Inspection Report Summary
The most recent inspection on January 22, 2025, resulted in no deficiencies. Earlier inspections showed some deficiencies related mainly to documentation of negotiated service agreements and resident care plans, particularly addressing functional capacity screenings and medication management. Prior complaint investigations were mostly unsubstantiated, and no fines, immediate jeopardy findings, or enforcement actions were listed in the available reports. Earlier issues included failure to protect a resident from elopement risk and incomplete staff notifications after accidents, but these were corrected in subsequent follow-ups. The facility appears to have improved over time, with recent inspections showing compliance and no new deficiencies.
Deficiencies (last 7 years)
Deficiencies (over 7 years)
1.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
78% better than Kansas average
Kansas average: 6 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
30 residents
Based on a July 2023 inspection.
Census over time
Inspection Report
Annual Inspection
Deficiencies: 0
Jan 22, 2025
Visit Reason
The inspection was a recertification survey combined with complaint investigations numbered 187535, 190466, 192160, and 192574 at the assisted living facility.
Findings
The survey conducted on 01/22/2025 resulted in no citations.
Complaint Details
Complaint investigations 187535, 190466, 192160, and 192574 were conducted and resulted in no citations.
Inspection Report
Plan of Correction
Deficiencies: 0
Jan 22, 2025
Visit Reason
Recertification survey with complaint investigations 187535, 190466, 192160, and 192574 was conducted at the assisted living facility.
Findings
The survey conducted on 01/22/25 resulted in no citations.
Inspection Report
Follow-Up
Deficiencies: 0
Jul 25, 2023
Visit Reason
An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 2023-07-12.
Findings
All deficiencies have been corrected as of the compliance date of 2023-07-23, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.
Report Facts
Previous deficiencies cited: Deficiencies cited on 2023-07-12
Inspection Report
Re-Inspection
Census: 30
Deficiencies: 2
Jul 12, 2023
Visit Reason
The inspection was a resurvey with complaints 169421, 169602, 172168, 172556, and 173854 at the assisted living facility Vintage Park at Osawatomie conducted on 07/11/23 and 07/12/23.
Findings
The operator failed to ensure that the Negotiated Service Agreements (NSA) for residents R104 and R106 were fully developed to include all items triggered on the Functional Capacity Screen (FCS), such as falls, impaired vision, and cognition. Additionally, the NSA for resident R104 did not identify who was responsible for administration and management of selected medications, specifically Baclofen which the resident self-administered.
Complaint Details
The resurvey was conducted with complaints numbered 169421, 169602, 172168, 172556, and 173854.
Severity Breakdown
Level F: 1
Level D: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Failed to ensure the Negotiated Service Agreement was fully developed based on the Functional Capacity Screen for residents R104 and R106. | Level F |
| Failed to ensure the Negotiated Service Agreement identified the responsible person for administration and management of selected medications for resident R104. | Level D |
Report Facts
Census: 30
Sample size: 3
Abbreviated record reviews: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Administrative Nurse B | Interviewed regarding the requirement that items triggered on the Functional Capacity Screen should be addressed in the Negotiated Service Agreement. | |
| Certified Medication Aide (CMA) C | Interviewed regarding medication administration for resident R104. | |
| Licensed Nurse (LN) B | Interviewed regarding resident R104's self-administration of Baclofen. |
Inspection Report
Plan of Correction
Deficiencies: 0
Jul 11, 2023
Visit Reason
The document is a Plan of Correction responding to findings from a resurvey with complaints numbered 169421, 169602, 172168, 172556, and 173854 conducted on July 11 and 12, 2023 at an Assisted Living facility.
Findings
The Plan of Correction addresses citations resulting from the resurvey and complaint investigations conducted on July 11 and 12, 2023.
Complaint Details
The resurvey was conducted in response to complaints 169421, 169602, 172168, 172556, and 173854.
Inspection Report
Re-Inspection
Deficiencies: 0
Feb 24, 2022
Visit Reason
An offsite revisit survey was conducted on 02/24/22 for all previous deficiencies cited on 01/12/22.
Findings
All deficiencies have been corrected as of the compliance date of 02/23/22, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.
