Inspection Reports for
Sunrise of Leawood
11661 Granada Ln, Leawood, KS 66211, United States, KS, 66211
Back to Facility ProfileDeficiencies (last 11 years)
Deficiencies (over 11 years)
5.6 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
7% better than Kansas average
Kansas average: 6 deficiencies/yearDeficiencies per year
24
18
12
6
0
Occupancy
Latest occupancy rate
79% occupied
Based on a March 2026 inspection.
This facility has shown a decline in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Re-Inspection
Deficiencies: 0
Date: Apr 9, 2026
Visit Reason
An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 2026-03-11.
Findings
All deficiencies have been corrected as of the compliance date of 2026-04-09, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.
Inspection Report
Re-Inspection
Census: 83
Deficiencies: 4
Date: Mar 11, 2026
Visit Reason
This was a resurvey with attached complaints conducted on 03/09/26, 03/10/26, and 03/11/26 at Sunrise Assisted Living of Leawood.
Complaint Details
The resurvey included attached complaints numbered 197985, 197415, 197257, 196601, 196221, and 196148.
Findings
The facility failed to ensure accurate Functional Capacity Screens for multiple residents, failed to ensure Negotiated Service Agreements described services based on Functional Capacity Screens and named responsible licensed nurses, and failed to ensure food was served at proper temperatures with complete documentation.
Deficiencies (4)
KAR 26-41-201(d) Functional Capacity Screen was inaccurate for Residents 1, 2, 3, 5, and 6 as confirmed by Administrative Nurse B on 03/11/26.
KAR 26-41-202(a) Negotiated Service Agreements for Residents 1, 2, 3, 6, and 7 failed to describe services received based on their Functional Capacity Screens.
KAR 26-41-204(d) Negotiated Service Agreements for Residents 2, 3, 6, and 7 failed to name the licensed nurse responsible for implementing and supervising their Healthcare Service Plans.
KAR 26-41-206(d) Food preparation failed to ensure food was served at proper temperatures and food temperature logs lacked documentation for 53 of 108 meals (51%) from February to March 2026.
Report Facts
Census: 83
Meals missing temperature documentation: 53
Total meals: 108
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Administrative Nurse B | Confirmed inaccuracies in Functional Capacity Screens and Negotiated Service Agreements during the inspection. | |
| Administration Staff A | Confirmed lack of documentation in food temperature logs. |
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Mar 9, 2026
Visit Reason
This document represents the findings of a resurvey with attached complaints conducted at the assisted living facility on 03/09/26, 03/10/26, and 03/11/26.
Findings
The plan of correction addresses deficiencies identified during the resurvey and related complaint investigations at the facility.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Oct 3, 2024
Visit Reason
The document represents the findings of a complaint investigation conducted on 10/03/24 at an assisted living facility.
Complaint Details
Complaint investigation #190659 was conducted and resulted in no citations.
Findings
The complaint investigation resulted in no citations.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Oct 3, 2024
Visit Reason
The inspection was conducted as a complaint investigation (#190659) at Sunrise Assisted Living of Leawood.
Complaint Details
Complaint investigation #190659 was conducted and found no citations.
Findings
The complaint investigation conducted on 10/03/2024 resulted in no citations.
Inspection Report
Follow-Up
Deficiencies: 0
Date: Oct 3, 2024
Visit Reason
This revisit inspection was conducted to verify that previously reported deficiencies have been corrected and to document the dates such corrective actions were accomplished.
Findings
All previously cited deficiencies listed with their regulation numbers were corrected as of the revisit date. The report confirms completion of corrective actions for each deficiency.
Inspection Report
Follow-Up
Deficiencies: 0
Date: Oct 3, 2024
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 or Life Safety Code provisions were corrected as of the revisit date.
Inspection Report
Re-Inspection
Census: 75
Deficiencies: 5
Date: Sep 10, 2024
Visit Reason
Revisit for correction order 24-SCCC-184 conducted on 09/09/24 and 09/10/24 to verify correction of previously cited deficiencies.
Findings
The facility failed to ensure licensed nurses completed required assessments and documented negotiated service agreements based on functional capacity screenings for several residents. Additionally, food storage practices were unsafe with unlabeled and improperly stored food items, and chemicals were stored in unlocked areas accessible to residents, posing health and safety risks.
