Inspection Reports for Arma Operator LLC

The inspection was conducted as an abbreviated survey and complaint investigation related to allegations of neglect involving Resident 1 (R1) who was injured during a transfer without the use of a mechanical lift as required by her care plan.

The facility failed to ensure R1 remained free from neglect when Certified Nurse Aides (CNAs) transferred R1 without using the required full-body mechanical lift, resulting in R1 being lowered to the floor and sustaining fractures to her left femur and right fibula. The incident was not immediately reported to nursing or administrative staff, delaying appropriate follow-up care. Corrective actions included staff suspensions, terminations, education, pain assessments, mechanical lift audits, and a QAPI meeting.

The complaint investigation revealed that on 05/18/25, CNAs M and N lowered Resident 1 to the floor without using the mechanical lift and did not report the incident. Resident 1 sustained fractures to the left femur and right fibula. The facility failed to immediately notify nursing and administrative staff, placing the resident in immediate jeopardy. CNAs involved were suspended or terminated, and staff education was conducted.

An offsite revisit survey was conducted on 02/20/25 to verify correction of all previous deficiencies cited on 12/23/24.

All deficiencies cited in the prior inspection have been corrected as of the compliance date of 02/01/25, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.

The inspection was conducted as a Health Resurvey and investigation of complaint #192384 regarding food safety and staffing issues at the facility.

The facility failed to prepare, store, and serve food in a sanitary manner, with multiple instances of expired and undated food items, unsanitary kitchen and storage conditions, and improper maintenance of resident snack refrigerators. Additionally, the facility failed to electronically submit complete and accurate direct care staffing information, omitting hours worked by an administrative nurse providing direct care during weekends, resulting in inaccurate Payroll Based Journal (PBJ) reports.

The visit was triggered by complaint #192384. The complaint was substantiated as evidenced by the findings of unsanitary food handling and inaccurate staffing reports.

This document is a Plan of Correction submitted by Arma Health and Rehab in response to deficiencies cited during a prior inspection.

The plan addresses deficiencies related to unlabeled and undated food items, cleaning issues in the kitchen, and accurate reporting of Administrative Nurse/DON direct care hours in PBJ submissions.

An offsite revisit survey was conducted on 05/21/2023 for all previous deficiencies cited on 03/21/2023.

All deficiencies have been corrected as of the compliance date of 05/04/2023, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.

The inspection was a Health Resurvey and complaint investigations related to resident care, grievances, abuse investigations, and compliance with regulatory requirements.

The facility was found deficient in multiple areas including failure to accommodate resident needs such as call light accessibility, failure to file and follow up on grievances, inadequate investigation of resident-to-resident altercations and abuse, failure to notify the Ombudsman of hospital transfers, inadequate hygiene care for residents, failure to prevent repeated skin injuries, improper catheter tubing securing, improper garbage disposal, and infection control breaches including hand hygiene and equipment sanitation.

This document is a Plan of Correction submitted by Arma Health and Rehab in response to deficiencies cited during a survey conducted on March 21, 2023.

The plan addresses multiple deficiencies including call light accessibility, resident grievances, resident-to-resident investigations, Ombudsman notifications, resident care issues such as fingernail care, bruising assessments, catheter securement, sanitation concerns, and staff skills check-offs. Corrective actions include staff education, audits, monitoring, and updates to care plans and policies.

An offsite revisit survey was conducted on 10/25/2021 for all previous deficiencies cited on 08/26/2021.

All deficiencies have been corrected as of the compliance date of 09/24/2021, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.

The inspection was conducted as a Health Resurvey and complaint investigation #153890.

The facility failed to review and revise care plans for residents following falls, failed to follow care plan interventions to prevent falls, failed to manage a urinary catheter properly to prevent infections and trauma, and failed to appropriately label and store medications including expired drugs and undated opened medications.

The visit was triggered by complaint investigation #153890.

This document is a Plan of Correction submitted by Arma Health and Rehab in response to deficiencies cited during a survey conducted on August 26, 2021.

