Inspection Reports for
Neuvant Md Memory Care LLC
1216 BILTMORE DRIVE, LAWRENCE, KS, 66049
Back to Facility ProfileDeficiencies (last 7 years)
Deficiencies (over 7 years)
7.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
28% worse than Kansas average
Kansas average: 6 deficiencies/yearDeficiencies per year
16
12
8
4
0
Occupancy
Latest occupancy rate
50% occupied
Based on a January 2026 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Re-Inspection
Census: 25
Deficiencies: 4
Date: Jan 15, 2026
Visit Reason
This was a resurvey with complaints 194232, 195479, and 196835 conducted at the residential health care facility.
Complaint Details
This inspection was a resurvey with complaints 194232, 195479, and 196835.
Findings
The facility failed to ensure proper labeling of over-the-counter medications with resident names, did not complete quarterly emergency management plan reviews covering all required topics, failed to comply with tuberculosis guidelines for new employees, and did not secure chemicals properly to protect resident safety.
Deficiencies (4)
KAR 26-41-205 (g)(3) The facility failed to ensure licensed staff placed the full name of the resident on original packages of over-the-counter medications, with 16 containers found unlabeled.
KAR 26-41-104(d)(3) The facility failed to perform quarterly reviews of the emergency management plan covering all eight required topics with employees and residents.
KAR 26-41-207(c) The facility failed to comply with tuberculosis guidelines by not ensuring new employees received a two-step TB skin test within seven days of hire.
KAR 28-39-254(a) The facility failed to secure chemicals properly, with multiple unlocked chemicals observed in various areas accessible to residents.
Report Facts
Resident census: 25
Unlabeled OTC medication containers: 16
New employee records reviewed: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Medication Aide B | Named in tuberculosis guideline noncompliance due to incomplete TB skin testing. | |
| Administrative Staff A | Interviewed regarding emergency management plan reviews. |
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Jan 14, 2026
Visit Reason
This document is a plan of correction submitted in response to a resurvey with complaints numbered 194232, 195479, and 196835 conducted at the Residential Health Care Facility between January 14 and January 15, 2026.
Findings
The plan of correction addresses findings from the resurvey related to the complaints listed. Specific deficiencies or findings are not detailed in this document.
Inspection Report
Re-Inspection
Deficiencies: 0
Date: Jul 31, 2024
Visit Reason
An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 2024-07-03.
Findings
All deficiencies cited in the prior inspection have been corrected as of the compliance date 2024-07-26, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.
Inspection Report
Re-Inspection
Census: 28
Deficiencies: 6
Date: Jul 3, 2024
Visit Reason
The inspection was a resurvey conducted on 07/02-07/03/2024 to assess compliance with previously identified deficiencies at Neuvant House of Lawrence, an assisted living facility.
Findings
The facility was found deficient in multiple areas including failure to report and investigate unexplained bruises on a resident, incomplete negotiated service agreements, missing licensed nurse identification on service agreements, unsafe bed assist device conditions, incomplete documentation of incidents, and non-compliance with tuberculosis screening guidelines for residents and staff.
Deficiencies (6)
KAR 26-41-101(f)(3) The operator failed to report to the department within 24 hours and did not complete an investigation for unexplained bruises found on Resident 2's face, ear, and shoulder.
KAR 26-41-202(a) The operator failed to ensure the Negotiated Service Agreements for Residents 2 and 3 described the services they received based on their Functional Capacity Screens.
KAR 26-41-204(d) The operator failed to ensure Resident 3's Negotiated Service Agreement named the licensed nurse responsible for implementing and supervising the healthcare service plans.
KAR 26-41-204(i) The operator failed to ensure a gap greater than 4.5 inches between the rails of a bed assist device was covered to prevent risk of entrapment for Resident 1.
KAR 26-41-105(f)(11) The operator failed to ensure licensed staff documented all incidents, symptoms, and indications of illness or injury including date, time, action taken, and results for Resident 1's elevated blood glucose and Resident 2's new wound.
KAR 26-41-207(b)(5-6)(c) The operator failed to ensure compliance with tuberculosis guidelines for adult care homes for one resident and two staff, including late or missing TB skin tests.
Report Facts
Resident census: 28
Gap measurement: 12
Gap measurement: 11
Elevated blood glucose: 312
Days late: 15
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Jul 2, 2024
Visit Reason
This document represents the findings of a resurvey conducted at the assisted living facility from July 2 to July 3, 2024.
Findings
The document is a plan of correction submitted in response to the resurvey findings. Specific deficiencies or findings are not detailed in this document.
