Deficiencies (last 9 years)
Deficiencies (over 9 years)
1.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
72% better than Kansas average
Kansas average: 6 deficiencies/yearDeficiencies per year
8
6
4
2
0
Occupancy
Latest occupancy rate
62% occupied
Based on a October 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Re-Inspection
Deficiencies: 0
Date: Oct 20, 2025
Visit Reason
An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 2025-10-01.
Findings
All deficiencies have been corrected as of the compliance date of 2025-10-16, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.
Inspection Report
Re-Inspection
Deficiencies: 0
Date: Oct 20, 2025
Visit Reason
An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 2025-10-01.
Findings
All deficiencies have been corrected as of the compliance date of 2025-10-16, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.
Inspection Report
Re-Inspection
Deficiencies: 0
Date: Oct 20, 2025
Visit Reason
An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 2025-10-01.
Findings
All deficiencies have been corrected as of the compliance date of 2025-10-16, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.
Inspection Report
Re-Inspection
Census: 33
Deficiencies: 2
Date: Oct 1, 2025
Visit Reason
The inspection was a resurvey with an attached complaint investigation (complaint 186031) at an assisted living facility.
Complaint Details
The inspection included a complaint investigation (complaint 186031).
Findings
The facility failed to revise the Negotiated Service Agreement (NSA) for two residents every 365 days and upon change in condition. Additionally, the facility did not maintain chemical storage safety by leaving chemicals accessible outside locked areas.
Deficiencies (2)
KAR 26-41-202(d)(1)(2) The facility failed to revise the Negotiated Service Agreement for Residents 2 and 3 every 365 days and after changes in condition as required.
KAR 28-39-254(a) The facility failed to ensure all chemicals were stored within locked areas, leaving disinfectant sprays and air fresheners accessible to residents and visitors.
Report Facts
Resident census: 33
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Administrative Nurse C | Interviewed and confirmed failures in revising the Negotiated Service Agreement for Residents 2 and 3. | |
| Administrative Staff A | Confirmed the facility lacks a policy regarding Negotiated Service Agreements and that chemicals were not stored in locked areas. |
Inspection Report
Re-Inspection
Census: 33
Deficiencies: 2
Date: Oct 1, 2025
Visit Reason
This is a resurvey with attached complaint 186031 conducted at an assisted living facility to verify correction of previous deficiencies related to negotiated service agreements and facility safety.
Complaint Details
The inspection was conducted as a resurvey with attached complaint 186031. The complaint involved failure to revise negotiated service agreements and unsafe chemical storage. The findings substantiated these issues.
Findings
The facility failed to ensure negotiated service agreements were revised annually and upon change in condition for two residents. Additionally, the facility failed to store chemicals in locked areas, posing a safety risk to residents and visitors.
Deficiencies (2)
KAR 26-41-202(d)(1)(2) The facility failed to revise negotiated service agreements for Residents 2 and 3 every 365 days and upon change in condition as required.
KAR 28-39-254(a) The facility failed to protect residents and visitors by not storing all chemicals within locked areas, as evidenced by multiple aerosol cans found unsecured in public bathrooms.
Report Facts
Resident census: 33
Deficiency severity E: 1
Deficiency severity F: 1
Number of aerosol cans found unsecured: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Heather Williams | Executive Director | Named in relation to chemical storage correction and training |
| Amber Siebenmorgen | Wellness Director | Responsible for monitoring negotiated service agreement revisions and nursing plan |
| Administrative Nurse C | Interviewed regarding residents' negotiated service agreements | |
| Administrative Staff A | Confirmed lack of NSA policy and chemical storage issues |
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Sep 30, 2025
Visit Reason
This document represents the findings of a resurvey with an attached complaint at an assisted living facility conducted from 09/30/2025 to 10/01/2025.
Complaint Details
The visit was related to complaint 186031, attached to the resurvey.
Findings
The document is a plan of correction submitted in response to deficiencies identified during the resurvey and complaint investigation conducted on the specified dates.
Inspection Report
Re-Inspection
Deficiencies: 0
Date: Mar 21, 2024
Visit Reason
An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 2024-02-22.
Findings
All deficiencies have been corrected as of the compliance date of 2024-03-11, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.
Inspection Report
Re-Inspection
Deficiencies: 0
Date: Mar 21, 2024
Visit Reason
An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 2024-02-22.
Findings
All deficiencies have been corrected as of the compliance date of 2024-03-11, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.
Inspection Report
Complaint Investigation
Census: 26
Deficiencies: 5
Date: Feb 22, 2024
Visit Reason
The inspection was a resurvey with a complaint #182327 at the assisted living facility conducted on 02/21/2024 and 02/22/2024.
