Inspection Reports for Brookdale Liberal Springs

The visit was conducted as a re-inspection to verify correction of previously reported deficiencies at Brookdale Liberal Springs.

The report shows that corrections were completed for deficiencies with ID prefixes S3026 and S3320, including regulation numbers 26-41-101 (f)(1) and 28-39-254, with completion dates of 06/16/2025.

The inspection was a licensure resurvey combined with complaint investigations for multiple complaint numbers, conducted over three days from 05/27/25 to 05/29/25.

The facility failed to ensure the safety of residents by not securing exit gates, allowing a cognitively impaired resident to elope and be missing for 37 minutes. Additionally, unsecured chemicals were found in cognitively impaired residents' rooms, posing a health and safety risk.

The visit was triggered by complaints with numbers 194140, 191295, 191150, 190561, 189453, and 188897. The immediate jeopardy related to elopement was removed on 03/13/25 after corrective actions including elopement training and securing gates were implemented.

The document is a plan of correction responding to findings from a licensure resurvey with attached complaint investigations conducted on 05/27/25, 05/28/25, and 05/29/25.

The plan of correction addresses citations resulting from the licensure resurvey and multiple complaint numbers associated with the facility during the specified dates.

The plan references complaint numbers 194140, 191295, 191150, 190561, 189453, and 188897 attached to the licensure resurvey.

An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 2024-05-09.

All deficiencies have been corrected as of the compliance date of 2024-05-30 and no new noncompliance was found. The facility is in compliance with all regulations surveyed.

The inspection was a resurvey with complaints 184695 and 185207 conducted on 05/08/24 and 05/09/24 at Brookdale Liberal Springs, an assisted living facility.

The inspection identified multiple deficiencies including failure to inform residents about advance medical directives, failure to keep the most recent survey report available publicly, inaccurate functional capacity screening, outdated or missing nurse identification on negotiated service agreements, unlabeled over-the-counter and prescription medications, inadequate disaster preparedness training, improper food temperature monitoring and storage, lack of sanitary conditions in food service, and non-compliance with tuberculosis screening guidelines for residents and new employees.

The resurvey was conducted with complaints 184695 and 185207.

The document is a plan of correction submitted in response to findings from a resurvey with complaints 184695 and 185207 conducted on 05/08/24 and 05/09/24 at the assisted living facility.

The plan of correction addresses citations identified during the resurvey and complaint investigations conducted on the specified dates.

The visit was related to complaints 184695 and 185207, indicating a complaint investigation resurvey.

An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 07/26/23.

All deficiencies have been corrected as of the compliance date of 08/11/23, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.

The inspection was a resurvey conducted in response to complaints #177903, 180696, and 181126 at the assisted living facility.

The facility failed to fully develop negotiated service agreements addressing residents' functional capacity screening triggers, failed to update agreements with current licensed nurses responsible for health care plans, did not timely verify nurse aide registry checks for new employees, lacked documentation of quarterly emergency management plan reviews and annual evacuation drills, and failed to comply with tuberculosis screening guidelines for new staff.

The resurvey was conducted following complaints #177903, 180696, and 181126.

The document addresses findings from a resurvey conducted on 07/25/23 - 07/26/23 related to complaints #177903, 180696, and 181126 at the assisted living facility.

The plan of correction corresponds to citations identified during the resurvey linked to multiple complaints at the assisted living facility.

The resurvey was conducted in response to complaints #177903, 180696, and 181126.

This revisit report documents the correction of deficiencies previously reported during an earlier survey conducted on 11/10/2021.

The report confirms that all previously identified deficiencies have been corrected as of 12/21/2021, with specific regulatory citations listed as completed.

The document addresses findings from a health resurvey and complaint investigations conducted at the assisted living facility on November 8, 9, and 10, 2021.

The plan of correction references multiple citations resulting from the health resurvey and complaint investigations at the facility during the specified dates.

The inspection was conducted as a health resurvey and complaint investigations at the assisted living facility on 11/8, 11/9, and 11/10/2021.

The executive director failed to ensure the development of negotiated service agreements/health care service plans for sampled residents to accurately reflect services provided, failed to ensure quarterly reviews of the emergency management plan with employees and residents for 2021, and failed to comply with tuberculosis screening guidelines for newly hired employees.

The visit included complaint investigations #147207, #152306, #153817, #153826, and #162989.

The special infection control survey for COVID-19 was conducted at the facility on 2020-06-23.

The survey resulted in findings of no deficiency citations.

This revisit report documents the correction of deficiencies previously reported during an earlier survey.

All previously cited deficiencies identified by regulation numbers 26-41-101 (f)(3), 26-41-201 (a)(b), 26-41-201 (d), 26-41-204 (e), 26-41-205 (d)(1-2), and 26-41-205 (h) were corrected as of the revisit date.

The inspection was a resurvey with a complaint survey conducted on 3/12, 3/13, and 3/14/2018 at an assisted living facility following complaints #114496, #122540, and #124574.

The facility was found deficient in multiple areas including failure to report allegations of abuse/neglect within 24 hours, incomplete and inaccurate functional capacity screenings, improper delegation of nursing duties to certified medication aides, lack of self-injection assessment for insulin administration, and improper medication storage including use of expired Tubersol.

The visit was complaint-related, triggered by complaints #114496, #122540, and #124574. The report includes substantiation of deficiencies related to abuse/neglect reporting, functional capacity screening, nursing delegation, medication administration, and medication storage.

The inspection was a Licensure Resurvey conducted over multiple days in August 2016 to assess compliance with state regulations for the assisted living facility.

The inspection identified multiple deficiencies including failure to ensure negotiated service agreements (NSA) were properly signed and contained required information, inadequate monitoring of outside service providers, improper delegation of nursing duties, lack of self-administration medication assessments, improper medication storage, and failure to conduct quarterly emergency preparedness reviews with staff and residents.

The inspection was a resurvey with investigation of complaints #81352 and #84932 at the assisted living facility Emeritus at Liberal Springs conducted on 3/24/15, 3/25/15, 3/26/15, and 3/30/15.

The operator failed to investigate and report incidents of residents found on the floor to rule out abuse or neglect, failed to ensure development of written negotiated service agreements including identification of service providers and payment responsibilities, failed to ensure health care services were properly coordinated or supervised by licensed nurses, and failed to maintain complete documentation of incidents and resident deaths. Additionally, the facility did not perform quarterly reviews of the emergency management plan with employees and residents.

The visit was complaint-related involving allegations of failure to investigate and report incidents of residents found on the floor, inadequate negotiated service agreements, insufficient health care service coordination, incomplete incident documentation, and lack of emergency plan reviews.