Deficiencies (5)
KAR 26-41-201(b) Functional Capacity Screen on Admission: Licensed nurse assessments were not documented for residents whose screenings indicated health care services were required.
KAR 26-41-202(a) Negotiated Service Agreement: The facility failed to ensure negotiated service agreements described services based on residents' functional capacity screenings and preferences.
KAR 26-41-202(d) Negotiated Service Agreement Revisions: Facility staff failed to complete negotiated service agreements for certain residents every 365 days as required.
KAR 26-41-206(e) Facility Food Storage: Food items were stored under unsafe conditions, including unlabeled, undated, and unrefrigerated high-risk foods accessible to residents.
KAR 28-39-254 Construction: Chemicals were stored in unlocked cabinets accessible to residents, failing to protect health and safety.
Report Facts
Census: 75
Memory care unit residents: 23
Memory care unit residents: 25
Days since last NSA for R7: 381
Days between NSA and FCS for R7: 304
Days between NSA and FCS for R8: 287
Days between NSA and FCS for R9: 241
Inspection Report
Follow-Up
Deficiencies: 5
Date: Sep 10, 2024
Visit Reason
This visit was conducted as a follow-up to verify that previously reported deficiencies have been corrected.
Findings
All previously reported deficiencies were corrected as of the revisit date. The report documents completion of corrective actions for multiple cited regulations.
Deficiencies (5)
Regulation 26-41-101 (f) (1) deficiency was corrected by 09/10/2024.
Regulation 26-41-205 (g) (3) deficiency was corrected by 09/10/2024.
Regulation 26-41-205 (h) deficiency was corrected by 09/10/2024.
Regulation 26-41-104 (a) deficiency was corrected by 09/10/2024.
Regulation 26-41-206 (d) deficiency was corrected by 09/10/2024.
Inspection Report
Re-Inspection
Census: 75
Deficiencies: 5
Date: Sep 10, 2024
Visit Reason
Revisit for correction order 24-SCCC-184 conducted on 09/09/24 and 09/10/24 to verify correction of previous deficiencies.
Findings
The facility failed to ensure licensed nurses completed required assessments and documented negotiated service agreements based on functional capacity screenings for multiple residents. Additionally, food storage practices were unsafe with unlabeled and improperly stored food items, and chemicals were stored in unlocked areas accessible to residents.
Deficiencies (5)
KAR 26-41-201(b) The administrator failed to ensure a licensed nurse documented assessments for residents whose functional capacity screenings indicated health care services were required.
KAR 26-41-202(a) The administrator failed to ensure negotiated service agreements described services residents received based on their functional capacity screenings, service needs, and preferences.
KAR 26-41-202(d)(1) The administrator failed to ensure negotiated service agreements were reviewed and revised at least once every 365 days for certain residents.
KAR 26-41-206(e)(1) The administrator failed to ensure designated staff stored food items under safe and sanitary conditions, including unlabeled and undated prepared foods and opened containers.
KAR 28-39-254(a) The administrator failed to ensure all chemicals were stored within locked areas in the memory care unit to protect residents and visitors.
Report Facts
Census: 75
Memory care unit residents: 23
Memory care unit residents: 25
Prepared food containers: 9
Days since last NSA: 381
Days since last NSA: 304
Days since last NSA: 287
Days since last NSA: 241
Inspection Report
Follow-Up
Deficiencies: 0
Date: Sep 10, 2024
Visit Reason
This visit was conducted as a follow-up to verify that previously reported deficiencies have been corrected and to document the dates when corrective actions were accomplished.
Findings
All previously reported deficiencies were corrected as of the revisit date. The report lists multiple regulation citations with completed corrections.
Inspection Report
Re-Inspection
Census: 75
Deficiencies: 8
Date: Aug 7, 2024
Visit Reason
This is a resurvey with attached complaints conducted at Sunrise Assisted Living of Leawood from 08/05/24 to 08/07/24 to evaluate compliance following prior deficiencies.
Complaint Details
This resurvey included attached complaints #189570, #187379, #187341, and #187074.
Findings
The facility failed to protect a cognitively impaired resident from elopement and neglect, failed to ensure negotiated service agreements described services and providers, failed to label over-the-counter medications with resident names, failed to store medications according to manufacturer recommendations, failed to maintain sufficient staffing for resident assistance during emergencies, failed to serve food at proper temperatures and store food safely, and failed to secure chemicals in locked areas in the memory care unit.