Complaint Details
The visit was a resurvey with complaint #182327. The complaint involved failure to complete functional capacity screenings and update service agreements after significant resident condition changes, improper medication labeling, and noncompliance with tuberculosis screening requirements.
Findings
The facility failed to complete required functional capacity screenings and update negotiated service agreements following significant changes in resident condition. Additionally, the facility did not ensure proper labeling of over-the-counter and prescription medications, and failed to comply with tuberculosis screening guidelines for residents and new employees.
Deficiencies (5)
KAR 26-41-201(c)(1) Functional Capacity Screen was not completed for resident R101 following a significant change in her ability to walk.
KAR 26-41-202(d)(2) Negotiated Service Agreement for resident R101 was not revised after a significant change in condition.
KAR 26-41-205(g)(3) The facility failed to ensure licensed staff placed the full name of residents on original packages of over-the-counter medications for four residents.
KAR 26-41-205(g)(2) Prescription medication containers lacked labels provided by a dispensing pharmacist with the resident's full name.
KAR 26-41-207(c) The facility failed to comply with tuberculosis screening guidelines for one resident and three new employees, lacking required annual symptom screenings and appropriate TB skin tests.
Report Facts
Census: 26
Residents with unlabeled OTC medications: 4
Sampled residents: 3
New employee records reviewed: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Nurse B | Licensed Nurse | Provided statements regarding resident R101's condition and need for updated functional capacity screening and service agreement. |
| Certified Nurse Aide F | Certified Nurse Aide | Reported resident R101's need for assistance with ambulation and transfers. |
| Administrative Staff A | Administrative Staff | Acknowledged missing tuberculosis screening documentation for employees and resident. |
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Feb 21, 2024
Visit Reason
This document is a plan of correction submitted in response to a resurvey conducted with a complaint #182327 at the assisted living facility on February 21 and 22, 2024.
Complaint Details
The visit was triggered by complaint #182327 and involved a resurvey on February 21 and 22, 2024.
Findings
The plan of correction addresses findings from the resurvey related to the complaint investigation conducted on the specified dates.
Inspection Report
Re-Inspection
Deficiencies: 0
Date: Aug 25, 2022
Visit Reason
The visit was a resurvey conducted with complaints numbered 169355, 168575, 168420, 165823, 162308, 171741, and 161907 at the facility.
Complaint Details
The visit was complaint-related, addressing multiple complaints, but no citations were issued.
Findings
The resurvey conducted on 08/24/22 - 08/25/22 resulted in no citations.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Aug 24, 2022
Visit Reason
This document is a plan of correction representing the findings of a resurvey with multiple complaints at the facility conducted on 08/24/22 - 08/25/22.
Findings
The resurvey conducted on 08/24/22 - 08/25/22 resulted in no citations.
Inspection Report
Abbreviated Survey
Deficiencies: 0
Date: Jun 11, 2020
Visit Reason
The facility underwent a special infection control survey for COVID-19 conducted on June 11, 2020.
Findings
The survey resulted in findings of no deficiency citations related to infection control.
Inspection Report
Renewal
Census: 32
Deficiencies: 1
Date: Jan 8, 2020
Visit Reason
The inspection was conducted for re-licensure of the assisted living facility on January 7 and 8, 2020.
Findings
The administrator failed to ensure employee records contained required supporting documentation from the nurse aide registry and criminal background checks upon hire for certified and non-certified staff.
Deficiencies (1)
KAR 26-41-102 (d) Staff Qualifications Employee Records. The facility failed to maintain documentation of licensure, criminal background checks, and nurse aide registry verification for certified and non-certified staff upon hire.
Report Facts
Census: 32
Days late for KBI check request: 43
Days late for nurse aide registry check: 64
Days late for KBI check request: 69
Days late for nurse aide registry check: 90
Days late for KBI check request: 43
Days late for nurse aide registry check: 64
Days late for KBI check request: 7
Days late for nurse aide registry check: 15
Days late for KBI check request: 9
Inspection Report
Follow-Up
Deficiencies: 0
Date: Jan 16, 2019
Visit Reason
This visit was conducted as a follow-up to verify correction of previously reported deficiencies.
Findings
The report documents that previously cited deficiencies identified by regulation numbers 26-41-205(h) and 26-41-102(d) have been corrected as of the revisit date.
Inspection Report
Re-Inspection
Deficiencies: 2
Date: Jan 16, 2019
Visit Reason
This visit was a follow-up to verify correction of previously reported deficiencies at Vintage Park at Hiawatha LLC.
Findings
The report documents that previously cited deficiencies identified by regulation numbers 26-41-205(h) and 26-41-102(d) have been corrected as of the revisit date.
Deficiencies (2)
Regulation 26-41-205(h) deficiency was corrected by the revisit date.