The plan addresses multiple deficiencies related to care plan updates for fall interventions and catheter care, medication management including removal of expired medications, and staff education and audits to ensure compliance with care standards.

A Targeted Infection Control Survey/COVID-19 Focused Survey was conducted by Kansas Department for Aging and Disability Services (KDADS) on 06/16/2020.

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 document is a Plan of Correction submitted in response to a COVID-19 survey conducted on 06/16/2020.

The facility was found to be deficiency free during the COVID-19 survey conducted on 06/16/2020.

The health survey was conducted to assess compliance with applicable regulations under 42 CFR Part 483, Subpart B, for long term care facilities.

The survey resulted in a finding of no deficiency citations with respect to the applicable regulations.

An offsite revisit was conducted on 08/09/19 to verify correction of all previous deficiencies cited on 07/01/19.

All deficiencies have been corrected as of the compliance date of 07/25/19, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.

This document is a Plan of Correction submitted by Arma Health and Rehab in response to deficiencies cited in a prior complaint-related inspection.

The plan outlines corrective actions including notification of physician, director of nursing, and resident; monitoring for side effects; medication administration audits; staff education; and ongoing audits and trend reviews by the QAPI committee.

The inspection was conducted as a complaint investigation (#142931) regarding medication administration errors at the facility.

The facility failed to follow physician's orders and administered medications intended for a different resident to resident #01, resulting in significant medication errors. The resident was monitored and no negative outcomes were noted.

The complaint investigation #142931 found that on 6/28/19, licensed nurse B administered medications intended for another resident to resident #01. The resident was alert, notified, and monitored with no adverse effects noted. The error was confirmed by staff involved.

An offsite revisit survey was conducted on 03/05/2019 for all previous deficiencies cited on 01/07/2019.

All deficiencies have been corrected as of the compliance date of 01/31/2019, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.

A Health survey was conducted to determine if the facility is in compliance with Federal participation requirements for nursing homes participating in Medicare and/or Medicaid programs.

The survey found a most serious deficiency at level "F", 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 effective 2019-01-31.

The inspection was conducted as a Health Resurvey and Complaint Investigation covering multiple complaint numbers (#135358, #135312, #131980, #131908, #131920, #131888, and #136422).

The facility failed to maintain a safe, clean, and comfortable environment, with housekeeping and maintenance deficiencies observed in multiple hallways. Additionally, the facility failed to provide timely treatment for a resident's pressure ulcer, ensure proper labeling and storage of insulin pens, and maintain sanitary food procurement, storage, preparation, and service conditions.

The visit was complaint-related, involving multiple complaint investigations as referenced by complaint numbers #135358, #135312, #131980, #131908, #131920, #131888, and #136422.

This document is a Plan of Correction submitted by Arma Health and Rehab in response to deficiencies cited during a survey conducted on January 7, 2019.

The plan addresses multiple deficiencies including maintenance and cleanliness issues, wound care order accuracy, insulin pen labeling, and dietary equipment condition. Corrective actions include cleaning, repairs, staff education, audits, and ongoing monitoring by facility leadership.

An offsite visit was completed on 12/19/17 to verify correction of previous deficiencies cited on 11/16/17.

The deficiencies previously cited have been corrected and no new non-compliance was found. The facility is in compliance with all regulations surveyed effective 12/15/17.

This document is a Plan of Correction submitted by Arma Health and Rehab in response to deficiencies cited during a prior inspection, outlining corrective actions to address the cited issues.

The plan details corrective actions including cleaning and repairs of resident rooms and equipment, audits by maintenance and nursing staff, staff education sessions, and ongoing monitoring and reporting to the Quality Assurance Committee to address deficiencies related to facility maintenance, resident care equipment, kitchen sanitation, and infection control.

A Health survey was conducted to determine if the facility is in compliance with Federal participation requirements for nursing homes participating in the Medicare and/or Medicaid program.

The survey found a most serious deficiency at level "F", 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 reviewed and accepted, resulting in a finding of substantial compliance effective 12/15/2017.

The inspection was conducted as a Health Facility Resurvey and complaint investigations #107740, #101610 and #111274.

