Greenwood Village South

In the surveyor’s words

From the most serious findings on record at Greenwood Village South, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF558Aug 13, 2024

  Based on observation, record review, and interview, the facility failed to provide reasonable accommodation of needs for 4 of 4 randomly observed residents. Bathroom call lights lacked a pull cord. (Residents 15, Resident 90, Resident 13, Resident 83) Findings include: 1. On 8/5/24 at 9:40 a.m., Residents 13 and Resident 83's bathroom was observed. The emergency call light in the bathroom lacked a pull cord. On 8/6/24 at 10:08 a.m., the same was observed. On 8/7/24 at 8:30 a.m., the same was observed. 2. On 8/5/24 at 9:47 a.m., Residents 15 and Resident 90's bathroom was observed. The emergency call light in the bathroom lacked a pull cord. On 8/6/24 at 10:06 a.m., the same was observed. On 8/7/24 at 8:28 a.m., the same was observed. […]

• No harm, potential for more than minimal, patternF550Aug 15, 2023

  Based on observation, interview, and record review, the facility failed to provide care in a dignified manner for 1 of 1 meal observations. Residents sitting at the same table were not served at the same time and residents were not assisted immediately after their meal was served. (Resident 53, Resident 86, Resident 41, Resident 89, Resident 9, Resident 100, Resident 94) Finding includes: During the noon meal the following was observed. On 8/7/23 at 11:55 a.m., Resident 53's food was sitting in front of him covered. Staff were not observed to be assisting Resident 53 with the food. Resident 86 was seated directly beside Resident 53. Resident 86 was observed to be eating the noon meal. At 12:04 p.m., Qualified Medication Aide (QMA) 6 was observed to assist Resident 53 with his noon meal. […]

• No harm, potential for more than minimal, isolatedF558Aug 15, 2023

  Based on observation, interview, and record review, the facility failed to provide reasonable accommodation of needs for 1 of 1 random observations. A resident's call light was not within reach. (Resident 73) Finding includes: On 8/8/23 at 10:36 a.m., Resident 73 was observed to be calling out for assistance. Resident 73 indicated she needed assistance to the bathroom but did not know where her call light was. At that time, Resident 73's call light was observed to be behind the resident resting on the beside table, out of reach of Resident 73. On 8/9/23 at 10:15 a.m., Resident 73's clinical record was reviewed. […]

• No harm, potential for more than minimal, isolatedF641Aug 15, 2023

  Based on interview and record review, the facility failed to ensure the accuracy of resident assessments for 2 of 3 residents reviewed for resident assessment. (Resident 101, Resident 98) Findings include: 1. On 8/9/23 at 11:06 a.m., Resident 101's clinical record was reviewed. A PASRR (Preadmission Screening and Resident Review) Level 2, dated 3/23/22, indicated Resident 101 had a serious mental illness. The Annual MDS (Minimum Data Set) Assessment, dated 3/9/23, indicated Resident 101 did not have a mental illness. On 8/9/23 at 1:12 p.m., the MDS Coordinator, indicated Resident 101's assessment was inaccurate. 2. On 8/9/23 at 11:11 a.m., Resident 98's clinical record was reviewed. […]

• No harm, potential for more than minimal, isolatedF684Aug 15, 2023

  Based on observation, interview and record review, the facility failed assess a resident for polyneuropathy and the need for a topical medication treatment. The facility lacked a Physician's Order for a medicated pain cream for the treatment of leg pain and to allow the resident to keep a medicated pain cream at the bedside. The facility failed to prevent a CNA from applying a medicated pain cream to a resident. (Resident 3, CNA 2, CNA 3) Findings include: On 8/10/23 at 10:30 a.m., CNA (Certified Nurse Aide) 2 and CNA 3 were observed providing personal care to Resident 3. Resident 3's legs were observed; and no pain or skin conditions were noted while personal care was being provided. […]