Deficiencies (last 12 years)
Deficiencies (over 12 years)
2.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
62% better than Kansas average
Kansas average: 6 deficiencies/yearDeficiencies per year
8
6
4
2
0
Occupancy
Latest occupancy rate
66% occupied
Based on a December 2024 inspection.
Occupancy rate over time
Inspection Report
Re-Inspection
Deficiencies: 0
Date: Mar 3, 2026
Visit Reason
The resurvey was conducted with attached complaints 198152, 197813, 197785, 197668, and 197649 at the assisted living facility.
Findings
The resurvey conducted on 03/02/2026 and 03/03/2026 resulted in a finding of no deficiency citations.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Mar 2, 2026
Visit Reason
The resurvey was conducted with attached complaints 198152, 197813, 197785, 197668, and 197649 at the assisted living facility.
Findings
The resurvey conducted on 03/02/26 and 03/03/26 resulted in a finding of no deficiency citations.
Inspection Report
Re-Inspection
Deficiencies: 0
Date: Jan 16, 2025
Visit Reason
An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 12/18/24.
Findings
All deficiencies have been corrected as of the compliance date of 01/16/25, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.
Inspection Report
Re-Inspection
Deficiencies: 0
Date: Jan 16, 2025
Visit Reason
An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 2024-12-18.
Findings
All deficiencies have been corrected as of the compliance date of 2025-01-16, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.
Inspection Report
Re-Inspection
Census: 29
Deficiencies: 7
Date: Dec 18, 2024
Visit Reason
The inspection was a resurvey with attached complaints #189401 and #182588 conducted at an assisted living facility to evaluate compliance with state regulations.
Complaint Details
The resurvey included attached complaints #189401 and #182588.
Findings
The facility failed to maintain required policies and procedures, did not ensure negotiated service agreements fully described resident services, lacked proper medication self-administration assessments and training, failed to document resident incidents adequately, did not provide evidence of quarterly emergency management plan reviews, and was noncompliant with tuberculosis screening guidelines.
Deficiencies (7)
KAR 26-41-101(g) The facility failed to ensure policies and procedures were always available to staff and others during normal business hours.
KAR 26-41-202(a)(1) The facility failed to ensure the negotiated service agreement for Resident 1 described services provided for cognitive difficulties.
KAR 26-41-205(a)(1) The facility failed to ensure a licensed nurse performed an assessment to determine if Resident 2 could self-administer insulin safely.
KAR 26-41-205(d)(4) The facility failed to ensure two of three sampled Certified Medication Aides received training and completed competencies for delegated insulin pen preparation.
KAR 26-41-105(f)(11) The facility failed to ensure licensed staff documented when Resident 1 returned to the facility after two hospital stays.
KAR 26-41-104(d)(3) The facility failed to provide evidence that the emergency management plan was reviewed quarterly with residents and staff.
KAR 26-41-207(c) The facility failed to ensure compliance with tuberculosis guidelines, including failure to administer the two-step TB skin test and symptom screening for residents and staff.
Report Facts
Census: 29
Deficiencies cited: 7
Residents in sample: 3
Certified Medication Aides sampled: 3
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Dec 17, 2024
Visit Reason
This document represents the findings of a resurvey with attached complaints #189401 and #182588 at the assisted living facility conducted on 12/17/24 and 12/18/24.
Findings
The document is a plan of correction submitted in response to the findings from the resurvey and complaints. Specific findings or deficiencies are not detailed in this document.
Inspection Report
Abbreviated Survey
Deficiencies: 0
Date: Jul 11, 2023
Visit Reason
The abbreviated survey was conducted in response to complaints numbered 181163 and 181189 at the assisted living facility.
Complaint Details
The survey was complaint-related for complaints 181163 and 181189 and found no deficiencies.
Findings
The survey resulted in a finding of no deficiency citations.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Jul 11, 2023
Visit Reason
The abbreviated survey was conducted on 07/11/23 in response to complaints numbered 181163 and 181189 at the assisted living facility.
Findings
The survey resulted in a finding of no deficiency citations.
Inspection Report
Re-Inspection
Deficiencies: 0
Date: May 15, 2023
Visit Reason
An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 2023-04-12.
Findings
All deficiencies have been corrected as of the compliance date of 2023-05-10 and no new noncompliance was found. The facility is in compliance with all regulations surveyed.
Inspection Report
Re-Inspection
Deficiencies: 0
Date: May 15, 2023
Visit Reason
An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 2023-04-12.
Findings
All deficiencies cited in the prior inspection have been corrected as of the compliance date of 2023-05-10. No new noncompliance was found and the facility is in compliance with all regulations surveyed.
Inspection Report
Re-Inspection
Census: 35
Deficiencies: 4
Date: Apr 12, 2023
Visit Reason
The inspection was a resurvey with complaints (#175929, #175759, #174877, #174115, #173560, and #164954) conducted on 04/11/23 and 04/12/23 at The Homestead of Lenexa.