Inspection Report
Follow-Up
Deficiencies: 3
Date: Oct 16, 2023
Visit Reason
This revisit inspection was conducted to verify that previously reported deficiencies have been corrected and to document the dates when corrective actions were accomplished.
Findings
All previously cited deficiencies identified by regulation numbers 26-41-101 (f)(1), 26-41-201 (c), and 26-41-202 (d) were corrected as of the revisit date.
Deficiencies (3)
Regulation 26-41-101 (f)(1): Previously cited deficiency corrected as of 10/16/2023.
Regulation 26-41-201 (c): Previously cited deficiency corrected as of 10/16/2023.
Regulation 26-41-202 (d): Previously cited deficiency corrected as of 10/16/2023.
Inspection Report
Complaint Investigation
Census: 13
Deficiencies: 3
Date: Sep 19, 2023
Visit Reason
The inspection was conducted as a complaint investigation regarding a cognitively impaired resident who eloped from the assisted living facility without staff knowledge.
Complaint Details
The complaint investigation was triggered by an incident where resident R101, cognitively impaired with dementia, eloped from the facility through an unalarmed exit door and patio gate without staff knowledge and was unaccounted for approximately 90 minutes. The facility failed to identify R101 as an elopement risk and did not implement necessary safety interventions. The incident was reported to law enforcement and the resident was found and transported to an emergency room.
Findings
The facility failed to ensure resident safety by not identifying elopement risk and not implementing adequate interventions, resulting in immediate jeopardy when resident R101 exited the facility unnoticed. Additionally, the facility failed to complete required annual Functional Capacity Screen and Negotiated Service Agreement revisions for the resident.
Deficiencies (3)
KAR 26-41-101(f)(1)(B) Staff Treatment of Residents: The facility failed to prevent neglect by not implementing interventions to keep resident R101 safe from elopement, resulting in immediate jeopardy when R101 exited the facility unobserved for approximately 90 minutes.
KAR 26-41-201(c)(1) Functional Capacity Screen Reassessment: The facility failed to complete a Functional Capacity Screen for resident R101 at least once every 365 days, with the most recent completed 10 days late.
KAR 26-41-202(d)(1) Negotiated Service Agreement Revisions: The facility failed to revise the Negotiated Service Agreement for resident R101 at least once every 365 days, with the most recent revision completed 10 days late.
Report Facts
Census: 13
Elopement duration: 90
Elopement Assessment Score: 9
Days late for FCS and NSA: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Administrative Nurse B | Administrative Nurse | Documented multiple behavior and incident notes related to resident R101 and stated details about FCS and NSA completion. |
| Licensed Nurse C | Licensed Nurse | Provided statements about resident R101's condition and exit-seeking behaviors. |
| Certified Medication Aide E | Certified Medication Aide | Documented incident report and searched for resident R101 when missing. |
| Certified Nurse Aide F | Certified Nurse Aide | Assisted in searching for resident R101 when missing. |
| Administrative Staff A | Administrative Staff | Reported paging transmitter failure and submitted abatement plan. |
| Director of Nursing | Director of Nursing | Completed Elopement Assessment Form and participated in care plan changes. |
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Sep 18, 2023
Visit Reason
The document represents a plan of correction following a complaint investigation conducted at the assisted living facility on 09/18/23 and 09/19/23.
Complaint Details
The visit was complaint-related, identified as complaint investigation 182728.
Findings
The plan of correction addresses findings from a complaint investigation at the assisted living facility conducted over two days in September 2023.
Inspection Report
Follow-Up
Deficiencies: 0
Date: Feb 16, 2023
Visit Reason
An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 2023-02-02.
Findings
All deficiencies have been corrected as of the compliance date of 2023-02-15 and no new noncompliance was found. The facility is in compliance with all regulations surveyed.
Inspection Report
Re-Inspection
Deficiencies: 0
Date: Feb 16, 2023
Visit Reason
An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 2023-02-02.
Findings
All deficiencies cited in the prior inspection have been corrected as of the compliance date of 2023-02-15. No new noncompliance was found and the facility is in compliance with all regulations surveyed.
Inspection Report
Complaint Investigation
Census: 21
Deficiencies: 3
Date: Feb 2, 2023
Visit Reason
The inspection was a resurvey triggered by complaint #168330 at an assisted living facility conducted on 02/01/23 - 02/02/23.
Complaint Details
This inspection was a resurvey following complaint #168330. The complaint was substantiated as deficiencies were found related to incomplete Negotiated Service Agreements for multiple residents.
Findings
The operator failed to ensure that the Negotiated Service Agreement (NSA) was fully developed for residents R101, R102, and R103 to include all items triggered on their Functional Capacity Screens (FCS). Specific omissions included cognition, communication, falls, use of assistive devices, and other care needs.
