Inspection Report Summary
The most recent inspection on November 18, 2025, found no deficiencies during the licensure resurvey and complaint investigations. Earlier inspections showed a pattern of deficiencies primarily related to incomplete negotiated service agreements, staff documentation issues, and some concerns with food temperature and tuberculosis screening compliance. Complaint investigations were mostly unsubstantiated, except for a substantiated case in 2015 involving inadequate nursing care that led to resident hospitalization and staffing lapses. No fines, immediate jeopardy findings, or license actions were listed in the available reports. The facility’s record indicates improvement over time, with all recent surveys showing correction of prior deficiencies and no new citations.
Deficiencies (last 9 years)
Deficiencies (over 9 years)
2.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
53% better than Kansas average
Kansas average: 6 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
30 residents
Based on a April 2024 inspection.
This facility has shown a decline in demand based on occupancy rates.
Census over time
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Nov 18, 2025
Visit Reason
The document is a Plan of Correction related to the Licensure Resurvey conducted on 11/18/2025, which included Complaint Investigations KS00191630 and KS00190454.
Findings
The Licensure Resurvey and complaint investigations resulted in a finding of no deficiency citations.
Inspection Report
Renewal
Deficiencies: 0
Date: Nov 18, 2025
Visit Reason
The Licensure Resurvey was conducted on 11/18/2025 with Complaint Investigations KS00191630 and KS00190454 at the facility.
Complaint Details
Complaint Investigations KS00191630 and KS00190454 were part of the visit; no deficiencies were found.
Findings
The survey resulted in a finding of no deficiency citations.
Inspection Report
Re-Inspection
Deficiencies: 0
Date: May 2, 2024
Visit Reason
An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 2024-04-22.
Findings
All deficiencies have been corrected as of the compliance date of 2024-04-26, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.
Report Facts
Previous deficiencies cited: 1
Inspection Report
Re-Inspection
Census: 30
Deficiencies: 1
Date: Apr 22, 2024
Visit Reason
The inspection was a resurvey with a complaint (183338) at an assisted living facility conducted on 04/17/24, 04/18/24, and 04/22/24.
Complaint Details
This visit was a resurvey with a complaint numbered 183338.
Findings
The operator failed to ensure that the Negotiated Service Agreement (NSA) for resident R103 was fully developed based on the resident's Functional Capacity Screen, service needs, and preferences, specifically failing to document the use and care of a neck brace.
Deficiencies (1)
Failure to ensure the Negotiated Service Agreement was fully developed to include all items triggered on the Functional Capacity Screen, service needs, and preferences for resident R103, including the use and care of a neck brace.
Report Facts
Census: 30
Dates of inspection: Inspection conducted on 04/17/24, 04/18/24, and 04/22/24
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nurse Aide | CNA C stated details about resident R103's neck brace use and care | |
| Licensed Nurse | LN B stated staff cleaned R103's neck brace and noted lack of documentation |
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Apr 17, 2024
Visit Reason
The document is a Plan of Correction related to a resurvey with a complaint (183338) conducted at the assisted living facility on 04/17/24, 04/18/24, and 04/22/24.
Complaint Details
The visit was complaint-related, involving complaint number 183338.
Findings
The Plan of Correction addresses citations found during the resurvey and complaint investigation conducted on the specified dates.
Inspection Report
Follow-Up
Deficiencies: 0
Date: Mar 6, 2023
Visit Reason
An offsite revisit survey was conducted on 03/06/23 for all previous deficiencies cited on 02/09/23 to verify correction of prior deficiencies.
Findings
All deficiencies have been corrected as of the compliance date of 03/02/23, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.
Report Facts
Previous deficiencies cited: 1
Inspection Report
Complaint Investigation
Census: 28
Deficiencies: 4
Date: Feb 9, 2023
Visit Reason
The inspection was a resurvey with a complaint #167500 at the assisted living facility Vintage Park at Atchison LLC conducted on 02/08/23 and 02/09/23.
Complaint Details
The inspection was triggered by complaint #167500.
