Inspection Reports for
Kansas Christian Home
1035 SE 3RD STREET, NEWTON, KS, 67114-3904
Back to Facility ProfileDeficiencies (last 6 years)
Deficiencies (over 6 years)
13.2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
120% worse than Kansas average
Kansas average: 6 deficiencies/yearDeficiencies per year
40
30
20
10
0
Occupancy
Latest occupancy rate
85% occupied
Based on a December 2024 inspection.
This facility has shown a decline in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Complaint Investigation
Census: 46
Deficiencies: 1
Date: Dec 4, 2024
Visit Reason
The inspection was conducted following a complaint investigation regarding the facility's failure to follow a resident's care plan for safe transfers, which resulted in injury.
Complaint Details
The investigation was triggered by a complaint regarding neglect in transfer procedures. The complaint was substantiated as staff failed to follow the resident's care plan, causing injury.
Findings
The facility failed to protect a dependent resident from harm when staff did not use the required slide board for transfers, resulting in an oblique acute nondisplaced fracture of the mid tibial shaft and an acute fracture of the distal fibular shaft. The resident was transferred improperly from wheelchair to toilet, causing injury.
Deficiencies (1)
F 0689: The facility failed to ensure a nursing home area was free from accident hazards and provide adequate supervision to prevent accidents. Staff did not follow the resident's care plan requiring use of a slide board for transfers, resulting in fractures to the resident's right lower leg.
Report Facts
Resident census: 46
Morse Fall Scale scores: 10
Morse Fall Scale scores: 35
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Nurse G | Licensed Nurse | Named in transfer incident and failure to follow care plan |
| Certified Medication Aide M | Certified Medication Aide | Named in transfer incident and failure to follow care plan |
| Administrative Nurse A | Administrative Nurse | Verified incident report and staff failure to follow care plan |
Inspection Report
Annual Inspection
Census: 47
Deficiencies: 6
Date: Jul 3, 2024
Visit Reason
Annual inspection of Kansas Christian Home to assess compliance with care planning, nutritional monitoring, staff performance, food safety, and sanitation standards.
Findings
The facility failed to develop timely and comprehensive care plans for residents, did not monitor and document daily weights as ordered, failed to conduct annual performance reviews for some nursing aides, and did not maintain food at safe temperatures or store food in a sanitary manner.
Deficiencies (6)
F 0656: The facility failed to develop a comprehensive person-centered care plan for Resident 35 within 21 days of admission, risking uncommunicated needs and negative impacts on well-being.
F 0657: The facility failed to review and revise the care plan for Resident 1 regarding weekly weights and interventions to prevent further weight loss.
F 0692: The facility failed to obtain daily weights as ordered for Resident 1 from 03/28/24 until 06/07/24, potentially affecting the resident's physical well-being.
F 0730: The facility failed to conduct annual performance reviews for two of five Certified Nurse Aide/Medication Aides, risking inadequate resident care.
F 0804: The facility failed to ensure foods were maintained at safe temperatures, with observed food items served at 100-132 degrees Fahrenheit, below required 135 degrees.
F 0812: The facility failed to store, prepare, and serve food in a sanitary manner, including unsealed dry goods, expired items, food stored on the floor, and unclean kitchen equipment.
Report Facts
Resident census: 47
Residents sampled: 16
Annual performance reviews overdue: 2
Food temperature: 100
Food temperature: 132
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Administrative Nurse E | Administrative Nurse | Confirmed care plan delays and weight monitoring issues for residents |
| Dietary Staff BB | Dietary Staff | Confirmed nutritional concerns, food temperature monitoring issues, and food storage deficiencies |
| Administrative Nurse D | Administrative Nurse | Acknowledged weight monitoring and care plan deficiencies |
| Licensed Nurse H | Licensed Nurse | Provided information on resident weight loss and documentation |
| Certified Medication Aide Staff S | Certified Medication Aide | Reported on care plan usage for resident assistance |
| Administrative Staff D | Administrative Staff | Verified lack of annual performance reviews for CMA/CNA staff |
Inspection Report
Routine
Census: 52
Deficiencies: 7
Date: Sep 28, 2022
Visit Reason
Routine inspection of Kansas Christian Home to assess compliance with healthcare regulations including care planning, medication administration, nutrition, wound care, food safety, and vaccination documentation.