The facility failed to maintain sanitary housekeeping and maintenance services, failed to review and revise a resident's care plan regarding wheelchair foot rest, failed to provide adequate supervision and assistive devices to prevent accidents, failed to prepare food under sanitary conditions, and failed to maintain an effective infection control program related to disposal of contaminated bowel movement material infected with C-diff.

The inspection included complaint investigations #107740, #101610 and #111274.

This post-certification revisit was conducted to verify that previously reported deficiencies on the CMS-2567 Statement of Deficiencies and Plan of Correction have been corrected.

The report indicates that all previously cited deficiencies identified by regulation numbers 483.20(d)(3), 483.10(k)(2), 483.25(c), and 483.25(d) were corrected as of the revisit date.

The inspection was conducted as a result of complaint investigations #106530, 106524, and 107026 to assess compliance with care planning, pressure sore prevention, and urinary incontinence management.

The facility failed to review and revise individualized care plans for toileting needs for residents #5 and #2, failed to provide consistent pressure relieving interventions and timely repositioning for residents #2, #3, #4, and #5, and failed to develop individualized toileting plans to maintain normal bladder function for residents #5 and #2.

The inspection was triggered by complaints #106530, 106524, and 107026 regarding care planning, pressure sore prevention, and urinary incontinence management.

An abbreviated survey was conducted to determine if the facility is in compliance with Federal participation requirements for nursing homes participating in the Medicare and/or Medicaid program.

The survey found the most serious deficiencies to be level deficiencies that constitute no actual harm 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 November 10, 2016.

This document is a Plan of Correction submitted by Arma Health and Rehab in response to deficiencies cited during an inspection triggered by an operator complaint dated 10/28/2016.

The plan addresses deficiencies related to individualized toileting care plans, skin assessments and pressure ulcer interventions, and urinary assessments to maintain bladder function. The facility outlines corrective actions including audits, re-education of staff, and ongoing monitoring by the interdisciplinary team and Quality Assurance committee.

Inspection was triggered by an operator complaint dated 10/28/2016.

This post-certification revisit was conducted to verify that previously reported deficiencies on the CMS-2567 Statement of Deficiencies and Plan of Correction have been corrected.

The revisit confirmed that the previously cited deficiency related to regulation 483.25(h) was corrected as of 06/29/2016. No uncorrected deficiencies were noted.

The inspection was conducted as an investigation of complaints #101581 and #101635 regarding resident safety during facility van transport.

The facility failed to provide proper wheelchair securement and resident safety during transport in the facility van, resulting in a resident falling from the wheelchair and sustaining abrasions, bruises, a skin tear, and loss of a toenail. The van driver was not adequately trained and failed to use the required safety devices.

The investigation findings relate to complaints #101581 and #101635. The resident fell during transport due to failure to secure the wheelchair and resident properly. The fall caused injuries including a skin tear, missing toenail, and abrasions. The van driver was not the routine driver and had no formal training prior to the incident.

An abbreviated survey was conducted to determine if the facility is in compliance with Federal participation requirements for nursing homes participating in the Medicare and/or Medicaid program.

The survey found the most serious deficiency to be a 'D' level deficiency, indicating 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 and the plan of correction.

This document is a Plan of Correction submitted by Arma Health and Rehab in response to deficiencies cited in a prior complaint investigation.

The plan addresses corrective actions including suspension of staff, completion of van training by a transportation aide, resident and family interviews with no issues noted, staff training on transportation procedures, and ongoing monitoring and reporting to the Quality Assurance committee.

Related to Arma complaint dated 06/15/2016; the plan of correction responds to findings from this complaint.

This post-certification revisit was conducted to verify that previously reported deficiencies on the CMS-2567 Statement of Deficiencies and Plan of Correction had been corrected.

The report indicates that all previously cited deficiencies were corrected as of the revisit date, with corrections completed and documented.

This document is a Plan of Correction submitted by Arma Health and Rehab in response to deficiencies cited in a prior complaint investigation related to an elopement incident.

