Rocky Mountain Care - Spring Hollow Assisted Living and Memory Care.

[R380-80-4(1)] The licensee was out of compliance with R380-80-4(1) by not protecting each client from mistreatment. During the inspection, the licensor reviewed 1 employee’s file and observed a facility corrective action form, dated November 18, 2024, which had allegations of the employee mistreating a resident. [R380-80-4(1)] The licensee was out of compliance with R380-80-4(1) by not protecting each client from neglect. During the inspection, the licensor reviewed 1 employee’s file and observed a facility corrective action form, dated January 14, 2025, which had allegations of the employee being neglectful. [R380-80-4(1)] The licensee was out of compliance with R380-80-4(1) by not protecting each client from neglect. During the inspection, the licensor reviewed 1 employee’s file and observed a facility corrective action form, dated November 18, 2024, which included allegations of the employee being neglectful. [R432-270-8(1)(a)-(p)] The licensee was out of compliance with R432-270-8(1)(k) by not reporting any suspected abuse in accordance with Section 62A-3-305, and documenting appropriate action if the alleged violation was verified. During the inspection, the licensor reviewed 1 employee’s file and observed a facility corrective action form, dated November 18, 2024, which had allegations of the employee mistreating a resident. There was no documentation indicating that the incident was reported to Adult Protective Services. [R432-270-8(1)(a)-(p)] The licensee was out of compliance with R432-270-8(1)(k) by not reporting any suspected neglect in accordance with Section 62A-3-305, and documenting appropriate action if the alleged violation was verified. During the inspection, the licensor reviewed 1 employee’s file and observed a facility corrective action form, dated January 14, 2025, which had allegations of the employee being neglectful, which had not been reported in accordance with Section 62A-3-305. [R432-270-8(1)(a)-(p)] The licensee was out of compliance with R432-270-8(1)(k) by not reporting any suspected neglect in accordance with Section 62A-3-305, and documenting appropriate action if the alleged violation was verified. During the inspection, the licensor reviewed 1 employee’s file and observed a facility corrective action form, dated November 18, 2024, which had allegations of the employee being neglectful, and was not reported in accordance with Section 62A-3-305. [R432-270-8(1)(a)-(p)] The licensee was out of compliance with R432-270-8(1)(g) by not ensuring that the Administrator reviewed at least quarterly every injury, accident, and incident to a resident or employee and they did not document appropriate corrective action. During the inspection, 21 incident reports were reviewed and an appropriate corrective action was not included. [R380-600-7(16)(a)-(d)] The licensee was out of compliance with R380-600-7(16)(a) by not ensuring that the licensee submitted a report of critical incident to the office in a format required by the office within one business day of the critical incident occurrence. During the inspection, the licensor reviewed 1 employee’s file and observed a facility corrective action form, dated November 18, 2024, which had allegations of the employee mistreating a resident. The corresponding critical incident was not found in the department’s system. [R380-600-7(16)(a)-(d)] The licensee was out of compliance with R380-600-7(16)(a) by not ensuring that the licensee submitted a report of critical incident to the office in format required by the office within one business day of the critical incident occurrence. During the inspection, the licensor reviewed 1 employee’s file and observed a facility corrective action form, dated January 14, 2025, which had allegations of the employee being neglectful. The corresponding critical incident was not found in the department’s system. [R380-600-7(16)(a)-(d)] The licensee was out of compliance with R380-600-7(16)(a) by not ensuring that the licensee submitted a report of critical incident to the office in format required by the office within one business day of the critical incident occurrence. During the inspection, the licensor reviewed 1 employee’s file and observed a facility corrective action form, dated November 18, 2024, which had allegations of the employee being neglectful. The corresponding critical incident was not found in the department’s system. The licensee did not submit a report of a critical incident to the office within one business day of the critical incident occurrence. [R432-270-10(5)(a)-(x)] The licensee was out of compliance with R432-270-10(5)(c) by not ensuring that residents were free of chemical and physical restraint. During the inspection, 1 resident was not protected from physical restraint.

[R432-270-26(10)(a)-(g)] The provider was out of compliance with this rule by not ensuring that the provider had in-house equipment and supplies required in an emergency including: emergency heating equipment and an emergency radio. During the inspection, the aforementioned items were not supplied in-house. This non-compliance was previously cited on 8/7/2024 and 10/8/2024.

[R432-270-11(10)(a)-(c)] The provider was out of compliance with this rule by not retaining a copy of the physician's diagnosis and orders for care for all hospice residents. During the inspection, 1 hospice resident did not have a copy of the physician's diagnosis and orders for care on file. This noncompliance was previously cited on 1/29/2024 and 8/7/2024.