellness Director will re-educate Med Techs on the facility medication administration policy to ensure medications are available prior to administration times,Timely reordering of medicationsUse of emergency medication when medications are unavailable through alternative pharmacyImmediate notification to the physician and pharmacy when ordered medications are not available. On March 3, 2026, the Administrator and Health & Wellness Director met with the resident’s provider to discuss the ongoing challenges getting medications delivered timely in hopes of improving their response time to refilling medications. Med Techs were educated on the requirement to document medication variances and to notify the Health and Wellness Director and/or Resident Care Coordinator immediately if medications are not available. The facility reinforced procedures with the pharmacy provider to ensure timely medication delivery and use of emergency medication supplies when needed. Med Techs and Resident Care Coordinator will verify that medications are reordered prior to depletion. Monitoring:The Health and Wellness Director, or designee will conduct a random weekly medication audit for 4 weeks, then monthly for 3 months of the following:Medication Administration Record (MAR) of medications not givenMedication variance reportsMedication reorderingResults of the audits will be reviewed in the Quality Assurance and Performance Improvement (QAPI) Committee meetings. Additional education or corrective actions will be implemented if concerns are identified. ADDEMDUM: Health and Wellness Director will audit 100% of the residents that have this provider as their Primary Care Physician, which uses this third party pharmacy for medications. The total number of residents that are seen by this provider is 6.7% of the total census population.
2/17/2026Licensure Complaint · ID 7RDJ112 deficiencies
0000Initial CommentsSurveyor note
Findings
A licensure complaint, prompted by #CO41482, was completed on 2/17/26. Deficiencies were cited.
Plan of correction
The state did not require a plan of correction for this citation.
0204Issuance-ConditionsS/S B
Findings
Based on interviews and record review, the residence failed to comply with conditions imposed by the department on the license, affecting 66 current residents. Findings include:The department completed a complaint survey on 7/23/25. The residence failed to ensure residents were treated with dignity and respect and was cited tag T1322 at a C level for harm. The department determined the residence violated statutory and regulatory requirements necessitating that the department impose an intermediate condition on 8/13/25. The residence was required to pay a civil fine of $500 by 9/12/25. The residence did not appeal the intermediate condition. Review of the department database revealed the residence had not yet paid the civil fine as of 2/17/26. A department representative confirmed that the residence had not paid the civil fine as of 2/12/26. On 2/17/26 at 4:20 p.m., the administrator stated she was aware of the fine issued in July 2025 but she was unaware that the residence failed to pay the fine by the due date.
Plan of correction · submitted by the facility
The deficient practice that was cited for a resident that is no longer at the residence. The staff member that conducted the deficient practice is no longer at the residence. The Executive Director will conduct resident rights training for all staff members to ensure understanding and compliance of residents rights on March 19, 2026. .This training will be conducted with all new hired employees, as well as on an annual basis for all staff members. The executive director will review Resident rights with residents at the town hall meeting March 19, 20206, to ensure residents understand their rights and the procedure to follow if they feel their rights have been violated in the residence by staff members or peers. Resident rights will be reviewed with all residents upon admission to the residence. Monitoring will occur weekly by the Executive Director and the Health and Wellness Director. Monitoring will be documented via spreadsheet and will be monitored for a minimum of 90 days. Any issues identified will constitute continued monitoring for an additional 90 days. The ongoing monitoring and the results of the monitoring will be discussed in the monthly QAPI meetings to identify any variances. Addendum:Fine was Paid in Full*Paid the fine on February 20, 2026*ED was re-educated by Director of Operations on monitoring, tracking and paying fines timely. Implementation of Others:No other outstanding invoices pendingSystematic Changes:Monitor and Track Invoices to ensure any future fines are paid in a timely mannerThe community has implemented the following systems:* Regulatory Tracking Log: A centralized log has been created to track: All deficiencies, associated fines/penalties, due dates, and payment status. Designated Responsible Party: The Executive Director (ED) is responsible for oversight of all regulatory compliance items, including fines. Calendar Alerts & Deadlines: All regulatory due dates are entered into an electronic calendar with alerts set at: 5 days prior, 3 days prior, and day of deadlineMonitoring:To ensure ongoing compliance:Monthly audit of the Regulatory Tracking log by the EDAudit results will be reviewed in QAPI meetings monthly. Any discrepancies identified will result in immediate corrective action. Date of Compliance February 28, 2026
1410Res Rts-Inv Ab/Neg Alleg or Inj Unk Org A/NS/S A
Findings
Based on interviews and records, the residence failed to investigate, report and document allegations of abuse, affecting two of four sample residents (#15 and #19). Findings include:1. ReferencesChapter 7 regulations governing assisted living residences, section 13.11 (C) (D) (E) (F) (G) reads in part, the assisted living residence shall investigate all allegations of abuse of residents in accordance with Part 5.3 and its written policy which shall include, but not be limited to, the following: The process for investigating such allegations; How the assisted living residence will document the investigation process to evidence the required reporting and that a thorough investigation was conducted; A requirement that the resident shall be protected from potential future abuse while the investigation is being conducted; A requirement that if the alleged neglect or abuse is verified, the assisted living residence shall take appropriate corrective action; and A requirement that a copy of the report with the investigation findings shall be retained by the facility and available for Department review. 2. PolicyReview of the residents ' most recent abuse, neglect and exploitation prevention policy, dated 1/26/18, defines abuse as the willful infliction of injury, intimidation or punishment resulting in physical harm or mental anguish. Further the policy defines verbal abuse in part as threats of harm and physical abuse includes hitting, slapping, pinching and/or kicking. Further, review of the residents ' abuse, neglect and exploitation prevention policy and procedures read in part, should an incident or suspected incident of resident abuse, mistreatment, neglect or injury be reported, the Administrator, or his/her designee, will appoint a member of management to investigate the alleged incident. The facility's investigation will be documented on the required stated investigation form and the Administrator will provide the facility's completed documentation, including witness statements and other supporting documents to the state survey and certification agency within five working days of the reported incident. 3. Records ReviewsResident #15 was admitted to the residence on 10/22/24 with diagnoses including Alzheimer ' s disease. Resident #19 was admitted to the residence on 7/29/25 with diagnoses including rheumatoid arthritis and osteoarthritis. Progress notes for Resident #15 and Resident #19, dated January 1, 2025 through February 17, 2026, were reviewed. These records revealed no documentation indicating that a threat of physical harm made by Resident #15 toward Resident #19 had been reported. Additionally, there was no incident report or further documentation to substantiate that an investigation into the abuse had been initiated or conducted by the Administrator or other staff members. An incident note dated 11/23/25 was provided by the administrator, written by former Staff #1, which read on part, Resident #15 called Resident #19 names in front of everyone in the dining room over a remote she believed Resident #19 stole from her. On 2/19/26 at approximately 3:30 p.m., all investigation reports related to the conflicts between Residents #15 and #19 were requested from the Administrator. The only record the Administrator provided was a progress note, dated 11/23/25, found in Resident #15 chart, documenting the incident when Resident #15 called Resident #19 names in front of everyone in the dining room for allegedly stealing Resident #15 remote control. No further evidence of investigation was provided. 4. InterviewsAn interview was conducted with Resident #19 at approximately 11:15 a.m. Resident #19 reported that since her former roommate, Resident #15, moved into the shared apartment in November 2025, Resident #15 had engaged in verbal altercations, including yelling and calling her derogatory names, related to disputes over the shared living space. Resident #19 further reported that in January 2026, Resident #15 threatened to inflict bodily harm upon her. According to Resident #19, she reported the threat to multiple staff members, including Staff #12. Resident #19 stated that Staff #12 advised her that the matter would be reported to the Administrator. Additionally, Resident #19 reported that she feared for her safety due to Resident #15 ' s behavior and, as a result, hid a kitchen knife to prevent Resident #15 from having access to it. An interview was conducted with Resident #15 at approximately 2:00 p.m. Resident #15 acknowledged that conflicts had occurred with her prior roommate, Resident #19. Resident #15 admitted to calling Resident #19 derogatory names and stated that she threatened to inflict bodily harm on Resident #19 if Resident #19 continued to report concerns about her to the Administrator. At approximately 4:15 p.m., an interview was conducted with Staff #12. Staff #12 confirmed that Resident #19 reported to her that Resident #15 had made a threat of physical harm and was frightened. Staff #12 further stated that she notified the Administrator of the reported incident via email or group text messageAt approximately 4:30 p.m., an interview was conducted with the Administrator. The Administrator stated she was aware of ongoing interpersonal conflicts between Resident #15 and Resident #19, and separated them when another private room became available; however, she reported that she had not been informed of any allegation that Resident #15 had threatened to inflict physical harm on Resident #19, so no investigation was initiated. Further, the Administrator stated it is her expectation that staff immediately notify her upon becoming aware of any alleged threat involving a resident and that such incidents be documented in the resident ' s progress notes in accordance with facility policy. Additionally, the Administrator acknowledged that a threat of physical harm constitutes alleged resident abuse and is required to be reported to the Administrator for appropriate investigation and follow-up.
Plan of correction · submitted by the facility
1410 - Plan of Correction:Corrective Action:Resident #15 and Resident #19 are no longer roommates. Resident #15 and Resident #19 were assessed by the Health and Wellness Director to evaluate any physical or psychological harm. Both residents were interviewed regarding the allegations. Implementation of Others:All residents residing in the community are at risk for this alleged deficient practice. A full house audit was conducted on March 5, 2026, to ensure no other residents residing at the facility are experiencing allegations of abusive behavior by other residents. Systemic Changes:Executive Director will be re-educated by the Director of Operations on the company’s abuse policy on or before March. The facility re-educated all staff on the abuse prevention policy, with emphasis on the requirement that resident-to-resident verbal or physical altercation must be immediately reported, investigated, and documented. The facility also implemented the following process improvement:A standardized abuse investigation checklist to ensure consistent investigation and documentation. Leadership review of all resident-to-resident altercations to determine if the incident meets criteria for abuse reporting. Reinforcement of behavior monitoring and individualized care planning for residents with known behavioral risks. Monitoring:The Administrator or designee will conduct a weekly audit times 4 weeks, then monthly for 3 months of incident and accident reports, allegations of abuse, resident-to-resident documentation, and investigation and reporting timelines. The audit will verify that all resident-to-resident incidents are immediately reported, investigations are completed timely, documentation is complete, and reported to CDPHE timely. Results of the audit will be reviewed during the facility’s Quality Assurance and Performance Improvement (QAPI) Committee monthly. Additional corrective action and education will be implemented if concerns are identified.
2/17/2026Revisit: Licensure Complaint · ID 9TQR12No deficiencies
0000Initial CommentsSurveyor note
Findings
A complaint revisit was completed on 2/17/26 for all previous deficiencies 11/6/25. The facility is in compliance with all regulations surveyed.
Plan of correction
The state did not require a plan of correction for this citation.
2/17/2026Revisit: Licensure Complaint · ID HO3O12No deficiencies
0000Initial CommentsSurveyor note
Findings
A complaint revisit was completed on 2/17/26 for all previous deficiencies cited on 11/18/25. The residence is in compliance with all regulations surveyed.
Plan of correction
The state did not require a plan of correction for this citation.
2/17/2026Revisit: Licensure Complaint · ID JMLV12No deficiencies
0000Initial CommentsSurveyor note
Findings
A complaint revisit was completed on 2/17/26 for the previous deficiency cited on 11/18/25. The facility is in compliance with all regulations surveyed.
Plan of correction
The state did not require a plan of correction for this citation.
2/17/2026Licensure Complaint · ID KS6H111 deficiency
0000Initial CommentsSurveyor note
Findings
A certification complaint, prompted by #CO41483, was completed on 2/17/26. A deficiency was cited.
Plan of correction
The state did not require a plan of correction for this citation.
0796PA Req-P/P-MANE
Findings
Based on interviews and records, the facility (residence) failed to investigate, report and document allegations of abuse, affecting two of four sample members (residents) (#15 and #19)Findings include:1. ReferencesChapter 7 regulations governing assisted living residences, section 13.11 (C) (D) (E) (F) (G) reads in part, the assisted living residence shall investigate all allegations of abuse of residents in accordance with Part 5.3 and its written policy which shall include, but not be limited to, the following: The process for investigating such allegations; How the assisted living residence will document the investigation process to evidence the required reporting and that a thorough investigation was conducted; A requirement that the resident shall be protected from potential future abuse while the investigation is being conducted; A requirement that if the alleged neglect or abuse is verified, the assisted living residence shall take appropriate corrective action; and A requirement that a copy of the report with the investigation findings shall be retained by the facility and available for Department review. 2. PolicyReview of the residents ' most recent abuse, neglect and exploitation prevention policy, dated 1/26/18, defines abuse as the willful infliction of injury, intimidation or punishment resulting in physical harm or mental anguish. Further the policy defines verbal abuse in part as threats of harm and physical abuse includes hitting, slapping, pinching and/or kicking. Further, review of the residents ' abuse, neglect and exploitation prevention policy and procedures read in part, should an incident or suspected incident of resident abuse, mistreatment, neglect or injury be reported, the Administrator, or his/her designee, will appoint a member of management to investigate the alleged incident. The facility's investigation will be documented on the required stated investigation form and the Administrator will provide the facility's completed documentation, including witness statements and other supporting documents to the state survey and certification agency within five working days of the reported incident. 3. Records ReviewsResident #15 was admitted to the residence on 10/22/24 with diagnoses including Alzheimer ' s disease. Resident #19 was admitted to the residence on 7/29/25 with diagnoses including rheumatoid arthritis and osteoarthritis. Progress notes for Resident #15 and Resident #19, dated January 1, 2025 through February 17, 2026, were reviewed. These records revealed no documentation indicating that a threat of physical harm made by Resident #15 toward Resident #19 had been reported. Additionally, there was no incident report or further documentation to substantiate that an investigation into the abuse had been initiated or conducted by the Administrator or other staff members. An incident note dated 11/23/25 was provided by the administrator, written by former Staff #1, which read on part, Resident #15 called Resident #19 names in front of everyone in the dining room over a remote she believed Resident #19 stole from her. On 2/19/26 at approximately 3:30 p.m., all investigation reports related to the conflicts between Residents #15 and #19 were requested from the Administrator. The only record the Administrator provided was a progress note, dated 11/23/25, found in Resident #15 chart, documenting the incident when Resident #15 called Resident #19 names in front of everyone in the dining room for allegedly stealing Resident #15 remote control. No further evidence of investigation was provided. 4. InterviewsAn interview was conducted with Resident #19 at approximately 11:15 a.m. Resident #19 reported that since her former roommate, Resident #15, moved into the shared apartment in November 2025, Resident #15 had engaged in verbal altercations, including yelling and calling her derogatory names, related to disputes over the shared living space. Resident #19 further reported that in January 2026, Resident #15 threatened to inflict bodily harm upon her. According to Resident #19, she reported the threat to multiple staff members, including Staff #12. Resident #19 stated that Staff #12 advised her that the matter would be reported to the Administrator. Additionally, Resident #19 reported that she feared for her safety due to Resident #15 ' s behavior and, as a result, hid a kitchen knife to prevent Resident #15 from having access to it. An interview was conducted with Resident #15 at approximately 2:00 p.m. Resident #15 acknowledged that conflicts had occurred with her prior roommate, Resident #19. Resident #15 admitted to calling Resident #19 derogatory names and stated that she threatened to inflict bodily harm on Resident #19 if Resident #19 continued to report concerns about her to the Administrator. At approximately 4:15 p.m., an interview was conducted with Staff #12. Staff #12 confirmed that Resident #19 reported to her that Resident #15 had made a threat of physical harm and was frightened. Staff #12 further stated that she notified the Administrator of the reported incident via email or group text messageAt approximately 4:30 p.m., an interview was conducted with the Administrator. The Administrator stated she was aware of ongoing interpersonal conflicts between Resident #15 and Resident #19, and separated them when another private room became available; however, she reported that she had not been informed of any allegation that Resident #15 had threatened to inflict physical harm on Resident #19, so no investigation was initiated. Further, the Administrator stated it is her expectation that staff immediately notify her upon becoming aware of any alleged threat involving a resident and that such incidents be documented in the resident ' s progress notes in accordance with facility policy. Additionally, the Administrator acknowledged that a threat of physical harm constitutes alleged resident abuse and is required to be reported to the Administrator for appropriate investigation and follow-up.
