Inspection Reports for
Homestead Health Center
2133 S. ELIZABETH STREET, WICHITA, KS, 67213-3403
Back to Facility ProfileDeficiencies (last 6 years)
Deficiencies (over 6 years)
13.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
128% worse than Kansas average
Kansas average: 6 deficiencies/yearDeficiencies per year
28
21
14
7
0
Occupancy
Latest occupancy rate
96% occupied
Based on a August 2024 inspection.
This facility has shown a decline in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Routine
Census: 43
Deficiencies: 6
Date: Aug 28, 2024
Visit Reason
Routine inspection of Homestead Health Center to assess compliance with regulatory requirements including resident care, safety, medication management, infection control, and vaccination policies.
Findings
The facility failed to ensure proper documentation and implementation of Do Not Resuscitate orders, timely revision of care plans after resident falls, safe wheelchair use, secure medication storage, infection control practices, and vaccination declination documentation. Multiple residents were at risk due to these deficiencies.
Deficiencies (6)
F 0578: The facility failed to ensure Resident 35, who was cognitively intact, signed her own Do Not Resuscitate order; instead, a family member who was not the durable power of attorney signed it.
F 0657: The facility failed to timely revise care plans for residents 21, 35, 37, 9, and 12 after falls or changes in care needs, placing them at risk for uncommunicated care needs and further injury.
F 0689: The facility failed to maintain a safe environment by not implementing fall prevention interventions after each fall for residents 12, 21, 35, 37, and 20, including failure to address wheelchair foot pedal use for resident 20.
F 0761: The facility failed to ensure medication carts were locked when unattended, risking unauthorized access to medications and treatment supplies.
F 0880: The facility failed to maintain effective infection control when a staff member poked a straw through a potentially contaminated plastic film on a supplement shake before assisting a resident to drink it.
F 0883: The facility failed to provide pneumococcal vaccine declination forms for two residents, 37 and 38, lacking documentation of vaccine refusal or acceptance.
Report Facts
Residents sampled: 12
Residents affected: 21
Fall risk scores: 13
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Administrative Nurse B | Administrative Nurse | Reported on care plan revision responsibilities, medication cart security, infection control expectations, and vaccination documentation. |
| Licensed Nurse Q | Licensed Nurse | Observed unlocked medication cart and confirmed it should be locked. |
| Certified Medication Aide H | Certified Medication Aide | Observed poking straw through plastic film on supplement shake. |
| Certified Nurse Aide G | Certified Nurse Aide | Reported fall response procedures. |
| Certified Medication Aide K | Certified Medication Aide | Reported on resident exercise participation and fall response. |
| Certified Nurse Aide L | Certified Nurse Aide | Assisted resident with toileting and reported resident's preferences. |
Inspection Report
Complaint Investigation
Census: 42
Deficiencies: 2
Date: Jan 4, 2024
Visit Reason
The inspection was conducted due to a complaint investigation regarding inappropriate urinary catheter care provided to Resident 1 (R1), including flushing the catheter without a physician's order and using contaminated equipment.
Complaint Details
The complaint investigation was substantiated. The facility failed to provide appropriate urinary catheter care to Resident 1, including flushing the catheter without a physician order and using a contaminated syringe, resulting in immediate jeopardy to resident health and safety.
Findings
The facility failed to ensure appropriate indwelling urinary catheter care and nursing staff competency, resulting in R1 experiencing burning pain, hematuria, and increased risk of infection and bladder tissue damage. The incident involved flushing the catheter with a syringe contaminated with bleach residue and without physician orders.
Deficiencies (2)
F 0690: The facility failed to provide appropriate care for residents with indwelling urinary catheters, resulting in R1 experiencing burning pain and hematuria due to flushing with a syringe contaminated with bleach residue without a physician's order.
F 0726: The facility failed to ensure nursing staff competency for urinary catheter care, as LN G flushed R1's catheter without an order and used a non-sterile syringe contaminated with bleach residue, causing pain and hematuria.