Findings
The facility failed to develop and revise baseline and comprehensive care plans for residents, failed to coordinate wound care with hospice, failed to provide nutritional interventions as ordered, failed to hold medications per physician parameters, failed to notify physicians timely of vital sign abnormalities, failed to store and prepare food under sanitary conditions, and failed to document informed declination of vaccines.
Deficiencies (7)
F0655: The facility failed to develop a baseline care plan for a newly admitted resident to include the resident's right below knee amputation and use of a protective boot for the left foot.
F0657: The facility failed to review and revise a dependent resident's care plan to include interventions and treatment for a left heel blister.
F0684: The facility failed to coordinate wound care with hospice and failed to provide a protective foot device for a resident with wounds and pressure ulcers.
F0692: The facility failed to provide recommended nutritional interventions for a resident with significant weight loss and failed to document administration of nutritional supplements.
F0757: The facility failed to hold an antihypertensive medication as ordered when blood pressure was above parameters on 20 occasions and failed to notify the physician timely of elevated pulse for another resident.
F0812: The facility failed to store, prepare, and serve food in a sanitary manner, including use of expired food items and failure of staff to perform hand hygiene during food preparation.
F0887: The facility failed to establish a system to document residents' informed declination of influenza, pneumococcal, and COVID-19 vaccines including acknowledgement of benefits versus risks.
Report Facts
Resident census: 52
Residents selected for review: 16
Weight loss percentage: 5.6
Medication hold failures: 20
Expired food items: 9
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Medication Aide R | Certified Medication Aide | Discussed medication hold documentation and notification for resident R26 and pulse notification for R47 |
| Licensed Nurse G | Licensed Nurse | Discussed medication hold procedures and physician notification for residents R26 and R47 |
| Administrative Nurse D | Administrative Nurse | Provided information on staff education and expectations for medication holds and physician notifications |
| Administrative Nurse E | Administrative Nurse | Provided education to staff on medication parameters and documentation |
| Dietary Staff BB | Dietary Staff | Discussed food safety expectations and food preparation observations |
| Consultant HH | Consultant Pharmacist | Provided medication regimen review and recommendations for resident R26 |
Inspection Report
Deficiencies: 0
Date: Mar 4, 2021
Visit Reason
The document is a statement of deficiencies and plan of correction for Kansas Christian Home, summarizing the results of a regulatory survey completed on March 4, 2021.
Findings
No health deficiencies were found during the survey.
Inspection Report
Plan of Correction
Deficiencies: 4
Date: Jun 13, 2014
Visit Reason
This document is a Plan of Correction submitted by Kansas Christian Home to address deficiencies cited in a prior survey related to falls, targeted behaviors, medication monitoring, and consultant pharmacist oversight.
Findings
The facility identified issues including inadequate fall investigations, insufficient monitoring of targeted behaviors, unnecessary medication use, and failure of the consultant pharmacist to monitor targeted behaviors effectively. Corrective actions and ongoing monitoring plans were established to ensure compliance and resident safety.
Deficiencies (4)
F323-D Fall investigation completed on fall of affected resident. Incident was reported to Abuse Hotline and staff received disciplinary action and reeducation. Care plans were reviewed for appropriate interventions.
F329-D Individualized targeted behaviors and interventions were added to care plans for 3 affected residents. Nurses were instructed on monitoring and charting behaviors in progress notes.
F428-D Pharmacy consultant reviewed targeted behaviors and made recommendations to prevent unnecessary medications. MAR was updated to specify targeted behaviors for medication use.
F520-F Concerns including fall prevention, targeted behaviors, unnecessary medications, and consultant pharmacist monitoring were brought to the QA Committee for evaluation and ongoing monitoring.
Inspection Report
Complaint Investigation
Census: 81
Deficiencies: 4
Date: Jun 5, 2014
Visit Reason
The inspection was conducted as a Non-compliance Revisit and Complaint investigations related to resident care, medication use, and safety.