Plan of correction · submitted by the facility
0796 - Plan of Correction:Corrective Action:Resident #15 and Resident #19 are no longer roommates. Resident #15 and Resident #19 were assessed by the Health and Wellness Director to evaluate any physical or psychological harm. Both residents were interviewed regarding the allegations. Implementation of Others:All residents residing in the community are at risk for this alleged deficient practice. A full house audit was conducted on March 5, 2026, to ensure no other residents residing at the facility are experiencing allegations of abusive behavior by other residents. Systemic Changes:Executive Director will be re-educated by the Director of Operations on the company’s abuse policy on or before March. The facility re-educated all staff on the abuse prevention policy, with emphasis on the requirement that resident-to-resident altercations must be immediately reported, investigated, and documented. The facility also implemented the following process improvement:A standardized abuse investigation checklist to ensure consistent investigation and documentation. Leadership review of all resident-to-resident altercations to determine if the incident meets criteria for abuse reporting. Reinforcement of behavior monitoring and individualized care planning for residents with known behavioral risks. Monitoring:The Administrator or designee will conduct a weekly audit times 4 weeks, then monthly for 3 months of incident and accident reports, allegations of abuse, resident-to-resident documentation, and investigation and reporting timelines. The audit will verify that all resident-to-resident incidents are immediately reported, investigations are completed timely, documentation is complete, and reported to CDPHE timely. Results of the audit will be reviewed during the facility’s Quality Assurance and Performance Improvement (QAPI) Committee monthly. Additional corrective action and education will be implemented if concerns are identified.
11/17/2025Licensure Complaint · ID JMLV111 deficiency
0000Initial CommentsSurveyor note
Findings
A certification complaint, prompted by #CO41105, was completed on 11/18/25. A deficiency was cited.
Plan of correction
The state did not require a plan of correction for this citation.
1770Ben/Svc Req-ACF-PA-PCSP
Findings
Based on interview and record review, the facility (residence) failed to ensure that each resident care plan reflected the member (resident) goals, choices, preferences, and needs and incorporation of these elements into the supports and services described in the Person-Centered Support Plan, affecting one former resident (#18). Findings include:1. Former Resident #18 was admitted to the residence on 12/6/24 with a diagnosis of parkinsonism, abnormalities of gait and mobility. The care plan for Former Resident #18, dated 10/1/24, read she required two person assistance with transferring. 2. InterviewsOn 11/17/25 at 10:44 a.m., Staff #11 stated Former Resident #18 was in the hospital following a fall. Staff #11 said Former Resident #18 was a fall risk and fell often. She added Staff #7 lifted up Former Resident #18 by herself. On 11/17/25 at 1:37 p.m., Staff #6 stated Staff #11 called for help and said Former Resident #18 fell on the floor. Staff #6 said she had not used the sit to stand lift with Former Resident #18's for transfers. On 11/17/25 at 2:14 p.m., Resident #18 ' s family member said Former Resident #18 did not require two staff members to transfer her, as he was told by the administrator that the residence did not provide two person transfer assistance and that is why he bought the sit to stand mechanical lift so that one staff member could use the lift to transfer Former Resident #18. On 11/18/25 at 2:23 p.m., the administrator stated staff were required to read and follow resident care plans. She added care plans should be updated any time there was a change in a residents' condition. The administrator stated Former Resident #18 was a two person assist and was not aware staff were transferring Resident #18 with only one person. She added she encouraged Former Resident #18's family member to purchase a sit to stand mechanical lift. The administrator said she was not aware that staff were not using the sit to stand mechanical lift, as required.
Plan of correction · submitted by the facility
1770– Corrective Action:Resident #18 – no longer resides at the facilityIdentification of Others:Full house service plan audit was completed. No other residents were identified. Systemic Changes:H& W Director will ensure residents’ transfer service plans are accurate. H& W will validate the need for mechanical lifts with all residents requiring to be transferred using a mechanical lift. Monitoring:H&W Director will review with QA any identified trends/concerns over the next 3 months. H&W Director is responsible for any follow-up recommendations made in QA.HWD & RCC will monitor staff completing a 2 person transfer to ensure staff are completing the transfer correctly, safely, and according to training they received. HWD & RCC will complete spot checks weekly on the 2 person transfers. The monitoring of the task will be documented on spreadsheet.
9999Final ObservationsSurveyor note
Findings
THIS PORTION OF THE REPORT IS FOR INFORMATIONAL PURPOSES ONLY. No response is necessary. The facility was advised it must review and maintain the following processes in accordance with existing program regulations found at 10 CCR 2505-10, Chapter 8.7000. 8.7411. A Incident reportingProvider Agencies shall complete the timely reporting, recording, and reviewing of incidents which shall include, but not be limited to: 2. Hospitalization of Member receiving services; 3. Medical emergencies, above and beyond first aid, involving Member receiving services; 5. Injury to Member or illness of Member.
Plan of correction
The state did not require a plan of correction for this citation.
11/17/2025Licensure Complaint · ID HO3O115 deficiencies
0000Initial CommentsSurveyor note
Findings
A licensure complaint, prompted by #CO41106, was completed on 11/18/25. Deficiencies were cited.
Plan of correction
The state did not require a plan of correction for this citation.
0540Admin-Dts RespS/S B
Findings
Based on interview 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 and resident care plans, in addition to training and completing and maintaining all records required by the Department, affecting 66 current residents. (Cross-reference U647, U1130, U1150, U1194)Findings include:1. Residence PolicyThe residence's undated Resident Agreement, read, in part, "All personal care services provided by us to you in accordance with your resident care plan are covered by your personal care fee ... Your resident care plan is a written document that includes a description of your functional physical and mental capabilities, your needs for personal assistance from community staff members, the services that you expect to receive from external providers and the personal care services that we will provide directly to you ... In the event any resident assessment indicates a change in your condition or care needs, your resident care plan will be revised accordingly ... By signing this residency agreement, you consent to receive the personal care services provided by us in accordance with your resident care plan."On 11/18/25 at approximately 2:30 p.m., the administrator said she expected residents to receive the care that is described in the resident agreements they sign. 2. On 11/17 and 11/18/25, interviews and record reviews revealed as follows:a. Staff Orientation and TrainingOn 11/17 and 11/18/25 it was found that Staff #9 and #10 had not received training relevant to their specific duties and responsibilities prior to that staff member working independently. Specifically Staff #9 and #10 had not completed training related to fall prevention, ways to monitor residents for signs of heightened fall potential and how to safely provide lift assistance. On 11/18/25 at approximately 2:30 p.m., the administrator said she expected the director of clinical services to ensure newly hired staff received orientation and training, as required.b. Practitioner AssessmentsThe residence failed to notify a Resident #7 and #16's practitioner after Resident #16 had an unwitnessed fall and had skin tears on 11/6/25 and after Resident #7 fell on 11/8/25. On 11/18/25 at approximately 2:45 p.m., the administrator acknowledged the practitioners were not notified for Resident #7 and #16 after they sustained injuries and accidents. She added she had no one had reviewed progress notes for either residents as there was no nurse in the building and she had not reviewed the progress notes, as required.c. Care PlansThe care plan for Former Resident #18 revealed she required two person transfer assistance. However, staff were not transferring her according to what she required. Additionally, staff were not using the mechanical lift Resident #16's family member brought in for easier and safer transfers. On 11/18/25 at approximately 2:30 p.m., the administrator acknowledged the director of clinical services was responsible for ensuring resident care plans were updated.d. Progress NotesFormer Resident #18 fell on 11/8/25 and there was no progress note in Former Resident #18's record. On 11/18/25 at approximately 2:30 p.m., the administrator said she expected staff to document in progress notes or an incident report after a resident fell. The administrator added the residence had no nurse in the building at the beginning of November 2025 and the administrator had not reviewed resident progress notes during that time.
Plan of correction · submitted by the facility
540 – Administrator Corrective Action:VP (vice president) of Operations will re-educate Administrator on day-to-day responsibilities and oversight duties of an administrator such as staff competency training, service plans, progress notes and practitioner assessments. The Administrator ensured that staff who had incomplete training or missing competencies had competencies done. Identification of Others:All residents are at-risk for this alleged deficient practice. All residents’ current care needs were reviewed to ensure adequate staffing coverage by fully competent personnel is in place. Systemic Changes:Ongoing monitoring by the VP of Operations will be done to ensure proper oversight duties of the administrator are being done. Administrator hired a Resident Care Coordinator to oversee progress note reviews, needed assessments, and service plans. Administrator will meet with clinical team every weekday to review these areas and address any areas of concerns. Monitoring:ED (executive director) will review with QA any identified trends/concerns over the next 3 months. ED is responsible for any follow-up recommendations made in QA.This task will be monitored in the form of a spreadsheet.
0647Prsnl-Stf/Vol Ornt/Trng SpcfcS/S B
Findings
Based on observation, record review, and interview, the residence failed to ensure that each staff member received training related to fall management and fall prevention for two sample staff (#9, #10) affecting 66 current residents. (Cross-reference U540)Findings include:On 11/17/25, during the on-site visit from approximately 10:00 a.m. to 4:30 p.m., Staff #9 and Staff #10 were observed providing care and services to residents. On 11/17/25, review of personnel files for Staff #9 and Staff #10 revealed hire dates of 8/18/2025 and 9/29/25, respectively. Neither personnel file revealed any training on recognizing fall management and fall prevention training, as required prior to working independently. On 11/17/25, at 12:05 p.m., Staff #10 stated she never received training on fall management and fall prevention from the residence. Staff #10 added the residence management told her she would be receiving competency training on fall management and fall prevention, but did not know definitively when. On 11/17/25, at 1:14 p.m., Staff #9 stated the residence never provided fall management and fall prevention training since the date of hire. Staff #9 added understanding of fall management and fall prevention was provided by previous employment. On 11/17/25, at approximately 2:30 p.m., the administrator stated documentation of fall management and prevention training for Staff #9 and Staff #10 could not be provided to the survey team due to a technological error. On 11/18/25, at approximately 2:45 p.m., the administrator acknowledged fall management and fall prevention training for Staff #9 and Staff #10 was not provided to the onsite investigation on 11/17-11/18/2025. The administrator stated there was an issue entering new hire employee competencies for Staff #9 and Staff #10 in the training software, resulting in Staff #9 and Staff #10 missing training classes. The administrator further acknowledged that failure to ensure that each staff member received training related to fall management and prevention prior to that staff member working independently was non-compliant.
Plan of correction · submitted by the facility
U647 – PERSONNEL Corrective Action:Staff #9 and Staff #10 received competency training on fall prevention and management. Identification of Others:All staff are at risk of this alleged deficient practice. Staff members found to have incomplete or outdated competencies and were provided with a competency review that was validated by H&W Director. Systemic Changes:H&W Director will ensure all new hires and annual competency reviews are conducted. Fall Prevention class was conducted by Alliant Risk Management Providers with all caregivers and QMAP’s (qualified medication administration person). Monitoring:HR Director will review staff records weekly to ensure new hires and annual competencies are current. Any staff identified to out of compliance will be reported to H&W Director and ED to address. H&W Director will review with QA any identified trends/concerns over the next 3 months. H&W Director is responsible for any follow-up recommendations made in QA.The monitoring of this task will be documented using a spreadsheet.
1130Res Care Srvs-Pract AsmntS/S B
Findings
Based on record review and interview, the residence failed to contact a resident's primary practitioner when the resident sustains an injury or accident, affecting two of three sample residents (#7, #16). (Cross-reference U540)Findings include:1. Resident #16 was admitted to the residence on 10/31/25. A late entry progress note, dated 11/8/25, read in part, Resident #16 experienced an unwitnessed fall resulting in a skin tear to the right forearm on 11/6/25. The progress note did not indicate that a practitioner ' s assessment had been completed, nor did it indicate Resident #16 ' s primary practitioner had been notified of the fall and injury. A progress note, dated 11/10/25, read in part, Resident #16 ' s arm appeared "infected." The progress note goes on to read the administrator had been contacted, but did not indicate Resident #16 received a practitioner assessment, or that a primary practitioner had been contacted. On 11/18/25, at 8:45 a.m., Resident #16 ' s primary practitioner stated the residence staff did not notify her of Resident #16 ' s unwitnessed fall resulting in injury on 11/6/25. The practitioner went on to state she was only notified of the fall and injury by Resident #16 ' s daughter on 11/10/25. On 11/18/25, at approximately 2:44 p.m., the administrator stated she was notified of Resident #16 ' s unwitnessed fall and injury by residence staff on 11/7/25, and informed by residence staff on 11/10/25 that Resident #16 ' s skin tear to the right forearm appeared infected. The administrator went on to state the staff member who found Resident #16 post fall on 11/6/25 did not notify her, nor did the staff member contact Resident #16 ' s family and primary practitioner. The administrator also stated there was no follow up intervention for Resident #16 ' s skin tear to the right forearm because she did not read progress notes and did not have a nurse assisting her at the time. The administrator acknowledged the residence ' s failure to contact Resident #16 ' s primary practitioner post fall and injury was non-compliant with Chapter 7, 12.5. Similar deficient practice was identified for Resident #7.
