Inspection Reports for
Ahc of Overland Park LLC

The complaint investigations #2747460, 2744352, 2744552, 2737966, and 2716824 involved allegations that staff failed to respond timely to Resident 1's urgent medical needs and neglected Resident 2 during discharge. The facility did not submit completed investigations within the required timeframe and only provided partial documentation such as staff witness statements. The allegations were substantiated by the facility's failure to comply with reporting and investigation requirements.

The facility failed to submit completed investigations of alleged abuse and neglect within the required five working days to the State Survey Agency. The investigations for Residents 1 and 2 were incomplete and not submitted despite multiple requests. The facility also failed to conduct thorough investigations to rule out abuse and neglect.

This Plan of Correction addresses deficiencies identified during a complaint survey conducted on 02/26/2026. The residents' concerns were investigated and found unsubstantiated.

The residents found to have been affected received thorough investigations into their concerns, which were found to be unsubstantiated by both facility staff and KDADS surveyor. The facility implemented procedures to log and investigate all reports of potential abuse, neglect, or exploitation (ANE) and ensure timely reporting to KDADS.

The facility was found deficient in multiple areas including failure to ensure call light accessibility, failure to provide Medicare Non-Coverage notices, inadequate background checks for employees, inconsistent bathing care, unsafe environment with unsecured hazardous chemicals, improper Foley catheter care, serving meals at unsafe temperatures, unsanitary food storage, and failure to maintain sanitary infection control standards related to medical drains and catheters.

The facility was found deficient in multiple areas including failure to ensure residents had call lights within reach, failure to provide Medicare non-coverage notices, inadequate background checks for employees, inconsistent bathing assistance, unsafe storage of hazardous materials, improper Foley catheter care, serving meals at unsafe temperatures, unsanitary food storage, and failure to maintain infection control standards related to medical drains and catheters.

The Plan of Correction addresses multiple deficiencies related to patient care, staff education, infection control, discharge procedures, and food service. The facility outlines systemic changes, patient-specific actions, and surveillance plans to ensure compliance and prevent recurrence.

The facility was found deficient in multiple areas including failure to ensure call lights were accessible to residents, failure to provide Medicare Non-Coverage notices upon discharge, inadequate background checks for employees, inconsistent bathing care, unsafe storage of hazardous chemicals, improper Foley catheter care, serving meals at unsafe temperatures, unsanitary food storage, and failure to maintain infection control standards related to medical drains and catheters.

The facility identified issues with patient belongings security and potential misappropriation. Corrective actions include patient interviews, offering lock boxes, staff training on misappropriation, and audits of new admissions.

The complaint investigation found that Resident 1 had multiple checks missing from his checkbook, with one check cashed fraudulently for about $1,200.00 and another attempted to be cashed. The facility was unable to identify the perpetrator despite interviews and police involvement. Resident 1 was not offered a lock box on admission and no inventory log of his belongings was completed.

The facility failed to ensure Resident 1 remained free from misappropriation of property when his checks were stolen from his room and cashed, causing emotional distress and placing him at risk for further misappropriation and psychosocial decline.

The investigation was triggered by a complaint related to a resident who was allowed to smoke while on oxygen without proper supervision, leading to an immediate jeopardy incident with facial burns and hypoxia. The complaint was substantiated with findings of inadequate supervision and safety assessments.

The facility failed to identify hazards and provide adequate supervision to ensure safe smoking for a resident on oxygen, resulting in the resident sustaining facial burns and requiring emergency hospital admission. The facility's smoking policy lacked proper directives and assessments related to smoking safety.

The complaint investigation #KS00184548 and KS00184552 found immediate jeopardy due to failure to supervise Resident 1 during smoking with oxygen, resulting in burns and emergency hospitalization.

The facility failed to identify hazards and provide adequate supervision to ensure safe smoking for R1, who was admitted with oxygen dependency and suffered burns and hypoxia after lighting a cigarette with oxygen flowing. The facility's smoking policy was outdated and staff failed to assess R1's smoking status and safety needs, resulting in immediate jeopardy to R1's health.

This was a complaint investigation involving Resident 1 who sustained facial burns from a smoking-related incident while on oxygen therapy. The failure was determined to place the resident in immediate jeopardy.

The facility failed to ensure staff identified smoking-related hazards and provided adequate supervision to prevent smoking-related accidents. Resident 1 was allowed to smoke while receiving oxygen via nasal cannula, which ignited and caused facial burns, placing the resident in immediate jeopardy.

The inspection included a complaint investigation identified as #KS00177109.

