Deficiencies (last 8 years)
Deficiencies (over 8 years)
1.6 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
73% better than Kansas average
Kansas average: 6 deficiencies/yearDeficiencies per year
8
6
4
2
0
Occupancy
Latest occupancy rate
42% occupied
Based on a January 2026 inspection.
This facility has shown a decline in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Renewal
Census: 19
Deficiencies: 6
Date: Jan 13, 2026
Visit Reason
The inspection was a Re-Licensure Survey with complaint investigation for an Assisted Living Facility conducted on January 12 and 13, 2026.
Complaint Details
The survey included a complaint investigation (190491) related to medication self-administration and infection control.
Findings
The facility was found deficient in multiple areas including failure to complete required assessments for medication self-administration, incomplete negotiated service agreements regarding medication administration, improper infection control practices related to indwelling catheter management, noncompliance with tuberculosis screening guidelines, unsecured hazardous chemicals accessible to residents, and hot water temperatures exceeding regulatory limits in resident use areas.
Deficiencies (6)
26-41-205(a)(1) The facility failed to ensure a licensed nurse completed an assessment for self-administration of medications for one resident who self-administered medications.
26-41-205(b) The facility failed to ensure the negotiated service agreement identified medications a resident chose to self-administer and those administered by staff.
26-41-207(a)(b) The operator failed to ensure certified staff followed proper infection control measures related to management of an indwelling catheter for one resident.
26-41-207(b)(5-6)(c) The facility failed to comply with tuberculosis guidelines, including incomplete documentation and missing second TB skin tests for residents.
28-39-254(a) The operator failed to ensure hazardous chemicals were secured for the safety of residents, personnel, and visitors.
28-39-256(c)(2)(B) The facility failed to maintain hot water temperatures in resident use areas within the required range of 98 to 120 degrees Fahrenheit.
Report Facts
Resident census: 19
Hot water temperature: 138.7
Hot water temperature: 136.6
Hot water temperature: 128.9
Hot water temperature: 103.7
Temperature log reading: 108
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Administrative Nurse B | Administrative Nurse | Reported lack of self-administration assessments and confirmed TB guideline noncompliance. |
| Administrative Staff A | Administrative Staff | Reported on negotiated service agreements and hot water temperature issues. |
| Certified Nurse Aide C | Certified Nurse Aide | Interviewed regarding chemical storage practices. |
| Certified Medication Aide D | Certified Medication Aide | Advised on chemical storage location. |
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Jan 12, 2026
Visit Reason
The document is a Plan of Correction for a Re-Licensure Survey with complaint investigation conducted at an Assisted Living Facility on January 12 and 13, 2026.
Findings
The Plan of Correction addresses citations found during the Re-Licensure Survey and complaint investigation at the facility.
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 2024-07-02.
Findings
All deficiencies cited in the prior inspection have been corrected as of the compliance date 2024-07-02, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.
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 2024-07-02.
Findings
All deficiencies cited in the prior inspection have been corrected as of the compliance date 2024-07-02, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.
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 over-the-counter medication. Several medications were found without proper labeling with resident names.
Deficiencies (1)
KAR 26-41-205 (g) (3) Over the counter drugs must be in original packaging and labeled with the resident's full name. The facility failed to ensure resident names were on over-the-counter medication packages for multiple residents.
Report Facts
Census: 26
Sample size: 3
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Jul 2, 2024
Visit Reason
This document is a Plan of Correction submitted in response to findings from the licensure resurvey conducted on July 2, 2024.
Findings
The Plan of Correction addresses citations identified during the licensure resurvey of the facility on July 2, 2024. The document outlines corrective actions corresponding to the deficiencies found.
Inspection Report
Re-Inspection
Deficiencies: 0
Date: Oct 12, 2022
Visit Reason
The visit was a resurvey with complaint investigations #169393 and #168578 for the assisted living facility.
Complaint Details
The inspection included complaint investigations #169393 and #168578. No deficiencies were found.
Findings
The inspection conducted on 10/11/22 and 10/12/22 resulted in no deficiencies cited.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Oct 11, 2022
Visit Reason
This document is a plan of correction representing 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.
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 June 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 to renew the assisted living facility's license and verify compliance with regulations.
Findings
The inspection resulted in no deficiency citations, indicating full compliance with licensure requirements.
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 compliance with previously identified deficiencies.
