Inspection Reports for Brookdale Salina Kirwin

An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 2025-03-05.

All deficiencies have been corrected as of the compliance date of 2025-03-06, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.

The inspection was a resurvey with attached complaints (#191531, #184900, #183557) conducted to evaluate compliance with food preparation and infection control regulations.

The facility failed to ensure food was served at the proper temperature as required by regulations, with incomplete food temperature logs for multiple dates. Additionally, the facility did not comply with tuberculosis guidelines for adult care homes, as documentation for a newly hired Certified Medication Aide's second step TB testing and questionnaire was missing.

The inspection was triggered by complaints #191531, #184900, and #183557.

The document is a plan of correction responding to a resurvey with attached complaints (#191531, #184900, #183557) conducted at the facility on 03/05/25.

The plan of correction addresses citations resulting from a resurvey and complaint investigations conducted on 03/05/25 at the facility.

The visit was related to complaints #191531, #184900, and #183557 attached to the resurvey.

An offsite revisit survey was conducted on 09/06/23 for all previous deficiencies cited on 08/16/23.

All deficiencies have been corrected as of the compliance date of 09/06/23, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.

The inspection was a resurvey conducted on 08/15/23 and 08/16/23 to assess compliance with previously identified deficiencies at the facility.

The facility was found deficient in medication labeling where insulin injector pens for two residents were not properly labeled by a pharmacist. Additionally, staff records lacked required criminal background check documentation for one employee, and tuberculosis testing and questionnaires were incomplete for residents and staff, indicating failure to comply with state tuberculosis guidelines.

The document is a Plan of Correction submitted in response to findings from a resurvey conducted at the facility on 08/15/23 and 08/16/23.

The Plan of Correction addresses citations identified during the resurvey conducted on 08/15/23 and 08/16/23 at the facility.

The visit was a resurvey conducted on 04/12/22 and 04/13/22 to verify compliance following a prior inspection.

The resurvey resulted in no citations or deficiencies at the facility.

This document represents the provider's plan of correction following a resurvey conducted on 04/12/22 and 04/13/22.

The resurvey conducted on 04/12/22 and 04/13/22 resulted in no citations.

The special infection control survey for COVID-19 was conducted at the facility on 07/28/2020.

The survey resulted in findings of no deficiency citations.

This revisit inspection was conducted to verify that previously reported deficiencies at Brookdale Salina Kirwin have been corrected.

All previously cited deficiencies identified by regulation or LSC provision numbers were corrected as of the revisit date.

The inspection was a resurvey conducted on 11/7, 11/13, and 11/14/2019 at an assisted living facility to evaluate compliance with negotiated service agreements, medication administration, and facility safety.

The facility failed to ensure negotiated service agreements included required information such as outside service providers and payment sources, and that all parties signed the agreements. Medication administration did not consistently follow professional standards, particularly regarding PRN medications, lacking documentation of nurse notification and reasons for administration. Additionally, the facility failed to secure chemicals stored under the dining room sink, posing a safety risk.

This revisit inspection was conducted to verify that previously reported deficiencies have been corrected and to document the date such corrective actions were accomplished.

The report confirms that the previously cited deficiency related to regulation 26-41-102 (a) was corrected as of 11/05/2018. No other deficiencies or findings are documented in this report.

The inspection was a resurvey with complaints (#123692, #123891, #123893) at the assisted living facility conducted on 9/25 and 9/26/2018.

The operator failed to ensure that direct care staff or licensed nursing staff were in attendance at the facility at all times, as evidenced by an incident where two staff left the building unattended while retrieving a resident who had walked out.

The visit was complaint-related involving three complaints (#123692, #123891, #123893). The complaint was substantiated by findings that staff left the building unattended while retrieving a missing resident.

This revisit inspection was conducted to verify that previously reported deficiencies had been corrected and to document the dates when corrective actions were accomplished.

All previously cited deficiencies were corrected as of the revisit date, with each correction documented and completed on 08/08/2017.

Licensure Resurvey at the Assisted Living Facility conducted on 5/10/17, 5/11/17, and 5/16/17, including review of facility investigation #3207.

The facility was found deficient in multiple areas including failure to maintain copies of residents' advanced directives, incomplete investigations of abuse allegations, inadequate monitoring of outside service providers, lack of timely physician orders and documentation for skilled nursing and therapy services, failure to respond to pharmacist variance reports, incomplete employee criminal background checks, failure to conduct quarterly emergency management plan reviews with employees, and water temperature exceeding safe limits at resident accessible sinks.

The inspection was a Licensure Resurvey conducted at the Assisted Living Facility to assess compliance with licensing requirements.

The facility failed to execute a written admission agreement at the time of admission for one resident and failed to notify the resident or representative in writing of rates, charges, and payment obligations. Additionally, medication administration deficiencies were found for two residents where medications were administered without current physician orders or proper discontinuation orders.

The Licensure Resurvey was conducted at the Sterling House of Salina Assisted Living Facility on 4/09/14 and 4/10/14 as part of the facility's licensure renewal process.

The resurvey resulted in no deficiency citations, indicating full compliance with regulatory requirements at the time of inspection.

This document is a Plan of Correction submitted in response to a prior inspection or deficiency report.

No specific findings or deficiencies are detailed in this document; it serves as a record of the Plan of Correction status and related metadata.