Inspection Reports for Homestead Estates Assisted Living of Leawood
12720 State Line Rd, Leawood, KS 66209, United States, KS, 66209
Back to Facility ProfileInspection Report Summary
The most recent inspection conducted on November 21, 2024, resulted in no deficiency citations. Earlier inspections showed a history of medication administration issues, documentation errors, and incomplete functional capacity screenings, with some deficiencies related to medication storage and labeling. Prior complaint investigations were mostly unsubstantiated, and no fines, immediate jeopardy findings, or license actions were listed in the available reports. The facility corrected all cited deficiencies from earlier years, including those related to medication management and policy implementation. The inspection record indicates improvement over time, with recent surveys showing no deficiencies after previous issues were addressed.
Deficiencies (last 7 years)
Deficiencies (over 7 years)
3.9 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
35% better than Kansas average
Kansas average: 6 deficiencies/yearDeficiencies per year
12
9
6
3
0
Census
Latest occupancy rate
14 residents
Based on a March 2019 inspection.
This facility has shown a decline in demand based on occupancy rates.
Census over time
Inspection Report
Re-Inspection
Deficiencies: 0
Nov 21, 2024
Visit Reason
The resurvey was conducted as a follow-up to attached complaints #190464, #187010, #187001, and #180813 at the assisted living facility.
Findings
The resurvey conducted on 11/20/24 and 11/21/24 resulted in a finding of no deficiency citations.
Inspection Report
Plan of Correction
Deficiencies: 0
Nov 20, 2024
Visit Reason
The resurvey was conducted with attached complaints #190464, #187010, #187001, and #180813 at the assisted living facility on 11/20/24 and 11/21/24.
Findings
The resurvey resulted in a finding of no deficiency citations.
Inspection Report
Renewal
Deficiencies: 0
Apr 4, 2023
Visit Reason
The inspection was a Re-Licensure survey conducted for the assisted living facility on 04/03/23 and 04/04/23.
Findings
The survey resulted in no deficiencies for the facility.
Inspection Report
Renewal
Deficiencies: 0
Apr 3, 2023
Visit Reason
The visit was conducted as a Re-Licensure survey for the assisted living facility to assess compliance for license renewal.
Findings
The Re-Licensure survey conducted on 04/03/23 and 04/04/23 resulted in no deficiencies being identified.
Inspection Report
Routine
Deficiencies: 0
Aug 4, 2020
Visit Reason
The special infection control survey for COVID-19 was conducted at the facility on 08/04/2020.
Findings
The survey resulted in findings of no deficiency citations.
Inspection Report
Re-Inspection
Deficiencies: 4
Mar 25, 2019
Visit Reason
This report documents a revisit inspection to verify that previously reported deficiencies have been corrected and to confirm the dates when corrective actions were completed.
Findings
All previously cited deficiencies related to specific regulations were corrected as of 03/21/2019, with no uncorrected deficiencies noted at the time of this revisit.
Deficiencies (4)
| Description |
|---|
| Deficiency related to regulation 26-41-205 (a) (1) |
| Deficiency related to regulation 26-41-205 (g) (3) |
| Deficiency related to regulation 26-41-205 (h) |
| Deficiency related to regulation 26-41-205 (i) |
Report Facts
Deficiencies corrected: 4
Inspection Report
Re-Inspection
Census: 14
Deficiencies: 1
Mar 25, 2019
Visit Reason
This inspection was a revisit and notice of assessment conducted at an assisted living facility to evaluate compliance with medication administration regulations.
Findings
The facility failed to ensure that medications were administered in accordance with medical care provider orders and professional standards of practice, with discrepancies found in medication administration records, medication storage, and physician orders for two sampled residents.