Complaint Details
The visit was complaint-related, triggered by allegations concerning resident falls, medication management, and quality assurance processes. The complaint investigations were combined with a Non-compliance Revisit.
Findings
The facility failed to follow care plans to prevent resident falls, did not properly monitor and document specific targeted behaviors related to psychotropic medication use for multiple residents, and failed to provide adequate pharmaceutical services including irregularity reporting. The Quality Assessment and Assurance committee failed to develop and implement effective plans to address these issues.
Deficiencies (4)
483.25(h) The facility failed to follow the care plan for a resident who subsequently fell due to staff not fastening the wheelchair seat belt as required.
483.25(l) The facility failed to ensure residents did not receive unnecessary drugs by not monitoring specific, individualized targeted behaviors for 3 residents receiving psychotropic medications.
483.60(c) The facility failed to provide pharmaceutical services ensuring drug regimen reviews identified irregularities, including failure to monitor targeted behaviors for residents on psychotropic medications.
483.75(o)(1) The facility failed to maintain an effective Quality Assessment and Assurance committee that develops, implements, and reviews action plans to correct quality deficiencies related to unnecessary medications, pharmaceutical services, and accident prevention.
Report Facts
Residents sampled: 12
Residents reviewed for accidents: 3
Residents sampled for unnecessary medications: 3
Resident fall risk score: 22
Resident mood score: 5
Resident BIMS score: 8
Resident BIMS score: 15
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff F | Administrative Nursing Staff | Provided statements regarding behavior monitoring and QA meeting discussions. |
| Staff G | Administrative Nursing Staff | Explained behavior documentation process and monitoring expectations. |
| Staff N | Consulting Pharmacist | Discussed need for specific behavior monitoring and pharmacist review during QA meeting. |
| Staff A | Licensed Nursing Staff | Commented on resident behavior documentation and monitoring. |
| Staff M | Licensed Nursing Staff | Provided information on resident anxiety and medication monitoring. |
| Staff L | Direct Care Staff | Described resident's need for seat belt fastening and supervision. |
| Staff O | Direct Care Staff | Reported resident behavior related to bathing refusal. |
| Staff P | Licensed Nursing Staff | Described documentation process for resident behaviors. |
Inspection Report
Follow-Up
Deficiencies: 0
Date: Jun 5, 2014
Visit Reason
This visit was a post-certification revisit to verify that previously cited deficiencies had been corrected as documented on the CMS-2567 Statement of Deficiencies and Plan of Correction.
Findings
All previously reported deficiencies were corrected as of the revisit date. The report lists multiple regulatory citations with correction completion dates of 06/05/2014.
Inspection Report
Re-Inspection
Deficiencies: 0
Date: Jun 5, 2014
Visit Reason
This visit was a follow-up to verify correction of previously reported deficiencies at the Kansas Christian Home facility.
Findings
All previously reported deficiencies identified by regulation or Life Safety Code provisions were corrected as of the revisit date.
Inspection Report
Follow-Up
Deficiencies: 0
Date: Jun 5, 2014
Visit Reason
This visit was a post-certification revisit to verify that previously cited deficiencies had been corrected as indicated in the Plan of Correction.
Findings
All deficiencies previously reported on the CMS-2567 were corrected by the revisit date of 06/05/2014 as documented by the correction completion dates for each cited regulation.
Inspection Report
Re-Inspection
Deficiencies: 0
Date: Jun 5, 2014
Visit Reason
This is a follow-up revisit inspection to verify correction of previously cited deficiencies at Kansas Christian Home.
Findings
All previously reported deficiencies identified by regulation or Life Safety Code provisions have been corrected as of the revisit date.
Inspection Report
Plan of Correction
Deficiencies: 21
Date: Apr 24, 2014
Visit Reason
This document is a Plan of Correction submitted by Kansas Christian Home to address deficiencies cited in a prior survey and to comply with state and federal regulations.
Findings
The plan outlines corrective actions for multiple deficiencies including Medicare Non-Coverage notices, dental service follow-ups, labeling in co-mingled bathrooms, comprehensive resident assessments, care plan updates, dialysis protocols, oral care, fall investigations, medication management, sanitation standards, call light system maintenance, emergency pull cords, door alarms, and ventilation improvements. All corrective actions are to be completed by April 24, 2014, with auditing and reporting responsibilities assigned to various staff and committees.