Inspection Report
Plan of Correction
Deficiencies: 0
Jan 11, 2022
Visit Reason
The document is a plan of correction related to an abbreviated survey conducted at an assisted living facility for complaints #162848, #166092, and #168516 on January 11 and 12, 2022.
Findings
The plan of correction references findings from an abbreviated survey conducted for multiple complaints. The detailed deficiency report is attached separately and not included in this document.
Complaint Details
The visit was complaint-related involving complaints #162848, #166092, and #168516.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Shirley Boltz | Contact person for plan of correction assistance. |
Inspection Report
Abbreviated Survey
Census: 31
Deficiencies: 3
Jan 11, 2022
Visit Reason
The inspection was an abbreviated survey conducted at an assisted living facility in response to complaints #162848, #166092, and #168516 on 1/11 and 1/12/2022.
Findings
The facility failed to ensure a resident (R3) was protected from neglect related to elopement risk, failed to conduct timely functional capacity screenings and reassessments after significant changes in condition, and failed to revise the resident's negotiated service agreement to address increased wandering and exit-seeking behaviors. Door alarms were not checked daily for functionality, and staff did not respond adequately to increased elopement risk behaviors.
Complaint Details
The survey was complaint-driven based on complaints #162848, #166092, and #168516.
Severity Breakdown
SS=D: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Failure to protect resident from neglect by not identifying elopement risk and responding appropriately to exit-seeking behaviors. | SS=D |
| Failure to conduct functional capacity screening reassessment after significant change in condition related to increased wandering and exit-seeking behaviors. | SS=D |
| Failure to revise negotiated service agreement after significant change in condition related to wandering and exit-seeking behaviors. | SS=D |
Report Facts
Census: 31
Elopement Risk Assessment Score: 8
Elopement Risk Assessment Score: 45
Inspection Report
Routine
Deficiencies: 0
Jul 14, 2020
Visit Reason
The special infection control survey for COVID-19 was conducted at the facility on 07/14/2020.
Findings
The survey resulted in findings of no deficiency citations.
Inspection Report
Renewal
Deficiencies: 0
Dec 10, 2019
Visit Reason
A survey for re-licensure with attached complaints was conducted on 12/9/19 and 12/10/19 at the assisted living facility in Osawatomie, KS.
Findings
The survey resulted in a finding of no deficiency citations.
Complaint Details
The survey included attached complaints but no deficiencies were found.
Inspection Report
Renewal
Deficiencies: 0
Nov 21, 2017
Visit Reason
The licensure resurvey of the assisted living facility was conducted to assess compliance and determine if any deficiency citations were warranted.
Findings
The licensure resurvey conducted on 11-20-17 and 11-21-17 resulted in no deficiency citations being issued.
Inspection Report
Re-Inspection
Census: 31
Deficiencies: 4
Nov 18, 2015
Visit Reason
The inspection was a resurvey conducted at the assisted living facility to evaluate compliance with previously cited deficiencies.
Findings
The facility failed to ensure designated staff notified physicians and family members of resident accidents involving injury or potential need for physician intervention, failed to provide all health care services by qualified staff according to standards, and failed to properly document medication administration including blood glucose monitoring and insulin administration.
Severity Breakdown
SS=E: 2
SS=D: 2
Deficiencies (4)
| Description | Severity |
|---|---|
| Failure to notify resident's physician and family upon occurrence of accidents involving injury or potential need for physician intervention. | SS=E |
| Failure to ensure all health care services were provided by qualified staff in accordance with acceptable standards of practice. | SS=E |
| Failure to document blood glucose monitoring results consistently in the Medication Administration Record (MAR). | SS=D |
| Failure to document administration of resident's medication immediately following completion of the task in the MAR. | SS=D |
Report Facts
Census: 31
Residents sampled: 3
Focus review residents: 2
Dates missing blood glucose documentation: 34
Dates missing insulin administration documentation: 23
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| licensed staff B | Interviewed and confirmed incidents and documentation failures | |
| operator/CNA | Interviewed and confirmed incidents and documentation failures | |
| certified staff C | Assisted resident after fall | |
| licensed staff D | Documented resident condition after fall |
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