Severity Breakdown
SS=E: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to ensure all medications and biologicals were administered in accordance with medical care provider's written orders and professional standards of practice for residents #2062 and #2089. | SS=E |
Report Facts
Census: 14
Medication administrations documented: 50
Medication capsules available: 72
Medication capsules remaining: 20
Medication discrepancies: 1
Extra doses remaining: 2
Extra doses remaining: 1
Extra doses remaining: 1
Extra doses remaining: 2
Missing tablets: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Operator #C | Provided facility policy and procedure inservice training documentation and confirmed medication card inconsistencies | |
| Company resource licensed nurse #Y | Confirmed pharmacy delivery dates, medication reconciliation discrepancies, and order status | |
| Resident Care Coordinator #Q | Confirmed discrepancies between medication orders and administered doses | |
| Consultant nurse #I | Confirmed discrepancies between medication orders and administered doses |
Inspection Report
Re-Inspection
Deficiencies: 0
Feb 11, 2019
Visit Reason
This revisit inspection was conducted to verify that previously reported deficiencies had been corrected and to document the dates such corrective actions were accomplished.
Findings
All previously cited deficiencies were corrected as of 02/06/2019, with no uncorrected deficiencies noted at the time of this revisit.
Report Facts
Deficiency correction dates: 6
Inspection Report
Re-Inspection
Census: 15
Deficiencies: 5
Feb 11, 2019
Visit Reason
The inspection was a revisit and correction order at an assisted living facility to verify compliance with medication administration and storage regulations.
Findings
The facility failed to ensure licensed nurses performed required assessments for residents self-administering medications, failed to administer medications according to physician orders, failed to label over-the-counter medications properly, stored and administered expired medications, and failed to maintain accurate records of medication receipt and disposition.
Severity Breakdown
Level D: 1
Level E: 4
Deficiencies (5)
| Description | Severity |
|---|---|
| Failed to ensure licensed nurse performed assessment for resident self-administering medication and failed to ensure annual reassessment. | Level D |
| Failed to ensure medications administered according to medical provider's written orders and professional standards. | Level E |
| Failed to ensure licensed nurse or pharmacist placed full resident name on original over-the-counter medication packages. | Level E |
| Failed to ensure medications and biologicals were securely and properly stored and not administered beyond expiration dates. | Level E |
| Failed to maintain records of receipt and disposition of medications in sufficient detail for accurate reconciliation. | Level E |
Report Facts
Census: 15
Sample size: 4
Medication doses: 14
Expired medications: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Regional RN #I | Registered Nurse | Observed medication administration and storage issues, confirmed findings |
| Certified Medication Aide #T | Certified Medication Aide | Assisted with medication cart and storage review, confirmed labeling and expiration issues |
| Company resource licensed nurse #Z | Licensed Nurse | Confirmed medication administration discrepancies and documentation failures |
| Operator #F | Confirmed inability to reconcile medication doses and acknowledged need for improvement | |
| Company resource licensed nurse #Y | Licensed Nurse | Confirmed inability to reconcile medication doses |
Inspection Report
Renewal
Census: 21
Deficiencies: 10
Dec 19, 2018
Visit Reason
The inspection was a Licensure Resurvey of an Assisted Living Facility in Leawood, Kansas, conducted over multiple days in December 2018, including investigation of complaints #135488, #134438, and #132842.
Findings
The facility was found deficient in multiple areas including failure to maintain and implement policies on advance medical directives, failure to report and investigate allegations of abuse or neglect, inaccurate functional capacity screening, inadequate monitoring of outside service providers, medication administration errors, improper delegation of medication administration tasks, improper labeling and storage of medications, failure to maintain medication disposition records, and noncompliance with tuberculosis screening and infection control policies.
Complaint Details
The inspection included investigation of complaints #135488, #134438, and #132842.
