Inspection Reports for Boulder Creek Assisted Living & Memory Care

The inspection was conducted in response to a complaint alleging that the facility attempted to administer incorrect medication to Resident A and that the facility ran out of medications.

The investigation found that the facility attempted to administer Lorazepam to Resident A without hospice approval and administered medication when not clinically indicated. The facility also ran out of multiple medications for Resident A over several months. Additionally, the facility failed to notify the department of a change in administrator within the required timeframe.

The complaint alleged Resident A was administered another resident’s medication and medication that was wet and deteriorated. The complaint was substantiated with violations established regarding incorrect medication administration and medication shortages.

The investigation was initiated due to a complaint alleging that Resident B was often given the wrong medication by staff at Boulder Creek Assisted Living & Memory Care.

The investigation found multiple incidents where Resident B was administered incorrect medications, including receiving another resident's Tramadol instead of his prescribed Norco. Additional findings included unsecured medication left out in Resident B's room and deficiencies in Resident B's service plan documentation. The allegation that Resident B was given a dirty washcloth was not substantiated.

The complaint alleged Resident B was often given the wrong medication by staff. The allegation was substantiated based on interviews, medication incident reports, and observations. The complaint also included an allegation that Resident B was given a dirty washcloth, which was not substantiated.

The document serves as a renewal notification for the Home for the Aged license of Boulder Creek Assisted Living & Memory Care, confirming substantial compliance with regulatory requirements over the past year.

An administrative review found substantial compliance with the public health code and administrative rules regulating home for the aged facilities, resulting in the renewal of the facility's license for 12 months effective 02/09/2023.

The investigation was initiated due to a complaint alleging that Resident A's service plan did not reflect appropriate care levels, Resident A and Resident B did not receive medications in a timely manner, and the facility was short staffed.

The investigation established a violation regarding Resident A's service plan not being updated to reflect increased care needs due to multiple falls and confusion. No violations were found related to medication administration timeliness for Resident A and Resident B or staffing shortages. The facility demonstrated appropriate communication with hospice and authorized representatives and took corrective actions for medication errors unrelated to the residents in question.

The complaint alleged that Resident A's service plan did not reflect appropriate care levels, Resident A and Resident B did not receive medications in a timely manner, and the facility was short staffed. The violation was substantiated only for the service plan issue. Medication administration and staffing allegations were not substantiated.

The visit was conducted as an original licensing study to determine compliance with applicable licensing statutes and administrative rules for Boulder Creek Assisted Living & Memory Care.

The facility was found to be in substantial compliance with licensing statutes and administrative rules, resulting in the recommendation to issue a temporary 6-month license with a maximum capacity of 108 beds.