ASSURED SENIOR LIVING 32

A relicensure complaint, prompted by #CO40079, was completed on 3/5/26. No deficiencies were cited.

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 7.18.8 Resident records shall contain, but not be limited to, the following items:(A) Face Sheet,(B) Practitioner order,(C) Individualized resident care plan,(D) Progress notes which shall include information on resident status and wellbeing, as wellas documentation regarding any out of the ordinary event or issue that affects aresident ' s physical, behavioral, cognitive and/or functional condition along with the actiontaken by staff to address that resident ' s changing needs;(1) The assisted living residence shall require staff members to document, beforethe end of their shift, any out of the ordinary event or issue regarding a residentthat they personally observed, or was reported to them.(E) Medication Administration Record,(F) Documentation of on-going services provided by external service providers including, butnot limited to, family members, aides, podiatrists, physical therapists, hospice and homecare services, and other practitioners, assistants and caregivers;(G) Advance directives, if applicable, with extra copies; and(H) Final disposition of resident including, if applicable, date, time and circumstances of aresident ' s death along with the name of the person to whom the body is released.

A relicensure survey revisit was completed on 3/5/26 for all previous deficiencies cited on 11/10/25, The facility is in compliance with all regulations surveyed.

A relicensure survey was completed on 11/10/25. A deficiency was cited.

Based on record review and interview, the residence failed to have at least one staff member onsite at all times who was certified in cardiopulmonary resuscitation (CPR) and obstructed airway techniques from a nationally recognized organization, affecting five current residents. Findings include:1. Record review On 11/10/25 at 7:11 a.m., employee records that included copies of CPR certifications for each staff member, along with the October and November 2025 staff schedule were requested. The residence ' s staff schedule and employee records revealed Staff #2 did not obtain a certification in CPR from a nationally recognized organization that included a skills assessment observed and evaluated by an instructor since the date of hire on 10/25/25. Staff #2 was scheduled to work alone at the residence on November 4-6th, 2025, between 7:00 a.m. and 7:00 p.m. 2. InterviewOn 11/10/25 at approximately 9:45 a.m., the chief operating officer acknowledged Staff #2 did not have a CPR certification from a nationally recognized organization that included a skills assessment observed and evaluated by an instructor since the date of hire on 10/25/25, and worked at the residence alone on November 4-6th, 2025 between 7:00 a.m. and 7:00 p.m. The chief operating officer stated Staff #2 could not attend a class to certify in CPR until November 13th, 2025. She went on to state Staff #2 would not be scheduled to work at the residence alone until a CPR certification is received. The chief operating officer acknowledged CPR certifications for all residence employees should be up to date, in the personnel files, and readily available. On 11/10/25, at 4:04 p.m., both the administrator designee and the director of resident care and hospice liaison acknowledged Staff #2 did not have a CPR certification from a nationally recognized organization that included a skills assessment observed and evaluated by an instructor since the date of hire on 10/25/25, and worked at the residence alone on November 4-6th, 2025 between 7:00 a.m. and 7:00 p.m. Both the administrator designee and the director of resident care further acknowledged Staff #2 would not be scheduled to work at the residence alone until receiving a CPR certification, and CPR certifications for all residence employees should be up to date, in the personnel files, and readily available.

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. 18.8 Resident records shall contain, but not be limited to, the following items:(A) Face Sheet,(B) Practitioner order,(C) Individualized resident care plan,(D) Progress notes which shall include information on resident status and wellbeing, as wellas documentation regarding any out of the ordinary event or issue that affects aresident ' s physical, behavioral, cognitive and/or functional condition along with the actiontaken by staff to address that resident ' s changing needs;(1) The assisted living residence shall require staff members to document, beforethe end of their shift, any out of the ordinary event or issue regarding a residentthat they personally observed, or was reported to them.(E) Medication Administration Record,(F) Documentation of on-going services provided by external service providers including, butnot limited to, family members, aides, podiatrists, physical therapists, hospice and homecare services, and other practitioners, assistants and caregivers;(G) Advance directives, if applicable, with extra copies; and(H) Final disposition of resident including, if applicable, date, time and circumstances of aresident ' s death along with the name of the person to whom the body is released.

A certification complaint, prompted by #CO34403, was completed on 2/29/24. No deficiencies were cited.

A licensure complaint prompted by #CO34402, was completed on 2/29/24. No deficiences were cited.