Plan of correction · submitted by the facility
U1130 – Corrective Actions:Resident #16 – RN (registered nurse) assessed skin tear and put monitoring interventions in place. Skin tear is now resolved. Resident #7 – RN assessed and put monitoring interventions in place. No further issues resulted from this incident. Identification of Others: All residents are at risk of this alleged deficient practice. A fall audit was conducted, and no other residents were identified to not having practitioner notified or monitoring in place. Systemic Changes:Incident reports will be reviewed every weekday by clinical team to ensure all components have been done, including investigation and contact of practitioner. New H&W Director will be educated on how to do complete incident reportsH&W will ensure QMAPS are trained on how to complete incident reports. Monitoring:H&W Director will conduct a random incident audit weekly times 90 days to ensure all incidents were properly addressed. H&W Director will review with QA any identified trends/concerns over the next 3 months. H&W Director is responsible for any follow-up recommendations made in QA.This task will be audited weekly - 1 incident per week. The monitoring will be documented on a spreadsheet.
1150Res Care Srvs-Res CPS/S A
Findings
Based on interview and record review, the residence failed to reflect detailed personal service needs and the staff tasks necessary to meet those needs in the care plan affecting one former resident (#18) (Cross reference U1194). Findings include:1. Former Resident #18 was admitted to the residence on 12/6/24 with a diagnosis of parkinsonism, abnormalities of gait and mobility. The care plan for Former Resident #18, dated 10/1/24, read she required two person assistance with transferring. 2. InterviewsOn 11/17/25 at 10:44 a.m., Staff #11 stated Former Resident #18 was in the hospital following a fall. Staff #11 said Former Resident #18 was a fall risk and fell often. She added Staff #7 lifted up Former Resident #18 by herself. On 11/17/25 at 1:37 p.m., Staff #6 stated Staff #11 called for help and said Former Resident #18 fell on the floor. Staff #6 said she had not used the sit to stand lift with Former Resident #18's for transfers. On 11/17/25 at 2:14 p.m., Resident #18 ' s family member said Former Resident #18 did not require two staff members to transfer her, as he was told by the administrator that the residence did not provide two person transfer assistance and that is why he bought the sit to stand mechanical lift so that one staff member could use the lift to transfer Former Resident #18. On 11/18/25 at 2:23 p.m., the administrator stated staff were required to read and follow resident care plans. She added care plans should be updated any time there was a change in a residents' condition. The administrator stated Former Resident #18 was a two person assist and was not aware staff were transferring Resident #18 with only one person. She added she encouraged Former Resident #18's family member to purchase a sit to stand mechanical lift. The administrator said she was not aware that staff were not using the sit to stand mechanical lift, as required.
Plan of correction · submitted by the facility
U1150 – Corrective Action:Resident #18 – no longer resides at the facilityIdentification of Others:Full house service plan audit was completed. No other residents were identified. Systemic Changes:H& W Director will ensure residents’ transfer service plans are accurate. H& W will validate the need for mechanical lifts with all residents requiring to be transferred using a mechanical lift. Monitoring:H&W Director will review with QA any identified trends/concerns over the next 3 months. H&W Director is responsible for any follow-up recommendations made in QA.The HWD and the RCC will monitor staff during a 2 -person transfer to ensure this is being completed, safety and accurately. Spot checks will be done as well. The monitoring for this task will be documented by using a spreadsheet.
2230HIR-Cntnt IncldS/S A
Findings
Based on record review and interview, the residence failed to document any out of the ordinary event or issue that affected a resident's physical, behavioral, cognitive and functional condition, along with the action taken by staff to address that residents changing needs, affecting one former resident (#18). (Cross-reference U540, U1130)Findings include:Former Resident #18 was admitted to the residence on 12/6/24 with diagnoses including parkinsonism, abnormalities of gait and mobility and repeated falls. An investigation written by Staff #12, dated 11/10/25 read, in part, "(Former Resident #18) had a fall earlier in the day and a caregiver had helped her up and hurt her hand while doing so."An external text communication between Staff #12 and the administrator on 11/10/25 read that Staff #12 informed the administrator that Former Resident #12 had fallen earlier in the day and was helped up by Staff #6 but there was no progress note in Former Resident #18's record. The external text communication read that the administrator responded "Ok. Thanks for letting me know ...No one told me she fell yesterday. She had a fall on Friday I believe."There was no progress note in Former Resident #18's record that she had fallen on 11/8/25. On 11/17/25 at 1:37 a.m., Staff #6 said on 11/8/25 Staff #11 had called her and asked for help because Former Resident #18 was on the floor. Staff #6 said Staff #11 said Former Resident #18 lost her balance and fell while Staff #11 assisted her up and out of bed. On 11/17/25 at 2:10 p.m., Staff #11 said on 11/8/25 Former Resident #18 lost her balance and fell on her butt as she assisted her out of bed. On 11/17/25 at approximately 2:30 p.m., , contrary to the external text communication between her and Staff #12, the administrator said she was not aware Former Resident #18 fell on 11/8/25. On 11/18/25 at approximately 2:30 p.m., the administrator said she expected progress notes to be written after a resident sustains a fall or slips and required assistance getting up. The administrator said Former Resident #18 said she fell on Thursday 11/26/25 and acknowledged there was no progress note written for the fall on 11/6/25, as required.
Plan of correction · submitted by the facility
U1150 – Corrective Action:Resident #18 – no longer resides at the facilityIdentification of Others:Full house service plan audit was completed. No other residents were identified. Systemic Changes:H& W Director will ensure residents’ transfer service plans are accurate. H& W will validate the need for mechanical lifts with all residents requiring to be transferred using a mechanical lift. Monitoring:H&W Director will review with QA any identified trends/concerns over the next 3 months. H&W Director is responsible for any follow-up recommendations made in QA.HWD will follow up on every fall to ensure staff is documenting the fall, completing, an incident report, notifying the HWD, RCC, and the ED, POA, and provider. This task will be documented on a spreadsheet.
11/5/2025Licensure Complaint · ID 9TQR114 deficiencies
0000Initial CommentsSurveyor note
Findings
A recertification survey with complaint #CO40931, #CO41086 and #CO41092 was completed on 11/6/25. Deficiencies were cited
Plan of correction
The state did not require a plan of correction for this citation.
0150Ind Rts-Adtl Crit-Prov Own/Ctrl-Res-Roommate
Findings
Based on interview and record review, the facility (residence) failed to have all the qualities and protect all individual rights and choice in a roommate and the provider must have a process in place to document expectations and outline the process to accommodate choice, affecting one sample resident (member) (#15). Findings include:Resident #15 was admitted to the residence on 10/22/24. A signed resident agreement for Resident #15, dated 10/19/24, read she was in her own apartment and did not have a roommate assigned. A progress note in Resident #15's record, dated 10/24/25 read she had just moved into a shared apartment and was unhappy with having a roommate. On 11/5/25 at 11:15 a.m., Resident #15 said she had recently moved from her own apartment into an apartment with a roommate. She added she was given no choice of a roommate and was just notified she had to move out of her own apartment with a roommate. On 11/6/25 at 8:06 a.m., the administrator said the reason Resident #15 moved in with a roommate for financial reasons. She added she had not provided Resident #15 with the choice to move or have a roommate because it was the only room that was available. The administrator said she had no process in place to document expectations or choice in roommate. The administrator said she was not aware a new resident agreement was required to be signed when a resident changed rooms or had a change in income.
Plan of correction · submitted by the facility
0150 – Resident ChoiceCorrective Action:Resident #15: ED (executive director) was re-educated by the Director of Clinical Services on the Room Move Policy. Identification of Others:All residents residing in the community could be at-risk for this alleged deficient practice. Systemic Changes:Room Move Policy was reviewed with the facility department heads by the Director of Clinical Services. The ED/designee will follow the room move policy whenever there is a resident requiring a room move. Residents who have had a room move will be monitored every shift for maladjustment for at least the first 72 hours. Monitoring:ED/designee will conduct a random room move audit weekly for 90 days to ensure all residents who have had a room move to ensure room move policy was followed and there are no residents experiencing maladjustment and if there are needs are being addressed. ED will review with QA any identified trends/concerns over the next 3 months. ED is responsible for any follow-up recommendations made in QA.ED will conduct 1 room move audit per week. The monitoring of this task will documented on a spreadsheet.
0920PA Req-Med Admin-Rx/PRN
Findings
Based on observation, interview and record review, the facility (residence) failed to ensure each qualified medication administration person (QMAP) accurately documented each medication administration at the time the event was completed for each resident, affecting two of eleven sample members (residents) (#11-#12). Findings include: Resident #11 was admitted on 7/28/23 with a diagnosis of anxiety disorder. A written practitioner's order, dated 10/7/25, directed the residence to administer Resident #11 the following medication in the morning:Aspirin 81 mg once dailyCoenzyme Q-10 200 mg once dailyDesipramine 200 mg two tablets once daily Dorzolamide 22.3-6.8mg/ml drops instill one drop in each eye twice dailyFluticasone 50mcg two strays in each nostril daily Lansoprazole 15mg capsule twice daily Levofloxacin 500mg tablet once daily for five daysLevothyroxine sodium 100mcg tablet once every morningLidocaine pain relief 4% ADH patch dailyMethenamine Hippurate 1 gram tablet twice dailyModafinil 100mg tablet once daily Primidone 50 mg tablet twice daily Propranolol 10mg tablet once daily Vitamin B-12 1,000mcg once daily Vitamin D3 50 mcg once daily On 11/5/25 at approximately 8:15 a.m., staff #6 was observed administering resident #11's medications. The staff member wrote her initials on the bubble packs for each medication that was taken out for resident #11 but did not sign off in the medication administration record (MAR) that the medications were given. On 11/5/25 at approximately 10:35 a.m., staff #6 stated she needed to record the medications given for all the residents she gave medications to that morning. She stated she typically signs off on the MAR hours later once things slow down and she has time to enter that the medications were given. On 11/5/25 at 2:20 p.m., the administrator stated she was not aware staff were not signing off on the medication administration record at the time of administration and staff were signing off that meds were given hours later. She stated staff are not to be doing that and all staff would be retrained within the week. Evidence revealed similar deficient practice for Resident #12
Plan of correction · submitted by the facility
U1600 – Medication Administration Corrective Action:Resident #11 – medication variance done for the medications not given on time Resident #12 – medication variance done for the medications not given on timeH&W Director re-educated QMAP (qualified medication administration person) on medication administration with emphasis on administrating meds within the prescribed times. Identification of Others:All residents are at-risk of this alleged deficient practice. A full house medication availability audit was conducted by HWD (health and wellness director) on December 3, 2025. No other discrepancies were identified. Systemic Changes:Random medication audits will be conducted weekly times 90 days to ensure medications are given as ordered. H&W Director will review QMAR report Monday – Friday to verify medications were administered within the prescribed timeframe. In the event medications were identified given outside of prescribed timeframe, the QMAP/designee will receive corrective discipline, and a medication variance will be done. H&W Director will review QMAR and report to the ED during morning clinical findings to ensure medications are available within the appropriate timeframe. Monitoring:H&W Director will review with QA any identified trends/concerns over the next 3 months. H&W Director is responsible for any follow-up recommendations made in QA.The HWD will document the monitoring of this task on a spreadsheet.
1702Ben/Svc Req-ACF-Definitions
Findings
Based on observation, interview and record review the facility (residence) failed to ensure either directly or indirectly through a resident agreement providing protective oversight affecting two of eleven sample members (residents) #12 and #16. Findings include:Resident #12 was admitted to the residence on 2/21/24 with a diagnosis of bipolar disorder. On 11/5/25 at approximately 8:00 a.m., resident #12's room was observed to have multiple medication bottles in her room. Those medications included Tylenol, sleep aid, hot and cold patches, Metamucil, cranberry supplements, nose spray, eye drops and a medical cream. On 11/5/25 at 8:05 a.m., resident #12 stated she had the medications in her room for months. She stated she takes them when needed. On 11/5/25 at approximately 1:00 p.m., resident #12's practitioner orders dated 6/25/25 were reviewed. The orders concluded no self-administration orders from the practitioner. On 11/5/25 at approximately 8:10 a.m., staff #6 stated residents are allowed to take their own medications. She added, family members sometimes bring the residents medications and do not tell the staff about it. She also stated, if staff see other medication in resident rooms, they are to report it to the health and wellness director. She stated she had not reported it, due to it being an assisted living and residents are allowed to take their own medications. On 11/5/25 at approximately 1:00 p.m., the administrator stated she was not aware resident #12 had multiple medications in her room. She stated the residence is required to administer all her medications. She added, the resident #12 did not have any self-administration orders from her practitioner. Similar deficient practice was found for resident #16
Plan of correction · submitted by the facility
B 1702 – Resident Care ServicesCorrective Action:Resident #12 – self administration of medication form was completed by RN (registered nurse). Resident was deemed safe to keep and self-administer medication room. Resident #16 – self administration of medication form was completed by RN. Resident was deemed safe to keep and self-administer medication room. Identification of Others:All residents residing at Waneka Park could be negatively impacted by this alleged deficient practice. A full house medication in-room audit was conducted December 3, 2025. No other residents were identified to have meds unauthorized in their room. Systemic Changes:ED/designee will re-educate QMAP’s and caregivers on notifying ED if residents are found to have unauthorized medications in apartment. ED/designee re-educated residents/RPs about medication storage and administration not being permitted without proper assessment. ED/designee will conduct random audits to ensure medication is not stored or taken without proper assessment weekly times 90 days. Monitoring:ED/designee will review with QA any identified trends/concerns over the next 3 months. ED/designee is responsible for any follow-up recommendations made in QA.ED/designee will audit 10 units per week. This task will be documented on a spreadsheet.
