Deficiencies (last 9 years)
Deficiencies (over 9 years)
2.1 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
65% better than Kansas average
Kansas average: 6 deficiencies/yearDeficiencies per year
8
6
4
2
0
Occupancy
Latest occupancy rate
82% occupied
Based on a August 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: Sep 9, 2025
Visit Reason
An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 2025-08-14.
Findings
All deficiencies have been corrected as of the compliance date of 2025-08-15, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.
Inspection Report
Re-Inspection
Census: 42
Deficiencies: 3
Date: Aug 14, 2025
Visit Reason
The resurvey was conducted as a follow-up to review facility report #196749 at the assisted living facility Vintage Park at Holton.
Findings
The facility was found deficient in food preparation, food storage, and infection control practices. Dietary staff failed to serve food at proper temperatures, did not label food items with dates, and failed to maintain dishwasher temperature and chemical testing logs.
Deficiencies (3)
KAR 26-41-206(d) Food preparation was not done using safe methods as dietary staff failed to document food temperatures for approximately 1,035 meals over 345 days.
KAR 26-41-206(e)(1) Facility food storage was unsafe as multiple opened food containers in the kitchen were unlabeled with dates.
KAR 26-41-207(a)(b)(4) Infection control was inadequate as dietary staff failed to maintain water temperature and chemical testing records for the low-temperature dishwasher.
Report Facts
Meals without food temperature documentation: 1035
Days without food temperature documentation: 345
Days without dishwasher temperature logs: 21
Meals without dishwasher temperature logs: 63
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Aug 12, 2025
Visit Reason
The document is a Plan of Correction submitted in response to a resurvey conducted on August 12, 13, and 14, 2025, at an assisted living facility.
Findings
The resurvey resulted in findings of citations at the facility, which are addressed in the Plan of Correction.
Inspection Report
Re-Inspection
Deficiencies: 0
Date: Feb 29, 2024
Visit Reason
An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 2024-02-06.
Findings
All deficiencies have been corrected as of the compliance date of 2024-02-14, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Feb 6, 2024
Visit Reason
This document is a plan of correction submitted in response to a resurvey with a complaint (#173358) conducted at the assisted living facility on 02/06/2024.
Complaint Details
The visit was triggered by complaint #173358. No substantiation status is provided.
Findings
The plan of correction addresses citations found during the resurvey related to the complaint investigation conducted on 02/06/2024.
Inspection Report
Complaint Investigation
Census: 36
Deficiencies: 3
Date: Feb 6, 2024
Visit Reason
The inspection was a resurvey conducted with a complaint #173358 at the assisted living facility Vintage Park at Holton on 02/06/2024.
Complaint Details
The visit was a resurvey following complaint #173358. The complaint was substantiated as deficiencies were found in medication labeling, emergency preparedness, and tuberculosis screening compliance.
Findings
The facility failed to ensure prescription medication containers were properly labeled with the resident's full name, did not complete quarterly reviews of the emergency management plan with staff and residents, and failed to comply with tuberculosis screening guidelines for newly hired staff.
Deficiencies (3)
KAR 26-41-205 (g)(2) Medication Labeling: The facility failed to ensure each prescription medication container had a label provided by a dispensing pharmacist affixed to the container.
KAR 26-41-104(d)(3) Disaster and Emergency Preparedness: The facility failed to ensure quarterly reviews of the emergency management plan with employees and residents were completed and documented.
KAR 26-41-207(c) Infection Control Policies: The facility failed to comply with tuberculosis screening guidelines for adult care homes, including missing TB symptom screening questionnaires and delayed TB skin tests for newly hired staff.
Report Facts
Resident census: 36
Newly hired staff records reviewed: 5
Days late for TB skin test: 60
Days late for TB skin test: 16
Inspection Report
Re-Inspection
Deficiencies: 0
Date: Aug 1, 2022
Visit Reason
An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 07/18/22.
Findings
All deficiencies have been corrected as of the compliance date of 07/27/22 and no new noncompliance was found. The facility is in compliance with all regulations surveyed.
Inspection Report
Renewal
Census: 38
Deficiencies: 2
Date: Jul 18, 2022
Visit Reason
The inspection was a licensure resurvey for the assisted living facility Vintage Park at Holton conducted on 07/18/2022.