Findings
The facility was found deficient in multiple areas including failure to fully develop negotiated service agreements based on functional capacity screenings for residents, incomplete staff qualification records especially regarding nurse aide registry verifications, failure to serve food at proper temperatures, and non-compliance with tuberculosis screening guidelines for newly hired staff.
Deficiencies (4)
Failure to ensure the Negotiated Service Agreement was fully developed based on Functional Capacity Screen triggers for residents R102 and R103.
Failure to ensure employee records included timely verification of nurse aide registry checks for five newly hired employees.
Failure to ensure food items were served at the proper temperature and food temperature logs were not maintained.
Failure to comply with tuberculosis screening guidelines for adult care homes, including late or early administration of TB skin tests for newly hired staff.
Report Facts
Census: 28
Number of residents in sample: 3
Number of newly hired employees reviewed: 5
Days late for TB Screening Questionnaire: 7
Days late for first TB Skin Test: 18
Days early for second TB Skin Test: 4
Days early for second TB Skin Test: 1
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Feb 8, 2023
Visit Reason
The document is a plan of correction related to a resurvey with a complaint #167500 conducted at the assisted living facility on 02/08/23 and 02/09/23.
Complaint Details
The visit was complaint-related, referencing complaint #167500.
Findings
The citations represent the findings from the resurvey conducted in response to the complaint at the assisted living facility.
Inspection Report
Renewal
Deficiencies: 0
Date: Jun 10, 2021
Visit Reason
The survey was conducted for re-licensure with attached complaints #152050 and 152271 at the assisted living facility.
Complaint Details
Complaints #152050 and 152271 were investigated and found to be unsubstantiated.
Findings
The inspection resulted in no deficiency citations and the complaints were found to be unsubstantiated.
Inspection Report
Routine
Deficiencies: 0
Date: Aug 10, 2020
Visit Reason
The special infection control survey for COVID-19 was conducted at the facility on 08/10/2020.
Findings
The survey resulted in findings of no deficiency citations.
Inspection Report
Abbreviated Survey
Census: 37
Deficiencies: 3
Date: Jan 3, 2019
Visit Reason
An abbreviated survey was conducted on 1/2/19 and 1/3/19 at the assisted living facility to assess compliance with regulatory requirements.
Findings
The survey identified deficiencies related to failure to conduct functional capacity screening following significant changes in condition, lack of signatures on negotiated service agreements, and inadequate documentation of incidents including falls and injuries for sampled residents.
Deficiencies (3)
Failure to ensure designated facility staff conduct a functional capacity screening following any significant change in condition for resident #2.
Failure to ensure each individual involved in the development of the negotiated service agreement signed the agreement for resident #2.
Failure to ensure documentation of all incidents and indications of injury including date, time of occurrence, action taken, and results of the action for residents #1 and #2.
Report Facts
Census: 37
Sample size: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| licensed nurse #B | Interviewed and confirmed lack of functional capacity screening and missing signatures on negotiated service agreements, as well as missing documentation of incidents |
Inspection Report
Re-Inspection
Deficiencies: 4
Date: Jul 17, 2018
Visit Reason
This revisit report documents the correction of deficiencies previously reported during an earlier survey.
Findings
All previously cited deficiencies identified by regulation numbers 26-41-201 (c), 26-41-202 (d), 26-41-102 (d), and 26-41-207 (b)(5-6)(c) were corrected as of the revisit date.
Deficiencies (4)
Deficiency related to regulation 26-41-201 (c)
Deficiency related to regulation 26-41-202 (d)
Deficiency related to regulation 26-41-102 (d)
Deficiency related to regulation 26-41-207 (b)(5-6)(c)
Inspection Report
Re-Inspection
Census: 38
Deficiencies: 6
Date: Jun 28, 2018
Visit Reason
The inspection was conducted as a re-licensure survey with attached complaints at an assisted living facility in Atchison, KS on 6/25/18 through 6/28/18.
Complaint Details
The survey was conducted as a re-licensure survey with attached complaints.
