Hilltop Park Post Acute
HILLTOP PARK POST ACUTE in DENVER, CO — inspection on July 29, 2024.
Found 4 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
According to the July 2024 computerized physician's orders (CPO), diagnoses included dementia.
The 7/17/24 MDS assessment revealed the resident had severely impaired cognition with a BIMS score of four out of 15.
065241
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 065241 B.
Wing 07/29/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Hilltop Park Post Acute 290 S Monaco Pkwy Denver, CO 80224
According to the April 2024 CPO, diagnoses included calculus of bile duct with cholecystitis, post traumatic stress disorder, borderline personality disorder and need for assistance with personal care.
The 3/25/24 MDS assessment documented the resident was cognitively intact with a BIMS score of 14 out of 15. He required setup assistance with activities of daily living (ADL).
B.
Record review
065241
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 065241 B.
Wing 07/29/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Hilltop Park Post Acute 290 S Monaco Pkwy Denver, CO 80224
F-F686 Pressure injuries:
The facility failed to implement interventions and treatment to prevent a resident from developing a facility-acquired unstageable pressure injury that evolved into a stage 4 pressure injury which became infected.
III.
Interviews
065241
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 065241 B.
Wing 07/29/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Hilltop Park Post Acute 290 S Monaco Pkwy Denver, CO 80224
F-F867 for failure to ensure QAPI improvement activities.
-The records of the five randomly selected CNAs (#3, #4, #5, #6 and #7) were reviewed and none of the CNAs received all of the required training sessions (all required components of abuse training, QAPI, Compliance and ethics and resident rights) and none had received a total of 12 hours of annual in-service training.
-The training records failed to document the training sessions' durations.
III.
Staff interviews
The NHA was interviewed on 7/29/24 at 2:22 p.m.
The NHA said the facility had not provided any staff training on the QAPI program but they would get started on planning for the training.
The NHA said they had trained all staff on abuse.
-However, the abuse training topic was on the topic of elder and dependent adult abuse reporting and not abuse prevention and identification.
-Additionally, some staff received the training more than 12 months prior to the survey and had no record of being provided a refresher training on an annual basis
The NHA was interviewed again on 7/31/24 in a follow-up regarding the CNA training records.
The NHA said the annual CNA training was a bit bare and the facility would be working on getting the CNAs training up-to-date, along with the QAPI training.
.
065241