Deficiencies (3)
KAR 26-41-202(a)(1) The operator failed to ensure the Negotiated Service Agreement was fully developed for Resident R101 to include all items triggered on the Functional Capacity Screen such as cognition, communication, falls, and use of assistive devices.
The operator failed to ensure the Negotiated Service Agreement was fully developed for Resident R102 to include all items triggered on the Functional Capacity Screen such as cognition, communication, falls, impaired hearing, and use of assistive devices.
The operator failed to ensure the Negotiated Service Agreement was fully developed for Resident R103 to include all items triggered on the Functional Capacity Screen such as falls, impaired vision, impaired hearing, inappropriate behaviors, and use of assistive devices.
Report Facts
Resident census: 21
Residents sampled: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Administrative Nurse B | Provided statements regarding requirements for the Negotiated Service Agreement content. |
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Feb 1, 2023
Visit Reason
This document is a plan of correction submitted in response to a resurvey conducted with a complaint #168330 at the assisted living facility on 02/01/23 - 02/02/23.
Complaint Details
The resurvey was conducted following a complaint #168330.
Findings
The plan of correction addresses findings from the resurvey related to the complaint investigation conducted at the facility.
Inspection Report
Renewal
Deficiencies: 0
Date: Oct 22, 2020
Visit Reason
A survey for re-licensure with attached complaints #155762 and #155272 was conducted at the residential care facility.
Findings
The survey resulted in a finding of no deficiency citations.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Oct 22, 2020
Visit Reason
This document is a plan of correction related to deficiencies identified in a prior inspection of the facility.
Findings
No specific findings or deficiencies are detailed in this document. It serves as a record of the plan of correction submission and modification dates.
Inspection Report
Routine
Deficiencies: 0
Date: Jul 16, 2020
Visit Reason
The inspection 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: 3
Date: Jun 11, 2018
Visit Reason
This is a revisit report to verify that previously reported deficiencies have been corrected and to document the dates such corrective actions were accomplished.
Findings
The report confirms that all previously cited deficiencies identified by regulation numbers 26-41-202 (h), 26-41-204 (d), and 26-41-205 (a)(1) have been corrected as of the revisit date.
Deficiencies (3)
Regulation 26-41-202 (h) deficiency was corrected by the revisit date.
Regulation 26-41-204 (d) deficiency was corrected by the revisit date.
Regulation 26-41-205 (a)(1) deficiency was corrected by the revisit date.
Inspection Report
Re-Inspection
Deficiencies: 3
Date: Jun 11, 2018
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 identified by regulation numbers 26-41-202 (h), 26-41-204 (d), and 26-41-205 (a)(1) were corrected as of the revisit date.
Deficiencies (3)
Regulation 26-41-202 (h) deficiency was corrected as of 06/11/2018.
Regulation 26-41-204 (d) deficiency was corrected as of 06/11/2018.
Regulation 26-41-205 (a)(1) deficiency was corrected as of 06/11/2018.
Inspection Report
Re-Inspection
Census: 10
Deficiencies: 1
Date: Jun 11, 2018
Visit Reason
The inspection was a re-visit for re-licensure conducted at the assisted living facility on 6/7/18 and 6/11/18.
Findings
The administrator failed to ensure documentation of all incidents, symptoms, and other indications of illness or injury including date, time of occurrence, action taken, and results of the action for two sampled residents.
Deficiencies (1)
KAR 26-41-105(f)(11) Resident Record documentation was incomplete for residents #1606 and #1609, lacking documentation of physician's orders, reasons for medication changes, notification of family, initiation of psychologist evaluation, and follow-up for medication effectiveness.
Report Facts
Census: 10
Inspection Report
Re-Inspection
Census: 9
Deficiencies: 4
Date: May 24, 2018
Visit Reason
The inspection was a licensure re-survey conducted at the assisted living facility on 5/23/18 and 5/24/18 in Lawrence, KS.
Findings
The facility was found deficient in ensuring negotiated service agreements were properly signed by all involved parties, including residents or their representatives. The agreements also lacked required descriptions of health care services and identification of responsible licensed nurses. Additionally, residents were allowed to self-administer medications without proper assessments, and documentation of incidents and physician orders was incomplete or missing.
Deficiencies (4)
KAR 26-41-202(h) The administrator failed to ensure each individual involved in the development of the negotiated service agreement signed the agreement for sampled residents.
KAR 26-41-204(d) The negotiated service agreement lacked a description of health care services and the name of the licensed nurse responsible for implementation and supervision for a resident requiring health care services.