Deficiencies (8)
KAR 26-41-101(f)(1)(B) The administrator failed to protect Resident 1 from neglect after he eloped twice through secured doors and was found 1.3 miles away by police.
KAR 26-41-202(a)(1)(2) The facility failed to ensure negotiated service agreements for eight residents described services based on functional capacity screenings and identified service providers.
KAR 26-41-205(g)(3) The administrator failed to ensure licensed personnel placed residents' full names on original packages of 35 over-the-counter medications.
KAR 26-41-205(h) The administrator failed to ensure medications were stored according to manufacturer recommendations; insulin pens were used beyond 28 days.
KAR 26-41-104(a) The administrator failed to ensure sufficient staff were scheduled to assist residents during emergencies or disasters, resulting in delayed call light responses and inadequate emergency staffing.
KAR 26-41-206(d) The administrator failed to ensure food was served at proper temperatures; food temperature logs were incomplete for 71 of 93 meals in July 2024.
KAR 26-41-206(e) The administrator failed to ensure food was stored safely; undated, unsealed, dented, and improperly stored food items were observed in the kitchen and storage areas.
KAR 28-39-254(a) The administrator failed to ensure all chemicals in the memory care kitchen were stored in locked areas; unlocked cabinet contained hazardous cleaning supplies accessible to residents.
Report Facts
Census: 75
Call light activations: 270
Call lights answered over 30 minutes: 139
Call lights answered over one hour: 82
Meals missing temperature logs: 71
Over-the-counter medications unlabeled: 35
Insulin pens expired: 3
Residents requiring two-person assistance: 21
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Aug 5, 2024
Visit Reason
This document represents the plan of correction for a resurvey with attached complaints #189570, #187379, #187341, and #187074 conducted at the assisted living facility from 08/05/24 to 08/07/24.
Findings
The plan of correction addresses findings from the resurvey and multiple complaints attached to the inspection conducted in early August 2024.
Inspection Report
Abbreviated Survey
Deficiencies: 0
Date: Mar 13, 2024
Visit Reason
The abbreviated survey was conducted in response to complaints #186421, #186281, #184116, and #182908 at the assisted living facility.
Complaint Details
The survey was complaint-related and found no deficiencies.
Findings
The survey resulted in a finding of no deficiency citations at the facility.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Mar 13, 2024
Visit Reason
The abbreviated survey was conducted on 03/13/24 in response to complaints #186421, #186281, #184116, and #182908 at the assisted living facility.
Findings
The survey resulted in a finding of no deficiency citations for the complaints investigated.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Sep 13, 2023
Visit Reason
The visit was an abbreviated survey conducted in response to complaint #182775 at the assisted living facility.
Findings
The abbreviated survey conducted on 09/13/2023 resulted in no deficiency citations.
Inspection Report
Abbreviated Survey
Deficiencies: 0
Date: Sep 13, 2023
Visit Reason
The abbreviated survey was conducted in response to complaint #182775 at Sunrise Assisted Living of Leawood.
Complaint Details
Complaint #182775 was investigated and resulted in no deficiency citations.
Findings
The survey resulted in no deficiency citations.
Inspection Report
Follow-Up
Deficiencies: 0
Date: Sep 6, 2023
Visit Reason
An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 2023-08-22.
Findings
All deficiencies have been corrected as of the compliance date of 2023-08-31, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.
Inspection Report
Re-Inspection
Deficiencies: 0
Date: Sep 6, 2023
Visit Reason
An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 2023-08-22.
Findings
All deficiencies have been corrected as of the compliance date of 2023-08-31, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.
Inspection Report
Re-Inspection
Census: 70
Deficiencies: 6
Date: Aug 22, 2023
Visit Reason
The inspection was a resurvey with an attached complaint (#180832) conducted to verify correction of previous deficiencies and investigate complaint allegations.
Complaint Details
The inspection included an attached complaint (#180832). The complaint investigation was part of the resurvey to verify correction of cited deficiencies.
Findings
The facility failed to appoint a licensed administrator, ensure signatures on negotiated service agreements, properly label over-the-counter medications, securely store medications, obtain required criminal background checks for staff, and conduct required emergency preparedness reviews and drills.