Complaint Details
The inspection was triggered by multiple complaints (#175929, #175759, #174877, #174115, #173560, and #164954).
Findings
The facility failed to ensure licensed nursing staff provided or coordinated necessary health care services, failed to label over-the-counter medications with residents' full names, lacked documentation of incidents upon resident return from hospitalization, and did not comply with tuberculosis testing and policy requirements for newly hired employees.
Deficiencies (4)
26-41-204 (i) Health Care Services Standards of Practice: Administrator failed to ensure a licensed nurse provided or coordinated necessary health care services meeting the needs of Resident 8, resulting in missed monthly lithium lab draws and subsequent lithium toxicity hospitalization.
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 medications for residents 4, 5, 6, and 7.
26-41-105 (f) (11) Resident Record Documentation of Incidents: Facility failed to document all incidents, symptoms, and indications of illness including date, time, action taken, and results when Resident 8 returned to the facility after hospitalization on 07/25/22.
26-41-207 (b) (5-6) (c) Infection Control Policies: Facility failed to ensure compliance with tuberculosis guidelines by not completing TB testing and questionnaires upon hire for five staff members and lacking a TB policy.
Report Facts
Resident census: 35
Number of complaints: 6
Number of newly hired employees reviewed: 5
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Apr 11, 2023
Visit Reason
The document is a plan of correction submitted in response to a resurvey with complaints conducted on April 11 and April 12, 2023.
Findings
The plan of correction addresses findings from a resurvey triggered by multiple complaints at the facility on April 11 and 12, 2023.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Jun 17, 2021
Visit Reason
This document is a plan of correction related to deficiencies identified in a prior inspection report dated 2021-06-17 for the facility 'the homestead of lenexa'.
Findings
No specific findings or deficiencies are detailed in this plan of correction document. It references a prior deficiency report but contains no records or descriptions of findings itself.
Inspection Report
Renewal
Deficiencies: 0
Date: Jun 17, 2021
Visit Reason
A survey for re-licensure with attached complaint #138519 was conducted on 06/16/2021 and 06/17/2021 at the assisted living facility in Lenexa, KS.
Complaint Details
The visit was complaint-related with complaint #138519 attached, but no deficiencies were found.
Findings
The survey resulted in a finding of no deficiency citations.
Inspection Report
Routine
Deficiencies: 0
Date: Aug 7, 2020
Visit Reason
The special infection control survey for COVID-19 was conducted at the facility on 08/07/2020.
Findings
The survey resulted in findings of no deficiency citations.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Sep 18, 2018
Visit Reason
This document is a Plan of Correction related to a previously identified deficiency report for the facility.
Findings
No specific deficiencies or findings are detailed in this document. It serves as a record of the Plan of Correction submission.
Inspection Report
Re-Inspection
Deficiencies: 0
Date: Sep 17, 2018
Visit Reason
This visit was conducted as a follow-up to verify correction of previously cited deficiencies at the facility.
Findings
The report documents that previously reported deficiencies identified by regulation numbers 26-41-101 (f)(1) and 26-41-102 (d) have been corrected as of the revisit date.
Inspection Report
Follow-Up
Deficiencies: 2
Date: Sep 17, 2018
Visit Reason
This is a follow-up revisit inspection to verify that previously reported deficiencies have been corrected and to document the dates such corrective actions were accomplished.
Findings
The report confirms that the previously cited deficiencies identified by regulation numbers 26-41-101 (f)(1) and 26-41-102 (d) have been corrected as of the revisit date.
Deficiencies (2)
Regulation 26-41-101 (f)(1) deficiency was corrected by the revisit date.
Regulation 26-41-102 (d) deficiency was corrected by the revisit date.
Inspection Report
Renewal
Census: 30
Deficiencies: 2
Date: Aug 29, 2018
Visit Reason
The inspection was conducted for re-licensure with attached complaints at an assisted living facility in Lenexa, Kansas on 8/27/18, 8/28/18, and 8/29/18.
Complaint Details
The visit included attached complaints related to neglect of resident care and employee record deficiencies.
Findings
The facility was found deficient for neglect related to failure to provide necessary nursing assessment and treatment for a resident with a stage II pressure ulcer, which progressed to an unstageable ulcer requiring surgical debridement. Additionally, employee records lacked timely documentation of criminal background checks and nurse aide registry verification for certified staff.
Deficiencies (2)
KAR 26-41-101 (f)(1)(B) The facility failed to ensure a resident with a stage II pressure ulcer received nursing assessment, physician ordered treatment, or individualized interventions for 13 days, resulting in wound progression to an unstageable ulcer requiring surgical debridement.