1730Ben/Svc Req-ACF-Member Rights
Findings
Based on interview and record review, the facilict (residence) failed to ensure the residents received the maximum degree of benefit of services, affecting one of 12 sample members (residents) (#13). Findings include:The residence's Pendant Policy, dated 1/3/25 read, in part, "It is the policy of this facility that all residents who are issued or choose to use a pendant (Life Alert) device will receive prompt assistance when an alarm is activated. Staff will maintain awareness of pendant alerts at all times and respond immediately according to established procedures to ensure resident safety and well-being ... Pendants will be tested at least monthly to ensure proper functioning. Batteries will be replaced according to manufacturer recommendations or immediately if the device signals low battery. Staff must report malfunctioning pendants to the administrator or maintenance department immediately."Resident #13 was admitted to the residence on 6/30/24. An incident report for Resident #13, dated 10/1/25 read at 6:45 a.m. Resident #13 was found on the floor by a staff member. Resident #13 said she fell off her toilet at approximately 4:00 a.m. and had crawled on the floor and was found by staff a couple hours later. She added her pendant was not working when she requested assistance after she first fell. On 11/5/25 at 11:05 a.m., Resident #13 said approximately a month or so prior to the onsite visit, she fell in her bathroom, pressed her emergency pendant and received no response. She added she crawled on the floor to the main door and fell asleep until she was found a few hours later by the morning shift. On 11/5/25 at 11:35 a.m., Staff #6 acknowledged the pendant for Resident #13 was not working when she fell in her bathroom approximately a month ago. On 11/6/25 at 8:00 a.m., the administrator acknowledged that the pendant for Resident #13 was not working when she fell in her room approximately a month prior to the onsite visit. She added she was not aware it was not working until that morning when staff found her on the floor. At approximately 2:30 p.m., the administrator acknowledged that she had not followed policy on checking the pendants monthly and had only revisited implementing the policy after Resident #13 fell.
Plan of correction · submitted by the facility
B1730 – Resident RightsCorrective Action:Resident #13 – Pendant was replaced on 10/01/2025. Identification of Others:All residents are at risk of this alleged deficient practice. On 11/10/2025 a full house audit was conducted and no other malfunctioning pendants were identified. Systemic Changes:ED will designate the RCC (resident care coordinator) to conduct monthly pendant inspections to ensure pendants are functioning. In addition, pendants will be tracked per manufacturer guidelines and battery changed as deemed necessary. QMAPS will monitor pendant functioning daily. Monitoring:Random pendant audit will be conducted once a week for 90 days to ensure pendants are functioning properly. ED will review with QA any identified trends/concerns over the next 3 months. ED is responsible for any follow-up recommendations made in QA.The documentation for the monitoring of this task will be on a spreadsheet.
11/5/2025Revisit: Licensure Complaint · ID HR9C12No deficiencies
0000Initial CommentsSurveyor note
Findings
A complaint revisit was completed on 11/6/25 for previous deficiencies cited on 7/23/25. No deficiencies were cited. The deficiency cited for Event HR9C11 was cited prior to the regulation revision that was implemented on 7/1/25.
Plan of correction
The state did not require a plan of correction for this citation.
11/5/2025Revisit: Licensure Complaint · ID ZZCR12No deficiencies
0000Initial CommentsSurveyor note
Findings
A complaint revisit was completed on 11/6/25 for previous deficiencies cited on 7/23/25. No deficiencies were cited.
Plan of correction
The state did not require a plan of correction for this citation.
11/5/2025Licensure Complaint · ID 4GBE114 deficiencies
0000Initial CommentsSurveyor note
Findings
A licensure complaint, prompted by #CO40930, #CO41087, and #CO41093., was completed on 11/6/25. Deficiencies were cited.
Plan of correction
The state did not require a plan of correction for this citation.
1110Res Care Srvs-Min Srvs Res AgrS/S B
Findings
Based on observation, interview and record review the residence failed to ensure either directly or indirectly through a resident agreement providing protective oversight affecting two of eleven sample residents #12 and #16. Findings include:Resident #12 was admitted to the residence on 2/21/24 with a diagnosis of bipolar disorder. On 11/5/25 at approximately 8:00 a.m., resident #12's room was observed to have multiple medication bottles in her room. Those medications included Tylenol, sleep aid, hot and cold patches, Metamucil, cranberry supplements, nose spray, eye drops and a medical cream. On 11/5/25 at 8:05 a.m., resident #12 stated she had the medications in her room for months. She stated she takes them when needed. On 11/5/25 at approximately 1:00 p.m., resident #12's practitioner orders dated 6/25/25 were reviewed. There were no self-administration orders from the practitioner. On 11/5/25 at approximately 8:10 a.m., staff #6 stated residents are allowed to take their own medications. She added, family members sometimes bring the residents' medications and do not tell the staff about it. She also stated, if staff see other medication in resident rooms, they are to report it to the health and wellness director. She stated she had not reported it, due to it being an assisted living and residents are allowed to take their own medications. On 11/5/25 at approximately 1:00 p.m., the administrator stated she was not aware resident #12 had multiple medications in her room. She stated the residence is required to administer all her medications. She added, resident #12 did not have any self-administration orders from her practitioner. Similar deficient practice was found for resident #16
Plan of correction · submitted by the facility
U1110 – Resident Care ServicesCorrective Action:Resident #12 – self administration of medication form was completed by RN (registered nurse). Resident was deemed safe to keep and self-administer medications in apartment. Resident #16 – self administration of medication form was completed by RN. Resident was deemed safe to keep and self-administer medication in apartment. Identification of Others:All residents residing at Waneka Park could be negatively impacted by this alleged deficient practice. A full house medication in-apartment audit was conducted December 1, 2025. No other residents were identified as having unauthorized medications in their apartment. Systemic Changes:ED (executive director)/designee will re-educate QMAP’s (qualified medication administration person) and caregivers on notifying ED if residents are found to have unauthorized medication in apartment. ED/designee re-educated residents/RAs about medication storage and administration not being permitted without proper assessment. ED/designee will conduct random audits to ensure medication is not stored or taken without proper assessment weekly times 90 days. Monitoring:ED/designee will review with QA any identified trends/concerns over the next 3 months. ED/designee is responsible for any follow-up recommendations made in QA.HWD & RCC will audit a total of 10 units per week. The monitoring will be documented on a spreadsheet.
1352Res Rghts Rts/Rspn-Choice/Invlv Cr/Svc-CommS/S A
Findings
Based on interview and record review, the residence failed to ensure the residents received the maximum degree of benefit of services, affecting one of 12 sample residents (#13). Findings include:The residence's Pendant Policy, dated 1/3/25 read, in part, "It is the policy of this facility that all residents who are issued or choose to use a pendant (Life Alert) device will receive prompt assistance when an alarm is activated. Staff will maintain awareness of pendant alerts at all times and respond immediately according to established procedures to ensure resident safety and well-being ... Pendants will be tested at least monthly to ensure proper functioning. Batteries will be replaced according to manufacturer recommendations or immediately if the device signals low battery. Staff must report malfunctioning pendants to the administrator or maintenance department immediately."Resident #13 was admitted to the residence on 6/30/24. An incident report for Resident #13, dated 10/1/25 read at 6:45 a.m. Resident #13 was found on the floor by a staff member. Resident #13 said she fell off her toilet at approximately 4:00 a.m. and had crawled on the floor and was found by staff a couple hours later. She added her pendant was not working when she requested assistance after she first fell. On 11/5/25 at 11:05 a.m., Resident #13 said approximately a month or so prior to the onsite visit, she fell in her bathroom, pressed her emergency pendant and received no response. She added she crawled on the floor to the main door and fell asleep until she was found a few hours later by the morning shift. On 11/5/25 at 11:35 a.m., Staff #6 acknowledged the pendant for Resident #13 was not working when she fell in her bathroom approximately a month ago. On 11/6/25 at 8:00 a.m., the administrator acknowledged that the pendant for Resident #13 was not working when she fell in her room approximately a month prior to the onsite visit. She added she was not aware it was not working until that morning when staff found her on the floor. At approximately 2:30 p.m., the administrator acknowledged that she had not followed policy on checking the pendants monthly and had only revisited implementing the policy after Resident #13 fell.
Plan of correction · submitted by the facility
U1352 – Resident RightsCorrective Action:Resident #13 – Pendant was replaced on 10.01.2025. Identification of Others:All residents are at risk of this alleged deficient practice. A full house audit was conducted, and no other malfunctioning pendants were identified. Systemic Changes:ED will designate the RCC (resident care coordinator) to conduct monthly pendant inspections to ensure pendants are functioning. In addition, pendants will be tracked per manufacturer guidelines and battery changed as deemed necessary. QMAPS will monitor pendant functioning daily. Monitoring:Random pendant audit will be conducted once a week for 90 days to ensure pendants are functioning properly. ED will review with QA any identified trends/concerns over the next 3 months. ED is responsible for any follow-up recommendations made in QA.The monitoring of this task will be documented on a spreadsheet.
1568Med/Med Adm-Ordrs Cmpy w/OrdrsS/S B
Findings
Based on interview and record review, the residence failed to comply with authorized practitioner orders associated with medication administration, affecting four of seven sample residents (#7, #8, #9, #11). Findings include:1. Resident #7 was admitted on 7/2/29 with diagnoses including lupus, hypothyroidism, osteoarthritis, restless leg and chronic pain. The following written practitioner's orders, dated 6/24/25 for Resident #7 were not administered, as ordered in October 2025, as follows:Aspirin 81 mg once daily. Not administered on 10/29-10/31/25, for a total of three missed doses. Atorvastatin 10 mg once daily. Not administered on 10/27-10/30/25, for a total of four missed doses. Duloxetine 60 mg once daily. Not administered on 10/28, 10/29 and 10/31/25, for a total of three missed doses. Lamotrigine 50 mg once daily. Not administered on 10/28-10/31/25, for a total of four missed doses. Levothyroxine 125 mcg once daily. Not administered on 10/27-10/31/25, for a total of five missed doses. Lisinopril 20 mg once daily. Not administered on 10/28-10/31/25, for a total of four missed doses. Oxcarbazepine 300 mg twice daily. Not administered on 10/28-10/30 and 10/31/25 a.m. dose, for a total of seven missed doses. Piclocarpine 5 mg twice daily. Not administered on 10/28-10/30 and 10/31/25 a.m. dose, for a total of seven missed doses. Prednisone 5 mg once daily. Not administered on 10/28 to 10/31/25, for a total of four missed doses. On 11/6/25 at approximately 8:00 a.m., the administrator acknowledged the medications for Resident #7 were not administered because of a pharmacy error. 2. During the onsite visits on 11/5 and 11/6/25, similar deficient practice was found for Resident #8, #9 and #11.
Plan of correction · submitted by the facility
.1568 – Resident Care ServicesCorrective Action:Medication Variances were done for residents #7, # 8, # 9, #11 for the missed doses. Identification of Others:All residents are at-risk for this alleged deficient practice. Systemic Changes:Hired a Resident Care Coordinator (RCC) who will oversee and manage medication reordering. QMAP’s were re-educated on the pharmacy re-ordering process by the H&W Director. Director of Clinical Services trained QMAP’s on entering orders so the pharmacy can process and deliver timely. H&W Director will re-educate the QMAP’s on proper steps to take to minimize the risk of medications not being available and steps to take when a medication is unavailable and instruct them to notify the H&W Director for guidance. H&W Director will ensure new hire QMAP’s are properly trained on how steps to take when a medication is unavailable and steps to take to help minimize the risk of medications not being available for the residents. H&W Director will review the “missed medication audit” report with the ED during morning clinical review to ensure medications are available and being given as ordered by the physician. Monitoring:Random medication audit will be conducted weekly time 90 days to ensure medications are given as ordered. H&W Director will review with QA any identified trends/concerns over the next 3 months. H&W Director is responsible for any follow-up recommendations made in QA.HWD will document the monitoring of this task on a spreadsheet.
1600Med/Med Adm-Rcrd Kpng MARS/S B
Findings
Based on observation, interview and record review, the residence failed to ensure each qualified medication administration person (QMAP) accurately documented each medication administration at the time the event was completed for each resident, affecting two of 11 sample residents (#11, #12). Findings include: Resident #11 was admitted on 7/28/23 with a diagnosis of anxiety disorder. A written practitioner's order, dated 10/7/25, directed the residence to administer Resident #11 the following medication in the morning:Aspirin 81 mg once dailyCoenzyme Q-10 200 mg once dailyDesipramine 200 mg two tablets once daily Dorzolamide 22.3-6.8mg/ml drops instill one drop in each eye twice dailyFluticasone 50mcg two strays in each nostril daily Lansoprazole 15mg capsule twice daily Levofloxacin 500mg tablet once daily for five daysLevothyroxine sodium 100mcg tablet once every morningLidocaine pain relief 4% ADH patch dailyMethenamine Hippurate 1 gram tablet twice dailyModafinil 100mg tablet once daily Primidone 50 mg tablet twice daily Propranolol 10mg tablet once daily Vitamin B-12 1,000mcg once daily Vitamin D3 50 mcg once daily On 11/5/25 at approximately 8:15 a.m., staff #6 was observed administering resident #11's medications. The staff member wrote her initials on the bubble packs for each medication that was taken out for resident #11 but did not sign off in the medication administration record (MAR) that the medications were given. On 11/5/25 at approximately 10:35 a.m., staff #6 stated she needed to record the medications given for all the residents she gave medications to that morning. She stated she typically signs off on the MAR hours later, once things slow down and she has time to enter that the medications were given. On 11/5/25 at 2:20 p.m., the administrator stated she was not aware staff were not signing off on the medication administration record at the time of administration and staff were signing off that meds were given hours later. Evidence revealed similar deficient practice for Resident #12
Plan of correction · submitted by the facility
U1600 – Medication Administration Corrective Action:Resident #11 – medication variance done for the medications not given on timeResident #12 – medication variance done for the medications not given on timeH&W Director re-educated QMAP on medication administration with emphasis on administrating meds within the prescribed times. Identification of Others:All residents are at-risk of this alleged deficient practice. A full house medication availability audit was conducted by H&W Director on December 3, 2025. No other discrepancies were identified. Systemic Changes:Random medication audits will be conducted weekly times 90 days to ensure medications are given as ordered. H&W Director will review QMAR report Monday – Friday to verify medications were administered within the prescribed timeframe. In the event medications were identified given outside of prescribed timeframe, the QMAP/designee will receive corrective discipline, and a medication variance will be done. H&W Director will review QMAR and report to the ED during morning clinical findings to ensure medications are available within the appropriate timeframe. Monitoring:H&W Director will review with QA any identified trends/concerns over the next 3 months. H&W Director is responsible for any follow-up recommendations made in QA.The HWD will document the monitoring of this task on a spreadsheet.