Deficiencies (21)
F156-D: Social Services received re-education on proper Medicare Non-Coverage notice forms to inform residents of their rights. Corrective action to be completed by 4-24-14 with auditing by ADM.
F250-D: Social Services re-educated on follow-up for dental request letters; affected residents scheduled for dental appointments. Tracking system to be implemented by 4-24-14.
F253-E: Bathroom items and towel bars labeled in co-mingled bathrooms; storage cabinets to be placed. DON responsible for auditing by 4-24-14.
F272-D: Comprehensive dental assessments to be completed by MDS coordinator upon admission and quarterly. Dental appointments scheduled as needed.
F278-D: MDS Coordinator re-educated to accurately gather resident information and perform assessments reflecting resident needs and strengths.
F279-D: Care Plan Coordinator and Social Services re-educated on importance of targeted behaviors; behaviors added to care plans for affected residents.
F280-D: Care plans revised to include interventions after falls and resident choices regarding food soiled shirts and dialysis protocols.
F309-D: Dialysis protocols added to care plans and treatment MARs for affected residents; audits to be performed by Medical Records.
F312-D: New toothbrush given to affected resident; staff re-educated to offer oral care twice daily and as requested.
F323-G: Fall audits completed; staff re-educated on chemical handling and storage; rounds to ensure chemical safety ongoing.
F329-E: Gradual dose reduction completed for affected resident; pharmacy to continue regular dose reductions and update care plans.
F371-E: Staff verbally in-serviced on sanitation standards for utensils, thermometers, and thickened liquids; audits and training ongoing.
F412-D: Dental assessments and appointments ensured by MDS coordinator and licensed nurses; auditing by MDS coordinator.
F428-E: Pharmacist educated on identifying lack of targeted behaviors, ensuring drug regimen reviews, and providing gradual dose reductions.
F431-E: Expired medications removed from medication carts; weekly checks to ensure medications are current and properly labeled.
F520-F: QA committee to monitor multiple concerns including Medicare notices, dental services, care plans, medication monitoring, call lights, and ventilation.
S1166-F: Bathroom call light for room 305 changed to read 'bathroom call light'; policy to ensure emergency call lights receive higher response.
S1172-F: Policy implemented for weekly testing of call light system by Director of Facilities Maintenance; ADM to audit results.
S1173-F: Emergency pull cords installed within resident reach next to showers and bathtubs; ADM to audit locations.
S1174-E: Alarm installed on automatic sliding door connecting long-term area to apartments to alert if held open too long; ADM to audit.
S1354-E: Policy for Beauty Shop ventilation implemented; light switch and exhaust ventilation switch changed to same switch; ADM to audit.
Report Facts
Corrective action completion date: Apr 24, 2014
Inspection Report
Re-Inspection
Census: 80
Deficiencies: 5
Date: Mar 25, 2014
Visit Reason
The visit was a health resurvey to assess compliance with previously cited deficiencies and regulatory requirements.
Findings
The facility failed to have an emergency call system that distinguished between emergent and non-emergent areas and lacked a policy to ensure high-priority response to emergency calls. The call light system was not tested weekly as required. Emergency call buttons or pull cords were not accessible within resident reach in bathing areas. The facility failed to alarm an interior door connecting to an assisted living facility. The beauty shop ventilation system was inadequate, exposing residents to chemical odors.
Deficiencies (5)
KAR 26-40-303(b)(i)(ii)(iii)(iv)(c) Nursing facility support system failed to have an emergency call system that distinguished between emergent and non-emergent areas and lacked a policy for high-priority response to emergency calls.
KAR 26-40-303(h) Nursing facility support system failed to have a preventative maintenance program including weekly testing of the call light system.
KAR 26-40-303(I)(iii) Nursing facility support system failed to have emergency call buttons or pull cords within resident reach next to each shower or bathtub.
KAR 26-40-302(2)(a)(ii) Door monitoring system failed to alarm an interior door connecting the long-term care facility to the assisted living facility, risking resident safety.