The plan outlines corrective actions including resident assessment upon return, auditing elopement books, placing the resident on one-on-one supervision, scheduling care plan meetings with family, and ongoing review of elopement assessments and trends by the Quality Assurance committee.

This plan of correction is linked to an Arma Operator complaint dated 04/28/2016.

The inspection was conducted as a complaint investigation (#99420) regarding the facility's failure to provide adequate supervision and/or assistive devices to prevent a resident's elopement.

The facility failed to ensure adequate supervision for one resident with dementia and wandering behavior, who eloped from the facility without staff knowledge. The resident was found off-site after being picked up by a delivery driver. The facility's policies and staff interviews revealed gaps in monitoring and response to elopement risks.

The complaint investigation (#99420) substantiated that the facility did not provide adequate supervision to prevent a confused resident from eloping without staff knowledge.

An Abbreviated Survey was conducted to determine if the facility is in compliance with Federal participation requirements for nursing homes participating in the Medicare and/or Medicaid program.

The survey found the most serious deficiency to be a 'D' level deficiency that constitutes no actual harm 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 and the submitted plan.

This post-certification revisit was conducted to verify that previously reported deficiencies on the CMS-2567 Statement of Deficiencies and Plan of Correction have been corrected.

All previously cited deficiencies listed with their regulation numbers were marked as corrected and completed as of the revisit date.

This document is a Plan of Correction submitted by Arma Health and Rehab in response to deficiencies cited during a prior inspection, outlining corrective actions to address identified issues.

The plan addresses multiple deficiencies including resident bowel movement monitoring, maintenance repairs, documentation of bruising, chemical storage security, monitoring of blood sugar and blood pressure parameters, hospice physician orders, dental service refusals, infection control documentation, and facility maintenance issues. Corrective actions include audits, staff re-education, monitoring, and reporting to the Quality Assurance/Assessment Committee.

The inspection was conducted as a Licensure Resurvey and complaint investigation #97676.

The facility was found deficient in multiple areas including failure to notify physicians of significant resident condition changes, inadequate housekeeping and maintenance, failure to provide necessary care and monitoring, unsafe environment hazards, failure to ensure drug regimens were free from unnecessary drugs, lack of physician supervision for resident care, failure to provide necessary dental services, inadequate pharmacist drug regimen review, failure to maintain an infection control program, and unsafe and unsanitary conditions in laundry and kitchen areas.

The visit was triggered by complaint investigation #97676.

A Health survey was conducted to determine if the facility is in compliance with Federal participation requirements for nursing homes participating in the Medicare and/or Medicaid program.

The survey found the most serious deficiencies to be 'F' level deficiencies, 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 and the plan of correction.

This report documents a post-certification revisit conducted to verify that previously identified deficiencies have been corrected as of the revisit date.

The revisit confirmed that the deficiencies previously reported under regulations 483.15(a) and 483.25 were corrected by the revisit date of January 1, 2016.

This document is a Plan of Correction submitted by Arma Health and Rehab in response to deficiencies cited in a complaint survey.

The plan addresses two deficiencies: one involving resident dignity related to dressing and mattress placement, and another involving lab order transcription and audit processes. Corrective actions include audits, staff education, and ongoing monitoring through Quality Assurance meetings.

This Plan of Correction is in response to a complaint survey identified as Event ID ZU4D11.

An abbreviated survey was conducted to determine if the facility is in compliance with Federal participation requirements for nursing homes participating in the Medicare and/or Medicaid program.

The survey found the most serious deficiencies to be D level deficiencies that constitute no actual harm 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 and the submitted plan.

The inspection was conducted as a complaint investigation for complaint numbers #93623 and #94158.

The facility failed to maintain resident dignity by placing a cognitively impaired resident on a mattress on the floor in a common area, frequently dressed in a hospital gown and undressing in public. Additionally, the facility failed to obtain ordered laboratory tests for another resident, resulting in delayed treatment for anemia.

The visit was triggered by complaint investigations #93623 and #94158. The dignity deficiency was substantiated with severity level SS=D. The lab testing deficiency was also identified during the complaint investigation.