Findings
The facility failed to ensure an initial negotiated service agreement was completed at admission for one resident and failed to administer medications in accordance with medical orders and professional standards for two residents.
Deficiencies (2)
KAR 26-41-202(c) The facility failed to ensure designated staff developed an initial negotiated service agreement at admission for 1 of 4 residents.
K.A.R 26-41-205(d) The facility failed to administer medications for 2 residents in accordance with medical care providers' orders and professional standards of practice.
Report Facts
Resident census: 29
PRN Tramadol administrations: 35
PRN Tramadol administrations: 9
PRN Acetaminophen administrations: 38
PRN Acetaminophen administrations: 14
Megace dosage: 200
Days without negotiated service agreement: 15
Inspection Report
Follow-Up
Deficiencies: 1
Date: Aug 10, 2016
Visit Reason
This revisit inspection was conducted to verify that previously reported deficiencies have been corrected and to document the date such corrective actions were accomplished.
Findings
The report confirms that the previously cited deficiency under regulation 26-41-205(h) was corrected as of 08/10/2016. No other deficiencies or uncorrected issues are noted.
Deficiencies (1)
Regulation 26-41-205(h) deficiency was corrected as of 08/10/2016.
Inspection Report
Follow-Up
Deficiencies: 1
Date: Aug 10, 2016
Visit Reason
This visit was conducted as a follow-up to verify that previously reported deficiencies have been corrected.
Findings
The report confirms that the previously cited deficiency under regulation 26-41-205 (h) was corrected as of the revisit date.
Deficiencies (1)
Regulation 26-41-205 (h) deficiency was corrected by the revisit date of 2016-08-10.
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 failed to ensure that all medications and biologicals were securely stored in locked medication rooms accessible only to authorized personnel. Additionally, resident records lacked proper documentation of incidents, symptoms, actions taken, and results for two sampled residents.
Deficiencies (2)
KAR 26-41-205(h) Medication Storage. Licensed nurses and medication aides failed to ensure medications and biologicals were stored in locked medication rooms or carts inaccessible to unauthorized persons.
KAR 26-41-105(f)(11) Resident Record Documentation. The facility failed to ensure resident records contained complete documentation of incidents, symptoms, actions taken, and results for two residents.
Report Facts
Facility census: 24
Sampled residents: 3
Inspection Report
Renewal
Deficiencies: 0
Date: Jul 29, 2014
Visit Reason
The inspection was a licensure resurvey to assess compliance for renewal of the facility's license.
Findings
The licensure resurvey resulted in no deficiency citations on the dates of 2014-07-28 and 2014-07-29.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N029007 POC BD7H11
Visit Reason
This document is a Plan of Correction related to a previous deficiency report for the facility.
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.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N029007 POC BP9511
Visit Reason
This document is a Plan of Correction related to a prior deficiency report for the facility.
Findings
No specific findings or deficiencies are detailed in this document. It serves as a placeholder or administrative record for the Plan of Correction submission.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N029007 POC QTZO11
Visit Reason
This document is a Plan of Correction related to a prior deficiency report for Sterling House of Dodge City.
Findings
No specific findings are detailed in this document; it serves as a corrective action plan linked to a previous deficiency report.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N029007 POC SR5K11
Visit Reason
This document is a Plan of Correction related to a previous deficiency report for the facility Brookdale Dodge City.
Findings
No specific findings or deficiencies are detailed in this document. It serves as a placeholder or reference to the Plan of Correction process.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N029007 POC VRH611
Visit Reason
This document is a Plan of Correction related to a prior deficiency report for the facility.
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.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N029007 POC VRH612
Visit Reason
This document is a Plan of Correction related to a previous inspection event identified as VRH612 for the facility with State ID N029007.
Findings
No deficiency details or findings are provided in this Plan of Correction document. It only references the related deficiency report but states no records found.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N029007 POC 5Q1O11
Visit Reason
This document is a Plan of Correction related to a previously identified deficiency report for the facility.
Findings
No deficiency details or findings are included in this document. It only references the Plan of Correction status and contact information for assistance.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N029007 POC 5Q1O12
Visit Reason
This document is a Plan of Correction related to a prior inspection event for the facility identified as ASPEN with State ID N029007.
Findings
No deficiency details or findings are included in this document. It serves solely as a record of the Plan of Correction submission and status.
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