KAR 26-40-305(c)(1)(2) Heating, ventilation, and air conditioning system failed to provide adequate ventilation in the beauty shop, exposing residents to chemical odors.
Report Facts
Facility census: 80
Independently mobile residents: 54
Residents receiving beauty shop services: 50
Inspection Report
Plan of Correction
Deficiencies: 2
Date: Feb 15, 2014
Visit Reason
This document is a Plan of Correction submitted in response to deficiencies identified during a complaint investigation at Kansas Christian Home.
Findings
The facility addressed deficiencies related to skin issue assessments and medication patch management. Staff were re-trained, disciplinary actions were taken, and new documentation and reporting procedures were implemented.
Deficiencies (2)
F-309: Assessment was performed on affected resident and staff were re-trained on reporting skin issues. Disciplinary action was taken against charge nurses who failed to assess residents initially.
F-425: Medication patches were removed from affected resident and medication error reported. Nurses were re-educated on patch placement, removal, and order entry procedures.
Inspection Report
Follow-Up
Deficiencies: 2
Date: Feb 15, 2014
Visit Reason
This is a post-certification revisit to verify that previously reported deficiencies have been corrected as of the revisit date.
Findings
The report confirms that deficiencies previously cited under regulations 483.25 and 483.60(a),(b) were corrected by 02/15/2014.
Deficiencies (2)
Regulation 483.25 deficiency was corrected by 02/15/2014.
Regulation 483.60(a),(b) deficiency was corrected by 02/15/2014.
Inspection Report
Complaint Investigation
Census: 83
Deficiencies: 2
Date: Jan 30, 2014
Visit Reason
The inspection was conducted based on complaint investigations numbered 71508, 70047, 71526, and 71518.
Complaint Details
The inspection findings represent the results of complaint investigations #71508, 70047, 71526, and 71518.
Findings
The facility failed to promptly identify and provide services for significant bruising and swelling of a resident's extremities and chest, and failed to accurately administer a nitroglycerine patch to another resident.
Deficiencies (2)
F 309: The facility failed to promptly identify and provide services for bruising and swelling of the chest and lower extremities for one resident, despite multiple observations and reports of these conditions.
F 425: The facility failed to accurately administer a nitroglycerine patch to one resident, with multiple old patches found on the resident's skin and no facility policy for patch administration.
Report Facts
Facility census: 83
Nitroglycerine patch applications: 10
Old nitroglycerine patches found: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Direct Care Staff C | Reported noticing a red spot on resident #1's right knee prior to fracture discovery. | |
| Direct Care Staff J | Interviewed about resident #1's transfer and weight-bearing status. | |
| Direct Care Staff K | Notified of resident #1's fractured leg and swelling. | |
| Therapy Staff B | Reported bruising on resident #1's knees to charge nurse. | |
| Therapy Staff G | Observed and reported bruising on resident #1's knees. | |
| Licensed Nurse A | Licensed Nurse | Notified of resident #1's swollen leg and passed medications; faxed primary care physician. |
| Licensed Nurse D | Licensed Nurse | Assessed resident #1's leg, arranged doctor appointment, and followed up on bruising. |
| Administrative Nurse L | Administrative Nurse | Discovered old nitroglycerine patches on resident #7 and responded to policy requests. |
Inspection Report
Plan of Correction
Deficiencies: 2
Date: Sep 25, 2013
Visit Reason
This document is a Plan of Correction submitted in response to deficiencies identified during a complaint investigation at Kansas Christian Home.
Complaint Details
This Plan of Correction addresses deficiencies cited during a complaint investigation related to possible resident abuse. The report was made to the Abuse hotline following concerns from two CNA students about rough treatment of a resident.
Findings
The facility failed to immediately report possible resident abuse and did not prevent alleged perpetrators from continuing to work during the investigation. Residents were interviewed and assessed for injury, and staff received counseling and mandatory training on abuse, neglect, and exploitation.
Deficiencies (2)
F225-D: Employee C and Nursing Admin failed to report possible resident abuse immediately. Staff were counseled and scheduled for further education on Resident Abuse, Neglect, and Exploitation.
F226-E: Employees in Nursing Admin did not ensure alleged perpetrators were prevented from working during abuse investigations. Staff were counseled and required to complete mandatory training on abuse and neglect.
