Ascend at Aurora

In the surveyor’s words

From the most serious findings on record at Ascend at Aurora, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Apr 12, 2024

  Based on observation, interview, and record review, the facility failed to ensure one resident (Resident #48), who is non-verbal and dependent on staff for all personal needs and mobility, was free from mental abuse by staff when one staff member, Certified Nurse Aide (CNA) S, purposely made comments to the resident to upset him/her. The resident was visually upset when discussing the CNA and the comments made to him/her, including becoming red faced, teary eyed, reaching out his/her arm and grunting. A sample of 26 residents was reviewed in a facility with a census of 60. On 2/8/24, SLCR completed a complaint investigation at the facility regarding an allegation of the resident not being treated with dignity and was unable to verify deficient practice occurred. […]

• Immediate jeopardy, isolatedF760Apr 12, 2024

  Based on interview and record review, the facility failed to ensure residents remained free of significant medication errors when staff administered a fentanyl patch (a narcotic patch placed on the skin to treat moderate to severe pain) and hydrocodone-APAP (narcotic that is used for relief of severe pain) to one resident (Resident #162) without orders, resulting in significant side effects and hospitalization . A sample of 26 residents was reviewed in a facility with a census of 60. The Administrator was notified on [DATE], at 2:28 P.M., of an Immediate Jeopardy (IJ) which began on [DATE]. The resident went to the hospital and did not readmit to the facility. […]

• Immediate jeopardy, isolatedF600Aug 19, 2021

  Based on observation, interview, and record review, the facility failed to ensure residents were free from abuse when one resident (Resident #2) touched another resident (Resident #1), who did not have the capacity to consent, by fondling his/her breasts on multiple occasions. The facility census was 41. The administrator was notified on 08/16/2021 at 5:05 P.M., of an Immediate Jeopardy (IJ) which began on 08/14/2021. The IJ was removed on 08/17/2021, as confirmed by surveyor onsite verification. […]

• Immediate jeopardy, isolatedF610Aug 19, 2021

  Based on record review and interview, the facility failed to complete timely and thorough investigations of allegations of abuse involving two residents (Resident #1 and Resident #2) and failed to take immediate steps to protect all residents after becoming aware of the allegation of abuse. The facility census was 41. The administrator was notified on 08/16/2021 at 5:05 P.M., of an Immediate Jeopardy (IJ) which began on 08/14/2021. The IJ was removed on 08/17/2021, as confirmed by surveyor onsite verification Record review of the facility's policy titled Abuse, Prevention, and Prohibition Policy, dated 11/2018, showed the following: -Resident abuse must be reported immediately to the Administrator; -The facility Administrator would ensure a thorough investigation of alleged violations of… […]

• Actual harm, isolatedF689Aug 1, 2022

  Based on observation, interview, and record review, the facility staff failed to ensure all residents received adequate supervision to prevent accidents, when staff failed to follow one resident's (Resident #2), with a history of falls, care plan and left the resident alone in the shower resulting in the resident suffering laceration (a deep cut or tear in skin or flesh) to the back of the resident's head due to falling. The facility census was 57. Record review of the facility's policy titled Fall Policy, revised 9/17/29, showed the following: -Residents found to be at high risk for falls are placed on the Fall Program and interventions are implemented to meet individual needs. 1. […]