KAR 26-41-205(a)(1) The administrator failed to ensure residents could perform medication self-administration safely and accurately without staff assistance and lacked assessments for self-administration.
KAR 26-41-105(f)(11) The administrator failed to ensure documentation of all incidents, including date, time, action taken, and results, was complete for sampled residents.
Report Facts
Census: 9
Sampled residents: 3
Inspection Report
Follow-Up
Deficiencies: 2
Date: Jun 30, 2016
Visit Reason
This revisit inspection was conducted to verify that previously cited deficiencies have been corrected and to document the dates when corrective actions were accomplished.
Findings
The report confirms that the previously reported deficiencies identified by regulation numbers 26-41-202 (h) and 26-41-105 (b) have been corrected as of the revisit date.
Deficiencies (2)
Regulation 26-41-202 (h) deficiency was corrected by the revisit date. The facility addressed the previously cited issue.
Regulation 26-41-105 (b) deficiency was corrected by the revisit date. The facility addressed the previously cited issue.
Inspection Report
Follow-Up
Deficiencies: 2
Date: Jun 30, 2016
Visit Reason
This visit was conducted as a follow-up to verify that previously reported deficiencies have been corrected and to document the dates such corrective actions were accomplished.
Findings
The report confirms that the deficiencies previously cited under regulations 26-41-202(h) and 26-41-105(b) have been corrected as of the revisit date.
Deficiencies (2)
Regulation 26-41-202(h) deficiency was corrected by the revisit date.
Regulation 26-41-105(b) deficiency was corrected by the revisit date.
Inspection Report
Complaint Investigation
Census: 8
Deficiencies: 4
Date: May 25, 2016
Visit Reason
The inspection was a resurvey with complaint 92759 conducted at the residential health care facility to investigate compliance with resident rights and other regulatory requirements.
Complaint Details
The visit was triggered by complaint 92759. The complaint was substantiated as the facility failed to notify the physician and legal representative of treatment changes, failed to obtain required signatures on service agreements, had uncertified staff administering medications, and failed to maintain confidentiality of resident records.
Findings
The facility failed to notify the resident's primary care physician and legal representative of significant treatment changes for one resident. Additionally, the facility did not ensure signatures on negotiated service agreements for two residents, lacked evidence of certification for one certified staff member administering medications, and failed to maintain confidentiality of resident records.
Deficiencies (4)
KAR 26-39-103(h)(1)(C) The facility failed to ensure designated staff consulted the resident's physician and notified the legal representative upon a significant treatment change for resident #115.
KAR 26-41-202(h) The facility failed to ensure that each individual involved in the development of the Negotiated Service Agreement signed the agreement for residents #115 and #357.
KAR 26-41-102(d)(1) The facility failed to ensure employee records contained evidence of certification for certified staff #D whose medication aide certification expired on 2016-05-13.
KAR 26-41-105(b) The facility failed to ensure all resident records were kept confidential, as a resident record was left accessible in the unlocked foyer and the work room storing records was left unlocked.
Report Facts
Census: 8
Employees hired since last resurvey: 24
Certified staff reviewed: 3
Licensed staff reviewed: 1
Non-certified staff reviewed: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Staff D | Certified Staff | Named in deficiency for lack of current medication aide certification and administering medications without certification |
| Licensed Staff C | Licensed Staff | Interviewed regarding failure to notify physician and legal representative and confidentiality breach |
| Administrative Staff A | Administrative Staff | Interviewed confirming certification expiration and confidentiality breach |
| Administrative Staff B | Administrative Staff | Confirmed confidentiality breach via video surveillance |
| Certified Staff E | Certified Staff | Interviewed regarding work room door security and confidentiality |
Inspection Report
Follow-Up
Deficiencies: 4
Date: Jul 23, 2015
Visit Reason
This revisit inspection was conducted to verify that previously reported deficiencies have been corrected and to confirm the dates such corrective actions were accomplished.
Findings
The report confirms that all previously cited deficiencies identified by regulation numbers 26-41-204 (c), 26-41-205 (d) (3), 26-41-205 (d) (4), and 26-41-104 (a) were corrected as of the revisit date.
Deficiencies (4)
Regulation 26-41-204 (c) deficiency was corrected by 07/23/2015.
Regulation 26-41-205 (d) (3) deficiency was corrected by 07/23/2015.
Regulation 26-41-205 (d) (4) deficiency was corrected by 07/23/2015.
Regulation 26-41-104 (a) deficiency was corrected by 07/23/2015.
Inspection Report
Follow-Up
Deficiencies: 4
Date: Jul 23, 2015
Visit Reason
This is a follow-up revisit to verify correction of previously reported deficiencies at Neuvant House of Lawrence East.