Inspection Report
Follow-Up
Deficiencies: 0
Date: Sep 25, 2013
Visit Reason
This visit was a post-certification revisit to verify correction of previously cited deficiencies from the CMS-2567 Statement of Deficiencies and Plan of Correction.
Findings
The report confirms that the previously identified deficiencies under regulations 483.13(c)(1)(ii)-(iii), (c)(2)-(4) and 483.13(c) were corrected as of the revisit date.
Inspection Report
Complaint Investigation
Census: 82
Deficiencies: 2
Date: Aug 27, 2013
Visit Reason
The inspection was conducted as a complaint investigation (#68494) regarding allegations of abuse at the facility.
Complaint Details
The complaint investigation (#68494) involved allegations that direct care staff held a resident's nose closed to make them swallow and that another staff member was verbally rough with a resident. The facility delayed reporting these allegations to the administrator and state officials and failed to protect residents by allowing the alleged perpetrator to continue working during the investigation.
Findings
The facility failed to thoroughly investigate and immediately report alleged abuse involving two residents. Additionally, the facility did not protect residents from potential further abuse by allowing an alleged perpetrator to continue working during the investigation.
Deficiencies (2)
F 225: The facility failed to immediately report and thoroughly investigate allegations of abuse involving two residents, delaying notification to the administrator and state officials.
F 226: The facility failed to implement policies to prevent further potential abuse during investigations by allowing the alleged perpetrator to continue working and provide care.
Report Facts
Facility census: 82
Residents on hall 1: 17
Inspection Report
Re-Inspection
Deficiencies: 1
Date: Feb 12, 2013
Visit Reason
This is a revisit report to verify correction of previously reported deficiencies at the Kansas Christian Home facility.
Findings
The report confirms that the previously cited deficiency under regulation 26-40-302 (g)(i)(ii)(iii) was corrected as of 02/12/2013.
Deficiencies (1)
Regulation 26-40-302 (g)(i)(ii)(iii) deficiency was corrected by 02/12/2013.
Inspection Report
Follow-Up
Deficiencies: 0
Date: Feb 12, 2013
Visit Reason
This is a post-certification revisit to verify that previously reported deficiencies have been corrected as documented on the CMS-2567 Statement of Deficiencies and Plan of Correction.
Findings
All previously cited deficiencies identified by regulation numbers F0172, F0225, F0241, F0244, F0329, F0412, F0428, F0441, and F0520 were corrected as of the revisit date.
Inspection Report
Re-Inspection
Deficiencies: 1
Date: Feb 12, 2013
Visit Reason
This is a revisit report to verify correction of previously cited deficiencies at Kansas Christian Home.
Findings
The report confirms that the previously reported deficiency under regulation 26-40-302 was corrected as of 02/12/2013.
Deficiencies (1)
Regulation 26-40-302 deficiency was corrected by 02/12/2013.
Inspection Report
Follow-Up
Deficiencies: 0
Date: Feb 12, 2013
Visit Reason
This post-certification revisit was conducted to verify that previously cited deficiencies from the CMS-2567 Statement of Deficiencies and Plan of Correction have been corrected.
Findings
All deficiencies previously reported were corrected as of the revisit date. The report lists multiple regulation citations with correction completion dates of 02/12/2013.
Inspection Report
Plan of Correction
Deficiencies: 10
Date: Jan 18, 2013
Visit Reason
This document is a Plan of Correction submitted by Kansas Christian Home in response to deficiencies identified during a regulatory inspection.
Findings
The plan addresses multiple deficiencies including resident rights education, abuse and neglect prevention, dignity in care, communication improvements, medication safety with black box warnings, dental care follow-up, infection control, and call system responsiveness. Corrective actions include staff education, policy creation, system implementation, and ongoing audits.
Deficiencies (10)
F172-D Residents will be educated on their rights to access and how to contact ombudsman services at Resident Council and admission. The Social Services Director was educated on this requirement.
F225-D Affected residents were interviewed and assessed for injury related to concerns of rough talking and treatment. An employee was terminated and staff received abuse/neglect training.
