Inspection Reports for
Gran Villas Pittsburg
1004 E. CENTENNIAL STREET, PITTSBURG, KS, 66762-6603
Back to Facility ProfileDeficiencies (last 7 years)
Deficiencies (over 7 years)
3.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
38% better than Kansas average
Kansas average: 6 deficiencies/yearDeficiencies per year
20
15
10
5
0
Occupancy
Latest occupancy rate
71% occupied
Based on a March 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Re-Inspection
Deficiencies: 0
Date: Mar 27, 2025
Visit Reason
An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 2025-03-11.
Findings
All deficiencies have been corrected as of the compliance date of 2025-03-26, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Mar 10, 2025
Visit Reason
The document is a Plan of Correction submitted in response to findings from the licensure resurvey conducted on 03/10/25 and 03/11/25.
Findings
The Plan of Correction addresses citations identified during the licensure resurvey of the facility on the specified dates.
Inspection Report
Renewal
Census: 24
Deficiencies: 2
Date: Mar 10, 2025
Visit Reason
The inspection was a licensure resurvey conducted on 03/10/25 and 03/11/25 to assess compliance with state regulations for the facility.
Findings
The facility failed to ensure that residents' functional capacity was accurately reflected on screening forms and that negotiated service agreements identified responsibility for administration and management of selected medications for residents who self-administer medications.
Deficiencies (2)
K.A.R. 26-41-201 (d) Functional Capacity Screen was inaccurate for residents R1 and R3, as their ability to manage medications was not properly reflected on screening forms.
K.A.R. 26-41-205 (b) The negotiated service agreements for residents R1 and R3 did not identify who was responsible for administration and management of selected medications.
Report Facts
Resident census: 24
Residents self-administering medications: 13
Residents receiving insulin injections: 10
Sample residents reviewed: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN A | Registered Nurse | Named in medication management and interview confirming medication administration practices |
| Operator B | Named in interview confirming medication administration practices |
Inspection Report
Re-Inspection
Deficiencies: 9
Date: Oct 24, 2023
Visit Reason
This report is a follow-up revisit to verify correction of previously cited deficiencies at Gran Villas Pittsburg.
Findings
All previously reported deficiencies have been corrected as of the revisit date. Each deficiency is identified by regulation number and marked as completed.
Deficiencies (9)
26-41-101 (f) (1): Previously cited deficiency corrected as of 10/24/2023.
26-41-202 (h): Previously cited deficiency corrected as of 10/24/2023.
26-41-205 (a) (1): Previously cited deficiency corrected as of 10/24/2023.
26-41-205 (b): Previously cited deficiency corrected as of 10/24/2023.
26-41-205 (g) (3): Previously cited deficiency corrected as of 10/24/2023.
26-41-205 (g) (2): Previously cited deficiency corrected as of 10/24/2023.
26-41-102 (d): Previously cited deficiency corrected as of 10/24/2023.
26-41-104 (d): Previously cited deficiency corrected as of 10/24/2023.
26-41-207 (b) (5-6) (c): Previously cited deficiency corrected as of 10/24/2023.
Inspection Report
Complaint Investigation
Census: 27
Deficiencies: 9
Date: Oct 2, 2023
Visit Reason
The inspection was a resurvey with a complaint #181341 at an assisted living facility conducted on 09/27/23, 09/28/23, and 10/02/23.
Complaint Details
The visit was complaint-related under complaint #181341. The complaint involved neglect of a cognitively impaired resident who eloped from the facility unsupervised, resulting in immediate jeopardy.
Findings
The facility was found to have multiple deficiencies including immediate jeopardy related to neglect of a cognitively impaired resident who eloped due to lack of supervision. Additional findings included failure to ensure proper signatures on service agreements, incomplete medication self-administration assessments, improper medication labeling, incomplete employee records, failure to conduct quarterly emergency preparedness reviews, and noncompliance with tuberculosis screening guidelines.
Deficiencies (9)
KAR 26-41-101(f)(1)(B) The facility failed to prevent neglect when a cognitively impaired resident left the facility unsupervised and was unaccounted for approximately 45 minutes.
KAR 26-41-202(h) The facility failed to ensure the negotiated service agreement for a resident was signed by all individuals involved in its development.
KAR 26-41-205(a)(1) The facility failed to complete a medication self-administration assessment for a resident managing a Duopa pump.
KAR 26-41-205(b) The facility failed to identify the responsible person for administration and management of selected medications in a resident's negotiated service agreement.
KAR 26-41-205(g)(3) The facility failed to ensure over-the-counter medications were labeled with the resident's full name by a licensed pharmacist or nurse.
KAR 26-41-205(g)(2) The facility failed to ensure prescription medication containers had labels provided by a dispensing pharmacist.
KAR 26-41-102(d) The facility failed to ensure timely verification of nurse aide registry checks for two newly hired employees.
KAR 26-41-104(d)(3) The facility failed to conduct quarterly reviews of the emergency management plan with employees and residents for multiple quarters.
KAR 26-41-207(c) The facility failed to comply with tuberculosis guidelines by not completing TB symptom screening questionnaires within seven days of hire and delayed TB skin tests for newly hired staff.