Deficiencies (6)
KAR 26-41-101 (b) The facility failed to appoint an administrator or operator holding a Kansas adult care home administrator license or equivalent training as required.
KAR 26-41-202 (h) The facility failed to ensure each individual involved in the development of the negotiated service agreement signed the agreement for sampled residents.
KAR 26-41-205 (g) (3) The facility failed to ensure licensed nurses or pharmacists placed the full name of the resident on each package of over-the-counter medications.
KAR 26-41-205 (h) The facility failed to ensure medications and biologicals were securely and properly stored according to manufacturer and pharmacy recommendations.
KAR 26-41-102 (d) The facility failed to obtain evidence of supporting documentation for criminal background checks for Executive Director A as required.
KAR 26-41-104 (d) The facility failed to perform quarterly reviews of the emergency management plan with residents and staff and failed to conduct an annual emergency drill including evacuation of all residents to a secure location.
Report Facts
Resident census: 70
Sampled residents: 6
Non-sampled residents: 12
Days without licensed administrator: 77
Residents with impaired cognitive abilities: 48
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Aug 21, 2023
Visit Reason
This document is a Plan of Correction submitted in response to a resurvey with an attached complaint (#180832) conducted on August 21 and 22, 2023.
Complaint Details
The visit was related to a complaint investigation (#180832) attached to the resurvey.
Findings
The Plan of Correction addresses findings from the resurvey and complaint investigation conducted at the facility on the specified dates.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Mar 2, 2021
Visit Reason
The licensure resurvey was conducted on 2/28/2021, 3/1/2021, and 3/2/2021 with complaint numbers 165854, 164359, and 164333 attached at the assisted living facility.
Findings
The resurvey resulted in a finding of no deficiency citations.
Inspection Report
Renewal
Deficiencies: 0
Date: Mar 2, 2021
Visit Reason
The licensure resurvey was conducted on 2/28/2021, 3/1/2021, and 3/2/2021 with complaint numbers 165854, 164359, and 164333 attached, at the assisted living facility.
Findings
The survey resulted in a finding of no deficiency citations.
Inspection Report
Routine
Deficiencies: 0
Date: Aug 4, 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
Complaint Investigation
Census: 92
Deficiencies: 2
Date: Apr 23, 2019
Visit Reason
The inspection was a resurvey with complaint investigations 136887, 139972, and 139966 conducted over multiple days in April 2019 at Sunrise Assisted Living of Leawood.
Complaint Details
The visit was a resurvey with complaint investigations 136887, 139972, and 139966.
Findings
The facility failed to properly store tuberculosis skin testing solution according to manufacturer recommendations and failed to ensure food was prepared using safe methods and served at proper temperatures, with missing documentation of food temperatures on multiple dates.
Deficiencies (2)
KAR 26-41-205(h) Medication Storage. Licensed nurses and medication aides failed to ensure tuberculosis skin testing solution was discarded after 30 days as recommended by the manufacturer.
KAR 26-41-206(d) Food Preparation. The administrator failed to ensure food was prepared using safe methods that conserve nutritive value, flavor, and appearance and served at proper temperature, with missing temperature documentation on multiple dates.
Report Facts
Resident census: 92
Food temperature missing documentation dates: 27
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Apr 23, 2019
Visit Reason
This document is a Plan of Correction related to deficiencies cited 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
Follow-Up
Deficiencies: 1
Date: Aug 6, 2018
Visit Reason
This visit was conducted as a follow-up to verify that previously reported deficiencies have been corrected and to document the date such corrective actions were accomplished.
Findings
The report confirms that the previously cited deficiency under regulation 26-41-203(a) was corrected as of 08/06/2018. No other deficiencies or uncorrected issues are noted.
Deficiencies (1)
Regulation 26-41-203(a) deficiency was corrected as of 08/06/2018.
Inspection Report
Follow-Up
Deficiencies: 1
Date: Aug 6, 2018
Visit Reason
This visit was conducted as a follow-up to verify correction of previously reported deficiencies at Sunrise Assisted Living of Leawood.
Findings
The report documents that previously cited deficiencies have been corrected as of the revisit date. Each deficiency is identified by regulation number and marked as completed.
