Inspection Reports for
Guest Home Estates Vii
806 W. 4TH STREET, GARNETT, KS, 66032-2415
Back to Facility ProfileDeficiencies (last 8 years)
Deficiencies (over 8 years)
4.4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
27% better than Kansas average
Kansas average: 6 deficiencies/yearDeficiencies per year
12
9
6
3
0
Occupancy
Latest occupancy rate
30% occupied
Based on a January 2026 inspection.
This facility has shown a decline in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Re-Inspection
Census: 9
Deficiencies: 3
Date: Jan 29, 2026
Visit Reason
The inspection was a resurvey with complaints 196983, 197375, 197472, and 197827 at the Residential Health Care Facility Guest Home Estates VII conducted on 01/27/26, 01/28/26, and 01/29/26.
Complaint Details
The resurvey was conducted in response to complaints 196983, 197375, 197472, and 197827.
Findings
The operator failed to ensure negotiated service agreements were fully developed for residents based on their functional capacity screenings and service needs. Additionally, medications and biologicals were not properly stored according to manufacturer recommendations, and criminal background checks were incomplete for newly hired staff.
Deficiencies (3)
KAR 26-41-202(a)(1) Negotiated Service Agreement was not fully developed for residents R104, R105, and R106 to include all items triggered on the functional capacity screening, service needs, and preferences.
KAR 26-41-205(h) Medication Storage: The facility failed to ensure all medications and biologicals were properly stored according to manufacturer recommendations, including an opened vial of Tubersol that was past the recommended discard date.
KAR 26-41-102(d)(2) Staff Qualifications Employee Records: The facility failed to ensure criminal background checks were completed for four of five newly hired employees.
Report Facts
Resident census: 9
Deficiencies cited: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Nurse B | Licensed Nurse | Named in findings related to negotiated service agreements and missing criminal background check |
| Dietary Staff C | Named in finding related to missing criminal background check | |
| Certified Medication Aide D | Certified Medication Aide | Named in finding related to missing criminal background check |
| Maintenance Staff E | Named in finding related to missing criminal background check | |
| Administrative Staff A | Provided statement regarding inability to access criminal background check results |
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Jan 27, 2026
Visit Reason
This document is a plan of correction submitted in response to a resurvey conducted due to complaints numbered 196983, 197375, 197472, and 197827 at the Residential Health Care Facility.
Findings
The plan of correction addresses findings from a resurvey conducted over three days, from January 27 to January 29, 2026, related to multiple complaints.
Inspection Report
Re-Inspection
Deficiencies: 0
Date: Oct 24, 2024
Visit Reason
An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 2024-10-07.
Findings
All deficiencies have been corrected as of the compliance date of 2024-10-21 and no new noncompliance was found. The facility is in compliance with all regulations surveyed.
Inspection Report
Re-Inspection
Census: 12
Deficiencies: 3
Date: Oct 7, 2024
Visit Reason
The visit was a resurvey conducted on 10/03/24 and 10/07/24 to assess compliance with medication labeling and storage regulations at the Residential Health Care facility.
Findings
The facility failed to ensure that over-the-counter and prescription medications were labeled with the resident's full name by a licensed pharmacist or nurse. Additionally, medications and biologicals were not properly stored according to manufacturer recommendations, including an expired vial of Tubersol found in the medication room refrigerator.
Deficiencies (3)
KAR 26-41-205 (g)(3) The facility failed to ensure licensed staff placed the full name of the resident on the original package of some over-the-counter medications.
KAR 26-41-205 (g)(2) The facility failed to ensure each prescription medication container had a label provided by a dispensing pharmacist affixed to the container.
KAR 26-41-205 (h) The facility failed to ensure all medications and biologicals were securely and properly stored according to manufacturer recommendations, including an opened vial of Tubersol past the recommended discard date.
Report Facts
Resident census: 12
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Nurse A | Acknowledged medication labeling and storage deficiencies |
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Oct 3, 2024
Visit Reason
This document represents the findings of a resurvey conducted for a Residential Health Care facility on 10/03/24 and 10/07/24.
Findings
The document is a Plan of Correction submitted in response to deficiencies identified during the resurvey. It outlines corrective actions cross-referenced to the appropriate deficiencies.
Inspection Report
Re-Inspection
Deficiencies: 0
Date: Jun 12, 2023
Visit Reason
An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 2023-06-01.
Findings
All deficiencies have been corrected as of the compliance date of 2023-06-08, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.