A Life Safety Code survey was conducted by the State Fire Marshal's Office to determine if the facility was in compliance with Federal requirements for nursing homes participating in Medicare and/or Medicaid programs.

The survey found the most serious deficiencies to be at 'F' level, indicating no harm but with potential for more than minimal harm that is not immediate jeopardy. Remedies including denial of payments and possible termination of provider agreement were recommended if substantial compliance is not achieved.

This visit was a post-certification revisit to verify that previously cited deficiencies had been corrected as indicated on the CMS-2567 Statement of Deficiencies and Plan of Correction.

The report documents that the deficiency identified under regulation 483.75(g) with ID prefix F0499 was corrected as of the revisit date.

This document is a Plan of Correction submitted by Arma Health and Rehab in response to deficiencies cited in a complaint-related inspection.

The plan outlines corrective actions including termination of an administrative staff member, verification of nursing licenses, staff education on licensing policies, maintenance of a nursing license register, and ongoing review of identified trends by the Quality Assurance/Assessment Committee.

This Plan of Correction is related to a complaint investigation identified as Arma Health And Rehab 092915 Complaint.

An abbreviated survey was conducted to determine if the facility is in compliance with Federal participation requirements for nursing homes participating in the Medicare and/or Medicaid program.

The survey found the most serious deficiency to be an 'F' level deficiency that constitutes no actual harm 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 inspection was conducted as a complaint investigation (#91706) regarding the facility's failure to employ qualified licensed nursing staff to carry out nursing care.

The facility failed to provide licensed professional staff to administer IV antibiotic treatments and TB skin tests. An administrative staff member with a lapsed RN license since 12/1/2013 performed IV antibiotic administration for two residents and administered and read TB tests for eight staff members, violating nursing practice standards.

Complaint investigation #91706 confirmed that an administrative staff member with a lapsed RN license performed nursing duties including IV antibiotic administration and TB skin test administration and reading.

This post-certification revisit was conducted to verify that previously identified deficiencies reported on the CMS-2567 Statement of Deficiencies and Plan of Correction have been corrected.

The report confirms that the deficiency identified under regulation 483.60(a),(b) with ID prefix F0425 was corrected as of 09/09/2015.

This document is a Plan of Correction submitted by Arma Health and Rehab in response to deficiencies cited in a complaint-related inspection.

The plan addresses deficiencies related to the inventory and availability of OTC/floor stock medications, including audits of physician orders, education of staff, and ongoing monitoring of medication inventory.

This plan of correction is linked to a complaint investigation as indicated by the reference to 'Complaint' and the Event ID N5DI11.

An abbreviated survey was conducted to determine if the facility is in compliance with Federal participation requirements for nursing homes participating in the Medicare and/or Medicaid program.

The survey found the most serious deficiency to be a 'D' level deficiency indicating no actual harm 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 September 9, 2015.

The inspection was conducted as a complaint investigation (#89915) to assess the facility's compliance with pharmaceutical service requirements, specifically regarding the availability of medications for residents.

The facility failed to ensure the availability of medications for administration to three residents. Medications such as a ProAir inhaler and Calcium supplements were not available or delayed, resulting in missed doses and a resident being sent to the hospital due to symptoms related to lack of medication.

The visit was triggered by complaint investigation #89915. The complaint was substantiated as the facility failed to provide medications timely and adequately to residents.

This post-certification revisit was conducted to verify that deficiencies previously reported on the CMS-2567 Statement of Deficiencies and Plan of Correction have been corrected.

The report indicates that the previously cited deficiency with regulation number 483.25(h) was corrected as of the revisit date.

This document is a Plan of Correction submitted by Arma Health and Rehab in response to deficiencies cited in a complaint-related inspection.

The plan addresses concerns related to resident elopement risk assessments, implementation of wanderguard bracelets for at-risk residents, staff education on elopement policies, and ongoing monitoring and auditing of interventions.

This plan of correction is related to a complaint investigation identified by Event ID JBW311 and linked to Deficiency Report (2567).

An abbreviated survey was conducted to determine if the facility is in compliance with Federal participation requirements for nursing homes participating in the Medicare and/or Medicaid program.

