Advanced Health Care of Colorado Springs

In the surveyor’s words

From the most serious findings on record at Advanced Health Care of Colorado Springs, in the surveyor’s own words.

• No harm, potential for more than minimal, isolatedF656Mar 16, 2023

  Based on record review and interviews, the facility failed to develop and implement a comprehensive person-centered care plan that included measurable interventions and objectives for one (#12) of three out of 18 sample residents. Specifically, the facility failed to develop a person centered care plan for Resident #12's mental illness that included interventions, behaviors, and non-pharmaceutical approaches. Findings include: I. Resident #12 A. Resident status Resident #12, age 74, was admitted to the facility on [DATE]. […]

• No harm, potential for more than minimal, isolatedF689Mar 16, 2023

  Based on observations, interviews and record review, the facility failed to provide adequate supervision and assistance devices to prevent accidents for one (#7) of two residents reviewed for falls out of 18 sample residents. Specifically the facility failed to timely implement appropriate and effective interventions to prevent five falls in a two week period. Findings include: I. Facility policy The Fall Prevention policy, updated 9/28/22, was provided by the director of nursing (DON) on 3/15/23 at 4:30 p.m., read in part: Safety interventions will be implemented and monitored with appropriate documentation as indicated .Based upon the calculated score of the Fall Risk Assessment, the fall risk protocol and care plan will be completed and the appropriate interventions initiated. […]

• No harm, potential for more than minimal, isolatedF679Dec 16, 2021

  Based on observations, interviews and record review, the facility failed to provide meaningful, engaging activities to meet the interests of one (#176) of one resident reviewed for activities out of 22 sample residents. Specifically, Resident #176 was observed spending all of her time in her room, unengaged in activities to prevent loneliness and boredom, and improve her quality of life. Findings include: I. Facility policies The Activity Program policy, was provided by the director of nursing (DON) on 12/14/21 at 2:53 p.m. The policy read in pertinent part: The facility will provide, based on the comprehensive assessment, care plan and the preferences of each resident, an ongoing program to support patients in their choice of activities. […]

• No harm, potential for more than minimal, isolatedF755Dec 16, 2021

  Based on record review and interviews, the facility failed to ensure one (#24) of six residents reviewed for medication administration out of 22 sample residents that had physician-ordered medications available for administration. Specifically, the facility failed to ensure Resident #24 received [MEDICATION(S)], prescribed to treat chronic heart failure. The medication was not available and Resident #24 missed 11 doses from November to December 2021. Findings include: I. Facility policies and procedures The Patient Agreement signed by the resident on 11/15/21, was provided by the director of nursing (DON) on 12/15/21 at 12:10 p.m. It read, in pertinent part, Most pharmaceuticals as ordered by the patients's physician are included in Medicare Part A coverage. […]

• No harm, potential for more than minimal, isolatedF880Dec 16, 2021

  Based on observations, record review and interviews, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for one (Resident #131) of one out of 22 sample residents. Specifically, the facility failed to: -Ensure a barrier was placed before setting down clean items for wound care; -Change gloves from dirty to clean;and, -Perform hand hygiene during wound care with Resident #131. Findings include: I. Facility policy Handwashing policy, not dated, provided by the director of nurses (DON) on 12/14/21 at 2:45 p.m. […]