Deficiencies (last 6 years)
Deficiencies (over 6 years)
1 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
83% better than Kansas average
Kansas average: 6 deficiencies/yearDeficiencies per year
4
3
2
1
0
Occupancy
Latest occupancy rate
38% occupied
Based on a July 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Re-Inspection
Deficiencies: 1
Date: Jul 29, 2025
Visit Reason
This is a revisit inspection to verify that previously reported deficiencies have been corrected.
Findings
The report confirms that the deficiency identified under regulation 26-41-101 (f) (1) has been corrected as of the revisit date.
Deficiencies (1)
Regulation 26-41-101 (f) (1) deficiency was corrected by the revisit date of 07/29/2025.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Jul 9, 2025
Visit Reason
The document is a plan of correction responding to an abbreviated survey conducted for complaints #195710 and #194794 at the facility on 07/09/25.
Complaint Details
The visit was complaint-related involving complaints #195710 and #194794.
Findings
The plan of correction addresses findings from an abbreviated survey related to two complaints at the facility.
Inspection Report
Abbreviated Survey
Census: 21
Deficiencies: 1
Date: Jul 9, 2025
Visit Reason
The inspection was an abbreviated survey conducted in response to complaints #195710 and #194794 at the facility.
Complaint Details
The survey was complaint-related, triggered by complaints #195710 and #194794. The resident elopement incident was substantiated and resulted in Immediate Jeopardy status.
Findings
The facility failed to protect a resident who was a known wander risk and eloped from the facility without staff knowledge through an alarmed exit door. This neglect placed the resident in Immediate Jeopardy, which was later removed after corrective actions were implemented.
Deficiencies (1)
KAR 26-41-101 (f) (1) (B) Staff Treatment of Residents ANE: The facility failed to provide or coordinate services to ensure the safety and well-being of a resident who eloped through an alarmed exit door without staff knowledge, placing the resident in Immediate Jeopardy.
Report Facts
Resident census: 21
Resident elopement duration: 135
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA D | Certified Nurse Aide | Named in the finding for failing to notify staff after resetting the door alarm; suspended and no longer employed |
| CMA E | Certified Medication Aide | Last staff to see the resident before elopement |
| Administrative Staff C | Confirmed facility procedures for door alarms and resident head counts | |
| Operator/LN A | Licensed Nurse | Failed to provide or coordinate necessary services to ensure resident safety |
Inspection Report
Re-Inspection
Deficiencies: 0
Date: Apr 23, 2025
Visit Reason
An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 2025-04-08.
Findings
All deficiencies have been corrected as of the compliance date of 2025-04-09, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Apr 8, 2025
Visit Reason
This document is a plan of correction submitted in response to a resurvey with attached complaints (#189692 and #186458) conducted at the facility on 2025-04-08.
Complaint Details
The visit was related to complaints #189692 and #186458 attached to the resurvey.
Findings
The plan of correction addresses findings from a resurvey and complaint investigations conducted on 2025-04-08 at the facility.
Inspection Report
Re-Inspection
Census: 25
Deficiencies: 1
Date: Apr 8, 2025
Visit Reason
The visit was a resurvey with attached complaints (#189692 and #186458) conducted to assess compliance with negotiated service agreements and other regulatory requirements.
Complaint Details
The resurvey was conducted with attached complaints #189692 and #186458.
Findings
The facility failed to ensure that the Negotiated Service Agreement (NSA) was fully developed based on residents' Functional Capacity Screens, service needs, and preferences for two sampled residents. The Personal Service Plans did not accurately reflect the residents' status for transfer and mobility.
Deficiencies (1)
KAR 26-41-202 (a) (1) The facility failed to ensure the Negotiated Service Agreement was fully developed based on the resident's Functional Capacity Screen, service needs, and preferences for residents R1 and R3.
Report Facts
Resident census: 25
Sampled residents: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Medication Aide B | Certified Medication Aide | Interviewed regarding residents' mobility and assistance needs. |
| Regional Nurse C | Regional Nurse | Acknowledged inaccuracies in Personal Service Plans for residents. |
| Administrative Staff A | Failed to ensure the Negotiated Service Agreement was fully developed. |
Inspection Report
Re-Inspection
Deficiencies: 0
Date: Sep 26, 2023
Visit Reason
An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 09/13/23.
Findings
All deficiencies cited in the prior inspection have been corrected as of 09/21/23, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.
Inspection Report
Re-Inspection
Census: 39
Deficiencies: 2
Date: Sep 13, 2023
Visit Reason
The inspection was a resurvey conducted with a complaint (#175913) to verify compliance with previous deficiencies.