Report Facts
Residents present: 42
Pain level: 5
Urine blood positivity: 3
Syringe volume: 60
Syringe volume: 50
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LN G | Licensed Nurse | Performed catheter flushing without physician order and used contaminated syringe causing resident pain |
| Administrative Nurse D | Administrative Nurse | Responded to incident, contacted physician extender, monitored resident, and implemented corrective actions |
| Physician Extender GG | Physician Extender | Provided medical orders and guidance following catheter flushing incident |
Inspection Report
Annual Inspection
Census: 41
Deficiencies: 8
Date: Dec 15, 2022
Visit Reason
Annual inspection of Homestead Health Center to assess compliance with regulatory requirements across multiple care areas including advanced directives, infection prevention, respiratory care, dialysis, medication management, food safety, and quality assurance.
Findings
The facility was found deficient in multiple areas including failure to clarify and document advanced directives, inadequate infection prevention practices leading to risk of urinary tract infections, failure to obtain physician orders and properly store oxygen for residents, inadequate dialysis communication, delayed implementation of pharmacist recommendations for medication adjustments, unsafe food storage and handling practices, and failure to conduct Quality Assessment and Assurance meetings with required members.
Deficiencies (8)
F 0578: The facility failed to clarify Resident 32's advanced directives to ensure the resident's wishes regarding resuscitation were clearly defined and reflected in the charting system.
F 0690: The facility failed to provide appropriate treatment and services to prevent possible urinary tract infections for Resident 41 due to improper hand hygiene and glove use by staff.
F 0695: The facility failed to obtain a physician order to appropriately administer oxygen to Resident 24 and failed to properly store oxygen tubing to prevent contamination.
F 0698: The facility failed to provide treatment consistent with professional standards by not monitoring dialysis treatments appropriately and not sending or collecting dialysis communication forms for Resident 19.
F 0756: The facility failed to act upon pharmacist consultant recommendations in a timely manner for Resident 30 by not decreasing the dose of pantoprazole as recommended.
F 0757: The facility failed to ensure adequate monitoring for Resident 30 by not decreasing the dose of pantoprazole as ordered, placing the resident at risk for adverse effects.
F 0812: The facility failed to store foods safely and sanitary by not dating and resealing opened food items, failing to discard expired items, and improper handling of plates, risking foodborne illness.
F 0868: The facility failed to conduct quarterly Quality Assessment and Assurance committee meetings with required members present, including the Director of Nursing.
Report Facts
Residents sampled: 12
Days delay: 87
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LN H | Licensed Nurse | Confirmed not completing Medication Record Reviews and discussed oxygen and dialysis care |
| Administrative Nurse D | Administrative Nurse | Confirmed failures in oxygen orders, dialysis communication, medication review processing, and QAA meeting attendance |
| CNA M | Certified Nursing Aide | Reported on DNR status documentation and staff procedures |
| Consultant Staff GG | Consultant Staff | Confirmed issues with timely responses to pharmacist recommendations |
| Dietary Manager BB | Dietary Manager | Reported on food storage and sanitation deficiencies |
| Dietary Staff CC | Dietary Staff | Observed food storage and handling practices |
| Dietary Staff DD | Dietary Staff | Observed improper plate handling and reported lack of training |
| Licensed Nurse I | Licensed Nurse | Discussed dialysis care and communication |
| Licensed Nurse G | Licensed Nurse | Reported on DNR documentation procedures |
| Licensed Nurse LN | Licensed Nurse | Reported on DNR documentation procedures |
| Social Services X | Social Services Staff | Described advanced directive document handling |
Inspection Report
Complaint Investigation
Census: 45
Deficiencies: 9
Date: Jun 16, 2021
Visit Reason
The inspection was conducted to investigate complaints related to medication self-administration, transfer/discharge notifications, care plan updates, CNA training, medication regimen reviews, pain management, dietary preparation, and social media training compliance.
Complaint Details
The inspection was complaint-related, investigating multiple issues including medication self-administration, transfer/discharge notifications, care plan updates, CNA training, medication regimen reviews, pain management, dietary preparation, and social media training compliance.
Findings
The facility failed to assess and document resident ability to self-administer medications, provide timely written transfer/discharge notices and bed-hold policy information, update care plans with Black Box Warnings, ensure CNAs completed required training including social media, complete timely physician orders in response to pharmacist medication reviews, assess pain properly with PRN medications, and prepare pureed diets according to nutritional standards.
Deficiencies (9)
F 0554: The facility failed to assess and document Resident 7's ability to self-administer medications as required by policy.
