Inspection Report Summary
The most recent inspection on July 17, 2024, found no deficiencies and confirmed that all prior issues had been corrected. Earlier inspections showed a generally compliant pattern with isolated deficiencies related mainly to medication labeling and administration, as well as documentation and medication storage in some older reports. Inspectors cited issues such as unlabeled over-the-counter medications and incomplete service agreements or medication administration errors in prior years. Complaint investigations conducted in October 2022 were unsubstantiated and did not result in deficiencies. The facility appears to have addressed previous concerns effectively, showing improvement in recent inspections.
Deficiencies (last 7 years)
Deficiencies (over 7 years)
0.9 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
85% better than Kansas average
Kansas average: 6 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
26 residents
Based on a July 2024 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Re-Inspection
Deficiencies: 0
Date: Jul 17, 2024
Visit Reason
An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 07/02/24.
Findings
All deficiencies cited in the previous inspection have been corrected as of 07/02/24, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.
Report Facts
Previous deficiencies cited: Deficiencies cited on 07/02/24 and corrected by 07/02/24
Inspection Report
Renewal
Census: 26
Deficiencies: 1
Date: Jul 2, 2024
Visit Reason
The inspection was a licensure resurvey conducted to assess compliance with state regulations for the facility.
Findings
The facility failed to ensure that licensed nurses or pharmacists placed the full name of residents on each package of the resident's over-the-counter medication, as evidenced by unlabeled medications found during observation and confirmed by staff interview.
Deficiencies (1)
Failure to ensure licensed nurses or pharmacists placed the full name of residents on each package of the resident's over-the-counter medication.
Report Facts
Census: 26
Sample size: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Medication Aide (CMA) C | Interviewed and confirmed unlabeled medications | |
| Operator/ Certified Nurse Aide (CNA) A | Failed to ensure proper labeling of medications |
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Jul 2, 2024
Visit Reason
The document is a Plan of Correction submitted in response to findings from the licensure resurvey conducted at the facility on 07/02/2024.
Findings
The Plan of Correction addresses citations identified during the licensure resurvey of the facility on 07/02/2024. The document itself does not detail specific deficiencies but references the findings from the resurvey.
Inspection Report
Re-Inspection
Deficiencies: 0
Date: Oct 11, 2022
Visit Reason
Resurvey with complaint investigations #169393 and #168578 conducted on 10/11/22 and 10/12/22 at the Assisted Living facility.
Complaint Details
The visit was complaint-related involving investigations #169393 and #168578; no deficiencies were found.
Findings
The resurvey resulted in no deficiencies cited for the facility.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Oct 11, 2022
Visit Reason
The document represents the findings of a resurvey with complaint investigations #169393 and #168578 conducted on 10/11/22 and 10/12/22 at an Assisted Living facility.
Complaint Details
Complaint investigations #169393 and #168578 were part of the resurvey; no deficiencies were cited.
Findings
The resurvey and complaint investigations resulted in no deficiencies cited.
Inspection Report
Routine
Deficiencies: 0
Date: Jun 18, 2020
Visit Reason
The special infection control survey for COVID-19 was conducted at the facility on 6.18.2020.
Findings
The survey resulted in findings of no deficiency citations.
Inspection Report
Renewal
Deficiencies: 0
Date: May 9, 2019
Visit Reason
The licensure resurvey was conducted on 5/08/19 and 5/09/19 at the assisted living facility to assess compliance for license renewal.
Findings
The inspection resulted in a finding of no deficiency citations.
Inspection Report
Re-Inspection
Census: 29
Deficiencies: 2
Date: Mar 8, 2018
Visit Reason
The inspection was a resurvey conducted on 3/7-8/2018 at an assisted living facility to verify correction of previous deficiencies.
Findings
The facility failed to ensure an initial negotiated service agreement was completed at admission for 1 of 4 residents and failed to administer medications in accordance with medical orders and professional standards for 2 residents, including improper administration of PRN medications.
Deficiencies (2)
Failed to ensure designated staff developed an initial negotiated service agreement at admission for 1 of 4 residents.
Failed to administer medications for 2 residents in accordance with medical care providers and professional standards of practice.
Report Facts
Census: 29
PRN Tramadol administrations: 44
PRN Acetaminophen administrations: 52
Megace dosage: 200
Days without negotiated service agreement: 15
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Administrative nursing staff E | Reported on service agreement completion process and medication administration | |
| Certified staff D | Reported on PRN medication administration and follow-up | |
| Certified staff B | Reported on PRN medication administration and follow-up | |
| Certified staff C | Reported on PRN medication administration and follow-up | |
| Licensed nursing staff E | Reported on medication aide responsibilities and hospital discharge order issues |
Inspection Report
Re-Inspection
Deficiencies: 1
Date: Aug 10, 2016
Visit Reason
This report documents a revisit inspection conducted to verify that previously reported deficiencies have been corrected and to confirm the date such corrective actions were accomplished.
Findings
The revisit report confirms that the previously cited deficiency related to regulation 26-41-205(h) was corrected as of 08/10/2016. No other deficiencies or uncorrected issues are noted.
Deficiencies (1)
Deficiency related to regulation 26-41-205(h) previously cited and now corrected
Inspection Report
Renewal
Census: 24
Deficiencies: 2
Date: Jul 20, 2016
Visit Reason
The inspection was a Licensure Resurvey conducted at the Assisted Living Facility in Dodge City, Kansas on 7/18/16, 7/19/16, and 7/20/16 to assess compliance with state regulations.
Findings
The facility was found deficient in medication storage practices, as unauthorized personnel accessed the medication room. Additionally, resident records lacked proper documentation of incidents, symptoms, actions taken, and results for two sampled residents.
Deficiencies (2)
Licensed Nurses and Certified Medication Aides failed to ensure all medications and biologicals were stored in a locked medication room, cabinet, or cart, accessible only to authorized personnel.
Operator failed to ensure resident records contained documentation of all incidents, symptoms, actions taken, and results of the action for two sampled residents.
Report Facts
Facility census: 24
Sampled residents: 3
Sampled residents: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Executive Director #F | Executive Director | Accessed medication room without being licensed nurse or CMA |
| Business Office Manager #G | Business Office Manager | Accessed medication room without authorization to administer medications |
| Health and Wellness Director #H | Health and Wellness Director/Licensed Nurse | Confirmed unauthorized access to medication room and lack of proper documentation in resident records |
Inspection Report
Renewal
Deficiencies: 0
Date: Jul 29, 2014
Visit Reason
The licensure resurvey was conducted as a renewal inspection of the Sterling House of Dodge City facility on 7-28-14 and 7-29-14.
Findings
The inspection resulted in no deficiency citations being found during the licensure resurvey on the dates of 7-28-14 and 7-29-14.
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