GOLDEN ROCKIES ASSISTED LIVING

A revisit survey was completed on 9/4/24 for all previous deficiencies cited on 7/10/24. The facility is in compliance with all deficiencies that were cited.

Citation coded "0000" or "9999" are initial and final comments of an inspection for informational purposes, this field may also have been left blank intentionally

A relicensure survey was completed on 7/10/24. Deficiencies were cited.

Based on interview and record review, the residence failed to have at least one staff member onsite who has certification in first aid from a nationally recognized organization, affecting eight current residents. (Cross-reference S734)Findings include: A review of staff first aid certifications on 7/10/24 revealed that Staff #2 had current first aid certification, however it was not from a nationally recognized organization. On 7/10/24 at 7:43 a.m., Staff #1 stated the staff schedule was as follows: Staff #1 worked 24-hour shifts every Monday through Friday. Staff #2 worked 24-hour shifts every Saturday and Sunday. On 7/10/24 at 11:05 a.m., the administrator stated that she was not aware that Staff #2 only completed a web-based training and she thought it was an approved certification course. The administrator confirmed the residence had no record that Staff #2 had current first aid certification from a nationally recognized organization.

Based on record review and interview, the residence failed to ensure there was at least one staff member onsite at all times with current certification in cardiopulmonary resuscitation (CPR) and obstructed airway techniques from a nationally recognized organization , affecting eight current residents. (Cross-reference S732)Findings include:On 7/10/24, personnel records provided by the administrator included certificates of completion in CPR training that read that Staff #2 completed web-based CPR training from an organization that was not nationally recognized. On 7/10/24 at 7:43 a.m., Staff #1 stated the staff schedule was as follows: Staff #1 worked 24-hour shifts every Monday through Friday. Staff #2 worked 24-hour shifts every Saturday and Sunday. On 7/10/24 at 11:05 a.m., the administrator stated that she was not aware that Staff #2 only had online training and she thought it was an approved certification course. Furthermore, the administrator stated she was aware that there was a demonstration piece to the CPR certification and assumed that Staff #2 was able to demonstrate CPR. The administrator confirmed the residence had no record of CPR certification for Staff #2 from a nationally recognized organization.

Based on observation and interview, the residence failed to ensure each resident's right to privacy and dignity with respect to medication monitoring and administration, affecting two of four resident observed during morning medication administration (#4, #5). Findings include:On 7/10/24 at 8:12 a.m., during medication administration, Staff #1 brought dispensed medications along with two lidocaine patches to administer to Resident #4. He also brought an insulin pen for the resident to self-administer her insulin. Staff #1 went to the residence's front common area sitting room, adjacent to the staff office. The administrator sat at a desk facing the sitting room, and Resident #5 was sitting in a chair next to Resident #4. Resident #4 stood up in the sitting room, removed her coat, turned so that her back was facing Staff #1, raised the back of her shirt and lowered her pants to expose the skin of her lower back/upper buttocks. Staff #1 then applied two lidocaine patches to the exposed skin. Resident #4 sat back down in the chair, lifted the front of her shirt (exposing the skin of her lower abdomen), used an alcohol swab on a small section of skin on her abdomen, then self-administered the insulin subcutaneously in that section of skin. Resident #5 and the administrator were in the line of vision throughout the process. On 7/10/24 at 11:00 a.m., Staff #1 acknowledged that he administered medications in common areas where there were other residents. He stated that Resident #4 did not mind lifting her shirt and lowering her pants for medication administration, adding that the resident had the right to that choice. Staff #1 then acknowledged that it was the responsibility of the staff to ensure the protection of each resident's privacy with respect to medication administration. On 7/10/24 at 11:05 a.m., the administrator stated that she observed Resident #4 expose skin from various parts of her body during medication administration in the sitting room right next to where Resident #5 was sitting and was able to observe. She stated she expected the staff to administer the lidocaine patches and the insulin in a private area. Evidence obtained during the onsite visit revealed additional deficient practice for Resident #5.

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 02 and 6 CCR 1011-1, Chapter 7.2.3.6. Applicants must show compliance with the Colorado Adult Protective Services Data System (CAPS Check) requirements as set forth in section 26-3.1-111, C.R.S. 7.9 The assisted living residence shall ensure that each staff member and volunteer receives orientation and training, as follows: (B) Dementia Training Requirements (1) As of January 1, 2024, each assisted living residence shall ensure that its direct-care staff members meet the dementia training requirements in this part 7.8(B). (2) Definitions: For the purposes of dementia training as required by Section 25-1.5-118, C.R.S. &n