F 0623: The facility failed to provide written notice of transfer/discharge to residents or their representatives for Residents 3 and 28.
F 0625: The facility failed to notify residents or their representatives in writing about bed-hold policies upon hospital transfer for Residents 3 and 28.
F 0657: The facility failed to update Resident 7's care plan to include all current medications with Black Box Warnings.
F 0730: The facility failed to ensure all Certified Nurse Aides completed the required 12 hours of annual training.
F 0756: The facility failed to complete physician orders in response to monthly pharmacist medication regimen reviews in a timely manner for Resident 7.
F 0757: The facility failed to ensure nursing staff assessed Resident 7's pain with a numeric pain scale when administering PRN pain medications.
F 0803: The facility failed to provide Residents 23, 2, and 30 with pureed diets that preserved nutritional value by not following recipes and adding excess fluid and combining protein with dinner rolls.
F 0947: The facility failed to ensure all Certified Nurse Aides were trained annually on Social Media policies.
Report Facts
Facility census: 45
PRN Acetaminophen administrations: 33
PRN Biofreeze administrations: 5
PRN Cyclobenzaprine administrations: 52
CNA training hours completed: 9
CNA training hours completed: 5.5
CNA training hours completed: 10
CNA training hours completed: 10.5
Pureed turkey portion: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Nurse J | Licensed Nurse | Named in medication self-administration and pain assessment findings |
| Administrative Staff A | Administrative Staff | Interviewed regarding medication self-administration, transfer notices, bed-hold policies, CNA training, and pain assessment |
| Administrative Nurse B | Administrative Nurse | Interviewed regarding medication self-administration, care plan updates, medication regimen reviews, and pain assessment |
| Certified Nurse Aide P | Certified Nurse Aide | Interviewed regarding resident hospitalizations |
| Certified Nurse Aide O | Certified Nurse Aide | Interviewed regarding resident hospitalizations |
| Licensed Nurse N | Licensed Nurse | Interviewed regarding resident hospitalizations and bed-hold knowledge |
| Administrative Staff M | Administrative Staff | Interviewed regarding transfer notices and bed-hold policies |
| Certified Nurse Aide F | Certified Nurse Aide | Interviewed regarding resident hospitalizations |
| Licensed Nurse K | Licensed Nurse | Interviewed regarding resident hospitalizations |
| Licensed Nurse L | Licensed Nurse | Interviewed regarding resident hospitalizations |
| Licensed Social Worker R | Licensed Social Worker | Interviewed regarding transfer notices |
| Dietary [NAME] C | Dietary Staff | Interviewed regarding pureed diet preparation |
| Certified Dietary Manager D | Certified Dietary Manager | Interviewed regarding pureed diet preparation |
| Administrative Staff A | Administrative Staff | Interviewed regarding CNA training and social media training |
Inspection Report
Follow-Up
Deficiencies: 3
Date: Oct 31, 2014
Visit Reason
This visit was a post-certification revisit to verify that previously cited deficiencies had been corrected as of the revisit date.
Findings
The report confirms that all previously reported deficiencies identified on the CMS-2567 were corrected by the revisit date of 10/31/2014.
Deficiencies (3)
Regulation 483.25(i) deficiency was corrected by 10/31/2014.
Regulation 483.25(l) deficiency was corrected by 10/31/2014.
Regulation 483.60(c) deficiency was corrected by 10/31/2014.
Inspection Report
Plan of Correction
Deficiencies: 3
Date: Oct 31, 2014
Visit Reason
This document is a Plan of Correction submitted by the facility to address deficiencies identified in a prior inspection related to compliance with Federal Medicare and Medicaid requirements.
Findings
The facility outlines corrective actions for issues including documentation of meal and supplement intake to prevent weight loss, ensuring drug regimens are free from unnecessary drugs, and monthly review of drug regimens with monitoring of blood sugar parameters.
Deficiencies (3)
F325-D: The facility will document intake of meals and supplements to determine if interventions are necessary to prevent weight loss. Residents will be weighed per policy and dietary and nursing staff will document supplements served.
F329-D: The facility will ensure each resident's drug regimen is free from unnecessary drugs. Blood sugars will be monitored and physicians notified if parameters are outside set limits.