Findings
The facility was found deficient in multiple areas including failure to conduct functional capacity screenings at least annually and after significant changes for residents, incomplete negotiated service agreements lacking required details and signatures, inadequate review and revision of service agreements, missing employee documentation such as criminal background checks and nurse aide registry verification, and non-compliance with tuberculosis screening and testing requirements for staff and residents.
Deficiencies (6)
Failure to conduct functional capacity screening at least once every 365 days and following significant change in condition for residents #623 and #624.
Negotiated Service Agreement (NSA) for resident #623 lacked description of services, provider identification, and payment responsibility for hospice services.
Failure to review and revise negotiated service agreements at least once every 365 days for residents #623 and #624.
Negotiated Service Agreement for resident #622 lacked signatures of all individuals involved, including resident/responsible party.
Employee records for certified staff #J, #K, and #L lacked documentation of criminal background checks and nurse aide registry verification.
Failure to comply with tuberculosis guidelines including missing TB symptom screen questionnaires and TB skin testing documentation for recent staff and resident #622.
Report Facts
Census: 38
Sample size: 3
Closed review residents: 2
Certified recently hired staff lacking documentation: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed nurse #B | Licensed Nurse | Interviewed and confirmed missing functional capacity screenings and NSA signatures. |
| Facility operator #A | Facility Operator | Confirmed missing criminal background checks and TB testing documentation. |
Inspection Report
Re-Inspection
Census: 34
Deficiencies: 1
Date: Mar 9, 2017
Visit Reason
The visit was a licensure re-survey of the assisted living facility to assess compliance with disaster and emergency preparedness regulations.
Findings
The operator failed to ensure quarterly review of the facility's emergency management plan with employees and residents, as required by regulation. Quarterly disaster preparedness reviews for residents were unavailable despite in-services and evacuation drills being conducted.
Deficiencies (1)
Failure to ensure quarterly review of the facility's emergency management plan with employees and residents.
Report Facts
Census: 34
Sample size: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Facility operator #A was involved in the review and interview process regarding disaster preparedness. |
Inspection Report
Re-Inspection
Deficiencies: 2
Date: Jul 20, 2015
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 deficiencies identified in prior surveys have been corrected as of the revisit date.
Deficiencies (2)
Deficiency related to regulation 26-41-204 (a)
Deficiency related to regulation 26-41-102 (b)
Inspection Report
Re-Inspection
Deficiencies: 2
Date: Jul 20, 2015
Visit Reason
This revisit inspection was conducted to verify that previously cited deficiencies had been corrected as of the revisit date.
Findings
The report shows that the deficiencies identified in the prior survey were corrected by the revisit date of 07/20/2015.
Deficiencies (2)
Deficiency related to regulation 26-41-204 (a) corrected
Deficiency related to regulation 26-41-102 (b) corrected
Report Facts
Deficiencies corrected: 2
Inspection Report
Abbreviated Survey
Census: 39
Deficiencies: 2
Date: Jun 24, 2015
Visit Reason
The inspection was conducted as an abbreviated survey combined with a complaint investigation at an assisted living facility.
Complaint Details
The visit included a complaint investigation (complaint number 88456) related to care and staffing issues at the facility.
Findings
The facility failed to ensure a licensed nurse provided or coordinated necessary health care services for a cognitively impaired resident, resulting in facial cellulitis and hospitalization. Additionally, direct care staff were not awake and responsive at all times, as two staff members were locked outside the building during a night shift.
Deficiencies (2)
Failure to ensure a licensed nurse provided or coordinated necessary health care services related to correct application, care, and monitoring of a cervical collar, leading to resident developing facial cellulitis and hospitalization.
Failure to ensure direct care staff or licensed nursing staff were awake and responsive at all times; staff were locked outside the facility during the night shift.
Report Facts
Census: 39
Sample size: 3
Wound size: 1
Wound size: 0.5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| licensed staff B | Provided care and interviews related to resident #122's cervical collar and wound care. | |
| licensed staff C | Noted swelling on resident #122 and called ambulance; interviewed regarding wound and care. | |
| certified staff I | Assisted resident #122 with bathing; interviewed about skin condition. | |
| administrative staff A | Interviewed about staff locking incident during night shift. |
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