13 Reports
Inspection Report — Jan 22, 2025
Annual Inspection State
Date: Jan 22, 2025
Visit Reason
The inspection was a recertification survey combined with complaint investigations numbered 187535, 190466, 192160, and 192574 at an assisted living facility.
Complaint Details
The complaint investigations were included in the recertification survey and resulted in no citations.
Findings
The survey conducted on 2025-01-22 resulted in no citations or deficiencies.
Inspection Report — Jan 22, 2025
Plan of Correction State
Date: Jan 22, 2025
Visit Reason
The document represents a plan of correction following a recertification survey with complaint investigations at an assisted living facility conducted on January 22, 2025.
Findings
The recertification survey with complaint investigations resulted in no citations.
Inspection Report — Jul 25, 2023
Re-Inspection State
Date: Jul 25, 2023
Visit Reason
An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 2023-07-12.
Findings
All deficiencies have been corrected as of the compliance date of 2023-07-23, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.
Inspection Report — Jul 11, 2023
Plan of Correction State
Date: Jul 11, 2023
Visit Reason
The document is a plan of correction submitted in response to a resurvey with complaints 169421, 169602, 172168, 172556, and 173854 conducted at the assisted living facility on 07/11/23 and 07/12/23.
Findings
The plan of correction addresses findings from a resurvey triggered by multiple complaints at the assisted living facility conducted on 07/11/23 and 07/12/23.
Inspection Report — Jul 11, 2023
Re-Inspection State
Date: Jul 11, 2023
Visit Reason
The inspection was a resurvey with complaints 169421, 169602, 172168, 172556, and 173854 at an assisted living facility conducted on 07/11/23 and 07/12/23.
Complaint Details
The resurvey was conducted in response to multiple complaints numbered 169421, 169602, 172168, 172556, and 173854.
Findings
The facility failed to ensure that the Negotiated Service Agreement (NSA) was fully developed to address all items triggered in the Functional Capacity Screen (FCS) for residents R104 and R106. Additionally, the NSA for resident R104 did not identify the responsible person for administration and management of selected medications, specifically Baclofen.
Deficiencies (2)
KAR 26-41-202(a)(1) The operator failed to ensure the Negotiated Service Agreement was fully developed to include all items triggered on the Functional Capacity Screen for residents R104 and R106.
KAR 26-41-205(b) The operator failed to ensure the Negotiated Service Agreement identified who was responsible for administration and management of resident R104's Baclofen medication.
Report Facts
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Administrative Nurse B | Provided statements regarding the requirements for the Negotiated Service Agreement. | |
| Certified Medication Aide (CMA) C | Stated staff administered all medications except some self-administered by resident R104. | |
| Licensed Nurse (LN) B | Confirmed resident R104 self-administered Baclofen. |
Inspection Report — Feb 24, 2022
Re-Inspection State
Date: Feb 24, 2022
Visit Reason
An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 2022-01-12.
Findings
All deficiencies have been corrected as of the compliance date of 2022-02-23, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.
Inspection Report — Jan 11, 2022
Plan of Correction State
Date: Jan 11, 2022
Visit Reason
The document is a plan of correction responding to an abbreviated survey conducted at the assisted living facility for complaints #162848, #166092, and #168516 on January 11 and 12, 2022.
Findings
The plan of correction references findings from an abbreviated survey related to the complaints listed, but the detailed deficiency report is attached separately and not included here.
Inspection Report — Jan 11, 2022
Abbreviated Survey State
Date: Jan 11, 2022
Visit Reason
The inspection was an abbreviated survey conducted at an assisted living facility in response to complaints #162848, #166092, and #168516 on January 11-12, 2022.
Complaint Details
The survey was conducted in response to complaints #162848, #166092, and #168516 regarding resident neglect and safety concerns related to elopement risks.
Findings
The facility failed to properly identify and manage a resident at high risk of elopement, did not conduct required functional capacity screenings following significant changes in condition, and failed to revise the resident's negotiated service agreement to address increased wandering and exit-seeking behaviors.
Deficiencies (3)
KAR 26-41-101(f)(1)(B) Staff failed to prevent neglect by not identifying a resident as an elopement risk despite multiple exit attempts and increased wandering behaviors.
KAR 26-41-201(c)(2) Facility failed to conduct a functional capacity screening after a resident had a significant change in condition related to increased wandering and exit-seeking behaviors.
KAR 26-41-202(d)(2) Facility failed to revise the negotiated service agreement for a resident after a significant change in condition involving increased wandering and exit-seeking behaviors.
Report Facts
Elopement Risk Assessment score: 8
Elopement Risk Assessment score: 45
Inspection Report — Jul 14, 2020
Abbreviated Survey State
Date: Jul 14, 2020
Visit Reason
The facility underwent a special infection control survey for COVID-19 on 07/14/2020.
Findings
The survey resulted in findings of no deficiency citations.
Inspection Report — Dec 10, 2019
Renewal State
Date: Dec 10, 2019
Visit Reason
A survey for re-licensure with attached complaints was conducted on 12/9/19 and 12/10/19 at the assisted living facility in Osawatomie, KS.
Findings
The survey resulted in a finding of no deficiency citations.
Inspection Report — Nov 21, 2017
Renewal State
Date: Nov 21, 2017
Visit Reason
The licensure resurvey of the assisted living facility was conducted to assess compliance and determine if any deficiency citations were warranted.
Findings
The licensure resurvey conducted on 11-20-17 and 11-21-17 resulted in no deficiency citations.
Inspection Report — Nov 18, 2015
Re-Inspection State
Date: Nov 18, 2015
Visit Reason
The visit was a resurvey conducted at the assisted living facility to assess compliance with regulatory standards following prior deficiencies.
Findings
The facility failed to ensure designated staff notified physicians and family members after resident accidents, failed to provide all health care services by qualified staff according to standards, and failed to properly document medication administration including blood glucose monitoring and insulin administration.
Deficiencies (3)
KAR 26-39-103(h)(1)(A) Resident Right Notification of Changes: The facility failed to notify the resident's physician and/or legal representative after two falls involving resident #206 and one fall involving resident #208 that resulted in injury or had potential for physician intervention.
KAR 26-42-204(i) Health Care Services Standards of Practice: The facility failed to ensure all health care services were provided by qualified staff when certified staff failed to notify a licensed nurse before assisting resident #206 up from a fall and failed to document blood glucose monitoring for resident #209.
KAR 26-41-205(d)(3) Facility Administration of Medication: The licensed nurse failed to document administration of resident #209's medications, including insulin, immediately following completion of the task on multiple dates.
Report Facts
Dates missing blood glucose documentation: 34
Dates missing insulin administration documentation: 23
Employees mentioned
| Name | Title | Context |
|---|---|---|
| licensed staff B | Interviewed staff who confirmed failures in notification and documentation related to residents #206, #208, and #209 | |
| operator/CNA | Staff involved in assisting resident #206 after fall and confirmed failure to notify physician |
Inspection Report — N061009 POC SW2H11
Plan of Correction State
Date: N061009 POC SW2H11
Visit Reason
This document is a Plan of Correction related to a previous inspection report for the facility Vintage Park Osawatomie dated 12.10.19.
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.
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