F428-D: The facility will ensure monthly review of each resident's drug regimen and report irregularities to the physician and Director of Nursing. Nursing staff will be trained on Sliding Scale Insulin documentation and monitoring.
Inspection Report
Plan of Correction
Deficiencies: 1
Date: Oct 2, 2014
Visit Reason
A Health survey was conducted to determine if the facility complies with Federal participation requirements for nursing homes participating in Medicare and/or Medicaid programs.
Findings
The survey found isolated 'D' level deficiencies that constitute no actual harm but have potential for more than minimal harm without immediate jeopardy. The facility submitted a plan of correction which was accepted, resulting in a finding of substantial compliance effective October 31, 2014.
Deficiencies (1)
The facility had isolated 'D' level deficiencies that constitute no actual harm with potential for more than minimal harm and no immediate jeopardy.
Inspection Report
Complaint Investigation
Census: 49
Deficiencies: 3
Date: Oct 2, 2014
Visit Reason
The inspection was conducted as a Health Resurvey and Complaint Investigation #68631 to assess compliance with regulatory requirements related to resident care and medication administration.
Complaint Details
The inspection included a complaint investigation related to nutritional status and medication administration concerns for residents.
Findings
The facility failed to maintain acceptable nutritional status for two residents by not documenting meal and supplement intake during weight loss periods. Additionally, the facility failed to administer insulin per sliding scale orders for one resident and the consultant pharmacist did not address this medication irregularity.
Deficiencies (3)
F325: The facility failed to document meal and supplement intake for two residents at risk for weight loss, resulting in continued weight loss without appropriate intervention.
F329: The facility failed to administer sliding scale insulin as ordered for one resident with diabetes, despite multiple blood sugar readings above 250.
F428: The facility's consultant pharmacist failed to report or act upon the lack of sliding scale insulin administration for one resident requiring insulin therapy.
Report Facts
Resident census: 49
Resident #55 weight loss: 23.8
Resident #27 weight loss: 22
Blood sugar readings over 250: 17
A1C lab value: 6.5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nurse B | Verified failure to administer sliding scale insulin as ordered for Resident #15. | |
| Administrative Nurse A | Verified failure to administer sliding scale insulin and confirmed staff responsibilities. | |
| Consultant Pharmacist D | Verified failure to address lack of sliding scale insulin administration for Resident #15. | |
| Registered Dietician E | Confirmed facility did not document meal and supplement intake regularly for residents at risk for weight loss. |
Inspection Report
Life Safety
Deficiencies: 1
Date: Jan 14, 2014
Visit Reason
A Life Safety Code survey was conducted by the State Fire Marshal's Office to determine compliance with Federal requirements for nursing homes participating in Medicare and/or Medicaid programs.
Findings
The survey found widespread 'F' level deficiencies indicating no harm but with potential for more than minimal harm, not constituting immediate jeopardy. A plan of correction was required and remedies including denial of payments and possible termination of provider agreement were recommended if substantial compliance was not achieved.
Deficiencies (1)
The facility was cited for widespread 'F' level deficiencies under the Life Safety Code indicating noncompliance with federal requirements. These deficiencies posed no immediate jeopardy but had potential for more than minimal harm.
Report Facts
Days to submit plan of correction: 10
Effective date for denial of payments: Apr 14, 2014
Provider agreement termination date: Jul 14, 2014
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Brenda McNorton | Director of Fire Prevention Division | Contact person for Informal Dispute Resolution process. |
| Irina Strakhova | Enforcement Coordinator | Signed the enforcement letter. |
Inspection Report
Plan of Correction
Deficiencies: 7
Date: Jul 23, 2013
Visit Reason
This document is a Plan of Correction submitted by the facility in response to deficiencies cited in a prior inspection report. It outlines corrective actions to address identified issues and ensure compliance with Federal Medicare and Medicaid requirements.
Findings
The plan addresses multiple areas including care plan revisions, pain management, catheter care, fall prevention, hydration, food safety, and infection control. The facility describes specific interventions, staff education, and monitoring procedures to achieve substantial compliance.
Deficiencies (7)
F280-D: The facility will review and revise care plans quarterly and as needed. Residents #1 and #34 had care plans revised to address pain and accidents.
F309-D: The facility will provide care to ensure the highest well-being, including medication administration prior to range of motion exercises for Resident #1 and addressing all pain issues.