Inspection Report
Re-Inspection
Census: 13
Deficiencies: 6
Date: Jun 1, 2023
Visit Reason
The inspection was a resurvey of the Residential Health Care facility to verify compliance with previously identified deficiencies.
Findings
The facility failed to complete required annual Functional Capacity Screens and Negotiated Service Agreements for residents R102 and R103. Medication administration errors were found where Certified Medication Aides administered medications outside physician-ordered blood pressure parameters for residents R101 and R103. Over-the-counter medications were not labeled with residents' full names. Employee records lacked timely nurse aide registry verification and criminal background checks. The facility did not comply with tuberculosis screening guidelines for new hires.
Deficiencies (6)
K.A.R. 26-41-201(c)(1) The facility failed to ensure Functional Capacity Screens were completed at least annually for residents R102 and R103.
K.A.R. 26-41-202(d)(1) The facility failed to ensure Negotiated Service Agreements were reviewed and revised at least annually for residents R102 and R103.
K.A.R. 26-41-205(d) The facility failed to ensure medications were administered according to physician orders by not holding medications when blood pressures were outside ordered parameters for residents R101 and R103.
K.A.R. 26-41-205(g)(3) The facility failed to ensure over-the-counter medications were labeled with the resident's full name by a licensed pharmacist or nurse.
K.A.R. 26-41-102(d) The facility failed to ensure timely verification of nurse aide registry and criminal background checks for two of five newly hired employees.
K.A.R. 26-41-207(c) The facility failed to comply with tuberculosis screening guidelines for adult care homes, including incomplete two-step TB testing and late or missing TB symptom screening questionnaires for new hires.
Report Facts
Deficiencies cited: 6
Resident census: 13
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Jun 1, 2023
Visit Reason
This document represents the provider's plan of correction following a resurvey inspection conducted at the Residential Health Care facility on 06/01/2023.
Findings
The plan of correction addresses findings from the resurvey conducted on 06/01/2023. The document confirms the status as approved by the agency.
Inspection Report
Re-Inspection
Deficiencies: 0
Date: Apr 11, 2022
Visit Reason
An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 2022-03-04.
Findings
All deficiencies cited in the previous inspection have been corrected as of the compliance date 2022-03-28, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.
Inspection Report
Re-Inspection
Deficiencies: 0
Date: Apr 11, 2022
Visit Reason
An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 2022-03-04.
Findings
All deficiencies cited in the previous inspection have been corrected as of the compliance date 2022-03-28, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.
Inspection Report
Re-Inspection
Census: 15
Deficiencies: 12
Date: Mar 4, 2022
Visit Reason
Resurvey with complaint investigations for an assisted living facility conducted on 2/28/21 and 3/1-4/2022 to evaluate compliance with prior deficiencies and complaints.
Complaint Details
This was a resurvey with complaint investigations #160214, #165327, and #167529.
Findings
The facility failed to ensure sufficient information accompanied residents during transfers, failed to revise negotiated service agreements after significant changes, did not provide health care services according to standards, failed to assess residents for safe self-administration of medication, did not follow medication administration protocols, failed to delegate medication administration properly, lacked documentation of incidents, failed to prepare and store food safely, did not comply with infection control policies, did not secure chemicals properly, and failed to maintain hot water temperatures within required ranges.
Deficiencies (12)
26-39-102 (j) The facility failed to ensure sufficient information accompanied residents transferred to another health care facility to ensure continuity of care.
26-41-202 (d) The facility failed to review and revise negotiated service agreements following significant changes in condition for residents receiving therapy services.
26-41-204 (i) The facility failed to provide health care services in accordance with standards of practice regarding the safety assessment of bed canes used as assistive devices.
26-41-205 (a)(1) The facility failed to ensure a licensed nurse assessed a resident to safely self-inject insulin.
26-41-205 (d)(3)(C) The facility failed to ensure medication aides remained with residents until medication ingestion.
26-41-205 (d)(4) The facility failed to ensure licensed nurse delegated insulin pen preparation to medication aides according to nurse practice act.
26-41-105 (f)(11) The facility failed to document all incidents, symptoms, treatments, and results for sampled residents.
26-41-206 (d) The facility failed to prepare food using safe methods by thawing foods at unsafe temperatures.
26-41-206 (e)(1) The facility failed to store food under safe and sanitary conditions, including uncovered, undated, and improperly stored foods.