7/23/2025Licensure Complaint · ID HR9C111 deficiency
0000Initial CommentsSurveyor note
Findings
A licensure complaint, prompted by #CO40619, was completed on 7/23/25. A deficiency was cited.
Plan of correction
The state did not require a plan of correction for this citation.
1322Res Rghts Rts/Rspn-Civ/Rel-Abuse/Neg/MisaproS/S C
Findings
Based on interview and record review, the residence failed to ensure residents were treated with dignity and respect, affecting one of five sample residents (#1). Specifically, on 7/1/25, The health and wellness director (HWD) sent Resident #1 to her room until dinner due to Resident #1 gossiping, running, and yelling in the hallway. Staff #1 said she [staff #1] brought Resident #1 dinner to her room because Resident #1 did not return to the dining room after being sent to her room by the HWD. Resident #1 said the HWD was "mean" and made her "sad". Findings include:Record ReviewResident #1 was admitted to the residence on 11/4/15; diagnoses included depression and developmental disorder speech, language and scholastic skills. A progress note, dated 7/1/25 at 5:30 p.m., written by Staff #1, read: The HWD sent Resident #1 to her room because of her behavior towards other residents. Resident #1 was gossiping. A progress note, dated 7/3/25, in response to Staff #1's 7/1/25 progress note, written by the HWD read in part, Resident #1 was yelling and running in the hallway and was asked to be careful and stop running. Resident #1 referred to an unknown person as an "explicit word" and the HWD asked her to go to her room until dinner. InterviewsOn 7/24/25 at 8:00 a.m., Resident #1 said the HWD was "mean" and "she sent me to my room". Resident #1 said she avoided interactions with the HWD because "she makes me sad."On 7/24/25 at 12:15 p.m., Staff #1 said the HWD sent Resident #1 to her room because of an event in the dining room. Staff #1 said she did not witness the event leading to the HWD sending Resident #1 to her room and brought Resident #1 dinner in her room on 7/1/25. Staff #1 said Resident #1 was quiet, avoided eye contact and was unhappy when dinner was provided to her room. On 7/24/25 at 2:50 p.m., the administrator said Resident #1's behavior often escalated when in the dining room and it was upsetting and distracting to the other residents. The administrator said Resident #1 yelled across the room or told staff and other residents what to do. The administrator said the residence was removing Resident #1 from the dining room as an approach being used for resolving the issue by asking her to go to her room. The administrator said Resident #1 cried as a response to being asked to leave. The administrator said Resident #1 cried anytime she was approached by staff who were attempting to de-escalate situations. The administrator acknowledged that staff did not treat Resident #1 with dignity and respect when they told the resident to go to her room. On 7/24/25 at 3:37 p.m., the HWD said when Resident #1's behavior became elevated and affected the other residents negatively, the residence had been instructed by family and the resident's responsible party to send Resident #1 to their room. The HWD said asking residents to go to their rooms impacted dignity and respect. The HWD said the responsible party changed their minds about asking Resident #1 to go to her room earlier in the month (July 2025) and suggested asking the resident if they wanted to go outside. The HWD said Resident #1 "thinks I'm mean" and they have minimal interaction as a result of this.
Plan of correction · submitted by the facility
T1322 – Resident RightsCorrective Action:H&W Director was re-educated on resident rights by Director of Clinical Services on 8/18/25. Administrator and H&W Director met with Resident #1 and RP to listen and develop a plan of care to help Resident #1 de-escalate when she gets upset and becomes disruptive to others in a more constructive way. Resident #1’s service plan was updated to reflect positive intervention measures that will help Resident #1 to de-escalate disruptive behaviors that all parties (RP, Resident and Staff) agree upon. Identification of Others:All residents could be affected by this alleged deficient practice. A full house resident rights audit was conducted on 8/20/25, no other residents had concerns related to resident rights not being honored by staff. Systemic Changes:Executive Director will re-educate staff on resident rights and avoid being punitive when residents are not following house rules. Monitoring:Executive Director will conduct a random resident rights audit twice a week x90 days to ensure residents’ rights are being honored by staff. Executive Director will also discuss and ask residents during the monthly resident council if there any concerns related to residents’ rights not being honored over the next 90 days. Executive Director will address any trends or areas of concern related to resident rights not being honored immediately and reviewed in QAPI.
7/23/2025Licensure Complaint · ID ZZCR111 deficiency
0000Initial CommentsSurveyor note
Findings
A certification complaint, prompted by #CO40620, was completed on 7/23/25. A deficiency was cited.
Plan of correction
The state did not require a plan of correction for this citation.
0124Ind Rts-Basic Crit-Privacy-Camera/Alarm
Findings
Based on interview and record review, the facility (residence) failed to ensure members were treated with dignity and respect, affecting one of five sample members (residents) (#1). Specifically, on 7/1/25, The health and wellness director (HWD) sent Resident #1 to her room until dinner due to Resident #1 gossiping, running, and yelling in the hallway. Staff #1 said she [staff #1] brought Resident #1 dinner to her room because Resident #1 did not return to the dining room after being sent to her room by the HWD. Resident #1 said the HWD was "mean" and made her "sad". Findings include:1. Record ReviewResident #1 was admitted to the residence on 11/4/15; diagnoses included depression and developmental disorder speech, language and scholastic skills. A progress note, dated 7/1/25 at 5:30 p.m., written by Staff #1, read: The HWD sent Resident #1 to her room because of her behavior towards other residents. Resident #1 was gossiping. A progress note, dated 7/3/25, in response to Staff #1's 7/1/25 progress note, written by the HWD read in part, Resident #1 was yelling and running in the hallway and was asked to be careful and stop running. Resident #1 referred to an unknown person as an "explicit word" and the HWD asked her to go to her room until dinner. 2. InterviewsOn 7/24/25 at 8:00 a.m., Resident #1 said the HWD was "mean" and "she sent me to my room". Resident #1 said she avoided interactions with the HWD because "she makes me sad."On 7/24/25 at 12:15 p.m., Staff #1 said the HWD sent Resident #1 to her room because of an event in the dining room. Staff #1 said she did not witness the event leading to the HWD sending Resident #1 to her room and brought Resident #1 dinner in her room on 7/1/25. Staff #1 said Resident #1 was quiet, avoided eye contact and was unhappy when dinner was provided to her room. On 7/24/25 at 2:50 p.m., the administrator said Resident #1's behavior often escalated when in the dining room and it was upsetting and distracting to the other residents. The administrator said Resident #1 yelled across the room or told staff and other residents what to do. The administrator said the residence was removing Resident #1 from the dining room as an approach being used for resolving the issue by asking her to go to her room. The administrator said Resident #1 cried as a response to being asked to leave. The administrator said Resident #1 cried anytime she was approached by staff who were attempting to de-escalate situations. The administrator acknowledged that staff did not treat Resident #1 with dignity and respect when they told the resident to go to her room. On 7/24/25 at 3:37 p.m., the HWD said when Resident #1's behavior became elevated and affected the other residents negatively, the residence had been instructed by family and the resident's responsible party to send Resident #1 to their room. The HWD said asking residents to go to their rooms impacted dignity and respect. The HWD said the responsible party changed their minds about asking Resident #1 to go to her room earlier in the month (July 2025) and suggested asking the resident if they wanted to go outside. The HWD said Resident #1 "thinks I'm mean" and they have minimal interaction as a result of this.
Plan of correction · submitted by the facility
Corrective Action:H&W Director was re-educated on resident rights by Director of Clinical Services on 8/18/25. Administrator and H&W Director met with Resident #1 and RP to listen and develop a plan of care to help Resident #1 de-escalate when she gets upset and becomes disruptive to others in a more constructive way. Resident #1’s service plan was updated to reflect positive intervention measures that will help Resident #1 to de-escalate disruptive behaviors that all parties (RP, Resident and Staff) agree upon. Identification of Others:All residents could be affected by this alleged deficient practice. A full house resident rights audit was conducted on 8/20/25, no other residents had concerns related to resident rights not being honored by staff. Systemic Changes:Executive Director will re-educate staff on resident rights and avoid being punitive when residents are not following house rules. Monitoring:Executive Director will conduct a random resident rights audit twice a week x90 days to ensure residents’ rights are being honored by staff. Executive Director will also discuss and ask residents during the monthly resident council if there any concerns related to residents’ rights not being honored over the next 90 days. Executive Director will address any trends or areas of concern related to resident rights not being honored immediately and reviewed in QAPI.I
6/9/2025Revisit: Licensure Complaint · ID IV9P12No deficiencies
0000Initial CommentsSurveyor note
Findings
A revisit survey was completed on 6/9/25 for previous deficiencies cited on 4/22/25. The agency is in compliance with all regulations surveyed.
Plan of correction
The state did not require a plan of correction for this citation.
6/9/2025Revisit: Licensure Complaint · ID LDUC12No deficiencies
0000Initial CommentsSurveyor note
Findings
A revisit survey was completed on 6/9/25 for previous deficiencies cited on 4/22/25. The agency is in compliance with all regulations surveyed.
Plan of correction
The state did not require a plan of correction for this citation.
4/22/2025Licensure Complaint · ID LDUC111 deficiency
0000Initial CommentsSurveyor note
Findings
A certification complaint, prompted by #CO39717, was completed on 4/22/25. A deficiency was cited.
Plan of correction
The state did not require a plan of correction for this citation.
0920PA Req-Med Admin-Rx/PRN-Wrtn Ordr/Annl Rvw
Findings
Based on record review and interview, the facility (residence) failed to ensure that each qualified medication administration person (QMAP) recorded all medications administered, affecting two of two sample members (residents) (#1, #2) and one former resident (#5). Resident #1 was admitted to the residence on 7/28/2023 with diagnoses including pain, history of deep vein thrombosis, depression, glaucoma, seasonal allergies, ulcer, narcolepsy, and a history of seizures. An assessment, dated 2/25/25 read in part that the residence administered all medications to Resident #1. Written practitioner's orders, dated 2/3/25, directed the residence to administer the following medications to the resident:acetaminophen 500 mg two tablets three times daily.aspirin 81 mg one tablet once daily. Desipramine 100 mg two tablets once daily. Dorzolamide-timolol one drop to each eye in the morning and at bedtime.fluticasone two sprays to each nostril one time daily.lansoprazole 15 mg one tablet once daily.levothyroxine 100 mcg one tablet once daily in the morning. Lidocaine external gel 4% apply two grams to lower back topically in the morning and at bedtime. Lidocaine patch 4% apply to the lower back one time a day in the morning. Modafinil 100 mg one tablet daily. Primidone 50 mg one tablet three times daily.vitamin B-12 1000 mcg one tablet daily. The residence's Medication Variance Report, dated 4/17/25, read in part that the QMAP documented medication administration at 11:43 a.m. instead of the time the medications were administered at 10:00 a.m., for the following medications: acetaminophen, aspirin, Dorzolamide-timolol, fluticasone propionate, lansoprazole, levothyroxine, Lidocaine external gel 4%, Modafanil, Primidone and vitamin B-12. The March 2025 electronic medication administration record (eMAR) revealed no documentation for the administration of Primidone on 3/1 and 3/2 for three doses each day with a total of six blank spaces. On 4/22/25, during the onsite visit, Staff #1 and #2 stated that the QMAP was required to document medications at the time they administered the medication to the resident. On 4/22/25 at 12:02 p.m., the health and wellness director (HWD) stated that the QMAPs failed to document and had a pattern of late documentation in the eMARs. She added that the QMAPs accessed the residents' eMARs through a computer with a slow connection. She stated this may have contributed to the QMAPs failing to document or led to the QMAPs not documenting in the eMAR at the time of administration as required. On 4/22/25 at 3:08 p.m., the administrator stated that she was aware that QMAPs did not always document medication administration at the time they administered medications to residents as required. She added that she was aware there were blank spaces in the eMARS. She stated that the blank spaces and late documentation occurred because residence staff forgot to document in addition to the residence's computers having a slow connection. Additionally, the residence failed to ensure that each QMAP accurately documented each medication administration at the time it was completed for Resident #2 and Former Resident #5.
Plan of correction · submitted by the facility
S920 – Resident RightsCorrective Action:H&W Director completed medication variances for Residents #1, #2 medications that were given outside the prescribed administration times. H&W Director re-educated QMAP on medication administration with emphasis on administrating meds within the prescribed times. Identification of Others:Medications given outside prescribed times could negatively impact residents that reside in the community. Systemic Changes:H&W Director will re-educate the QMAP’s on administrating medications within the prescribed timeframe. H&W Director will review QMAR report Monday – Friday to verify medications were administered within the prescribed timeframe. In the event medications were identified given outside of prescribed timeframe, the QMAP/designee will receive corrective discipline, and a medication variance will be done. H&W Director will review QMAR and report to the ED during morning clinical findings to ensure medications are available within the appropriate timeframe. Monitoring:The H&W Director will review with QA any identified trends/concerns over the next 3 months. H&W Director is responsible for any follow-up recommendations made in QA.
4/22/2025Licensure Complaint · ID IV9P111 deficiency
0000Initial CommentsSurveyor note
Findings
A licensure complaint, prompted by #CO39716, was completed on 4/22/25. A deficiency was cited.
Plan of correction
The state did not require a plan of correction for this citation.