The survey found the most serious deficiency to be a 'D' level deficiency that constitutes no actual harm with potential for more than minimal harm that is not immediate jeopardy. The facility submitted a plan of correction and was found to be in substantial compliance based on the credible allegation of compliance and the plan.

The inspection was conducted as a complaint investigation (#87235) regarding the facility's failure to provide adequate supervision to prevent the elopement of a resident.

The facility failed to provide adequate supervision for one resident who eloped from the facility without staff knowledge. The resident, diagnosed with vascular dementia and cognitive impairment, was found outside the facility after leaving through a door opened by a visitor. Staff had discontinued the use of a wanderguard bracelet prior to the incident and did not consider the resident an elopement risk at the time.

Complaint investigation #87235 found the facility failed to prevent elopement of a resident with vascular dementia and cognitive impairment. The resident eloped on 5/16/15 after a visitor opened the front door, and staff were unaware until after the resident was found outside. The facility had discontinued the wanderguard bracelet and did not consider the resident an elopement risk at the time.

This post-certification revisit was conducted to verify that previously reported deficiencies identified in the CMS-2567 Statement of Deficiencies and Plan of Correction have been corrected.

The report confirms that the deficiency identified under regulation 483.25(h) with ID prefix F0323 was corrected as of 06/05/2015.

The inspection was conducted as a complaint investigation (#86867) regarding a resident elopement incident.

The facility failed to ensure adequate supervision and safety measures for a resident who left the facility without staff knowledge, walked 1.5 blocks, fell, and sustained injuries. The facility lacked a sign-in/out system and did not complete safety assessments to determine the resident's ability to leave safely.

The complaint investigation found that the resident left the facility without staff knowledge, fell approximately 1.5 blocks away, and sustained bruising and abrasions. The facility did not report the incident to the state agency and lacked proper monitoring procedures.

This document is a Plan of Correction submitted by Arma Health and Rehab in response to deficiencies cited in the survey report dated May 13, 2015.

The plan addresses deficiencies related to resident supervision when exiting community grounds, including transferring a resident to a locked unit, establishing a sign in/out procedure, staff re-education on assessments, and monitoring compliance to ensure resident safety.

An abbreviated survey was conducted to determine if the facility is in compliance with Federal participation requirements for nursing homes participating in the Medicare and/or Medicaid program.

The survey found the most serious deficiency to be a 'D' level deficiency, indicating 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.

This document is a Plan of Correction submitted by Arma Care Center in response to deficiencies cited in a prior survey, outlining corrective actions to address the findings.

The facility dietary manager was enrolled in a Certified Dietary Manager course and was required to complete certification to comply with state regulations requiring a full-time certified dietary manager to supervise the dietary department.

The visit was a non-compliant revisit to assess compliance with dietary services regulations, specifically regarding staffing and supervision in the dietary department.

The facility failed to retain the services of a certified dietary manager to oversee dietary staff and maintain a clean and sanitary dietary department for food storage, preparation, and service to residents.

This report is a revisit conducted to verify that previously reported deficiencies have been corrected and to document the dates such corrective actions were accomplished.

The report confirms that the deficiencies identified in the prior survey were corrected by the dates indicated, specifically on 12/21/2014 for the cited regulations 28-39-153(e) and 28-39-153(f).

This post-certification revisit was conducted to verify that previously cited deficiencies from an earlier survey had been corrected.

The report documents that all previously identified deficiencies were corrected by 12/21/2014, as evidenced by the correction completion dates listed for each deficiency.

This document is a Plan of Correction submitted by Arma Care Center in response to deficiencies cited during a prior inspection, outlining corrective actions to address those deficiencies.

The plan details corrective actions taken or planned for multiple deficiencies including opening and monitoring an indoor smoke room, updating resident activity assessments and care plans, maintaining facility cleanliness and repairs, ensuring availability of hand towels, completing significant change assessments, and improving dietary and infection control practices.

The inspection was a health resurvey to evaluate compliance with regulatory requirements including resident rights, activities, housekeeping, infection control, and care planning.

