ARVADA, CO- ARVADA CARE AND REHABLITATION CENTER

According to the policy, the facility would: Assure that concerns are quickly and thoroughly evaluated and acted upon in order to resolve issues; Support residents and families in
voicing grievances without discrimination or reprisal; Initiate prompt efforts to resolve grievances.

A group interview was conducted on 4/30/19 at 2:00 p.m with five residents the facility assessed and deemed as alert, oriented, and interviewable. The group said they brought up concerns monthly in resident council but not all their concerns are followed up on. Three of the five residents said the room tray food items was often cold, particularly the soup, potatoes and french fries. Three of the five residents stated that they did not get their regularly scheduled showers, especially on Sundays, Mondays and Tuesdays. Four of the five residents said they felt staff was short on weekends. They said the facility would often use agency nurses and certified nursing aide replacements to help but it was not enough. They said the agency staff did not know the residents care needs and provided little help. One of the five residents felt the facility was sometimes noisy at night.

Resident #21 was interviewed on 4/29/19 at 11:40 a.m. She said she receives a room tray in her room. She said the meal she received could improve, particularly the temperature. She said the food was sometimes served to her cold.

A resident who preferred anonymity was interviewed on 4/29/19 at 2:47 p.m. He said the facility was often short staffed, especially weekends. He said they do not have enough help to give all the scheduled showers and answer call lights. 

Resident #5 was interviewed on 4/29/19 at 9:32 a.m. She said there was not enough staff to help with care, so the often use agency certified nursing aides (CNAs) and nursing. She said she continued to see lots of call lights on for long periods at a time in the afternoon and evenings.

Resident #4 was interviewed on 4/29/19 at 2:14 p.m. She said staff took a long time answering call lights. She said her roommate yelled out at night, preventing her from sleeping. She said she told staff but nothing had been done about it.

The activity director (AD) was interviewed on 5/1/19 at 9:14 a.m. She did she was responsible for grievances addressed in resident council. She said it was her responsibility to document resident council concerns on a grievance form and the monthly minutes. She said she would provide the grievance forms to the appropriate department. The department supervisors were responsible for ensuring the concern was addressed and resolution was attempted.

The AD was interviewed for a second time on 5/2/19 at 12:54 p.m. She said resident council was one of the few ways for the residents to express their concerns. She said she needed to continue to ensure their voice was heard. She said she did not follow her monthly resident council procedures for council concerns of the following: room tray temperatures, Sunday staffing, and showers, which resulted in concerns not being followed up with or resolved.