F241-D Staff were educated to provide care with dignity and respect, including speaking to residents while providing care. An employee was terminated and a dignity policy was created.
F244-D A communication system was developed to monitor and inform residents of plans addressing complaints from Resident Council meetings. Linen supplies were restocked and nursing staff educated.
F329-E Black box warnings were added to medications on MAR and care plans. Nursing staff was educated and AIMS testing was completed for affected residents.
F412-D Dental appointments were scheduled for affected residents with follow-up. Residents will be assessed quarterly for dental issues and assisted with appointments as needed.
F428-E Physicians were contacted for dose reduction or risk/benefit statements on medications. Consultant pharmacist and nursing staff were educated on black box warnings.
F441-F A system was implemented to identify infection-causing organisms, track infections, and use disinfectants per manufacturer recommendations. DMQ was replaced with Clorox products.
F520-F QA committee addressed all concerns and survey findings, including abuse, black box warnings, pharmacy services, infection control, and resident council reports.
S970-E The wireless call system was changed to repeat unanswered calls after 3 minutes and send them to another staff member not originally designated to receive the call.
Report Facts
Corrective action completion dates: Feb 12, 2013
Inspection Report
Re-Inspection
Census: 83
Deficiencies: 1
Date: Jan 14, 2013
Visit Reason
The inspection was a health resurvey to assess compliance with nursing facility support system regulations.
Findings
The facility failed to have a wireless call light system that repeats unanswered calls every three minutes and sends alerts to additional staff not originally designated to receive the call, potentially affecting all residents using call lights.
Deficiencies (1)
K.A.R.26-40-302 (g)(i)(ii)(iii) P E - Nursing facility support systems. The facility failed to develop a wireless system that repeats unanswered call lights every three minutes and sends alerts to other staff not originally designated to receive the call.
Report Facts
Facility census: 83
Inspection Report
Follow-Up
Deficiencies: 4
Date: Oct 20, 2011
Visit Reason
This visit was a post-certification revisit to verify that previously reported deficiencies had been corrected as indicated in the CMS-2567 Statement of Deficiencies and Plan of Correction.
Findings
The report confirms that all previously cited deficiencies identified by regulation numbers 483.20(b)(1), 483.20(d), 483.25(l), and 483.70(f) were corrected by the revisit date of 10/20/2011.
Deficiencies (4)
Regulation 483.20(b)(1) deficiency was corrected by 10/20/2011.
Regulation 483.20(d) deficiency was corrected by 10/20/2011.
Regulation 483.25(l) deficiency was corrected by 10/20/2011.
Regulation 483.70(f) deficiency was corrected by 10/20/2011.
Inspection Report
Re-Inspection
Census: 86
Deficiencies: 4
Date: Sep 21, 2011
Visit Reason
The inspection was a health resurvey to evaluate compliance with comprehensive resident assessments and other regulatory requirements.
Findings
The facility failed to complete comprehensive assessments properly, maintain required resident assessments for 15 months in active records, monitor effectiveness of medications, and ensure the resident call system was functional.
Deficiencies (4)
F 272: The facility failed to complete all required components of comprehensive assessments for 11 sampled residents and did not document the location of information used in assessments.
F 286: The facility failed to maintain all resident assessments completed within the previous 15 months in the resident's active record for 16 sampled residents.
F 329: The facility failed to ensure staff monitored and recorded the effectiveness of PRN medications and blood pressure monitoring for two sampled residents.
F 463: The facility failed to monitor the function of the communication system for resident call lights, affecting one resident's bathroom call light on Hall 3.
Report Facts
Facility census: 86
Residents reviewed for unnecessary drugs: 10
Residents sampled for assessment review: 16
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N040004 POC GB0111
Visit Reason
This document is a Plan of Correction related to a prior deficiency report for Kansas Christian Home.
Findings
No specific findings or deficiencies are detailed in this document; it serves as a corrective action plan reference.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N040004 POC YS9511
Visit Reason
This document serves as a plan of correction related to a prior inspection or regulatory finding for the facility identified by State ID N040004 and Event ID YS9511.
Findings
No deficiency records or findings are included in this document. It only references the plan of correction status and contact information for assistance.
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