Deficiencies (1)
Regulation 26-41-203(a) deficiency was corrected and the corrective action was completed on 08/06/2018.
Inspection Report
Re-Inspection
Census: 92
Deficiencies: 4
Date: Jul 16, 2018
Visit Reason
The inspection was a licensure re-survey with attached complaints conducted at Sunrise Assisted Living of Leawood on 7/10/18, 7/11/18, 7/12/18, and 7/16/18.
Complaint Details
The inspection included attached complaints regarding failure to report and investigate abuse and neglect allegations and failure to provide services as per negotiated agreements.
Findings
The administrator failed to ensure timely reporting and investigation of abuse allegations, failed to provide or coordinate services as specified in residents' negotiated service agreements, failed to properly store medications according to manufacturer recommendations, and failed to document all incidents and resident discharge information.
Deficiencies (4)
KAR 26-41-101 (f)(3) The administrator failed to report allegations of abuse, neglect, or exploitation to the department within 24 hours and did not start investigations or submit complaint reports within five working days for residents #710 and #713.
KAR 26-41-203 (a)(6) The administrator failed to ensure provision or coordination of services specified in residents' negotiated service agreements, including timely response to call lights for 17 residents.
K.A.R 26-41-205(h)(1) The administrator failed to ensure licensed nurses or medication aides stored non-controlled medications according to manufacturer recommendations for resident #734.
KAR 26-41-105(f)(11) The administrator failed to ensure documentation of all incidents, symptoms, and indications of illness or injury including date, time, action taken, and results for resident #716.
Report Facts
Census: 92
Resident sample size: 6
Closed chart review residents: 3
Non-sampled residents reviewed: 15
Call light response times: 15
Call light response times: 44
Medication bottles observed: 10
Medication open date: 0
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Administrator | Named in relation to failure to report abuse and ensure service provision. | |
| Licensed Nurse #E | Interviewed regarding failure to report abuse and medication storage. | |
| Certified Staff #E | Interviewed regarding call light system and resident assistance. | |
| Certified Staff #F and #G | Responded to resident call after 30 minutes delay. | |
| Administrative Staff #C | Interviewed regarding incident reporting and call light system. |
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Jul 16, 2018
Visit Reason
This document is a plan of correction related to deficiencies identified in a prior inspection of Sunrise Assisted Living of Leawood on July 16, 2018.
Findings
No specific deficiencies or findings are detailed in this document. It serves as a placeholder or reference to the linked deficiency report.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Mar 27, 2017
Visit Reason
This document is a Plan of Correction submitted in response to deficiencies identified in a prior inspection.
Findings
No deficiency details are provided in this document. It only indicates the submission and modification times of the Plan of Correction.
Inspection Report
Follow-Up
Deficiencies: 1
Date: Mar 23, 2017
Visit Reason
This visit was conducted as a follow-up to verify correction of previously reported deficiencies at Sunrise Assisted Living of Leawood.
Findings
The report documents that previously identified deficiencies have been corrected as of the revisit date. Only one deficiency with regulation number 28-39-256 is explicitly noted as corrected.
Deficiencies (1)
Regulation 28-39-256 deficiency was corrected as of 03/23/2017.
Inspection Report
Follow-Up
Deficiencies: 1
Date: Mar 23, 2017
Visit Reason
This visit was conducted as a follow-up to verify correction of previously reported deficiencies at Sunrise Assisted Living of Leawood.
Findings
The report documents that previously identified deficiencies have been corrected as of the revisit date. The single listed deficiency with regulation number 28-39-256 was corrected by 03/23/2017.
Deficiencies (1)
Regulation 28-39-256 deficiency was corrected as of 03/23/2017.
Inspection Report
Re-Inspection
Census: 93
Deficiencies: 1
Date: Feb 23, 2017
Visit Reason
The inspection was a licensure re-survey with attached complaints at the assisted living facility in Leawood, Kansas, conducted over multiple days from 2/20/17 to 2/23/17.
Complaint Details
The inspection included attached complaints as part of the licensure re-survey.
Findings
The facility failed to maintain safe hot water temperatures between 98 and 120 degrees Fahrenheit at sinks in resident use areas. Multiple sinks throughout the facility were found to have water temperatures exceeding the safe range, with some readings above 126 degrees Fahrenheit.
