Oakwood Care And Rehabilitation
OAKWOOD CARE AND REHABILITATION in LAKEWOOD, CO — inspection on January 29, 2025.
Found 3 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
During a continuous observation of unit four on 1/27/25, beginning at 11:17 a.m. and ending at 2:00 p.m., the following was observed:
At 11:17 a.m. the droplet precaution sign had been removed from Resident #12's door and the PPE bin was no longer outside the resident's room.
-There was no EBP sign on Resident #12's door or a PPE bin outside the resident's room, was identified by the director of nursing (DON) as the facility's process for making staff aware of which residents required EBP (see DON interview below).
At 1:09 p.m. the physical therapist (PT) was observed going into Resident #12's room and asking the resident if he was ready for some exercise.The PT performed hand hygiene and closed the resident's door.
-The PT did not put on PPE prior to entering the resident's room to do physical therapy with the resident.
At 1:42 p.m. the speech language pathologist (SLP) performed hand hygiene, knocked on Resident #12's door and entered the resident's room.
-The SLP did not put on PPE prior to entering the resident's room to do speech therapy with the resident.
065248
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 065248 B.
Wing 01/29/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Oakwood Care and Rehabilitation 5301 W 1st Ave Lakewood, CO 80226
According to the January 2025 CPO, diagnoses included Alzheimer's disease, chronic obstructive pulmonary disease, chronic respiratory failure, emphysema, depressive episodes, cognitive communication deficit and the need for assistance with personal care.
The 1/1/25 MDS assessment revealed the resident was cognitively impaired with a BIMS score of two out of 15. Resident #8 required substantial to maximal assistance with toileting hygiene, bathing and lower body dressing, moderate assistance with personal hygiene and transfers, and supervision with eating.
The MDS assessment documented Resident #8 had physical and behavioral symptoms directed toward others.
2.
Record review
Resident #8's behavior care plan, revised 4/3/24, documented the resident had potential to become verbally and physically aggressive toward others related to dementia and Alzheimer's disease.
The care plan indicated his triggers were not understanding his surroundings and others approaching him from behind or not in his line of vision.
Pertinent interventions, initiated 3/14/24, included if the resident could not be redirected or calmed, and if safe to do so, staff were to attempt to perform cares at a later time after the resident was calm, offering a deck of cards and staff to approach the resident within his line of vision.
Interventions added on 11/11/24 included to approach the resident from the front or make it known you were approaching, redirect the resident and/or offering the resident a deck of cards.
D. Resident #1 (victim)
1.
Resident status
065248
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 065248 B.
Wing 01/29/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Oakwood Care and Rehabilitation 5301 W 1st Ave Lakewood, CO 80226
F-F744 for failure to provide a person centered dementia services.
On 7/18/24 a nursing progress note, written at 3:55 p.m., documented Resident #2 approached multiple residents screaming and cursing at them for no reason.
The staff directed Resident #2 away from the other residents and offered Resident #2 food and conversation.
The assistant director of nursing (ADON) and on-call provider were notified.
Cross reference