Report Facts
Census: 27
Duration of elopement: 45
Number of deficiencies cited: 9
Number of newly hired employees with registry verification issues: 2
Number of quarters missing emergency plan review documentation: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Administrative Staff A | Informed of immediate jeopardy findings and confirmed expectations for nurse aide registry checks and emergency plan reviews. | |
| Administrative Nurse B | Documented resident confusion, elopement risk, and confirmed lack of supervision. | |
| Certified Medication Aide D | Provided statements regarding medication administration and resident supervision. | |
| Certified Medication Aide C | Witnessed resident elopement and provided complaint investigation statement. | |
| Consultant Nurse E | Informed of immediate jeopardy findings. | |
| Licensed Nurse B | Provided information on medication self-administration assessments and negotiated service agreements. |
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Sep 27, 2023
Visit Reason
The document is a plan of correction responding to findings from a resurvey conducted with a complaint investigation at an assisted living facility on 09/27/23, 09/28/23, and 10/02/23.
Complaint Details
The visit was related to complaint #181341; no substantiation status is provided.
Findings
The citations represent findings from a resurvey triggered by complaint #181341 at the assisted living facility.
Inspection Report
Abbreviated Survey
Deficiencies: 0
Date: Jul 14, 2020
Visit Reason
The facility underwent a special infection control survey for COVID-19.
Findings
The survey conducted on 2020-07-14 resulted in no deficiency citations.
Inspection Report
Re-Inspection
Deficiencies: 0
Date: May 9, 2019
Visit Reason
The visit was a resurvey of the assisted living facility to verify compliance following a previous inspection.
Findings
The resurvey conducted on 2019-05-09 resulted in no citations or deficiencies.
Inspection Report
Renewal
Deficiencies: 0
Date: May 10, 2017
Visit Reason
Licensure resurvey with complaint investigations 109773 and 110010 at the assisted living facility.
Findings
The inspection resulted in a finding of no deficiency citations on 2017-05-10.
Inspection Report
Re-Inspection
Deficiencies: 0
Date: Jun 25, 2015
Visit Reason
The licensure resurvey was conducted at the Assisted Living Facility in Pittsburg, Kansas, following a complaints investigation #88412.
Complaint Details
Complaint investigation #88412 was conducted and resulted in no deficiencies.
Findings
The resurvey resulted in a finding of no deficiency citations on 06-24-15 and 06-25-15.
Inspection Report
Re-Inspection
Deficiencies: 3
Date: Jun 2, 2014
Visit Reason
This is a revisit inspection to verify that previously reported deficiencies have been corrected.
Findings
The report confirms that the deficiencies identified in the prior survey have been corrected as of the revisit date.
Deficiencies (3)
Regulation 26-41-202 (a): Previously cited deficiency corrected as of 06/02/2014.
Regulation 26-41-204 (i): Previously cited deficiency corrected as of 06/02/2014.
Regulation 26-41-205 (g) (3): Previously cited deficiency corrected as of 06/02/2014.
Inspection Report
Complaint Investigation
Census: 27
Deficiencies: 3
Date: May 7, 2014
Visit Reason
The inspection was a resurvey and investigation of complaint #74230 at the assisted living facility conducted on 5/5/14, 5/6/14, and 5/7/14.
Complaint Details
The inspection was triggered by complaint #74230 and included a resurvey and investigation of issues related to negotiated service agreements, health care service standards, and medication labeling.
Findings
The facility failed to develop written negotiated service agreements for residents based on functional capacity screening including fall risk. Health care services were not consistently provided by qualified staff according to standards, with inadequate nursing assessments and physician consultations after resident falls. Additionally, over-the-counter medication packages were not labeled with the full name of the resident by a licensed nurse or pharmacist.
Deficiencies (3)
KAR 26-41-202(a)(1) The operator/RN failed to ensure the development of a written negotiated service agreement for residents #351 and #350 that included a description of services related to the resident's risk for falls.
KAR 26-41-204(i) The operator/RN failed to ensure health care services were provided by qualified staff in accordance with acceptable standards for residents #352, #351, and #350, including lack of nursing assessments and physician consultations after falls.
KAR 26-41-205(g)(3) The operator/RN failed to ensure a licensed nurse or pharmacist placed the full name of the resident on over-the-counter medication packages for all residents receiving such medications.
Report Facts
Census: 27
Residents sampled: 3
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N019009 POC GEHM11
Visit Reason
This document is a Plan of Correction related to a prior deficiency report for the facility Gran Villas Pittsburg.
Findings
No deficiency details or findings are included in this document. It serves solely as a record of the Plan of Correction submission.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N019009 POC IJZ611
Visit Reason
This document is a Plan of Correction related to a prior inspection event for Gran Villas Of Pittsburg.
Findings
No specific deficiencies or findings 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: N019009 POC K09G11
Visit Reason
This document is a Plan of Correction related to a prior deficiency report for the facility Gran Villas Pittsburg.
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: N019009 POC OUKQ11
Visit Reason
This document is a Plan of Correction related to a prior inspection event for the facility Gran Villas of Pittsburg.
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: N019009 POC XBU411
Visit Reason
This document is a Plan of Correction related to a prior deficiency report for a facility identified as ASPEN with Event ID XBU411.
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: N019009 POC F5S711
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: N019009 POC F5S712
Visit Reason
This document is a Plan of Correction related to a previous inspection event identified as F5S712 for the facility with State ID N019009.
Findings
No deficiency records or findings are included in this Plan of Correction document.
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