1600Med/Med Adm-Rcrd Kpng MARS/S B
Findings
Based on record review and interview, the residence failed to ensure that each qualified medication administration person (QMAP) accurately documented each medication administration event at the time the event was completed for each resident, affecting two of two sample residents (#1, #2) and one former resident (#5). Resident #1 was admitted to the residence on 7/28/2023 with diagnoses including pain, history of deep vein thrombosis, depression, glaucoma, seasonal allergies, ulcer, narcolepsy, and a history of seizures. An assessment, dated 2/25/25 read in part that the residence administered all medications to Resident #1. Written practitioner's orders, dated 2/3/25, directed the residence to administer the following medications to the resident:acetaminophen 500 mg two tablets three times daily.aspirin 81 mg one tablet once daily. Desipramine 100 mg two tablets once daily. Dorzolamide-timolol one drop to each eye in the morning and at bedtime.fluticasone two sprays to each nostril one time daily.lansoprazole 15 mg one tablet once daily.levothyroxine 100 mcg one tablet once daily in the morning. Lidocaine external gel 4% apply two grams to lower back topically in the morning and at bedtime. Lidocaine patch 4% apply to the lower back one time a day in the morning. Modafinil 100 mg one tablet daily. Primidone 50 mg one tablet three times daily.vitamin B-12 1000 mcg one tablet daily. The residence's Medication Variance Report, dated 4/17/25, read in part that the QMAP documented medication administration at 11:43 a.m. instead of the time the medications were administered at 10:00 a.m., for the following medications: acetaminophen, aspirin, Dorzolamide-timolol, fluticasone propionate, lansoprazole, levothyroxine, Lidocaine external gel 4%, Modafanil, Primidone and vitamin B-12. The March 2025 electronic medication administration record (eMAR) revealed no documentation for the administration of Primidone on 3/1 and 3/2 for three doses each day with a total of six blank spaces. On 4/22/25, during the onsite visit, Staff #1 and #2 stated that the QMAP was required to document medications at the time they administered the medication to the resident. On 4/22/25 at 12:02 p.m., the health and wellness director (HWD) stated that the QMAPs failed to document and had a pattern of late documentation in the eMARs. She added that the QMAPs accessed the residents' eMARs through a computer with a slow connection. She stated this may have contributed to the QMAPs failing to document or led to the QMAPs not documenting in the eMAR at the time of administration as required. On 4/22/25 at 3:08 p.m., the administrator stated that she was aware that QMAPs did not always document medication administration at the time they administered medications to residents as required. She added that she was aware there were blank spaces in the eMARS. She stated that the blank spaces and late documentation occurred because residence staff forgot to document in addition to the residence's computers having a slow connection. Additionally, the residence failed to ensure that each QMAP accurately documented each medication administration at the time it was completed for Resident #2 and Former Resident #5.
Plan of correction · submitted by the facility
1600 – Medication and Medication Administration – Record Keeping Corrective Action:Residents #1, #2, and former resident #5 medications that had been unavailable were reordered and H&W Director verified medications were being given as prescribed. Identification of Others:A full house medication availability audit was conducted by H&W on 04/30/2025. No other discrepancies were identified. Systemic Changes: H&W Director will re-educate the QMAP’s on proper steps to take to minimize the risk of medications not being available and steps to take when a medication is unavailable and instruct them to notify the H&W Director for guidance. The H &W Director will re-educate QMAP’s on documenting in the MAR at the time when a medication is administered, including all required elements of administering the medication. H&W Director will ensure new hire QMAP’s are properly trained on what steps to take when a medication is unavailable and steps to take to help minimize the risk of medications not being available for the residents. The H & W Director will also properly train the new hire QMAP’s on documenting in the MAR at the time when a medication is administered, including all required elements of administering the medication. H&W Director will review the “missed medication audit” report with the ED during morning clinical review to ensure medications are available and being given as ordered by the physician. The H & W Director will also review any medications that are missing documentation or administered late with the ED during the morning clinical review to ensure medications are being administered at the correct times according to the physician’s order. Monitoring:H&W Director will conduct “missed medication audit” and “late or missing documentation audit” Monday-Friday and address concerns immediately. The H&W Director will review with QA any identified trends/concerns over the next 3 months. H&W Director is responsible for any follow-up recommendations made in QA.Laptop Issues: B-Comp Services, IT Solutions were contacted on April 30, 2025, regarding the slow response time with the laptops located on the med carts. They were unable to diagnose any problems. Red Rock Pharmacy, Director of Marketing, was contacted on May 6, 2025, regarding laptop booting up issues. Red Rock owns laptops that are used for medication administration. placed a ticket with their IT group, and he came out on May 8, 2025, to look at the laptops. He was unable to recreate the problem. Response time is much better, we still experience problems sporadically,
1/8/2025Revisit: Licensure (Re-licensure) · ID 34WX14No deficiencies
0000Initial CommentsSurveyor note2 building records
Findings · record 1 of 2
A revisit survey was completed on 1/15/25 for previous deficiencies cited on 12/3/24. The agency is in compliance with all regulations surveyed.
Findings · record 2 of 2
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
Plan of correction
The state did not require a plan of correction for this citation.
1/8/2025Revisit: State Certification (Re-certification) · ID KVPY14No deficiencies
0000Initial CommentsSurveyor note
Findings
A revisit survey was completed on 1/15/25 for previous deficiencies cited on 12/3/24. The agency is in compliance with all regulations surveyed.
Plan of correction
The state did not require a plan of correction for this citation.
1/8/2025Revisit: State Certification (Re-certification) · ID PHXM12No deficiencies
0000Initial CommentsSurveyor note
Findings
A revisit survey was completed on 1/15/25 for previous deficiencies cited on 12/3/24. The agency is in compliance with all regulations surveyed.
Plan of correction
The state did not require a plan of correction for this citation.
9999Final ObservationsSurveyor note
Findings
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
Plan of correction
The state did not require a plan of correction for this citation.
1/8/2025Revisit: Licensure Complaint · ID YDNS15No deficiencies
0000Initial CommentsSurveyor note
Findings
A revisit survey was completed on 1/15/25 for previous deficiencies cited on 12/3/24. The agency is in compliance with all regulations surveyed.
Plan of correction
The state did not require a plan of correction for this citation.
1/8/2025Revisit: CHOW and Licensure (Re-licensure) (Combined) · ID ZKJD12No deficiencies
0000Initial CommentsSurveyor note
Findings
A revisit survey was completed on 1/15/25 for previous deficiencies cited on 12/3/24. The agency is in compliance with all regulations surveyed.
Plan of correction
The state did not require a plan of correction for this citation.
9999Final ObservationsSurveyor note
Findings
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
Plan of correction
The state did not require a plan of correction for this citation.
1/8/2025Revisit: Licensure Complaint · ID EW7E15No deficiencies
0000Initial CommentsSurveyor note2 building records
Findings · record 1 of 2
A revisit survey was completed on 1/15/25 for previous deficiencies cited on 12/3/24. The agency is in compliance with all regulations surveyed.
Findings · record 2 of 2
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
Plan of correction
The state did not require a plan of correction for this citation.
11/25/2024Revisit: Licensure Complaint · ID EW7E141 deficiency
0000Initial CommentsSurveyor note
Findings
A licensure revisit and complaint revisit was completed on 11/26/24 for all previous deficiencies cited on 5/20/22. A deficiency was cited. The regulations governing Assisted Living Residences were revised. The new regulation Chapter VII was implemented on 7/1/24.
Plan of correction
The state did not require a plan of correction for this citation.
1568Med/Med Adm-Ordrs Cmpy w/OrdrsS/S B
Findings
Based on record review and interview the residence failed to comply with authorized practitioner orders associated with medication administration affecting four out of six sample residents (#36, #37, #42, #43). This deficiency was cited previously during a state licensure survey revisit on 5/20/22. Although the residence corrected the deficiency, based on the findings below, the residence has not maintained compliance with this regulatory requirement. Findings include:Resident #43 was admitted to the residence on 12/16/22 with a diagnosis of type 2 diabetes mellitus. A practitioner's order dated 11/12/24 read that fluticasone 250-50 MCG/ACT 1 puff inhalation was to be administered twice a day. A medication administration record (MAR) for Resident #43 dated November 2024 recorded fluticasone was not administered on 11/1-11/6/24 and 11/8-11/24/24, due to the medication being unavailable. On 11/26/24 at 11:52 a.m., the administrator stated that she was unaware that the citation had not been corrected. On 11/26/24, at approximately 3:00 p.m., the health and wellness director (HWD) stated that she had just ordered the fluticasone for Resident #43. Similar deficient practice was found for Residents #36, #37, and #42.
Plan of correction · submitted by the facility
S1568 – Staffing Qualifications and TrainingCorrective Action:Residents #36, # 37, 42 and #43 medications that had been unavailable were reordered and H&W Director verified medications were being given as prescribed. Identification of Others:A full house medication availability audit was conducted by H&W on 12/10/24. No other discrepancies were identified. Systemic Changes:H&W Director will re-educate the QMAP’s on proper steps to take to minimize the risk of medications not being available and steps to take when a medication is unavailable and instruct them to notify the H&W Director for guidance. H&W Director will ensure new hire QMAP’s are properly trained on how steps to take when a medication is unavailable and steps to take to help minimize the risk of medications not being available for the residents. H&W Director will review the “missed medication audit” report with the ED during morning clinical review to ensure medications are available and being given as ordered by the physician. Monitoring:H&W Director will conduct “missed medication audit” Monday-Friday and address concerns immediately. The H&W Director will review with QA any identified trends/concerns over the next 3 months. H&W Director is responsible for any follow-up recommendations made in QA.
11/25/2024Revisit: Licensure Complaint · ID YDNS141 deficiency
0000Initial CommentsSurveyor note
Findings
A certification revisit and complaint revisit was completed on 11/26/24 for all previous deficiencies cited on 5/20/22. A deficiency was cited. The regulations governing Home and Community Based Services 10 CCR 2505-10 8.7000 were revised. The new regulation was implemented on 3/16/24.
Plan of correction
The state did not require a plan of correction for this citation.
0920PA Req-Med Admin-Rx/PRN-Wrtn Ordr/Annl Rvw
Findings
Based on record review and interview the facility (residence) failed to provide sufficient support to members (residents) in the use of prescription and non-prescription medications affecting four out of six sample residents (#36, #37, #42, #43). This deficiency was cited previously during a state certification survey revisit on 5/20/22. Although the residence corrected the deficiency, based on the findings below, the residence has not maintained compliance with this regulatory requirement. Findings include:Resident #43 was admitted to the residence on 12/16/22 with a diagnosis of type 2 diabetes mellitus. A practitioner's order dated 11/12/24 read that fluticasone 250-50 MCG/ACT 1 puff inhalation was to be administered twice a day. A medication administration record (MAR) for Resident #43 dated November 2024 recorded fluticasone was not administered on 11/1-11/6/24 and 11/8-11/24/24, due to the medication being unavailable. On 11/26/24 at 11:52 a.m., the administrator stated that she was unaware that the citation had not been corrected. On 11/26/24, at approximately 3:00 p.m., the health and wellness director (HWD) stated that she had just ordered the fluticasone for Resident #43. Similar deficient practice was found for Residents #36, #37, and #42.
Plan of correction · submitted by the facility
S920 – Resident RightsCorrective Action:Residents #36, # 37, 42, and #43 medications that had been unavailable were reordered and H&W Director verified medications were being given as prescribed. Identification of Others:A full house medication availability audit was conducted by H&W on 12/10/24. No other discrepancies were identified. Systemic Changes:H&W Director will re-educate the QMAP’s that ensuring residents have the medications ordered by their physician is a resident right. H&W Director will re-educate the QMAP’s on proper monitoring of medication availability to help minimize the risk of medication not being available to give. In addition, the H&W Director will re-educate the QMAP’s on proper steps to take when a medication is unavailable and implement a new practice that they must notify the H&W Director for guidance. H&W Director will review QMAR report Monday – Friday to verify there are no entries showing “Medication Unavailable”. In the event medication is not available due to uncontrollable circumstances, the QMAP/designee will contact the pharmacy for STAT delivery and notify physician. H&W Director will review the “missed medication audit” report with the ED during morning clinical review to ensure medications are available and being given as ordered by the physician. Monitoring:H&W Director will conduct “missed medication audit” Monday-Friday and address concerns immediately. The H &W Director will review with QA any identified trends/concerns over the next 3 months. H&W Director is responsible for any follow-up recommendations made in QA.
11/25/2024Revisit: Licensure Complaint · ID TQPC16No deficiencies
0000Initial CommentsSurveyor note
Findings
A licensure revisit and complaint revisit was completed on 11/26/24 for a previous deficiency cited on 5/20/22. The facility is compliant with alll regulations surveyed. The regulations governing Assisted Living Residences were revised. The new regulation Chapter VII was implemented on 7/1/24.
Plan of correction
The state did not require a plan of correction for this citation.
11/25/2024State Certification (Re-certification) · ID PHXM111 deficiency
0000Initial CommentsSurveyor note
Findings
A recertification survey was completed on 11/26/4. A deficiency was cited.
Plan of correction
The state did not require a plan of correction for this citation.
0920PA Req-Med Admin-Rx/PRN-Wrtn Ordr/Annl Rvw
Findings
Based on record review and interview the facility (residence) failed to provide sufficient support to members (residents) in the use of prescription and non-prescription medications affecting four out of six sample residents (#36, #37, #42, #43). Findings include:Resident #43 was admitted to the residence on 12/16/22 with a diagnosis of type 2 diabetes mellitus. A practitioner's order dated 11/12/24 read that fluticasone 250-50 MCG/ACT 1 puff inhalation was to be administered twice a day. A medication administration record (MAR) for Resident #43 dated November 2024 recorded fluticasone was not administered on 11/1-11/6/24 and 11/8-11/24/24, due to the medication being unavailable. On 11/26/24, at approximately 3:00 p.m., the health and wellness director (HWD) stated that she had just ordered the fluticasone for Resident #43. Similar deficient practice was found for Residents #36, #37, and #42.
Plan of correction · submitted by the facility
S920 – Resident RightsCorrective Action:Residents #36, # 37, 42, and #43 medications that had been unavailable were reordered and H&W Director verified medications were being given as prescribed. Identification of Others:A full house medication availability audit was conducted by H&W on 12/10/24. No other discrepancies were identified. Systemic Changes:H&W Director will re-educate the QMAP’s that ensuring residents have the medications ordered by their physician is a resident right. H&W Director will re-educate the QMAP’s on proper monitoring of medication availability to help minimize the risk of medication not being available to give. In addition, the H&W Director will re-educate the QMAP’s on proper steps to take when a medication is unavailable and implement a new practice that they must notify the H&W Director for guidance. H&W Director will review QMAR report Monday – Friday to verify there are no entries showing “Medication Unavailable”. In the event medication is not available due to uncontrollable circumstances, the QMAP/designee will contact the pharmacy for STAT delivery and notify physician. H&W Director will review the “missed medication audit” report with the ED during morning clinical review to ensure medications are available and being given as ordered by the physician. Monitoring:H&W Director will conduct “missed medication audit” Monday-Friday and address concerns immediately. The H &W Director will review with QA any identified trends/concerns over the next 3 months. H&W Director is responsible for any follow-up recommendations made in QA.