Complaint Details
This was a resurvey with a complaint (#175913).
Findings
The facility failed to ensure licensed nurses or pharmacists placed the full name of residents on each package of over-the-counter medications. Additionally, the facility did not comply with tuberculosis screening guidelines for newly hired employees.
Deficiencies (2)
KAR 26-41-205 (g) (3) Over the counter drugs: Licensed nurses or pharmacists failed to place the full name of residents on each package of over-the-counter medication for multiple residents.
KAR 26-41-207 (b) (5-6) (c) Infection Control Policies: The facility failed to ensure completion of tuberculosis questionnaires upon hire for newly employed staff.
Report Facts
Resident census: 39
Sample residents reviewed: 3
Non-sampled residents observed: 4
Newly hired employees reviewed: 5
Staff records reviewed for TB compliance: 3
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Sep 13, 2023
Visit Reason
The document is a plan of correction submitted in response to a resurvey with complaints (#175913) conducted at the facility on 09/13/2023.
Complaint Details
The visit was complaint-related, triggered by complaint number 175913.
Findings
The citations represent findings from the resurvey and complaint investigation conducted on 09/13/2023 at the facility.
Inspection Report
Abbreviated Survey
Deficiencies: 0
Date: Jul 29, 2020
Visit Reason
The visit was a special infection control survey for COVID-19 conducted at the facility.
Findings
The survey conducted on 07/29/2020 resulted in findings of no deficiency citations.
Inspection Report
Re-Inspection
Deficiencies: 0
Date: Jun 26, 2018
Visit Reason
The visit was a resurvey of the assisted living facility conducted on June 25 and 26, 2018.
Findings
The resurvey resulted in zero citations, indicating no deficiencies were found during the inspection.
Inspection Report
Renewal
Census: 38
Deficiencies: 1
Date: Sep 29, 2016
Visit Reason
The inspection was a Licensure Resurvey of the Assisted Living Facility in Salina, Kansas on 9/28/16 and 9/29/16, which also investigated Complaints #106046 and #104508.
Complaint Details
Complaints #106046 and #104508 were investigated during this licensure resurvey.
Findings
The facility failed to ensure employee records contained supporting documentation for criminal background checks for four certified staff members hired since the last resurvey.
Deficiencies (1)
KAR 26-41-102(d): The facility failed to ensure employee records contained supporting documentation for criminal background checks for four certified staff members (#A, #B, #D, and #E).
Report Facts
Facility census: 38
Employees hired since last resurvey: 27
Certified staff records reviewed: 5
Certified staff with missing documentation: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Executive Director | Interviewed and confirmed missing criminal background documentation |
Inspection Report
Renewal
Deficiencies: 0
Date: Sep 21, 2015
Visit Reason
The licensure resurvey was conducted as a renewal inspection at the assisted living facility in Salina, Kansas on 9/16/15, 9/17/15, and 9/21/15. A complaint (#89154) was also investigated during this period.
Complaint Details
Complaint #89154 was investigated but no deficiencies were cited.
Findings
The inspection resulted in no deficiency citations. The complaint investigation did not result in any findings.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N085010 POC TWIV11
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.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N085010 POC 045M11
Visit Reason
This document is a Plan of Correction related to a prior inspection or deficiency report for the facility identified as ASPEN with State ID N085010.
Findings
No deficiency records are found or included in this Plan of Correction document.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N085010 POC 38T911
Visit Reason
This document is a Plan of Correction related to a prior inspection event for the facility identified as ASPEN with State ID N085010 and Event ID 38T911.
Findings
No deficiency details or findings are included 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: N085010 POC 5M1411
Visit Reason
This document serves as a Plan of Correction related to a prior inspection event for the facility identified as N085010 ASPEN.
Findings
No deficiency records or findings are included in this Plan of Correction document.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N085010 POC 5M1412
Visit Reason
This document is a Plan of Correction submitted in response to deficiencies identified in a prior inspection.
Findings
No specific deficiencies or findings are detailed in this document. It serves as a record of the Plan of Correction submission.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N085010 POC 76NW11
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 references a deficiency report dated 9/21/2015 but contains no records or corrective actions.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N085010 POC 9H5211
Visit Reason
This document is a plan of correction related to a prior inspection or deficiency report for the facility identified as ASPEN with State ID N085010.
Findings
No deficiency records or findings are included in this document. It serves solely as a plan of correction record with no substantive inspection findings presented.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N085010 POC EO1511
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 references a linked deficiency report but contains no records or content itself.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N085010 POC R1ST11
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.
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