F315-D: The facility will provide appropriate catheter care to prevent urinary tract infections, including daily monitoring and staff in-service on catheter positioning.
F323-D: The facility will use care plans consistently for fall prevention, implementing alarms for residents #34 and #57 and monitoring compliance.
F327-D: The facility will provide sufficient fluids to maintain hydration for residents #42 and #47, ensuring water pitchers are within reach and fluids are offered multiple times daily.
F371-E: The facility will ensure all food, including ready-to-eat items, are stored and served in a sanitary manner. Ten residents who received a hamburger bun on 6/19/2013 were assessed and not harmed.
F441-E: The facility will maintain an Infection Control Program for Housekeeping and Laundry, including staff re-education and monitoring to prevent spread of communicable diseases.
Report Facts
Residents assessed: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nancy Vestring | Administrator | Submitted the Plan of Correction |
Inspection Report
Follow-Up
Deficiencies: 7
Date: Jul 23, 2013
Visit Reason
This visit was conducted as a post-certification revisit to verify that previously cited deficiencies have been corrected.
Findings
All deficiencies previously reported on the CMS-2567 were corrected as of the revisit date. Corrections were completed for multiple regulatory requirements.
Deficiencies (7)
Regulation 483.20(d)(3), 483.10(k)(2): Previously cited deficiency corrected as of 07/23/2013.
Regulation 483.25: Previously cited deficiency corrected as of 07/23/2013.
Regulation 483.25(d): Previously cited deficiency corrected as of 07/23/2013.
Regulation 483.25(h): Previously cited deficiency corrected as of 07/23/2013.
Regulation 483.25(j): Previously cited deficiency corrected as of 07/23/2013.
Regulation 483.35(i): Previously cited deficiency corrected as of 07/23/2013.
Regulation 483.65: Previously cited deficiency corrected as of 07/23/2013.
Inspection Report
Re-Inspection
Census: 47
Deficiencies: 7
Date: Jun 24, 2013
Visit Reason
Health resurvey inspection conducted to assess compliance with federal regulations related to resident care, safety, infection control, and facility operations.
Findings
The facility was found deficient in multiple areas including failure to revise care plans for pain management and fall prevention, inadequate pain relief interventions, improper catheter care leading to infection risk, inconsistent use of fall prevention alarms, insufficient hydration for residents, unsafe food handling practices, and inadequate housekeeping leading to infection control risks.
Deficiencies (7)
F 280: The facility failed to revise care plans to include non-pharmacological pain relief and ensure provision of as needed pain medications prior to range of motion and splint application for resident #1.
F 309: The facility failed to provide non-pharmacological pain management and/or PRN medications as ordered for resident #1, resulting in inadequate pain relief during care.
F 315: The facility failed to provide appropriate catheter care for a resident with a suprapubic catheter, including failure to keep drainage tubing off the floor and sanitize equipment, increasing risk of urinary tract infections.
F 323: The facility failed to consistently utilize planned fall prevention interventions including floor alarm mats and chair alarms for residents #34 and #57, resulting in multiple falls and increased risk of injury.
F 327: The facility failed to provide sufficient fluid intake and keep fluids within reach for residents #42 and #47, resulting in risk of dehydration.
F 371: The facility failed to serve foods under sanitary conditions by improper handling of hamburger buns with gloved hands that touched menus and serving utensils, risking foodborne illness for 10 residents.
F 441: The facility failed to provide appropriate housekeeping services in an isolation room for a resident with MRSA, including inadequate disinfection procedures and improper cleaning techniques, risking spread of infection.
Report Facts
Facility census: 47
Residents sampled: 23
Residents receiving sloppy joes: 10
BUN lab value: 34
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff H | Dietary Staff | Handled hamburger buns with gloves that touched menus and utensils, contributing to food handling deficiency |
| Staff O | Housekeeping Staff | Performed inadequate cleaning and disinfection in isolation room for MRSA resident |
| Licensed Nurse B | Licensed Nurse | Interviewed regarding fall prevention and alarm use |
| Administrative Nurse A | Administrative Nurse | Interviewed regarding care plan updates and fall prevention |
Inspection Report
Follow-Up
Deficiencies: 2
Date: Mar 2, 2013
Visit Reason
This visit was conducted as a post-certification revisit to verify correction of previously cited deficiencies.
