DENVER, CO- CENTER AT LOWRY

The Department of Health & Human Services conducted an inspection of the facility. The following  highlighted decencies listed below were found in a public survey.

Allow residents to easily view the nursing home’s survey results and communicate with advocate agencies.

Based on observations, interview and record review, the facility failed to ensure residents and
representatives had full access to the facility’s most recent survey findings including the survey results, certifications, complaint investigations and plans of correction.

Specifically, the facility failed to:
-Ensure the survey finding binder was available;
-Ensure staff members were aware of where the binder was located; and,
-Ensure survey documents were updated.

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Based on record review and interviews, the facility failed to ensure two (#41 and #114) residents out of three residents received treatment and care in accordance with professional standards of practice out of 43 sample residents.

Specifically, the facility failed to administer insulin timely per the physician orders.

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Based on observation and interviews, the facility failed to ensure medications and biologicals were stored and labeled properly on one of three medication carts reviewed.

Specifically, the facility failed to ensure nursing staff did not store medications in their pocket.

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Based on observations, record reviews, and interviews, the facility failed to ensure food was prepared, distributed, and served under sanitary conditions in the kitchen to prevent the spread of foodborne pathogens.

Provide and implement an infection prevention and control program.

Based on observations and interviews the facility failed to maintain an infection control program designed to provide a safe, sanitary and comfortable environment to help prevent the development and transmission of disease and infection for one of two units.
Specifically, the facility failed to:
-Ensure insulin (medication used for blood sugar control) pens were cleaned prior to administration of insulin to a resident;
-Ensure staff donned personal protective equipment (PPE) properly;
-Ensure staff did not cause cross contamination from COVID-19 positive resident rooms; and,
-Ensure visitors donned PPE prior to entering a COVID-19 positive resident room.