The facility was found deficient in multiple areas including failure to provide a smoke-free environment for smokers during inclement weather, inadequate activity programming for residents, housekeeping and maintenance deficiencies, failure to provide clean linens, uncomfortable temperature levels in the dining area, incomplete comprehensive assessments after significant changes, failure to revise care plans after falls, inadequate ADL care including toenail hygiene, failure to prevent urinary tract infections through proper toileting programs, unsafe resident environment hazards, failure to provide pneumococcal immunizations, failure to follow planned menus, failure to provide palatable pureed diets, unsanitary food preparation and storage, improper infection control practices, and unsafe and unsanitary environment maintenance.

A Health survey was conducted by the Kansas Department for Aging and Disability Services to determine if the facility was in compliance with Federal participation requirements for nursing homes participating in Medicare and/or Medicaid programs.

The survey found the most serious deficiencies in the facility to be at an 'F' level, resulting in enforcement remedies including denial of payment for new Medicare admissions effective February 21, 2015, until substantial compliance is achieved or the provider agreement is terminated.

A Life Safety Code survey was conducted by the State Fire Marshal's Office to determine if the facility was in compliance with Federal requirements for nursing homes participating in Medicare and/or Medicaid programs.

The survey found the most serious deficiencies to be 'F' level deficiencies, widespread, with no harm but potential for more than minimal harm that is not immediate jeopardy. A plan of correction was required and remedies including denial of payments and possible termination of provider agreement were recommended if substantial compliance is not achieved.

This post-certification revisit was conducted to verify that previously cited deficiencies from the prior survey were corrected.

The report documents that all previously identified deficiencies were corrected by the facility as of 09/20/2013, with no uncorrected deficiencies noted at the time of this revisit.

This document is a Plan of Correction submitted by Arma Care Center in response to deficiencies cited during a prior inspection, addressing corrective actions for various identified issues.

The plan outlines corrective actions for multiple deficiencies including proper completion of liability/appeal notices, resident trust account management, fall investigations, facility maintenance and sanitation, care plan updates for infections and accidents, medication monitoring, staffing adequacy, dietary sanitation, infection control, environmental repairs, and ventilation system improvements.

Annual health resurvey of ARMA CARE CENTER LLC to assess compliance with federal regulations including resident rights, personal funds management, abuse investigations, housekeeping, care planning, medication monitoring, infection control, staffing, and safety.

The facility was found deficient in multiple areas including failure to provide complete liability and appeal notices, inadequate management of resident personal funds, incomplete abuse investigations, insufficient housekeeping and maintenance, failure to conduct significant change assessments, incomplete care plans, inadequate monitoring of dialysis patients, poor personal hygiene care, improper wound care techniques, insufficient supervision to prevent falls, failure to monitor adverse drug effects, inadequate staffing levels, unsanitary food storage and preparation, lack of ventilation in the beauty shop, incomplete clinical records, and failure to maintain infection control during medication administration and laundry handling.

This revisit report documents the correction of deficiencies previously reported during an earlier survey, verifying that corrective actions were completed.

The report confirms that the previously cited deficiency identified by regulation 28-39-162(a) with prefix code S1000 was corrected as of 06/02/2012.

This post-certification revisit was conducted to verify that deficiencies previously reported on the CMS-2567 Statement of Deficiencies and Plan of Correction had been corrected.

The report documents that all previously cited deficiencies were corrected by 06/02/2012 as verified during this revisit.

This document is a Plan of Correction submitted by Arma Care Center in response to deficiencies cited during a prior inspection, outlining corrective actions to address those deficiencies.

The plan details corrective actions taken for multiple deficiencies including financial account handling after resident death, grievance procedures, facility maintenance and cleanliness, care plan revisions for residents, medication monitoring, and equipment storage. All corrective actions were accomplished by June 2, 2012.

The inspection was conducted to evaluate the facility's compliance with physical environment regulations, specifically the functionality of the call light system in soiled utility rooms.

The facility failed to maintain a fully functioning call light system in 2 of 2 soiled utility rooms, as the call light indicators did not sound or light, which could prevent alerting staff when residents require assistance.