9999Final ObservationsSurveyor note
Findings
THIS PORTION OF THE REPORT IS FOR INFORMATIONAL PURPOSES ONLY.No response is necessary. The facility was advised it must review and maintain the following processes in accordance with existing program regulations found at 10 CCR 2505-10 8.7000.8.7505. F Alternate Care Facility Provider Agency Requirements 6. Staffing Requirements b. Staffing at an Alternative Care Facility shall meet the following standards i. A minimum of 1 staff to 10 Members during the daytime.ii. A minimum of 1 staff to 16 Members during the nighttime.
Plan of correction
The state did not require a plan of correction for this citation.
11/25/2024Revisit: State Certification (Re-certification) · ID KVPY131 deficiency
0000Initial CommentsSurveyor note
Findings
A certification revisit was completed on 11/26/24 for the previous deficiencies cited on 5/20/22. Deficiencies were cited. The regulations governing Home and Community-Based Services were revised, and the new regulations were implemented on 3/16/24.
Plan of correction
The state did not require a plan of correction for this citation.
0920PA Req-Med Admin-Rx/PRN-Wrtn Ordr/Annl Rvw
Findings
Based on record review and interview the facility (residence) failed to provide sufficient support to members (residents) in the use of prescription and non-prescription medications affecting four out of six sample residents (#36, #37, #42, #43). This deficiency was cited previously during a certification survey revisit on 5/20/22. Although the residence corrected the deficiency, based on the findings below, the residence has not maintained compliance with this regulatory requirement. Findings include:Resident #43 was admitted to the residence on 12/16/22 with a diagnosis of type 2 diabetes mellitus. A practitioner's order dated 11/12/24 read that fluticasone 250-50 MCG/ACT 1 puff inhalation was to be administered twice a day. A medication administration record (MAR) for Resident #43 dated November 2024 recorded fluticasone was not administered on 11/1-11/6/24 and 11/8-11/24/24, due to the medication being unavailable. On 11/26/24 at 11:52 a.m., the administrator stated that she was unaware that the citation had not been corrected. On 11/26/24, at approximately 3:00 p.m., the health and wellness director (HWD) stated that she had just ordered the fluticasone for Resident #43. Similar deficient practice was found for Residents #36, #37, and #42.
Plan of correction · submitted by the facility
S920 – Resident RightsCorrective Action:Residents #36, # 37, 42, and #43 medications that had been unavailable were reordered and H&W Director verified medications were being given as prescribed. Identification of Others:A full house medication availability audit was conducted by H&W on 12/10/24. No other discrepancies were identified. Systemic Changes:H&W Director will re-educate the QMAP’s that ensuring residents have the medications ordered by their physician is a resident right. H&W Director will re-educate the QMAP’s on proper monitoring of medication availability to help minimize the risk of medication not being available to give. In addition, the H&W Director will re-educate the QMAP’s on proper steps to take when a medication is unavailable and implement a new practice that they must notify the H&W Director for guidance. H&W Director will review QMAR report Monday – Friday to verify there are no entries showing “Medication Unavailable”. In the event medication is not available due to uncontrollable circumstances, the QMAP/designee will contact the pharmacy for STAT delivery and notify physician. H&W Director will review the “missed medication audit” report with the ED during morning clinical review to ensure medications are available and being given as ordered by the physician. Monitoring:H&W Director will conduct “missed medication audit” Monday-Friday and address concerns immediately. The H &W Director will review with QA any identified trends/concerns over the next 3 months. H&W Director is responsible for any follow-up recommendations made in QA.
11/25/2024Revisit: Licensure Complaint · ID 6Q4216No deficiencies
0000Initial CommentsSurveyor note
Findings
A licensure revisit was completed on 11/26/24 for the previous deficiency cited on 5/20/22. The residence is in compliance with all regulations surveyed. The regulations governing Assisted Living Residences were revised. The new regulation Chapter VII was implemented on 7/1/24.
Plan of correction
The state did not require a plan of correction for this citation.
11/25/2024Revisit: Licensure Complaint · ID BCYS14No deficiencies
0000Initial CommentsSurveyor note
Findings
A certification revisit was completed on 11/26/24 for the previous deficiency cited on 5/20/22. The facility is in compliance with all regulations surveyed. The regulations governing Home and Community Based Services 10 CCR 2505-10 8.7000 were revised. The new regulation was implemented on 3/16/24.
Plan of correction
The state did not require a plan of correction for this citation.
11/25/2024Revisit: Licensure (Re-licensure) · ID 34WX131 deficiency
0000Initial CommentsSurveyor note
Findings
A licensure revisit was completed on 11/26/24 for the previous deficiencies cited on 5/20/22. Deficiencies were cited. The regulations governing Assisted Living Residences were revised. The new Chapter VII regulations were implemented on 7/1/24.
Plan of correction
The state did not require a plan of correction for this citation.
1568Med/Med Adm-Ordrs Cmpy w/OrdrsS/S B
Findings
Based on record review and interview the residence failed to comply with authorized practitioner orders associated with medication administration affecting four out of six sample residents (#36, #37, #42, #43). This deficiency was cited previously during a state licensure survey revisit on 5/20/22. Although the residence corrected the deficiency, based on the findings below, the residence has not maintained compliance with this regulatory requirement. Findings include:Resident #43 was admitted to the residence on 12/16/22 with a diagnosis of type 2 diabetes mellitus. A practitioner's order dated 11/12/24 read that fluticasone 250-50 MCG/ACT 1 puff inhalation was to be administered twice a day. A medication administration record (MAR) for Resident #43 dated November 2024 recorded fluticasone was not administered on 11/1-11/6/24 and 11/8-11/24/24, due to the medication being unavailable. On 11/26/24 at 11:52 a.m., the administrator stated that she was unaware that the citation had not been corrected. On 11/26/24, at approximately 3:00 p.m., the health and wellness director (HWD) stated that she had just ordered the fluticasone for Resident #43. Similar deficient practice was found for Residents #36, #37, and #42.
Plan of correction · submitted by the facility
S1568 – Staffing Qualifications and TrainingCorrective Action:Residents #36, # 37, 42 and #43 medications that had been unavailable were reordered and H&W Director verified medications were being given as prescribed. Identification of Others:A full house medication availability audit was conducted by H&W on 12/10/24. No other discrepancies were identified. Systemic Changes:H&W Director will re-educate the QMAP’s on proper steps to take to minimize the risk of medications not being available and steps to take when a medication is unavailable and instruct them to notify the H&W Director for guidance. H&W Director will ensure new hire QMAP’s are properly trained on how steps to take when a medication is unavailable and steps to take to help minimize the risk of medications not being available for the residents. H&W Director will review the “missed medication audit” report with the ED during morning clinical review to ensure medications are available and being given as ordered by the physician. Monitoring:H&W Director will conduct “missed medication audit” Monday-Friday and address concerns immediately. The H&W Director will review with QA any identified trends/concerns over the next 3 months. H&W Director is responsible for any follow-up recommendations made in QA.
11/25/2024Revisit: Licensure Complaint · ID 5VKQ14No deficiencies
0000Initial CommentsSurveyor note
Findings
A licensure revisit was completed on 11/26/24 for the previous deficiencies cited on 5/20/22. The residence is in compliance with all regulations surveyed. The regulations governing Assisted Living Residences were revised. The new regulation Chapter VII was implemented on 7/1/24.
Plan of correction
The state did not require a plan of correction for this citation.
11/25/2024Revisit: Licensure Complaint · ID 5EJP15No deficiencies
0000Initial CommentsSurveyor note
Findings
A certification revisit was completed on 11/26/24 for the previous deficiency cited on 5/20/22. The facility is in compliance with all regulations surveyed. The regulations governing Home and Community Based Services 10 CCR 2505-10 8.7000 were revised. The new regulation was implemented on 3/16/24.
Plan of correction
The state did not require a plan of correction for this citation.
11/25/2024CHOW and Licensure (Re-licensure) (Combined) · ID ZKJD112 deficiencies
0000Initial CommentsSurveyor note
Findings
A relicensure survey was completed on 11/26/24. Deficiencies were cited. A change of ownership occurred on 3/1/24.
Plan of correction
The state did not require a plan of correction for this citation.
1568Med/Med Adm-Ordrs Cmpy w/OrdrsS/S B
Findings
Based on record review and interview the residence failed to comply with authorized practitioner orders associated with medication administration affecting four out of six sample residents (#36, #37, #42, #43). Findings include:Resident #43 was admitted to the residence on 12/16/22 with a diagnosis of type 2 diabetes mellitus. A practitioner's order dated 11/12/24 read that fluticasone 250-50 MCG/ACT 1 puff inhalation was to be administered twice a day. A medication administration record (MAR) for Resident #43 dated November 2024 recorded fluticasone was not administered on 11/1-11/6/24 and 11/8-11/24/24, due to the medication being unavailable. On 11/26/24, at approximately 3:00 p.m., the health and wellness director (HWD) stated that she had just ordered the fluticasone for Resident #43. Similar deficient practice was found for Residents #36, #37, and #42.
Plan of correction · submitted by the facility
S1568 – Staffing Qualifications and TrainingCorrective Action:Residents #36, # 37, 42 and #43 medications that had been unavailable were reordered and H&W Director verified medications were being given as prescribed. Identification of Others:A full house medication availability audit was conducted by H&W on 12/10/24. No other discrepancies were identified. Systemic Changes:H&W Director will re-educate the QMAP’s on proper steps to take to minimize the risk of medications not being available and steps to take when a medication is unavailable and instruct them to notify the H&W Director for guidance. H&W Director will ensure new hire QMAP’s are properly trained on how steps to take when a medication is unavailable and steps to take to help minimize the risk of medications not being available for the residents. H&W Director will review the “missed medication audit” report with the ED during morning clinical review to ensure medications are available and being given as ordered by the physician. Monitoring:H&W Director will conduct “missed medication audit” Monday-Friday and address concerns immediately. The H&W Director will review with QA any identified trends/concerns over the next 3 months. H&W Director is responsible for any follow-up recommendations made in QA.
2230HIR-Cntnt IncldS/S B
Findings
Based on interview and record review, the residence failed to document in each resident's progress notes any out-of-the-ordinary event or issue that affects a resident's physical, behavioral, cognitive, or functional condition, along with the action taken by staff to address that resident's changing needs, affecting nine of 10 sample residents (#36, #37, #39-#45). Findings include:1. Record ReviewResident #42 was admitted to the residence on 7/1/21 with a diagnosis of unspecified dementia, psychotic disturbance, and anxiety. A progress note, dated 11/1/24, read that Resident #42 was transferred to the hospital at 12:18 p.m. by emergency medical services (EMS) and that dispatch informed the family of the hospital transfer. A progress note, dated 11/2/24, read that Resident #42 returned from the hospital on the night of 11/1/24 with no changes in her condition. A progress note, dated 11/17/24, read in part that Resident #36 had an argument with Resident #42, in turn Resident #42 reported she felt scared. However, Resident #42 was upset that staff sent Resident #36 away so resident #42 went to look for Resident #36.2. Interviews On 11/25/24 at 3:20 p.m., the health and wellness director (HWD) stated that a staff member alleged verbal abuse against Resident #42 by Resident #36 in the progress notes of both residents. However, she stated that after discussing the event with the staff member, she felt that the behavioral expression did not meet the definition of verbal abuse, and therefore, there was no written investigation. She added that she should have documented the actions taken by the residence and staff in the progress notes of both residents to describe the outcome of the findings. 3. Additionally, the residence failed to document in each resident's progress notes any out-of-the-ordinary event along with the action taken by staff to address that resident's changing needs for Residents #36, #37, #39-#41, and #43-#45.
Plan of correction · submitted by the facility
F2230 - Resident Health Information RecordsCorrective Action:The H&W Director reviewed Residents #36, # 37, and #39 - #45 progress notes. The H & W director educated QMAPs on documentation guidelines for any out-of-the ordinary event or issue that affects a resident's physical, behavioral, cognitive, or functional condition, along with the action taken by staff to address that resident's changing needs. Identification of Others:All residents are at risk for this deficient alleged practice. Systemic Changes:H&W Director will re-educate QMAP's on proper documentation related to progress notes regarding out-of-the-ordinary event or issue that affects a resident's physical, behavioral, cognitive, or functional condition, along with the action taken by staff to address that resident's changing needs. Monitoring:H&W Director will train all new hire QMAPs and H&W Director will closely monitor resident's progress notes 5 days per week for 90 days to ensure proper documentation related to progress notes regarding out-of-the-ordinary event or issue that affects a resident's physical, behavioral, cognitive, or functional condition, along with the action taken by staff to address that resident's changing needs, S2230 – addendumCorrective Action:The H&W Director will continue to monitor identified residents’ (#36, #37, #39-#45) progress notes in PCC Monday-Friday to ensure there are no other encounters. Monitoring:H&W Director/designee will conduct a full house PCC change in condition, physical, functional condition, cognitive, and behavioral progress notes audit Monday – Friday and will address concerns immediately. The findings of the PCC progress note audit will be reviewed with the ED during morning clinical meeting. The H&W Director will review with QA any identified trends/concerns over the next 3 months. H&W Director is responsible for any follow-up recommendations made in QA.
9999Final ObservationsSurveyor note
Findings
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 7.13.10 Each assisted living residence shall develop and implement an internal process to ensure the routine and prompt handling of grievances or complaints brought by residents, family members, or advocates. The process for raising and addressing grievances and complaints shall be placed in a visible on-site location along with full contact information for the following agencies: 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: (A) (B) (C) (D) (E) (F) (G) (H) (I) Intravenous, intramuscular, or subcutaneous injections; Gastrostomy or jejunostomy tube feeding; Chemical debridement; Administration of medication for purposes of restraint; Titration of oxygen; Decision making regarding PRN or "as needed" medication administration; Assessment of residents or use of judgment including, but not limited to, medication effect; Pre-pouring of medication; or Masking or deceiving administration of medication including, but not limited to, concealing in food or liquid. 14.11 Only medication that has been ordered by an authorized practitioner shall be prepared for or administered to residents. 14.29 Inaccurate MAR (A) The medication administration record shall reflect the name, strength, dosage, and mode of administration of each medication, the date the order was received, the date and time of administration, any special considerations related to administration, and the signature or initial of the person administering the medication. 22.29 The assisted living residence ' s handling and storage of oxygen shall comply with all applicable local, state, and federal requirements.