Findings
The report shows that deficiencies previously cited under regulations 483.25(c) and 483.35(d)(1)-(2) were corrected as of the revisit date.
Deficiencies (2)
Regulation 483.25(c): Previously cited deficiency was corrected by the revisit date.
Regulation 483.35(d)(1)-(2): Previously cited deficiency was corrected by the revisit date.
Inspection Report
Plan of Correction
Deficiencies: 2
Date: Feb 8, 2013
Visit Reason
This document is a Plan of Correction submitted by the facility to address deficiencies cited in a prior inspection related to pressure ulcer care and pureed diet provision.
Findings
The facility had deficiencies in ensuring residents with pressure ulcers had appropriate care plans and that residents requiring pureed diets received nutritious, palatable, and properly prepared food.
Deficiencies (2)
F314: The facility failed to ensure residents with pressure ulcers had and followed care plans to promote healing and prevent further ulcers. Care plans for affected residents were reviewed and updated, with weekly monitoring implemented.
F364: The facility failed to ensure residents requiring pureed diets received food that was nutritious, palatable, attractive, and at the proper temperature. Dietary staff were inserviced and proper measuring tools ordered to meet standards.
Report Facts
Residents requiring pureed diet: 7
Plan of correction completion date: Facility to be in substantial compliance on or before 2013-03-02
Inspection Report
Complaint Investigation
Census: 53
Deficiencies: 2
Date: Feb 1, 2013
Visit Reason
The inspection was conducted based on complaint investigations #61279 and #62054 regarding pressure ulcer care and dietary concerns.
Complaint Details
The visit was triggered by complaint investigations #61279 and #62054 concerning pressure ulcer care and dietary preparation issues.
Findings
The facility failed to properly identify, treat, and follow care plans for residents with pressure ulcers, resulting in inadequate wound care and prevention. Additionally, the dietary department failed to prepare and serve pureed diets according to recipes and serving sizes, affecting nutritive value for seven residents.
Deficiencies (2)
483.25(c) The facility failed to identify and treat pressure ulcers and did not consistently follow care plans to promote healing and prevent further pressure ulcers for residents with pressure ulcers.
483.35(d)(1)-(2) The facility failed to prepare and serve food that conserved nutritive value and followed recipes and serving sizes, affecting seven residents on pureed diets.
Report Facts
Facility census: 53
Residents reviewed for pressure ulcers: 3
Residents on pureed diets: 7
Clear liquid diet residents: 1
Braden scale score: 15
Braden scale score: 11
Pressure ulcer measurement: 0.6
Pressure ulcer measurement: 1.2
Pressure ulcer measurement: 0.5
Pressure ulcer measurement: 0.4
Pressure ulcer measurement: 4
Pressure ulcer measurement: 4.75
Chicken broth used: 2.5
Chicken pieces: 6
Chicken weight: 21
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Administrative nurse D | Administrative Nurse | Performed weekly wound rounds and provided wound care updates |
| Licensed nurse K | Licensed Nurse | Reported on Treatment Administration Record interpretation and wound care documentation |
| Licensed nurse G | Licensed Nurse | Provided wound dressing changes and observations |
| Direct care staff E | Provided peri-care and reported on resident care practices | |
| Direct care staff F | Reported on shower skin sheet documentation | |
| Direct care staff H | Reported on repositioning and skin care practices | |
| Direct care staff J | Reported on repositioning and care plan adherence | |
| Dietary staff A | Prepared pureed diets and failed to follow recipes and serving sizes | |
| Dietary staff B | Confirmed incorrect dipper use and pureed food preparation | |
| Consultant staff C | Consultant | Provided expert opinion on pureed food consistency and serving sizes |
Inspection Report
Plan of Correction
Deficiencies: 10
Date: Mar 30, 2012
Visit Reason
This document is a Plan of Correction submitted by the facility in response to a prior deficiency report, outlining corrective actions to address identified deficiencies.
Findings
The facility outlines corrective actions for multiple deficiencies including resident fund accessibility, abuse investigations, dental assessments, care planning, pain assessment, nutrition maintenance, food service, dental services, and infection control.
Deficiencies (10)
F0000 This plan of correction constitutes a written allegation of substantial compliance with Federal Medicare and Medicaid requirements.