26-41-207 (b)(5-6) (c) The facility failed to comply with tuberculosis guidelines for newly hired employees and a resident.
28-39-254 (a) The facility failed to secure chemicals to maintain resident safety; housekeeping cart, beauty shop, and janitor closet were unlocked with accessible chemicals.
28-39-256 (c)(2)(B) The facility failed to maintain hot water temperatures between 96°F and 120°F at sinks and lavatories in resident use areas.
Report Facts
Census: 15
Resident rooms with hot water >120°F: 3
Newly hired employees without timely TB screening: 4
Residents receiving insulin: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Operator A | Reported on medication administration and TB testing procedures; confirmed housekeeping cart and janitor closet should be locked | |
| Licensed Nurse B | Licensed Nurse | Interviewed regarding medication assessments, TB testing, and resident care documentation |
| Certified Medication Aide C | Certified Medication Aide | Reported on medication room access and housekeeping cart storage |
| Certified Medication Aide G | Certified Medication Aide | Newly hired CMA without documented delegation for insulin pen preparation |
| Dietary Staff D | Dietary Staff | Reported on thawing practices and food storage; confirmed food safety issues |
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Feb 28, 2022
Visit Reason
This document represents the findings of a resurvey with complaint investigations #160214, #165327, and #167529 for the assisted living facility conducted on 2/28/21 and 3/1,2,3,4/2022.
Findings
The document is a plan of correction submitted in response to the findings from the resurvey and complaint investigations. It does not detail specific findings but references the related complaint investigations and resurvey dates.
Inspection Report
Abbreviated Survey
Deficiencies: 0
Date: Jun 23, 2020
Visit Reason
The visit was a special infection control survey for COVID-19 conducted at the facility.
Findings
The survey resulted in findings of no deficiency citations.
Inspection Report
Re-Inspection
Deficiencies: 0
Date: May 15, 2019
Visit Reason
This is a revisit inspection to verify that previously reported deficiencies have been corrected and to document the date such corrective actions were accomplished.
Findings
All previously cited deficiencies were corrected as of the revisit date. The report lists multiple regulation citations with completed corrections.
Inspection Report
Re-Inspection
Deficiencies: 0
Date: May 15, 2019
Visit Reason
This is a revisit inspection to verify that previously reported deficiencies have been corrected and to document the date such corrective actions were accomplished.
Findings
All previously reported deficiencies have been corrected as of the revisit date. The report lists multiple regulation citations with completed corrections.
Inspection Report
Complaint Investigation
Census: 19
Deficiencies: 7
Date: Apr 9, 2019
Visit Reason
The inspection was conducted as a licensure resurvey and complaint investigations #136704 and #136962 for the facility.
Complaint Details
The inspection included complaint investigations #136704 and #136962.
Findings
The facility failed to ensure negotiated service agreements included outside services and payment responsibilities, failed to provide or coordinate necessary health care services for a resident with repeated falls, failed to administer medications according to provider orders and professional standards, failed to properly label over-the-counter medications with resident names, failed to ensure medications were not administered beyond expiration dates, failed to verify nurse aide registry for a newly hired aide, and failed to conduct an emergency evacuation drill with the least amount of staff on duty.
Deficiencies (7)
KAR 26-41-202 (a) The facility failed to ensure the negotiated service agreement included outside Hospice services and payment responsibility for resident #416.
KAR 26-41-204 (a) The facility failed to ensure a licensed nurse provided or coordinated necessary health care services for resident #416 regarding investigations and interventions for repeated falls.
KAR 26-41-205 (d) The facility failed to ensure licensed nurses and medication aides administered medications according to medical orders and professional standards for resident #519 regarding missing doses of controlled substance pain medication.
KAR 26-41-205 (g)(3) The facility failed to ensure a licensed nurse or pharmacist placed the full name of the resident on original packages of over-the-counter medications.
KAR 26-41-205 (h)(4) The facility failed to ensure medications were not administered beyond the manufacturer's or pharmacy provider's recommended expiration date for resident #166.
KAR 26-41-102 (d)(1)(3) The facility failed to have evidence of nurse aide registry verification for a newly hired certified nurse aide.
KAR 26-41-104 (a) The facility failed to conduct an emergency evacuation drill with the least amount of staff on duty to ensure sufficient staff to assist residents requiring help to a secure location.