Deficiencies (1)
KAR 28-39-256 (c)(2)(B) The facility water distribution system did not maintain hot water temperatures between 98 and 120 degrees Fahrenheit at sinks in resident use areas, with observed temperatures exceeding 120 degrees.
Report Facts
Resident census: 93
Residents with impaired cognitive status: 44
Water temperature readings: 122.1
Water temperature readings: 124.3
Water temperature readings: 123
Water temperature readings: 129.2
Water temperature readings: 126.6
Water temperature readings: 126.8
Water temperature readings: 121.6
Inspection Report
Follow-Up
Deficiencies: 1
Date: Jan 19, 2016
Visit Reason
This visit was conducted as a follow-up to verify that previously reported deficiencies have been corrected.
Findings
The report confirms that the previously cited deficiency under regulation 26-41-205 (d) (3) was corrected as of the revisit date.
Deficiencies (1)
Regulation 26-41-205 (d) (3) deficiency was corrected as of 2016-01-19.
Inspection Report
Follow-Up
Deficiencies: 1
Date: Jan 19, 2016
Visit Reason
This visit was conducted as a follow-up to verify that previously reported deficiencies have been corrected.
Findings
The report confirms that the deficiencies previously cited have been corrected as of the revisit date.
Deficiencies (1)
Regulation 26-41-205 (d) (3) deficiency was corrected and completed on 2016-01-19.
Inspection Report
Re-Inspection
Census: 82
Deficiencies: 5
Date: Dec 22, 2015
Visit Reason
The inspection was a resurvey with complaint investigations conducted on 12-16-15, 12-17-15, 12-21-15, and 12-22-15 at Sunrise Assisted Living of Leawood.
Complaint Details
The inspection included complaint investigations 88832 and 94711.
Findings
The facility was found deficient in multiple areas including failure to notify physicians and family of resident accidents, incomplete functional capacity screenings, lack of signatures on negotiated service agreements, failure to provide coordinated health care services addressing fall risks, and improper documentation of medication administration times.
Deficiencies (5)
KAR 26-39-103(h)(1)(A) Resident Right Notification of Changes: The facility failed to ensure designated staff consulted with the resident's physician and notified the resident's legal representative or family after accidents resulting in injury or potential physician intervention.
KAR 26-41-201(a)(b) Functional Capacity Screen on Admission: The administrator failed to ensure designated staff recorded all required elements of the functional capacity screening on a specified form for residents #408, #410, and #411.
KAR 26-41-202(h) NSA Signatures: The operator failed to ensure that each individual involved in the development of the Negotiated Service Agreement signed the agreement for residents #408, #409, #410, #412, and #413.
KAR 26-41-204(a) Health Care Services: The administrator failed to ensure a licensed nurse provided or coordinated necessary health care services addressing resident #408's risk for falls after multiple falls between 11-22-15 and 12-15-15.
KAR 26-41-205(d)(3)(D) Facility Administration of Medication: The operator failed to ensure licensed nurses or medication aides documented actual clock times medications were administered when only time intervals were recorded.
Report Facts
Resident census: 82
Falls: 6
Residents sampled: 6
Residents with medication management: 76
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed nurse B | Interviewed multiple times confirming lack of documentation and signatures on NSA/HCSP and medication administration records. |
Inspection Report
Follow-Up
Deficiencies: 0
Date: May 12, 2014
Visit Reason
This is a follow-up revisit inspection to verify correction of previously reported deficiencies at Sunrise Assisted Living of Leawood.
Findings
All previously reported deficiencies identified by regulation or Life Safety Code provisions were corrected as of the revisit date.
Inspection Report
Follow-Up
Deficiencies: 0
Date: May 12, 2014
Visit Reason
This is a follow-up visit to verify correction of previously reported deficiencies at Sunrise Assisted Living of Leawood.
Findings
All previously reported deficiencies identified by regulation numbers 26-41-202 (a), 26-41-204 (e), 26-41-205 (h), 26-41-104 (d), and 26-41-206 (d) were corrected as of the revisit date.
Inspection Report
Complaint Investigation
Census: 71
Deficiencies: 5
Date: Apr 23, 2014
Visit Reason
The inspection was a resurvey with complaint investigations conducted on multiple dates in April 2014 to assess compliance with regulatory requirements at Sunrise Assisted Living of Leawood.