KAR 26-41-102 (d) The facility failed to maintain employee records with timely documentation of nurse aide registry checks and criminal background checks for 4 certified staff prior to hire.
Report Facts
Resident census: 30
Certified staff with deficient records: 4
Inspection Report
Follow-Up
Deficiencies: 1
Date: Aug 10, 2016
Visit Reason
This visit was conducted as a follow-up to verify that previously reported deficiencies have been corrected and to confirm the date such corrective actions were accomplished.
Findings
The report confirms that the deficiencies identified in the prior survey were corrected by the facility as of 08/09/2016. No uncorrected deficiencies are noted in this revisit report.
Deficiencies (1)
Regulation 26-41-104 (d) deficiency was corrected as of 08/09/2016. Regulation 26-41-206 (a) (b) deficiency was corrected as of 08/09/2016.
Inspection Report
Follow-Up
Deficiencies: 2
Date: Aug 10, 2016
Visit Reason
This visit was conducted as a follow-up to verify that previously reported deficiencies have been corrected and to confirm the dates such corrective actions were accomplished.
Findings
The report confirms that the deficiencies previously cited under regulations 26-41-104(d) and 26-41-206(a)(b) were corrected as of 08/09/2016. No uncorrected deficiencies were noted at the time of this revisit.
Deficiencies (2)
Regulation 26-41-104(d) deficiency was corrected as of 08/09/2016.
Regulation 26-41-206(a)(b) deficiency was corrected as of 08/09/2016.
Inspection Report
Re-Inspection
Census: 28
Deficiencies: 3
Date: Jul 8, 2016
Visit Reason
The inspection was a licensure re-survey of an assisted living facility conducted over multiple days from 7/5/16 to 7/8/16 to assess compliance with state regulations.
Findings
The facility failed to ensure licensed nursing coordination of necessary health care services for residents, lacked adequate disaster and emergency preparedness including staff knowledge of door codes and emergency plans, and did not comply with dietary service regulations for residents requiring special diets.
Deficiencies (3)
KAR 26-41-204(a) Health Care Services: The operator failed to ensure licensed nursing coordination of necessary health care services for two residents, including lack of documentation for fall interventions, use of bed cane, outside providers, and safety checks of side rails.
KAR 26-4-104(d) Disaster and Emergency Preparedness: The operator failed to ensure all staff knew door codes for exit doors without delayed egress locks and failed to conduct quarterly reviews of the emergency management plan with employees and residents.
KAR 26-42-206(a)(c) Dietary Services: The operator failed to ensure a medical care provider's order was on file and that mechanically altered diets were prepared according to instructions for a resident receiving a pureed diet.
Report Facts
Census: 28
Sample size: 3
Inspection Report
Complaint Investigation
Census: 30
Deficiencies: 1
Date: May 5, 2015
Visit Reason
The inspection was conducted as an abbreviated survey with a complaint investigation related to allegations of abuse or neglect at the assisted living facility.
Complaint Details
The complaint investigation was triggered by family concerns that resident #145 was not taking medications appropriately, including pocketing and spitting out pills. The facility failed to notify the department of these allegations within 24 hours as required.
Findings
The operator failed to ensure that each allegation of abuse or neglect was reported to the department within 24 hours as required. Specifically, for resident #145, the facility did not report family allegations regarding medication pocketing and misuse within the mandated timeframe.
Deficiencies (1)
KAR 26-41-101 (f)(3) Staff Treatment of Residents Reporting: The operator failed to report each allegation of abuse or neglect to the department within 24 hours as required by regulation.
Report Facts
Census: 30
Sample size: 3
Pills found: 18
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed staff A | Interviewed regarding resident #145's medication concerns and care plan meeting. | |
| Licensed staff D | Licensed staff | Signed clinical notes regarding medication administration education. |
| Administrative staff B | Attended care plan meeting for resident #145. |
Inspection Report
Re-Inspection
Deficiencies: 2
Date: Sep 22, 2014
Visit Reason
This revisit inspection was conducted to verify that previously reported deficiencies at The Homestead of Lenexa were corrected.
Findings
The report confirms that the deficiencies identified in the prior survey were corrected as of the revisit date.
Deficiencies (2)
Regulation 26-41-200 (a): Previously cited deficiency was corrected by 09/22/2014.
Regulation 26-41-201 (c): Previously cited deficiency was corrected by 09/22/2014.
Inspection Report
Re-Inspection
Deficiencies: 2
Date: Sep 22, 2014
Visit Reason
This is a revisit report to verify that previously reported deficiencies have been corrected and to document the dates such corrective actions were accomplished.
Findings
The report confirms that the deficiencies identified by regulation numbers 26-41-200 (a) and 26-41-201 (c) were corrected as of 09/22/2014.
Deficiencies (2)
Regulation 26-41-200 (a) deficiency was corrected on 09/22/2014.