Findings
The revisit report confirms that all previously cited deficiencies identified by regulation numbers 26-41-204 (c), 26-41-205 (d) (3), 26-41-205 (d) (4), and 26-41-104 (a) were corrected as of the revisit date.
Deficiencies (4)
Regulation 26-41-204 (c) deficiency was corrected by 07/23/2015.
Regulation 26-41-205 (d) (3) deficiency was corrected by 07/23/2015.
Regulation 26-41-205 (d) (4) deficiency was corrected by 07/23/2015.
Regulation 26-41-104 (a) deficiency was corrected by 07/23/2015.
Inspection Report
Plan of Correction
Deficiencies: 2
Date: Jul 23, 2015
Visit Reason
The document is a statement of deficiencies and plan of correction for Neuvant House of Lawrence East, detailing regulatory compliance issues found during a facility inspection.
Findings
The facility failed to develop written negotiated service agreements for each resident as required. Additionally, the facility did not ensure proper provision and coordination of dietary services, including supervision by a dietetic services supervisor or licensed dietitian for facilities with 11 or more residents, and compliance with medical care provider orders for therapeutic diets.
Deficiencies (2)
26-41-202 (a) Negotiated Service Agreement: The facility did not develop a written negotiated service agreement for each resident based on functional capacity, service needs, and preferences.
26-41-206 (a) (b) Dietary Services: The facility failed to ensure provision or coordination of dietary services as identified in each resident's negotiated service agreement, including required supervision and adherence to medical care provider orders.
Inspection Report
Initial Licensing
Census: 9
Deficiencies: 6
Date: Jul 7, 2015
Visit Reason
Initial survey of a residential health care facility conducted over multiple days to assess compliance with state regulations.
Findings
The facility was found deficient in multiple areas including negotiated service agreements, health care services coordination, medication administration and delegation, disaster preparedness staffing, and dietary services. Several residents experienced issues related to inadequate documentation, improper delegation, insufficient staffing for emergency evacuations, and failure to prepare therapeutic diets according to medical instructions.
Deficiencies (6)
KAR 26-41-202(a) The facility failed to ensure the negotiated service agreement described services for diabetes management including identification of the provider for blood glucose monitoring and insulin preparation.
KAR 26-41-204(c)(1) The facility failed to ensure health care services coordinated by a licensed nurse, including personal care, were provided by certified or licensed staff. A resident suffered a fractured femur due to improper transfer by an untrained private caregiver.
KAR 26-41-205(d)(3)(A) The facility failed to ensure medication aides administered only medications they personally prepared, as nurses preset insulin pens for residents to self-inject.
KAR 26-41-205(d)(4) The licensed nurse failed to appropriately delegate nursing procedures related to blood glucose monitoring and insulin administration by lacking documentation of delegation in personnel files.
KAR 26-41-104(a) The facility failed to provide sufficient staff on night shift to assist residents requiring two-person transfers during emergencies, placing residents in immediate jeopardy.
KAR 26-41-206(a)(b)(2) The facility failed to ensure a resident's mechanically altered therapeutic diet was prepared according to instructions from a medical care provider or licensed dietitian.
Report Facts
Resident census: 9
Residents requiring two-person transfer: 4
Residents with impaired cognition: 7
Evacuation time: 20
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N023021 POC VP8V11
Visit Reason
This document is a Plan of Correction related to a prior deficiency report for Neuvant House Of Lawrence East.
Findings
No specific findings or deficiencies 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: N023021 POC VP8V12
Visit Reason
This document is a Plan of Correction related to a prior inspection or deficiency report for Neuvant House of Lawrence East RV.
Findings
No specific findings or deficiencies 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: N023021 POC 9I2211
Visit Reason
This document is a plan of correction related to a prior deficiency report for a healthcare facility.
Findings
No specific findings or deficiencies are detailed in this document; it serves as a record of the plan of correction submission.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N023021 POC ZTKP11
Visit Reason
This document is a Plan of Correction related to a prior deficiency report for the facility Neuvant House of Lawrence East.
Findings
No specific findings or deficiencies 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: N023021 POC CL4311
Visit Reason
This document is a Plan of Correction related to a prior deficiency report for Neuvant House of Lawrence East.
Findings
No specific findings or deficiencies 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: N023021 POC ZTKP12
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 placeholder or administrative record for the Plan of Correction submission.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N023021 POC CL4312
Visit Reason
This document is a Plan of Correction related to a prior deficiency report for the facility Neuvant House of Lawrence East.
Findings
No specific findings or deficiencies are detailed in this document. It serves as a record of the Plan of Correction submission.
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