Findings
The facility failed to ensure disaster and emergency preparedness by not performing quarterly reviews of the emergency management plan with staff. Additionally, the facility did not comply with tuberculosis screening guidelines for newly hired employees, lacking evidence of TB testing and questionnaires upon hire.
Deficiencies (2)
26-41-104 (d) Disaster and Emergency Preparedness: The facility failed to ensure quarterly review of the emergency management plan with staff as required.
26-41-207 (b) (5-6) (c) Infection Control Policies: The facility failed to comply with tuberculosis screening guidelines by lacking evidence of TB testing and questionnaires for newly hired employees.
Report Facts
Resident census: 38
Employee records reviewed: 5
Resident records sampled: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LN B | Licensed Nurse | Named in tuberculosis screening deficiency |
| CMA C | Certified Medication Aide | Named in tuberculosis screening deficiency |
| CNA D | Certified Nurse Aide | Named in tuberculosis screening deficiency |
| CNA E | Certified Nurse Aide | Named in tuberculosis screening deficiency |
| Non-Certified staff F | Named in tuberculosis screening deficiency | |
| Operator A | Interviewed and confirmed failures in emergency preparedness and tuberculosis screening |
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Jul 18, 2022
Visit Reason
The document is a plan of correction submitted in response to findings from the licensure resurvey of the assisted living facility conducted on 07/18/22.
Findings
The plan of correction addresses citations identified during the licensure resurvey conducted on 07/18/22 at the assisted living facility.
Inspection Report
Renewal
Deficiencies: 0
Date: May 11, 2021
Visit Reason
A survey for re-licensure with attached complaints was conducted on 2021-05-06, 2021-05-10, and 2021-05-11 at the assisted living facility in Holton, KS.
Findings
The survey resulted in a finding of no deficiency citations.
Inspection Report
Abbreviated Survey
Deficiencies: 0
Date: Jul 20, 2020
Visit Reason
The special infection control survey for COVID-19 was conducted at the facility on 07/20/2020.
Findings
The survey resulted in findings of no deficiency citations.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Feb 24, 2019
Visit Reason
This document is a Plan of Correction submitted in response to a prior inspection or deficiency report for the facility identified as State ID N043004 ASPEN.
Findings
No specific deficiencies or findings are detailed in this document. It serves as a placeholder or record for the Plan of Correction submission.
Inspection Report
Re-Inspection
Deficiencies: 0
Date: Feb 11, 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 identified by regulation numbers 26-41-201 (a)(b), 26-41-202 (c), and 26-41-204 (b) were corrected as of the revisit date.
Inspection Report
Renewal
Census: 37
Deficiencies: 3
Date: Jan 14, 2019
Visit Reason
The inspection was conducted for re-licensure of the assisted living facility Vintage Park at Holton on 1/10/19 and 1/14/19.
Findings
The facility failed to ensure that designated staff conducted functional capacity screenings on or before admission for two residents. Additionally, the facility did not develop initial negotiated service agreements or health care service plans for residents in need of health care services.
Deficiencies (3)
26-41-201 (a)(b) Functional Capacity Screen on Admission: The facility failed to conduct a functional capacity screening on or before admission for two residents.
26-41-202 (c) Admission Negotiated Service Agreement: The facility failed to develop an initial negotiated service agreement at admission for two residents.
26-41-204 (b) Health Care Services: The facility failed to ensure that residents in need of health care services had a licensed nurse develop a health care service plan as part of the negotiated service agreement.
Report Facts
Census: 37
Medications administered: 7
Inspection Report
Re-Inspection
Census: 33
Deficiencies: 5
Date: Mar 8, 2017
Visit Reason
The inspection was a licensure re-survey with an attached complaint at an assisted living facility conducted on 3/6/17, 3/7/17, and 3/8/17.
Complaint Details
The inspection included an attached complaint investigation as part of the licensure re-survey.
Findings
The facility was found deficient in accurately reflecting residents' functional capacity on screening forms, completing negotiated service agreements properly, administering medications according to physician orders, documenting incidents and resident conditions, and ensuring quarterly disaster and emergency preparedness reviews with staff and residents.