Regulation 26-41-102(d) deficiency was corrected by the revisit date.
Inspection Report
Renewal
Census: 31
Deficiencies: 2
Date: Dec 6, 2018
Visit Reason
The inspection was conducted for re-licensure with attached complaints at the assisted living facility.
Findings
The facility failed to ensure proper medication storage according to manufacturer and regulatory requirements. Additionally, employee records lacked timely documentation of required license, registry, and criminal background checks upon hire.
Deficiencies (2)
26-41-205 (h) Medication Storage. Licensed nurses and medication aides failed to store medications and biologicals securely and properly according to manufacturer recommendations and regulations. Medications were found stored at incorrect temperatures and without proper open date documentation.
26-41-102 (d) Staff Qualifications Employee Records. The facility failed to maintain employee records with required documentation of licensure, registry checks, and criminal background checks upon hire for multiple certified and licensed staff.
Report Facts
Resident census: 31
Days delayed for registry/background checks: 43
Days delayed for registry/background checks: 2
Days delayed for license check: 119
Days delayed for registry/background checks: 168
Medication refrigerator temperature: 33.9
Inspection Report
Re-Inspection
Census: 25
Deficiencies: 1
Date: May 24, 2017
Visit Reason
The inspection was a licensure re-survey conducted on May 22, 23, and 24, 2017 at an assisted living facility in Hiawatha, Kansas.
Findings
The facility failed to ensure that a licensed nurse provides or coordinates necessary health care services in accordance with functional capacity screenings and negotiated service agreements for three sampled residents. Deficiencies included missing entries in Health Care Service Plans for self-administration of medications and treatments, fall interventions, and emergency evacuation assistance.
Deficiencies (1)
KAR 26-41-204(a) Health Care Services: The facility failed to ensure a licensed nurse provides or coordinates necessary health care services according to functional capacity screening and negotiated service agreements for residents #522, #523, and #524.
Report Facts
Resident census: 25
Sampled residents: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| licensed nurse #B | Interviewed and confirmed deficiencies related to Health Care Service Plans and resident care. |
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Aug 16, 2016
Visit Reason
This document is a Plan of Correction related to a prior inspection event identified as 2JJO11 for the facility with State ID N007006.
Findings
No deficiency records are found or listed in this Plan of Correction document.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Feb 25, 2016
Visit Reason
This document is a plan of correction related to deficiencies identified during a prior inspection at Vintage Park of Hiawatha on February 25, 2016.
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
Renewal
Deficiencies: 0
Date: Feb 25, 2016
Visit Reason
The inspection was a licensure resurvey conducted to assess compliance and determine if any deficiency citations were present.
Findings
The licensure resurvey resulted in no deficiency citations on 2/24/16 and 2/25/16.
Inspection Report
Renewal
Deficiencies: 0
Date: Apr 1, 2014
Visit Reason
The licensure resurvey was conducted as a renewal inspection of the assisted living facility in Hiawatha, Kansas on 3/31/14 and 4/01/14.
Findings
The inspection resulted in no deficiency citations.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N007006 POC H5KF11
Visit Reason
This document is a Plan of Correction related to a prior deficiency report for the facility Vintage Park at Hiawatha.
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: N007006 POC HNS911
Visit Reason
This document is a Plan of Correction related to a prior inspection event identified as HNS911 for facility State ID N007006 ASPEN.
Findings
No deficiency records or findings are included in this Plan of Correction document. It only provides contact information for assistance and notes the Plan of Correction was added and modified on specified dates.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N007006 POC K08D11
Visit Reason
This document is a plan of correction related to a previous inspection or deficiency report for the facility Vintage Park Hiawatha.
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: N007006 POC 7PQ911
Visit Reason
This document is a Plan of Correction related to a previous deficiency report for the facility.
Findings
No specific findings are detailed in this document; it serves as a corrective action plan linked to a prior deficiency report.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N007006 POC 7PQ912
Visit Reason
This document is a Plan of Correction related to a previous inspection or deficiency report for the facility identified as ASPEN with State ID N007006.
Findings
No deficiency records or findings are included in this Plan of Correction document.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N007006 POC CEFO11
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: N007006 POC OHLW11
Visit Reason
This document is a Plan of Correction related to a previous deficiency report for the facility.
Findings
No specific findings are detailed in this document; it serves as a corrective action response to prior deficiencies.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N007006 POC WXS011
Visit Reason
This document is a Plan of Correction related to a prior deficiency report for the facility Vintage Park Hiawatha.
Findings
No specific deficiencies or findings are detailed in this document. It serves as a placeholder or reference for the Plan of Correction associated with the facility's prior inspection.
Viewing
Loading inspection reports...