Plan of correction
The state did not require a plan of correction for this citation.

Reportable Occurrences

12 records
12/21/2025Physical Abuse · ID 25230322007Reported on time: Yes
Occurrence summary
SUMMARY OF FINDINGS:On 12/21/25, the healthcare entity investigated a reportable event. The facility acted appropriately to protect their clients by taking immediate protective actions, investigating the event, and implementing a plan to help prevent a future recurrence. The healthcare entity reported physical abuse of a client. Client (B) allegedly hit Client (A) in the forehead three times during a verbal interaction, causing Client (A) pain. During the course of the investigation, the healthcare entity separated and assessed the clients, notified law enforcement, and conducted interviews. Client (A) received treatment for their pain and was placed on increased monitoring following the event. Client (B)’s care plan was updated to include staff interventions for de-escalation to reduce the risk of recurrence. Staff monitored both clients in common areas to encourage separation. Client (B) was later discharged from the facility. The event was substantiated. This public occurrence summary was provided in accordance with 25-1-124, C.R.S., and was based on the report and investigation provided by the licensed healthcare entity. Department investigation of this occurrence was conducted off-site. The healthcare entity occurrence report was submitted within the required timeframe.
Publication
Sent to facility 4/2/2026 · released to the public 4/9/2026.
11/3/2025Neglect · ID 25230322006Reported on time: No
Occurrence summary
SUMMARY OF FINDINGS:On 11/5/25, the healthcare entity investigated a reportable event of neglect of a client. This occurrence has been identified for further investigation by the Department. An onsite investigation was conducted by a representative from the State agency. For results of that on-site investigation, please reference https://cdphe.colorado.gov/find-and-compare-facilities, specifically the inspection dated 11/6/25, Event IDs 4GBE11 and 9TQR11. This public occurrence summary was provided in accordance with 25-1-124, C.R.S., and was based on the report and investigation provided by the licensed healthcare entity. The department investigation of this occurrence was also conducted offsite. The healthcare entity occurrence report was not submitted within the required timeframe.
Publication
Sent to facility 2/2/2026 · released to the public 2/9/2026.
5/26/2025Misappropriation of Property · ID 25230322004Reported on time: No
Occurrence summary
SUMMARY OF FINDINGS:On 5/26/25, the healthcare entity investigated a reportable event. The facility acted appropriately to protect their clients by taking immediate protective actions, investigating the event, and implementing a plan to prevent a future recurrence. The healthcare entity reported misappropriation of client property. Client (A) alleged $100.00 was missing from their wallet. During the course of the investigation the healthcare entity conducted a search, and interviews. No staff were aware of the money. Client (A) had a safe fastened to the wall in their closet to use. The police were notified and no assailant was identified. The event was not substantiated. This public occurrence summary was provided in accordance with 25-1-124, C.R.S., and was based on the report and investigation provided by the licensed healthcare entity. Department investigation of this occurrence was conducted off-site. The healthcare entity occurrence report was not submitted within the required timeframe.
Publication
Sent to facility 8/19/2025 · released to the public 8/26/2025.
4/10/2025Brain Injury · ID 25230322003Reported on time: Yes
Occurrence summary
SUMMARY OF FINDINGS:On 4/11/25, the healthcare entity investigated a reportable event. The facility acted appropriately to protect their clients by taking immediate protective actions, investigating the event, and implementing a plan to prevent a future recurrence. The healthcare entity reported a brain injury of a client. During the course of the investigation the healthcare entity did an assessment, and obtained medical treatment for the client. The client was diagnosed with a brain injury at the hospital and was discharged to a rehabilitation facility where they fell. The client’s care plan will be updated to reflect safety interventions should they return to the facility. The client was currently back at the hospital at the time the report was submitted. The event was substantiated. This public occurrence summary was provided in accordance with 25-1-124, C.R.S., and was based on the report and investigation provided by the licensed healthcare entity. Department investigation of this occurrence was conducted off-site. The healthcare entity occurrence report was submitted within the required timeframe.
Publication
Sent to facility 8/14/2025 · released to the public 8/21/2025.
1/17/2025Misappropriation of Property · ID 25230322002Reported on time: Yes
Occurrence summary
SUMMARY OF FINDINGS:On 3/11/25, the healthcare entity investigated a reportable event. The facility acted appropriately to protect their clients by taking immediate protective actions, investigating the event, and implementing a plan to prevent a future recurrence. The healthcare entity reported misappropriation of client property. During the course of the investigation the healthcare entity conducted interviews and reviewed documentation which revealed the client wrote a check for $500 to staff member (1) back in January 2025. The police were notified and Staff member (1) had already had their employment terminated on 3/7/25 for other concerns. All staff were educated again they can not take gifts from clients and not to discuss personal issues with the clients. The clients have been educated not to give gifts to employees and this client was given back their money by the facility. The event was substantiated. This public occurrence summary was provided in accordance with 25-1-124, C.R.S., and was based on the report and investigation provided by the licensed healthcare entity. Department investigation of this occurrence was conducted off-site. The healthcare entity occurrence report was submitted within the required timeframe.
Publication
Sent to facility 4/20/2025 · released to the public 4/27/2025.
12/7/2024Sexual Abuse · ID 24230322007Reported on time: Yes
Occurrence summary
SUMMARY OF FINDINGS: On 12/9/25, the healthcare entity investigated a reportable event. The facility acted appropriately to protect their clients by taking immediate protective actions, investigating the event, and implementing a plan to prevent a future recurrence. The healthcare entity reported sexual abuse of a client. During the course of the investigation, the healthcare entity, ensured client safety. Client (A) reported that client (B) came into the laundry room area, cornered them and attempted to "grope" them; however, no contact was made. Client (A) said they yelled at client (B) and client (B) left the room. Client (B) was placed under close staff supervision to keep them separated from client (A). Client (B) denied any wrongdoing. A staff member witness said they saw client (B) in the laundry pulling clothes out of a machine and throwing them on the floor. Then they saw client (A) come by and yell at client (B) that those were their clothes and to leave until they finished washing their clothes. The healthcare entity was unable to confirm sexual abuse occurred based on inconclusive evidence. The event was not substantiated. This public occurrence summary was provided in accordance with 25-1-124, C.R.S., and was based on the report and investigation provided by the licensed healthcare entity. Department investigation of this occurrence was conducted off-site. The healthcare entity occurrence report was submitted within the required timeframe.
Publication
Sent to facility 7/10/2025 · released to the public 7/17/2025.
12/5/2024Brain Injury · ID 24230322006Reported on time: Yes
Occurrence summary
SUMMARY OF FINDINGS:On 12/5/24, the healthcare entity investigated a reportable event. The facility acted appropriately to protect their clients by taking immediate protective actions, investigating the event, and implementing a plan to prevent a future recurrence. The healthcare entity reported a brain injury. During the course of the investigation the healthcare entity did an assessment, and obtained medical treatment for the client. The client’s care plan was updated to reflect safety interventions should the client return to the facility after their rehabilitation stay. The event was substantiated. This public occurrence summary was provided in accordance with 25-1-124, C.R.S., and was based on the report and investigation provided by the licensed healthcare entity. Department investigation of this occurrence was conducted off-site. The healthcare entity occurrence report was submitted within the required timeframe.
Publication
Sent to facility 2/19/2025 · released to the public 2/26/2025.
6/19/2024Physical Abuse · ID 24230322004Reported on time: Yes
Occurrence summary
SUMMARY OF FINDINGS:On 6/20/24, the healthcare entity investigated a reportable event. The facility acted appropriately to protect their clients by taking immediate protective actions, investigating the event, and implementing a plan to prevent a future recurrence. The healthcare entity reported physical abuse of a client. During the course of the investigation the healthcare entity ensured the clients were separated before the police were notified. Client (A) yelled out “ouch” indicating pain when their hair was pulled by Client (B). The event was witnessed by staff. Client (B) was educated to keep to themselves and it was not appropriate to touch others. Staff will continue to redirect clients. The event was substantiated. This public occurrence summary was provided in accordance with 25-1-124, C.R.S., and was based on the report and investigation provided by the licensed healthcare entity. Department investigation of this occurrence was conducted off-site. The healthcare entity occurrence report was submitted within the required timeframe.
Publication
Sent to facility 4/3/2025 · released to the public 4/10/2025.
6/7/2024Misappropriation of Property · ID 24230322003Reported on time: Yes
Occurrence summary
SUMMARY FINDINGS: On 6/7/24 a manager saw staff member (1) place a 50 cent piece in their pocket while in Resident (A)’s room. Other residents mention missing items that would later show up. Staff notified the police. Staff member (1) admitted to taking the 50 cent piece and had it in their pocket. Staff member (1) stated they took it to ask Resident (A) where they got it from. The facility investigation concluded staff member (1)’s actions were witnessed and they did not have any reason to place the money in their pocket and leave the apartment. To help prevent a recurrence, staff member (1)’s employment was terminated. No further concerns have been identified. DEPARTMENT FINDINGS:In accordance with Colorado Revised Statute 25-1-124, the Department conducted an off-site review of this reportable event submitted by the agency/facility. This public summary is based on investigative findings provided by the licensed entity to the Occurrence section of the Department. The provider reports the information submitted to the Department is accurate and complete. Prior to the next onsite investigation of the agency/facility, this occurrence event will be reviewed by the State Agency. The occurrence report was submitted within the required timeframe. The facility/agency complied with licensing standards for conducting an internal investigation of this occurrence event and submitting a report of the findings to the Department.
Publication
Sent to facility 1/16/2025 · released to the public 1/23/2025.
4/22/2024Brain Injury · ID 24230322002Reported on time: Yes
Occurrence summary
SUMMARY FINDINGS: On 4/22/24 resident (A) had an unwitnessed fall hitting his head on an electronic device and had complaints of head and neck pain. Resident was sent to the hospital and diagnosed with a brain injury and a fracture to his neck. The facility’s investigation concluded resident (A) attempted to sit down and missed the chair falling and striking his head. Resident (A) was admitted to the hospital. If resident (A) returns to the facility his safety plan will be updated to reflect his current needs. DEPARTMENT FINDINGS: In accordance with Colorado Revised Statute 25-1-124, the Department conducted an off-site investigation of this reportable event and investigative findings submitted by the agency/facility. This public summary is based on information provided by the agency/facility to the Occurrence Section of the Department and is accurate and complete at this time. Prior to the next onsite investigation of the agency/facility, this occurrence will be reviewed. The occurrence report indicated the agency/facility acted appropriately in response to this occurrence by complying with licensing standards of reporting and investigating this occurrence.
Publication
Sent to facility 12/2/2024 · released to the public 1/14/2025.
1/1/2024Brain Injury · ID 24230322001Reported on time: Yes
Occurrence summary
SUMMARY OF FINDINGS:On 1/1/24, a resident fell down the stairs with her walker and hit her head. Staff heard the noise and found the resident initially unresponsive. She then woke up and was conversing with staff. She was transferred to the hospital for further evaluation. Diagnostic test results showed an acute brain bleed, and she was admitted. When reviewing the circumstances of the fall, the facility indicated the resident decided to walk down the stairs with her walker, which she had never done before. She was able to independently ambulate within the community. She suffered an unfortunate and accidental fall down the stairs resulting in a brain injury. Once she was medically cleared, she returned to the facility at her normal level of functioning and mental status. Staff provided oversight and redirection for mobility safety. Stop signs were placed at the top of stairs to detour residents away from utilizing the stairs alone. DEPARTMENT FINDINGS:In accordance with Colorado Revised Statute 25-1-124, the Department conducted an off-site review of this reportable event submitted by the agency/facility. This public summary is based on investigative findings provided by the licensed entity to the Occurrence section of the Department. The provider reports the information submitted to the Department is accurate and complete. Prior to the next onsite investigation of the agency/facility, this occurrence event will be reviewed by the State Agency. The occurrence report was submitted within the required timeframe. The facility/agency complied with licensing standards for conducting an internal investigation of this occurrence event and submitting a report of the findings to the Department.
Publication
Sent to facility 12/20/2024 · released to the public 12/27/2024.
1/29/2023Neglect · ID 23230322001Reported on time: Yes
Occurrence summary
DESCRIPTION OF OCCURRENCE: On 1/29/23 a family member filed a complaint against qualified medication administration person (QMAP) (1) for neglect during incontinence and improper transfer of a female resident (A) in her 90s from her chair to her bed. FACILITY / AGENCY ACTION: The facility conducted an internal investigation and notified the families/guardians. QMAP (1) was immediately notified they were suspended pending the investigation. On 1/30/23 a small bruise was found on one of resident (A)'s legs and she complained of pain after being transferred the other night. Resident (A) was reportedly assisted with incontinence care as her bed was soaked. The resident alleged that QMAP (1) picked resident (A) up by placing one hand around her neck and one hand behind the knees. Resident (A) stated she complained at the time, but QMAP (1) told her they were just doing their job. QMAP (1) stated they did assist with incontinence care, denied transferring her in a cradling position. No other residents or staff expressed any concerns with roughness. The facility investigation concluded there was not enough evidence to prove negligence. To help prevent a recurrence QMAP (1) will not be able to care for resident (A) alone, and will always need to be with another staff member. Resident (A) care plan was updated to reflect no male caregivers at night to assist the resident. Staff were retrained on dignity and transfers issues. DEPARTMENT FINDINGS: In accordance with Colorado Revised Statute 25-1-124, the Department conducted an off-site investigation of this reportable event and investigative findings submitted by the agency/facility. This public summary is based on information provided by the agency/facility to the Occurrence Section of the Department and is accurate and complete at this time. Prior to the next onsite investigation of the agency/facility, this occurrence will be reviewed. The occurrence report indicated the agency/facility acted appropriately in response to this occurrence by complying with licensing standards of reporting and investigating this occurrence.
Publication
Sent to facility 10/31/2023 · released to the public 11/1/2023.