The facility failed to revise care plans for residents after falls, provide consistent bathing care, secure chemicals properly, and ensure food safety protocols including dishwashing sanitization and ice machine hygiene. These deficiencies placed residents at risk for uncommunicated care needs, impaired skin integrity, accidents, and foodborne illness.

The facility was found deficient in revising care plans to reflect fall interventions for residents, providing consistent bathing assistance, securing hazardous chemicals, and ensuring proper sanitization and maintenance of kitchen equipment. These deficiencies placed residents at risk for falls, impaired skin integrity, accidents, and foodborne illness.

The plan addresses multiple deficiencies including fall care plans, bathing practices, chemical storage, and dishwasher sanitation procedures. Corrective actions include patient discharges, staff education, audits, and care plan revisions to achieve substantial compliance by April 12, 2023.

The Plan of Correction addresses issues related to abuse, neglect, and mistreatment policies and procedures. It outlines systemic changes including staff in-service training, updated abuse policies, and monitoring plans to ensure proper identification, reporting, and investigation of abuse allegations.

Complaint investigation #KS00169443 involved allegations of verbal abuse, mistreatment, and neglect of Resident 1 by Certified Nurse Aide M on 02/06/22. The resident's representative recorded the incident and reported it to the facility. The facility failed to properly identify, report, and investigate the abuse allegations.

The facility failed to prevent and properly respond to an episode of verbal abuse and neglect involving Resident 1. Staff did not immediately report the alleged abuse, and the facility administrator failed to acknowledge the allegation as abuse or notify appropriate state agencies. The investigation was incomplete and did not include all relevant interviews or efforts to identify other affected residents.

The Plan of Correction outlines immediate responses, staff in-service trainings, ongoing monitoring, and quality assurance activities to address multiple deficiencies related to resident discharge notifications, fall interventions, medication management, documentation practices, and infection control.

Complaint investigation #KS00165079 was conducted, focusing on transfer notification, fall prevention, medication management, and infection control practices.

The facility failed to provide written notification of transfer to resident or family, failed to investigate and intervene properly for fall prevention, failed to ensure consultant pharmacist identified and reported medication irregularities, failed to ensure psychotropic medication use was properly evaluated, failed to properly label and store medications, and failed to perform hand hygiene during dressing changes.

The facility was found deficient in timely notification of resident transfers, fall prevention and investigation, medication regimen review including weight and blood glucose monitoring, unnecessary psychotropic medication use, medication storage and labeling, and infection control hand hygiene practices.

The facility was found to be in compliance with CMS and Centers for Disease Control and Prevention (CDC) recommended practices to prepare for COVID-19.

The health survey resulted in a finding of no deficiency citations related to applicable regulations under 42 CFR Part 483, Subpart B, for long term care facilities.

Complaint #KS00125984 was investigated and found to be unsubstantiated.

The allegations made in the complaints were not substantiated. No noncompliance was found and the facility is in compliance with all regulations surveyed.

The report documents that deficiencies previously cited under regulations 26-40-302 (g)(i)(ii)(iii) and 26-40-302 (2)(a)(i)(ii)(iii) were corrected as of the revisit date.

The plan addresses multiple deficiencies related to honoring patient preferences for wake-up times and activities, skin assessments and bruising, bathing documentation, toileting schedules, bed cane safety, medication administration including blood pressure and insulin management, infection control practices, and call light and exit door system functionality.

The report documents that deficiencies previously cited under regulation 26-40-302 were corrected as of the revisit date.

The inspection was conducted as a Health Resurvey and Complaint Investigation for complaint numbers #KS00078397, #KS00082487, and #KS00088192.

The facility failed to honor resident preferences for wake up times, provide activities meeting resident interests, develop comprehensive care plans addressing individual needs, provide necessary care for bruising, bathing, bladder function, fall prevention, medication management, sanitary food handling, pharmaceutical services, and infection control.

The survey found the most serious deficiencies to be 'F' level, widespread, constituting no actual harm but with potential for more than minimal harm that is not immediate jeopardy. The facility submitted a plan of correction which was accepted, and the facility was found to be in substantial compliance based on the credible allegation of compliance.

The survey found the most serious deficiencies to be widespread 'F' level deficiencies constituting no actual harm but with potential for more than minimal harm that is not immediate jeopardy. The facility submitted a plan of correction which was accepted, resulting in a finding of substantial compliance effective October 23, 2015.

The survey found the most serious deficiencies to be 'F' level, widespread, with no harm but potential for more than minimal harm, and not immediate jeopardy. A plan of correction was required and enforcement remedies were recommended.

The survey found the most serious deficiencies to be 'F' level, widespread, with no harm but potential for more than minimal harm, and not immediate jeopardy. A plan of correction was required and enforcement remedies were recommended.