Regulation 26-41-201 (c) deficiency was corrected on 09/22/2014.
Inspection Report
Abbreviated Survey
Census: 39
Deficiencies: 2
Date: Aug 26, 2014
Visit Reason
The inspection was an abbreviated survey with complaint investigation conducted at an assisted living facility to evaluate compliance with resident care and safety regulations.
Complaint Details
The visit included a complaint investigation related to a resident eloping from the facility and sustaining injury due to inadequate management of behavioral symptoms and insufficient monitoring.
Findings
The facility failed to ensure a resident with behavioral symptoms exceeding manageability was not retained without adequate service agreements, resulting in the resident eloping and sustaining injury. Additionally, the facility failed to conduct a functional capacity screening following a significant change in the resident's condition.
Deficiencies (2)
KAR 26-41-200(a)(5) Resident Criteria: The facility retained a resident with behavioral symptoms exceeding manageability without a negotiated service agreement addressing caregiving, wandering, and exit seeking behaviors, leading to the resident eloping and sustaining a head injury.
KAR 26-41-201(c)(2) Functional Capacity Screen Reassessment: The facility failed to conduct a functional capacity screening following a significant change in condition for a resident exhibiting new behavioral symptoms.
Report Facts
Resident census: 39
Height of embankment: 15
Date of resident admission: Jun 17, 2014
Date of elopement: Jul 7, 2014
Date of resident discharge: Jul 9, 2014
Inspection Report
Renewal
Deficiencies: 0
Date: Jul 2, 2014
Visit Reason
The licensure resurvey was conducted as a renewal inspection of the assisted living facility.
Findings
The inspection resulted in no deficiency citations for the facility on the date of the survey.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Feb 12, 2013
Visit Reason
This document is a Plan of Correction related to a prior inspection event identified as 3F9411 for the facility with State ID N046043.
Findings
No deficiency records or findings are included in this Plan of Correction document.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: May 1, 2012
Visit Reason
This document is a Plan of Correction submitted in response to deficiencies identified in a prior inspection.
Findings
No deficiencies or findings are detailed in this document. It only references the Plan of Correction status and contact information for assistance.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Jan 31, 2012
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: N046043 POC KHP412
Visit Reason
This document is a Plan of Correction related to a prior inspection event identified as KHP412 for facility State ID N046043.
Findings
No deficiency details or findings are included in this document. It serves only as a record of the Plan of Correction submission and modification dates.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N046043 POC UK3T11
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 reference to the plan of correction for the facility.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N046043 POC V87X11
Visit Reason
This document is a plan of correction submitted in response to deficiencies cited in a prior inspection report for the facility.
Findings
No specific findings or deficiencies are detailed in this document; it serves as a corrective action plan linked to a previous inspection.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N046043 POC Y2VT12
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 solely as a record of the Plan of Correction submission.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N046043 POC Y2VT13
Visit Reason
This document is a Plan of Correction related to a previously identified 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: N046043 POC ZU8011
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 solely as a record of the Plan of Correction submission.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N046043 POC ZV6P11
Visit Reason
This document is a Plan of Correction related to a previous deficiency report for the facility.
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: N046043 POC ZV6P12
Visit Reason
This document is a Plan of Correction related to a previously identified deficiency at the facility.
Findings
No deficiency details or findings are provided in this document. It only references the Plan of Correction status and contact information for assistance.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N046043 POC 28NU11
Visit Reason
This document is a Plan of Correction related to a previously identified deficiency at the facility.
Findings
No deficiency details or findings are included in this document. It serves as a placeholder or record for the Plan of Correction submission.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N046043 POC 4RBX11
Visit Reason
This document is a Plan of Correction related to a prior deficiency report for The Homestead of Lenexa.
Findings
No specific findings or deficiencies are detailed in this document. It serves as a corrective action plan submission.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N046043 POC 5EMQ11
Visit Reason
This document is a Plan of Correction submitted in response to deficiencies identified during a prior inspection event.
Findings
No specific deficiencies or findings 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: N046043 POC CR2I11
Visit Reason
This document is a Plan of Correction related to a prior inspection or regulatory event for the facility identified as State ID N046043 ASPEN Event ID CR2I11.
Findings
No deficiency details or findings are included in this document. It serves solely as a Plan of Correction record with no substantive content provided.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N046043 POC CR2I12
Visit Reason
This document is a Plan of Correction related to a prior inspection event identified as CR2I12 for the facility with State ID N046043.
Findings
No specific deficiencies or findings are detailed in this document. It serves as a placeholder or record for the Plan of Correction submission.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N046043 POC CR2I13
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: N046043 POC KHP411
Visit Reason
This document is a Plan of Correction related to a prior inspection or deficiency report for The Homestead Lenexa facility.
Findings
No specific findings or deficiencies are detailed in this document. It serves as a record of the Plan of Correction submission and related administrative information.
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