Complaint Details
The inspection was a resurvey with complaint investigations numbered 73520, 72992, 72718, 72353, and 72013 conducted on 4-17-14, 4-21-14, 4-22-14, and 4-23-14.
Findings
The facility was found deficient in multiple areas including failure to ensure negotiated service agreements described all required services and responsible parties, improper delegation of nursing duties related to blood glucose monitoring, improper medication storage, lack of disaster and emergency preparedness quarterly reviews, and failure to ensure food was prepared and served at proper temperatures.
Deficiencies (5)
KAR 36-41-202(a)(1)(2)(3) The administrator failed to ensure the negotiated service agreement included a description of diabetes management services and identification of providers and responsible parties for residents #134 and #135.
KAR 26-41-204(e) The licensed nurse failed to appropriately delegate blood glucose monitoring nursing procedures to certified medication aides for residents #134, #135, and others.
KAR 26-41-205(h) Licensed nurses and medication aides failed to ensure proper storage of insulin pens and tuberculosis testing solution according to manufacturer and pharmacy recommendations.
KAR 26-41-104(d)(3) The administrator failed to ensure quarterly review of the facility's emergency management plan with employees and residents.
KAR 26-41-206(d) The administrator failed to ensure food was prepared using safe methods that conserve nutritive value, flavor, and appearance and served at proper temperatures, with multiple missing temperature records.
Report Facts
Resident census: 71
Sample size: 6
Dates missing food temperature documentation: 15
Inspection Report
Plan of Correction
Deficiencies: 6
Date: Apr 23, 2014
Visit Reason
This document is a Plan of Correction submitted in response to deficiencies cited in a prior inspection report for Sunrise AL of Leawood.
Findings
The plan indicates that no Plan of Correction was required for the listed deficiencies with tags S0000, S3085-E, S3166-F, S3215-D, S3280-F, and S3298-E, all completed by 04/23/2014.
Deficiencies (6)
Tag S0000 deficiency noted with no Plan of Correction required.
Tag S3085-E deficiency noted with no Plan of Correction required.
Tag S3166-F deficiency noted with no Plan of Correction required.
Tag S3215-D deficiency noted with no Plan of Correction required.
Tag S3280-F deficiency noted with no Plan of Correction required.
Tag S3298-E deficiency noted with no Plan of Correction required.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N046072 POC 2MC412
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 Plan of Correction document. It only references the facility and event IDs with no records found.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N046072 POC CT1L11
Visit Reason
This document is a Plan of Correction related to a prior inspection event identified as CT1L11 for facility State ID N046072.
Findings
No deficiency records or findings are included in this Plan of Correction document.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N046072 POC CT1L12
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: N046072 POC GS1312
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 submission with no records found.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N046072 POC TK0E11
Visit Reason
This document is a Plan of Correction related to a previous deficiency report for Sunrise Assisted Living of Leawood concerning COVID-19 dated 8.4.2020.
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: N046072 POC TVOQ11
Visit Reason
This document is a Plan of Correction related to a prior inspection event identified as TVOQ11 for facility State ID N046072 ASPEN.
Findings
No deficiency records or findings are included in this Plan of Correction document.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N046072 POC UMVU11
Visit Reason
This document is a Plan of Correction related to a prior deficiency report for a regulated assisted living facility.
Findings
No specific findings are detailed in this document; it serves as a corrective action plan linked to a previous deficiency report.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N046072 POC UMVU12
Visit Reason
This document is a Plan of Correction related to a prior inspection event identified as UMVU12 for facility State ID N046072 ASPEN.
Findings
No deficiency details or findings are provided in this document. It only references the Plan of Correction status and contact information for assistance.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N046072 POC UPLB11
Visit Reason
This document is a Plan of Correction related to a prior inspection or regulatory event for the facility identified as ASPEN with State ID N046072.
Findings
No deficiency records or findings are included in this Plan of Correction document. It serves as a corrective action response to prior deficiencies.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N046072 POC Y8IR11
Visit Reason
This document is a Plan of Correction related to a prior deficiency report for Sunrise Assisted Living of Leawood.
Findings
No specific findings are detailed in this document. It serves as a record of the Plan of Correction submission and modification dates.
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