Deficiencies (5)
KAR 26-41-201(d) Functional Capacity Screen was inaccurately coded for residents #306 and #307 regarding transfer, toileting, communication, bathing, and medication management.
KAR 26-41-202(a) Negotiated Service Agreements for residents #307 and #308 lacked collaboration with residents or representatives and omitted service descriptions, providers, and payment responsibilities.
KAR 26-41-205(d) Facility failed to administer medications and treatments for residents #307, #308, and #309 in accordance with physician orders and professional standards, resulting in repeat hospitalization of resident #308.
KAR 26-41-105(f)(11) Documentation of incidents for resident #308 was incomplete, lacking date, time, action taken, and results related to hospital transfers and physician visits.
KAR 26-4-104(d)(3) The facility failed to ensure quarterly review of the emergency management plan with employees and residents, with disaster preparedness reviews conducted only twice yearly.
Report Facts
Census: 33
Resident weight gain: 11.6
Medication dosage: 40
Medication dosage: 20
Medication dosage: 20
Medication dosage: 10
Oxygen flow rate: 5
Dates of disaster preparedness reviews: Reviews conducted on 3/7/16 and 6/2/16; records lacked quarterly reviews for 2017.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed nurse #A | Interviewed multiple times confirming medication errors, functional capacity screen inaccuracies, and lack of documentation. | |
| Facility maintenance staff #B | Interviewed regarding emergency preparedness reviews. |
Inspection Report
Renewal
Deficiencies: 0
Date: Mar 22, 2016
Visit Reason
The visit was a licensure resurvey of the assisted living facility to assess compliance with licensing requirements.
Findings
The licensure resurvey resulted in no deficiency citations on March 21 and March 22, 2016.
Inspection Report
Renewal
Census: 40
Deficiencies: 1
Date: Apr 3, 2014
Visit Reason
Licensure Resurvey of an Assisted Living Facility to assess compliance with regulatory requirements.
Findings
The facility failed to monitor and advocate for therapy services ordered for a resident, resulting in no therapy being provided as required by the negotiated service agreement.
Deficiencies (1)
KAR 26-41-202(j) Negotiated Service Agreement Outside Resource: Facility staff failed to monitor therapy services for resident #185 and did not act as an advocate when services did not occur as ordered.
Report Facts
Census: 40
Inspection Report
Plan of Correction
Deficiencies: 2
Date: Apr 3, 2014
Visit Reason
This document is a Plan of Correction submitted in response to deficiencies identified in a prior inspection at Vintage Park at Holton.
Findings
No specific deficiencies or findings are detailed in this document; it states that no Plan of Correction was required for the listed tags.
Deficiencies (2)
Tag S0000: No Plan of Correction required as of 04/03/2014.
Tag S3105-D: No Plan of Correction required as of 04/03/2014.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N043004 POC Q4GW11
Visit Reason
This document is a Plan of Correction related to a prior deficiency report for the facility Vintage Park at Holton.
Findings
No specific findings or deficiencies are detailed in this Plan of Correction document. It references a prior deficiency report but contains no new inspection findings.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N043004 POC VILB11
Visit Reason
This document is a Plan of Correction related to a previous inspection or deficiency report for the facility identified as State ID N043004 ASPEN.
Findings
No specific deficiencies or findings are detailed in this document. It serves as a placeholder or record for the Plan of Correction with no linked deficiency report found.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N043004 POC B9LE11
Visit Reason
This document is a Plan of Correction related to a prior deficiency report for a regulated care facility.
Findings
No specific findings are detailed in this document. It serves as a corrective action plan following a previous inspection.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N043004 POC JD5N11
Visit Reason
This document is a Plan of Correction related to a prior deficiency report for a facility.
Findings
No specific findings are detailed in this document; it serves as a corrective action plan linked to a previous COVID-19 related deficiency report.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N043004 POC MK7111
Visit Reason
This document is a Plan of Correction related to a previous deficiency report for the facility identified as N043004.
Findings
No specific 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: N043004 POC MLCC11
Visit Reason
This document is a Plan of Correction related to a previous inspection event at the facility.
Findings
No specific findings or deficiencies are detailed in this document; it serves as a corrective action plan reference.
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