Inspection Report Summary
The most recent inspection on January 14, 2024, found no deficiencies at the facility. Earlier inspections showed a generally compliant record with isolated issues, including a July 17, 2023, resurvey that cited deficiencies related to labeling over-the-counter medications with residents’ full names and tuberculosis testing for new staff. Complaint investigations mostly resulted in unsubstantiated findings, though the July 2023 inspection addressed multiple complaints tied to these medication and TB testing issues. There were no fines, immediate jeopardy findings, or license actions listed in the available reports. The facility appears to have corrected previous deficiencies promptly, showing improvement in regulatory compliance over time.
Deficiencies (last 7 years)
Deficiencies (over 7 years)
1.4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
77% better than Kansas average
Kansas average: 6 deficiencies/year
Deficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
37 residents
Based on a July 2023 inspection.
Census over time
Inspection Report
Re-Inspection
Deficiencies: 0
Date: Jan 14, 2024
Visit Reason
The visit was a resurvey of the assisted living facility conducted on 01/13/24 and 01/14/24.
Findings
The resurvey resulted in no citations or deficiencies.
Inspection Report
Re-Inspection
Deficiencies: 0
Date: Jul 24, 2023
Visit Reason
An offsite revisit survey was conducted on 07/24/23 to verify correction of all previous deficiencies cited on 07/17/23.
Findings
All deficiencies cited on 07/17/23 have been corrected as of the compliance date of 07/17/23, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.
Inspection Report
Re-Inspection
Census: 37
Deficiencies: 2
Date: Jul 17, 2023
Visit Reason
The inspection was a resurvey conducted with complaints #169512, 171435, 172650, 176801, and 181327 at the assisted living facility.
Complaint Details
The resurvey was conducted in response to multiple complaints (#169512, 171435, 172650, 176801, and 181327).
Findings
The facility failed to ensure that over-the-counter medications were labeled with the resident's full name for seven residents, and failed to comply with tuberculosis guidelines for adult care homes, including timely TB testing for newly hired staff.
Deficiencies (2)
Failed to ensure a licensed pharmacist or nurse placed the full name of the resident on the original package of over-the-counter medications for seven residents.
Failed to ensure compliance with tuberculosis guidelines for adult care homes, including delayed or missing TB testing documentation for newly hired staff.
Report Facts
Census: 37
Number of residents with unlabeled OTC medications: 7
Number of newly hired staff records reviewed: 5
Days late for TB skin test: 8
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Jul 13, 2023
Visit Reason
The document addresses findings from a resurvey with complaints #169512, 171435, 172650, 176801, and 181327 conducted at the assisted living facility on 07/13/23 and 07/17/23.
Complaint Details
The visit was related to multiple complaints identified by their numbers: #169512, 171435, 172650, 176801, and 181327.
Findings
The plan of correction corresponds to citations identified during the resurvey and complaint investigations conducted on the specified dates.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Jan 10, 2022
Visit Reason
This document represents the findings of a resurvey conducted on 2022-01-10 for an assisted living facility.
Findings
The resurvey conducted on 2022-01-10 resulted in no deficiencies for the facility.
Inspection Report
Re-Inspection
Deficiencies: 0
Date: Jan 10, 2022
Visit Reason
The visit was a resurvey of the assisted living facility Vintage Park at Ottawa LLC conducted on 2022-01-10.
Findings
The resurvey resulted in no deficiencies being found at the facility.
Inspection Report
Abbreviated Survey
Deficiencies: 0
Date: Jul 23, 2020
Visit Reason
The special infection control survey for COVID-19 was conducted at the facility on 07/23/2020.
Findings
The survey resulted in findings of no deficiency citations.
Inspection Report
Re-Inspection
Deficiencies: 4
Date: Apr 16, 2019
Visit Reason
This is a revisit report completed by a State surveyor to show those deficiencies previously reported that have been corrected and the date such corrective action was accomplished.
Findings
All previously reported deficiencies identified by regulation or LSC provision numbers have been corrected as of the revisit date.
Deficiencies (4)
Deficiency identified under regulation 26-41-202 (a)
Deficiency identified under regulation 26-41-204 (a)
Deficiency identified under regulation 26-41-205 (a) (1)
Deficiency identified under regulation 26-41-206 (e) (1)
Inspection Report
Complaint Investigation
Census: 37
Deficiencies: 4
Date: Mar 14, 2019
Visit Reason
The inspection was a resurvey with a complaint (#122489) at an assisted living facility to investigate compliance with negotiated service agreements, health care services, self-administration of medication, and food storage practices.
Complaint Details
The inspection was triggered by complaint #122489 and included a resurvey to verify compliance with negotiated service agreements and other regulatory requirements.
Findings
The facility failed to develop written negotiated service agreements for three residents including descriptions of bed rail and incontinence assistance, failed to ensure licensed nurses provided or coordinated necessary health care services related to bed rail safety assessments for two residents, failed to complete annual self-administration medication assessments for one resident, and failed to store food under safe and sanitary conditions related to thawing meat and measuring scoop placement.
Deficiencies (4)
Failed to develop written negotiated service agreements for 3 residents including bed rail and incontinence assistance.
Failed to ensure licensed nurse provided or coordinated necessary health care services related to safety assessment for bed rail use for 2 residents.
Failed to complete annual self-administration medication assessment for 1 resident who self-administered medications.
Failed to store food under safe and sanitary conditions related to thawing hamburger and measuring scoop in corn starch.
Report Facts
Census: 37
Residents in sample: 3
Focused record review: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| licensed nursing staff A | Interviewed regarding safety assessments for side rails and medication assessments | |
| dietary staff B | Interviewed regarding thawing hamburger and food storage | |
| staff C | Asked to put hamburger in refrigerator |
Inspection Report
Re-Inspection
Deficiencies: 0
Date: Apr 20, 2017
Visit Reason
The re-survey was conducted at the assisted living facility in Ottawa, KS on 4/19/17 and 4/20/17 to verify compliance following a prior inspection.
Findings
The re-survey resulted in findings of no deficiency citations at the facility.
Inspection Report
Renewal
Deficiencies: 0
Date: May 27, 2015
Visit Reason
The visit was a licensure resurvey of the assisted living facility to assess compliance with licensing requirements.
Findings
The inspection resulted in a finding of no deficiency citations on 5-26-15 and 5-27-15.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N030008 POC GNIF11
Visit Reason
This document is a Plan of Correction related to a previously cited deficiency report for the facility identified as ASPEN with State ID N030008.
Findings
The document does not provide specific findings but indicates that the Plan of Correction is currently Work In Progress (WIP) for the linked deficiency report.
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