Report Facts
Resident census: 19
Residents with cognitive impairment: 16
Residents managed medications by facility: 12
Medication doses missed: 7
Tuberculosis testing solution open days: 59
Inspection Report
Re-Inspection
Census: 21
Deficiencies: 1
Date: Jan 30, 2018
Visit Reason
The visit was a resurvey conducted to assess compliance with medication administration regulations at the Residential Health Care Facility.
Findings
The facility failed to ensure that medications were administered according to physician orders and professional standards. Specifically, one resident's medications were administered without proper physician orders and without documented notification to the physician of elevated blood sugar levels.
Deficiencies (1)
KAR 26-41-205 (d) Facility administration of medications was not in compliance. Certified staff administered medications to one resident without physician orders and failed to notify the physician of elevated blood sugars as required.
Report Facts
Resident census: 21
Sample size: 3
Blood sugar reading: 483
Blood sugar reading: 463
Insulin dose: 41
Metformin dose: 500
Inspection Report
Complaint Investigation
Census: 23
Deficiencies: 3
Date: Apr 28, 2014
Visit Reason
The inspection was a resurvey with complaint investigations numbered 74747, 74761, 72356, and 72373 conducted at the residential health care facility.
Complaint Details
The visit was complaint-related involving allegations of abuse and neglect. The complaint investigations were substantiated by findings that the facility failed to report abuse allegations timely and lacked proper documentation of incidents and resident consent.
Findings
The facility failed to report allegations of abuse to the department within 24 hours and did not ensure proper documentation of incidents including date, time, action taken, and results. Additionally, the facility failed to document resident consent and follow-up effectiveness of procedures for resident #234.
Deficiencies (3)
KAR 26-41-101(f)(3) Staff Treatment of Residents Reporting: The operator failed to ensure each allegation of abuse was reported to the department within 24 hours.
KAR 26-41-105(f)(11) Resident Record Documentation of Incidents: The operator failed to ensure documentation of all incidents including date, time of occurrence, action taken, and results of the action.
The operator failed to ensure documentation of conversations with resident #234 regarding procedures, obtaining resident's consent, and follow-up of effectiveness.
Report Facts
Census: 23
Complaint investigations: 4
Sample residents: 3
Focus review residents: 1
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N002001 POC SGNY11
Visit Reason
This document serves as a Plan of Correction related to a prior inspection event identified as SGNY11 for the facility with State ID N002001.
Findings
No specific deficiencies or findings are detailed in this document. It references the absence of linked deficiency records.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N002001 POC H5P311
Visit Reason
This document is a Plan of Correction related to a prior deficiency report for the facility.
Findings
No specific findings are detailed in this document; it serves as a corrective action plan reference.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N002001 POC H5P312
Visit Reason
This document is a plan of correction related to a previously identified deficiency report for the facility.
Findings
No deficiency details or findings are included in this document. It only references the plan of correction status and contact information for assistance.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N002001 POC I5QY11
Visit Reason
This document is a Plan of Correction related to a previously identified deficiency report for the facility.
Findings
No deficiency details or findings are included in this document. It only references the Plan of Correction status and contact information for assistance.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N002001 POC JF8Y11
Visit Reason
This document is a Plan of Correction related to a previous deficiency report for a facility identified as guest home estates vii covid dated 6.23.2020.
Findings
No specific findings or deficiencies are detailed in this document. It serves as a placeholder or administrative record for the Plan of Correction submission.
Inspection Report
Plan of Correction
Deficiencies: 3
Date: N002001 POC 8SZZ11
Visit Reason
This document is a Plan of Correction submitted in response to deficiencies cited in a prior inspection report for Guest Home Estates VII.
Findings
The Plan of Correction indicates that no corrective action was required for the listed deficiencies S0000, S3028-D, and S3261-D, with completion dates in April 2014.
Deficiencies (3)
Deficiency S0000 was cited with no plan of correction required.
Deficiency S3028-D was cited with no plan of correction required.
Deficiency S3261-D was cited with no plan of correction required.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N002001 POC QXVW11
Visit Reason
This document is a Plan of Correction related to a previously identified deficiency report for the facility.
Findings
No specific deficiencies or findings are detailed in this document. It serves as a record of the Plan of Correction submission and modification dates.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N002001 POC 8T2O11
Visit Reason
This document is a Plan of Correction related to a prior deficiency report for a regulated care facility.
Findings
No specific findings or deficiencies are detailed in this document. It serves as a placeholder or administrative record for the Plan of Correction.
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