Juniper Village at Aurora

“Based on observation, record review and interview, the residence failed to ensure the house rules addressed cooking, protecting valuables, pets, visitors, telephone use or use of common areas, affecting 45 current residents. This deficiency was cited previously during a state license survey on 4/18/23. Although the residence corrected the deficiency, based on the findings below, the residence has not maintained compliance with this regulatory requirement. Findings include: Chapter VII regulations governing assisted living residences, part 13.3, requires that the assisted living residence establish written house rules and place them in a publicly visible location so that they are always available to residents and visitors.On 8/28/24 at 8:30 a.m., an environmental tour of the residence revealed the residence's posted house rules, dated 1/4/21. However, these posted house rules that were made available to residents and visitors did not include all required elements including: cooking, protecting valuables, pets, visitors, telephone use or use of common areas. On 8/28/24 at 9:34 a.m, the administrator stated the posted house rules were all the residence had developed, and they did not have anything else. The administrator later stated this deficiency that was previously cited was not corrected because it should have been done at the corporate level. She acknowledged the posted house rules were not comprehensive, and it was her responsibility to establish written house rules with all required elements and place them in a publicly visible location.”

“Based on interview and record review, the agency failed to ensure its quality management program (QMP) documented and implemented improvement strategies, affecting 45 current residents.This deficiency was previously cited during a re-licensure survey completed on 4/18/23. Although the residence corrected the deficiency, based on the findings below, the residence has not maintained compliance with this regulatory requirement. Findings include:1. Record Review a. On 8/28/24 at 7:30 a.m., QMP documentation was requested and not received during the onsite survey.2. InterviewsOn 8/28/24 at 9:30 a.m., the director of wellness stated she was unaware of the residence implementing a QMP and the residence did not have meetings regarding a QMP.On 8/28/24 at 3:00 p.m., the administrator stated she did not know what a QMP was and acknowledged there was no QMP. She also stated she did not have a reason as to why the deficiency had not been corrected.”