Inspection Reports for Avenue 81

An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 2025-10-14.

All deficiencies cited in the prior inspection 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.

The document represents the findings of a resurvey with attached complaints numbered 196541, 194924, 190804, and 188167 at an assisted living facility conducted on 10/14/2025.

This plan of correction addresses the findings from the resurvey and attached complaints conducted on 10/14/2025 at the assisted living facility.

The resurvey included attached complaints 196541, 194924, 190804, and 188167.

The inspection was a resurvey with attached complaints 196541, 194924, 190804, and 188167 at the assisted living facility Avenue 81.

The facility failed to ensure licensed staff documented all incidents, symptoms, and indications of illness or injury for a resident with an ongoing skin wound and infection. Additionally, the facility failed to store food items under safe conditions, as thawed fortified nutritional shakes lacked date marking.

The inspection included attached complaints 196541, 194924, 190804, and 188167.

An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 2024-04-16.

All deficiencies have been corrected as of the compliance date of 2024-04-22, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.

The document is a Plan of Correction responding to findings from an abbreviated survey conducted for complaint #186866 on 04/15/24 and 04/16/24.

The Plan of Correction addresses citations resulting from an abbreviated survey related to complaint #186866 conducted on 04/15/24 and 04/16/24.

The visit was complaint-related for complaint #186866.

The document is a plan of correction related to an abbreviated survey conducted for complaint #186866 at the facility on 04/15/24 and 04/16/24.

The plan of correction addresses findings from an abbreviated survey conducted in response to a complaint investigation at the facility on the specified dates.

Complaint #186866 triggered the abbreviated survey conducted on 04/15/24 and 04/16/24.

The inspection was conducted as an abbreviated survey in response to complaint #186866 regarding the facility's handling of a resident's negotiated service agreement and documentation.

The facility failed to ensure that revisions to Resident 1's negotiated service agreement, specifically the removal of an elopement device, were provided to the resident's legal representative. Additionally, the resident's medical record lacked documentation of incidents related to the removal of the elopement device.

The complaint investigation focused on the facility's failure to provide the resident's legal representative with updated negotiated service agreement revisions and lack of documentation in the resident's medical record regarding removal of the elopement device.

An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 2024-02-05.

All deficiencies have been corrected as of the compliance date of 2024-02-22, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.

The inspection was a licensure resurvey with attached complaint investigations (numbers 185361, 183146, and 182244) conducted on 02/05/2024 and 02/06/2024.

The administrator failed to ensure compliance with the department's tuberculosis guidelines for adult care homes, specifically the required two-step TB testing for newly hired employees and a resident. Personnel records for five newly hired employees lacked evidence of completed TB testing, and one resident's record lacked documentation of the second step of TB testing.

The document is a plan of correction submitted in response to findings from a licensure resurvey with attached complaint investigations numbered 185361, 183146, and 182244, conducted on February 5 and 6, 2024.

The plan of correction addresses citations resulting from the licensure resurvey and complaint investigations conducted on the specified dates.

The plan of correction relates to complaints numbered 185361, 183146, and 182244 attached to the licensure resurvey.

An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 2023-05-23.

All deficiencies have been corrected as of the compliance date of 2023-05-31, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.

The document is a plan of correction addressing findings from a licensure resurvey with attached complaints #177846, 176430, 176301, 173778, and 172179 conducted on 05/22/23 and 05/23/23.

The plan of correction corresponds to deficiencies identified during the licensure resurvey and complaint investigations conducted on the specified dates.

The plan of correction is related to multiple attached complaints with IDs 177846, 176430, 176301, 173778, and 172179.

The inspection was a licensure resurvey combined with complaint investigations for multiple complaint numbers conducted on 05/22/23 and 05/23/23.

The facility was found deficient in multiple areas including failure to conduct required functional capacity screenings following a resident's change in condition, failure to provide proper delegation training for nursing procedures, noncompliance with tuberculosis screening guidelines for newly hired employees, and failure to secure hazardous chemicals and tools in the secured memory care unit.

The inspection included attached complaints #177846, 176430, 176301, 173778, and 172179.

An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 2022-05-26.

All deficiencies cited in the prior inspection were corrected as of 2022-06-08, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.

The inspection was an abbreviated survey conducted for complaints #KS00171453 and #KS00171386 at the facility.

The facility failed to document the reason for an involuntary discharge in the resident's clinical record, including the physician's rationale and the necessity of the transfer for the health and safety of other residents. The resident's representative requested one-on-one care which the facility could not provide, leading to a discharge notice without proper documentation supporting the rationale.

The survey was conducted in response to complaints #KS00171453 and #KS00171386. The complaint was substantiated as the facility failed to meet documentation requirements for involuntary discharge and physician rationale.

The document is a plan of correction related to findings from an abbreviated survey conducted for complaints #KS00171453 and #KS00171386 at the facility on 05/25/22 to 05/26/22.

The citations represent findings from an abbreviated survey conducted in response to complaints at the facility during the specified dates.

The survey was conducted for complaints #KS00171453 and #KS00171386.

An initial survey was conducted at the assisted living facility in Overland Park, KS to assess compliance and licensing status.

The survey resulted in a finding of no deficiency citations.