City Scape Rehabilitation & Care Center Llc
CITY SCAPE REHABILITATION & CARE CENTER LLC in DENVER, CO — inspection on July 16, 2024.
Found 2 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Review of Resident #105's EMR on 7/11/24 at 9:49 a.m. revealed the following:
-There was no discharge summary or assessment documentation;
-There were no nurses note documentation of appropriate orientation and preparation of the resident prior to transfer or discharge;
-There was no reason for the discharge documented in the record; and,
-There was no written discharge notice documentation.
IV.
Staff interviews
The social services director (SSD) was interviewed on 7/11/24 at 3:06 p.m.
The SSD said he did not issue a written facility-initiated discharge notice to Resident #105 or the ombudsman.
The NHA and the regional operations consultant (ROC) were interviewed together on 7/15/24 at 8:46 a.m.
The NHA and the ROC said the facility did not issue a facility-initiated discharge notice to Resident #105 or provide written notice to the ombudsman.
The NHA and the ROC said they did not know the reason why the facility discharged the resident or why the facility had not issued a 30-day discharge notice.
065387
According to the February 2024 computerized physician orders (CPO), diagnoses included rheumatoid arthritis, anxiety disorder, depression, attention-deficit hyperactivity disorder and chronic pain.
The 2/20/24 discharge minimum data set (MDS) assessment revealed the resident was cognitively intact with a brief interview for mental status (BIMS) score of 15 out of 15. He was independent for all functional activities of daily living (ADL).
The assessment documented the resident had no behavioral symptoms including physical, verbal, or other and there was no rejection of care.
The assessment documented active discharge planning was already occurring for the resident to return to the community and a referral had been made to the local contact agency.
065387
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 065387 B.
Wing 07/16/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
City Scape Rehabilitation & Care Center LLC 3345 Forest St Denver, CO 80207