Severity Breakdown
SS=D: 2
SS=E: 6
SS=F: 2
Deficiencies (10)
| Description | Severity |
|---|---|
| Failure to ensure development and implementation of policies related to advance medical directives and maintain copies of residents' advanced directives in medical records. | SS=D |
| Failure to report allegations of abuse or neglect within 24 hours, thoroughly investigate allegations, and maintain written records of investigations. | SS=D |
| Failure to complete functional capacity screens accurately reflecting residents' functional status. | SS=E |
| Failure to monitor services provided by outside resources and act as an advocate for residents. | SS=F |
| Failure to administer medications in accordance with medical orders and professional standards. | SS=E |
| Failure to provide documentation of licensed nurse delegation for insulin pen preparation to medication aides. | SS=E |
| Failure to ensure licensed nurse or pharmacist placed resident's full name on over-the-counter medication packages. | SS=E |
| Failure to store medications and biologicals securely and properly, including tuberculosis solution and resident medications accessible to unauthorized persons. | SS=F |
| Failure to maintain records of receipt and disposition of medications in sufficient detail for accurate reconciliation. | SS=E |
| Failure to comply with tuberculosis guidelines for adult care homes, including employee and resident TB testing and documentation. | SS=E |
Report Facts
Resident census: 21
Medication doses missed: 12
Fall risk score: 12
Number of discarded medication envelopes: 127
Number of employees hired since last resurvey: 74
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Resident Care Coordinator #G | Resident Care Coordinator | Confirmed lack of documentation for DNR and TB testing, and lack of investigation of abuse allegations |
| Certified Medication Aide #J | Certified Medication Aide | Confirmed medication administration practices and lack of medication logs |
| Regional Nurse #I | Regional Nurse | Confirmed medication administration discrepancies and destruction of medications |
| Company Floating Nurse #L | Floating Nurse | Provided documentation of therapy orders and medication destruction logs |
| Home Health Nurse #M | Home Health Nurse | Described documentation practices for home health notes |
| Operator #F | Operator | Confirmed medication order discrepancies and lack of prior awareness |
| Certified Medication Aide/Operator in Training #C | Certified Medication Aide/Operator in Training | Described insulin pen preparation practices and lack of delegation documentation |
Inspection Report
Renewal
Census: 28
Deficiencies: 2
Nov 29, 2016
Visit Reason
Licensure Resurvey conducted at an assisted living facility including investigation of Complaint #88918.
Findings
The facility failed to ensure licensed nurses provided or coordinated necessary health care services meeting residents' needs, including medication management and fall prevention. Multiple medication administration errors were documented, including improper timing and failure to follow professional standards.
Complaint Details
Complaint #88918 was investigated as part of the licensure resurvey.
Severity Breakdown
SS=E: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to ensure a licensed nurse provided or coordinated necessary health care services to meet residents' needs, including medication management and fall prevention for residents #189 and #185. | SS=E |
| Failure to ensure all medications administered in accordance with medical provider's written orders and professional standards for residents #189, #187, and #185. | SS=E |
Report Facts
Residents present: 28
Residents receiving medication management: 24
Medication doses administered too close together: 11
Medication doses administered at incorrect frequency: 3
Inspection Report
Renewal
Census: 40
Deficiencies: 5
Mar 31, 2015
Visit Reason
The inspection was a Licensure Resurvey conducted on 3/25/15, 3/26/15, 3/30/15, and 3/31/15, including investigations of Complaints #82158 and #84876.
Findings
The facility was found deficient in multiple areas including failure to conduct functional capacity screens on or before admission and at least annually, failure to develop initial negotiated service agreements at admission, failure to review and revise negotiated service agreements at least annually, and failure to conduct quarterly reviews of the facility's emergency management plan with employees and residents.
Complaint Details
Complaints #82158 and #84876 were investigated during the resurvey.
Severity Breakdown
SS=D: 3
SS=E: 2
Deficiencies (5)
| Description | Severity |
|---|---|
| Failure to ensure a functional capacity screen (FCS) conducted on or before admission for Resident #185. | SS=D |
| Failure to ensure designated facility staff conducted a functional capacity screen (FCS) at least once every 365 days for Resident #187. | SS=D |
| Failure to ensure the development of an initial negotiated service agreement (NSA) at admission for Residents #185, #187, and #189. | SS=E |
| Failure to ensure the review and if necessary revision of each negotiated service agreement (NSA) at least once every 365 days for Resident #187. | SS=D |
| Failure to ensure disaster and emergency preparedness by conducting quarterly reviews of the facility's emergency management plan with employees and residents. | SS=E |
Report Facts
Facility census: 40
Employees hired since last resurvey: 45
Sample size: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Resident Care Coordinator #B | Confirmed timing of functional capacity screens and negotiated service agreements; provided explanations regarding delays and documentation. | |
| Operator #A | Provided statements regarding emergency management plan reviews and resident council activities. |
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