Inspection Reports for Garden Villas of Lenexa

An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 2024-04-24.

All deficiencies have been corrected as of the compliance date of 2024-05-07, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.

The inspection was a resurvey with attached complaints #187357, #184822, and #184781 conducted on 04/23/24 and 04/24/24 at Garden Villas of Lenexa assisted living facility.

The inspection found deficiencies including failure to ensure a licensed nurse coordinated health care services to address sexual behaviors of a resident, failure to document quarterly reviews of the emergency management plan with staff, and failure to ensure food was served at the proper temperature.

The visit was complaint-related, attached to complaints #187357, #184822, and #184781. The investigation concluded there was no evidence to indicate abuse regarding the sexual behavior incident involving Resident 1.

The document represents the findings of a resurvey with attached complaints #187357, #184822, and #184781 conducted at the assisted living facility on 04/23/24 and 04/24/24.

This plan of correction addresses the findings from the resurvey and attached complaints conducted on the specified dates at the assisted living facility.

The visit was related to attached complaints #187357, #184822, and #184781.

An offsite revisit survey was conducted on 06/13/23 to verify correction of all previous deficiencies cited on 05/23/23.

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

The inspection was a resurvey conducted on 05/22/23 and 05/23/23 to assess compliance with previously cited deficiencies at Garden Villas of Lenexa.

The facility was found deficient in multiple areas including failure to ensure negotiated service agreements were signed by all parties, improper medication administration including use of expired medications and failure to administer prescribed medications, lack of competency assessments for medication aides dialing insulin pens, failure to label over-the-counter medications with residents' full names, and non-compliance with tuberculosis screening guidelines for residents and staff.

The document is a Plan of Correction submitted in response to findings from a resurvey conducted at the facility on 05/22/23 and 05/23/23.

The Plan of Correction addresses citations identified during the resurvey of the facility conducted on 05/22/23 and 05/23/23.

The inspection was conducted for re-licensure with attached complaints #51555, #35815, and #35613 at the assisted living facility.

The administrator failed to ensure disaster and emergency preparedness by not performing quarterly reviews of the facility's entire emergency management plan with staff and residents, as required.

The survey included attached complaints #51555, #35815, and #35613.

The special infection control survey for COVID-19 was conducted at the facility on 08/07/2020.

The survey resulted in findings of no deficiency citations.

This is a revisit inspection 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 under regulation 26-41-105 (f) (11) was corrected as of 02/11/2019. No other deficiencies or findings are documented.

The inspection was a revisit for notice of assessment at the assisted living facility Garden Villas of Lenexa conducted on 2019-02-11.

The administrator failed to ensure that all medications and biologicals were administered to residents in accordance with medical care provider's written orders and professional standards of practice. Specific medication administration discrepancies and documentation failures were found for three sampled residents (#2300, #2301, #2302).

This is a revisit report completed by a State surveyor to show those deficiencies previously reported that have been corrected and the date such corrective action was accomplished.

All previously reported deficiencies listed with their regulation numbers were corrected as of the revisit date.

Revisit for correction order 18-191 at an assisted living facility to verify correction of previously cited deficiencies related to medication administration and resident record documentation.

The facility failed to ensure medications and biologicals were administered according to medical orders and professional standards, including lack of licensed nurse assessment and documentation. Additionally, the facility failed to document incidents, symptoms, and actions taken for residents, including lack of nursing assessments prior to hospital transfer and during leave of absence.

The inspection was a resurvey with complaint investigations conducted over multiple days from 11-19-18 to 11-28-18 at an assisted living facility.

The inspection identified multiple deficiencies including inaccurate functional capacity screening documentation, incomplete negotiated service agreements lacking signatures and provider/payment details, improper medication storage, lack of registered nurse supervision for licensed practical nurses, incomplete incident documentation, insufficient staffing for emergency evacuations, inadequate emergency preparedness drills and reviews, non-compliance with tuberculosis screening guidelines, and unsecured cleaning chemicals in the facility.

The inspection was a resurvey with complaint investigations numbered 135548 and 135136.

This revisit report documents the correction of deficiencies previously cited in a prior survey of the facility.

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

Licensure re-survey with attached complaint conducted over multiple days in November 2016 to assess compliance with regulations and investigate allegations of abuse and neglect.

The facility was found deficient in multiple areas including failure to authorize a responsible employee in writing during operator absence, failure to report and investigate allegations of abuse timely, incomplete functional capacity screenings, lack of signatures on negotiated service agreements, inadequate coordination of health care services, incomplete medication self-administration assessments, incomplete staff background checks prior to employment, insufficient documentation of incidents, and unsafe food storage practices.

The complaint investigation revealed failure to report and investigate allegations of abuse involving certified staff #D, who was alleged to have caused bruises and skin tears to resident #111. The facility failed to take immediate measures to prevent further abuse and allowed the alleged staff to continue working during the investigation, placing residents in immediate jeopardy.

This is a revisit report to verify correction of previously cited deficiencies from an earlier survey conducted on 2015-02-11.

All previously reported deficiencies identified by regulation numbers 26-41-101 (f)(3), 26-41-202 (a), 26-41-204 (i), 26-41-205 (d)(4), and 26-41-206 (d) were corrected as of 2015-03-11.

This is a revisit inspection to verify that previously reported deficiencies have been corrected and to document the dates such corrective actions were accomplished.

All previously cited deficiencies listed with their regulation numbers were corrected as of the revisit date 2015-03-11.

The inspection was a resurvey of an assisted living facility conducted on 2-10-15 and 2-11-15 to verify correction of previous deficiencies related to abuse reporting, negotiated service agreements, health care services, delegation of medication administration, and food preparation.

The facility failed to report an allegation of abuse or neglect within 24 hours, ensure negotiated service agreements fully described services and providers, provide all health care services by qualified staff, properly delegate nursing tasks with documentation, and maintain complete food temperature logs to ensure safe food preparation and serving temperatures.