Caring Companions Care Home

Allegation investigated: Personal Rights - resident was sexually assaulted while in care Personal Rights - resident was physically assaulted while in care

At approximately 8:30AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced, to deliver the results from an investigation into the above allegations. LPA met with Administrator Collen Rasmussen. The investigation included interviews with staff, residents and a review of records. Interviews and documents showed resident was not sexually or physically assaulted at anytime while at the facility. An examination by a physician showed resident had a medical condition and medication was prescribed to address the situation. Daily staff documentation and interviews conducted showed they observed resident on multiple occasions touching themselves and using the bathroom exessivly. Resident began to complain of itchiness and soreness to their genital area. On 06/26/2023, staff observed blood in residents undergarments. Resident was taken to the hospital to address their concerns. Continued on LIC9099-C... Unsubstantiated Discharge paperwork showed resident suffered from dryness and was prescribed medication to address the issue. On 04/10/2023, resident suffered a fall, causing a laceration to their eye. Resident received stiches. Discharge paperwork instructed resident to return to the emergency room or physician to have stiches removed in approximately 5 days. Incident was reported to CCL the following day. Based on a record review and interviews conducted, there were no incidents where resident was physically handled or grabbed. Resident is on frequent checks and staff documents their behaviors daily. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are Unsubstantiated.the state’s words, verbatim · CDSS document, Aug 4, 2023 · control 21-AS-20230626092855

Type of visit: Required - 1 Year

At approximately 8:30AM, Licensing Program Analyst (LPA) Chris Arnhold made an unannounced annual required inspection of this licensed senior care facility. LPA met with Administrator Collen Rasmussen. At approximately 8:45AM, LPA toured the building and grounds which was found to be clean and in good repair. LPA observed all walkways and exits to be unobstructed. All notices that are required to be posted have been posted and are in a highly visible area. LPA observed activity supplies for resident use. The amount of fresh and nonperishable foods is within regulation. Facility kitchen, refrigerators and freezers were clean, and food was stored properly. Toxins are stored in a locked storage closet. Water temperature measured within regulation, 105 and 120 degrees F, at faucets accessible to residents. Fire extinguishers inspected were charged. Smoke detectors were found to be in working order. Facility has fire sprinklers throughout. Carbon Monoxide detectors were present. There was enough lighting in all common areas, resident rooms, and hallways. Medication is centrally stored and secure. At approximately 9:15AM, LPA reviewed 5 of 10 resident records. 5 of 5 records contained current and signed admission agreements and physician's orders on file. Medication records are thorough and contained physician's orders for each resident. At approximately 9:45AM, LPA reviewed 8 staff records. All records contained documentation of completed training records as required. Evidence of current first aid and CPR training were current. LPA interviewed 2 staff and 5 residents during this inspection. Continued on LIC809-C... At approximately 10:40AM, LPA reviewed the facility emergency disaster plan with staff. Facility has a generator to supply power during an outage. The plan outlines evacuation routes, which are shown on facility sketch and has alternative meeting locations. Facility has supplies enough to operate for more than 72 hours in an emergency. Facility conducted and documented a disaster drill on 5/22/2023. Updated copies of the following documents were requested for facility file and are to be submitted to CCL within 30 days of this visit: Evidence of Control of property LIC500- Personnel Report Evidence of Liability Insurance No deficiencies were observed in the areas inspected, No citations were issued during today’s visit.the state’s words, verbatim · CDSS document, Aug 4, 2023

Type of visit: Case Management - Incident

LPA arrived at this facility unannounced, to conduct a case management visit in regards to two unusual incident reports and two death reports submitted to CCL. LPA met with Administrator Colleen Rasmussen and reviewed records. Incident 1: Staff heard a loud noise from the room of R1. Staff responded to find R1 sitting on the floor next to their chair. R1 stated they tried to sit in the chair and missed it, landing on the floor. R1 stated they were not in pain at that time. The following day staff took R1 to the hospital as they observed swelling on their arm. R1 was diagnosed with a closed fracture dislocation of the right elbow. Treatment was provided and a cast was applied. Incident 2: R2 fell in the restroom, hitting their eye on the wall. Staff assisted R2 and applied first aid. R2 was taken to the emergency room and received 3 stiches. Death 1: R3 was in the hospital at the time of death. Based on a review of their latest physician report, their health was declining and were in poor health. Staff observed R3 having difficulty breathing and contacted emergency personnel to respond. R3 was transported and taken to ICU. Facility staff responded correctly, per regulation, to ensure R3's medical needs were met. Death 2: Staff observed R4 at breakfast, then in their room watching TV. Staff checked on R4 again and found them unresponsive with no pulse. R4 was in poor health and declining per latest physician report. No citations issued during this visit.the state’s words, verbatim · CDSS document, May 4, 2023

Type of visit: Prelicensing

At approximately 11:00AM, Licensing Program Analyst (LPA) Chris Arnhold met with Applicant Collen Rasmussen, to conduct an unannounced pre-licensing inspection. LPA toured the facility bedrooms, common rooms and grounds. Facility has a total of nine bedrooms for residents. All doorways and walkways are unobstructed and facility is clean, in good repair and at a comfortable temperature. Hot water measured within acceptable range between 105 and 120 degrees F. at faucets accessible to residents. There are games and space for resident activities. There is an outdoor space with shade for residents and the yard is fully enclosed. Facility has a drawer in the kitchen to lock knives and other items dangerous to residents with dementia diagnosis. There are also locked closets containing toxins and cleaning supplies. LPA observed a good supply of back up linens and toiletries, and the kitchen is stocked with an ample supply of fresh and non-perishable foods per regulation. Facility has pull station alarms and sprinkler system. Fully charged fire extinguishers, operable smoke alarms and carbon monoxide detectors were also in place. There was plenty of dishware and utensils. All appliances were in place and working. All required postings were posted at the entrance and throughout the facility. Medications are centrally stored in a locking cabinet. Medications were found separated by resident and well organized. There is a secure storage area for resident records. Applicant will provide evidence of Liability insurance to the central application unit analyst when received from insurance agent. LPA conducted a Component III Orientation with applicant, and the applicant has shown that they have a good understanding of Title 22, and have appropriate knowledge to operate a residential facility. LPA found this facility ready to be licensed. LPA will submit application to Licensing Program Manager for review.the state’s words, verbatim · CDSS document, Jul 20, 2022

Type of visit: Office

Facility Type: RCFE Application Type: CHOW Capacity: 15 Census (if any clients in care): YES(8) Method: Telephone call with CAB COMP II Participants: COLLEN RASMUSSEN Applicant/administrator Applicant/administrator participated in COMP II via telephone call with the analyst at CAB. During COMP II, applicant and administrator confirmed the understanding of Title 22. Component II was successfully completed. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1.Facility operation: License type, client/resident populations, and program 2.Staff qualifications and responsibilities 3.Applicant and Administrator qualifications 4.Program policy: Abuse, admission agreement, medication management, reporting incidents to CCL, restricted & prohibited conditions 5.Grievances, Complaints, Community resources 6.Physical plant, food service 7.Application document review and technical assistance: Criminal record clearance, Health screening, Fire clearance, First Aid/CPR certificate, Administrator certificate, Financial verification, Pre-licensing inspection, Compliance history, Control of property 8. Discussed the COVID-19 Mitigation Plan & PIN emailedthe state’s words, verbatim · CDSS document, Jul 6, 2022