F159 The facility will ensure residents with personal fund accounts have funds available seven days per week and staff are educated on the fund policy.
F225 The facility will ensure thorough investigations of abuse, neglect, or exploitation allegations including interviews and review of all circumstances.
F272 The facility will conduct comprehensive assessments including oral exams upon admission and periodically to address dental concerns.
F279 The facility will develop comprehensive care plans to help residents attain or maintain their highest practicable physical, mental, and psychosocial well-being.
F309 The facility will provide necessary care and services for the highest practicable well-being, including pain assessment and follow-up.
F325 The facility will ensure all residents maintain their nutrition status unless unavoidable, with care plans and monitoring for those at risk of weight loss.
F364 The facility will prepare and serve food with nutritive value, palatability, and preferred temperature, including special diets like pureed foods.
F412 The facility will provide or obtain routine dental services to meet each resident's needs, including follow-up on identified dental issues.
F441 The facility will maintain an Infection Control Program to provide a safe environment and prevent disease transmission, including Enteric Precautions.
Report Facts
Residents on pureed foods: 9
Plan of Correction completion dates: Mar 30, 2012
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nancy Vestring | Administrator | Submitted the Plan of Correction |
Inspection Report
Annual Inspection
Census: 53
Deficiencies: 9
Date: Mar 1, 2012
Visit Reason
Annual health resurvey of Homestead Health Center to assess compliance with federal regulations for nursing facilities.
Findings
The facility was found deficient in multiple areas including management of personal funds, investigation of abuse allegations, comprehensive assessments, care planning, pain management, nutrition, food preparation and serving temperatures, dental services, and infection control.
Deficiencies (9)
483.10(c)(2)-(5) Facility failed to develop a system to ensure residents could withdraw personal funds during off hours and weekends affecting 3 residents.
483.13(c)(1)(ii)-(iii), (c)(2)-(4) Facility failed to thoroughly investigate an injury of unknown source (wrist fracture) for resident #24 to rule out abuse.
483.20(b)(1) Facility failed to conduct a complete and accurate comprehensive assessment for resident #65 by not identifying dental concerns.
483.20(d), 483.20(k)(1) Facility failed to develop comprehensive care plans for residents #79 and #24 regarding activities and preferences.
483.25 Facility failed to provide necessary care and services to maintain highest well-being for resident #24 by not promptly assessing and treating new onset severe wrist pain.
483.25(i) Facility failed to ensure resident #15 maintained nutritional status by not consistently providing planned supplements and lacking knowledge of weight loss risk and interventions.
483.35(d)(1)-(2) Facility failed to prepare pureed meatloaf and beets according to dietician approved recipes and failed to maintain appropriate food temperatures for residents receiving pureed diets.
483.55(b) Facility failed to provide or obtain routine dental services for resident #65 with broken teeth and lacked policy for dental status assessment.
483.65 Facility failed to maintain an infection control program by not using disinfectants effective against C-diff and not isolating a resident with C-diff, risking spread of infection to all residents.
Report Facts
Facility census: 53
Residents with personal funds managed: 3
Residents reviewed for comprehensive assessments: 18
Residents receiving pureed diet: 9
Weight loss percentage: 5.2
Weight loss percentage: 6
Weight loss percentage: 7.6
Food temperature: 129.7
Food temperature: 126.3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Administrative Nurse B | Administrative Nurse | Named in failure to investigate injury and infection control findings |
| Licensed Nursing staff G | Licensed Nurse | Named in dental services deficiency for resident #65 |
| Dietary staff F | Dietary Staff | Named in pureed diet preparation and food temperature deficiencies |
| Housekeeper Y | Housekeeper | Named in infection control deficiency for cleaning practices |
| Housekeeper Z | Housekeeper | Named in infection control deficiency for cleaning practices |
| Laundry staff AA | Laundry Staff | Named in infection control deficiency for laundry practices |
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N087006 POC 3EFO11
Visit Reason
This document is a Plan of Correction related to a prior inspection event identified as ASPEN Event ID 3EFO11 for facility State ID N087006.
Findings
No deficiencies or findings are detailed in this document. It serves solely as a record of the Plan of Correction submission with no additional content.
Viewing
Loading inspection reports...
