Inspection Reports for Kimball County Manor

The complaint alleged the facility failed to report incidents of abuse in the required timeframe. The investigation found the facility was compliant with abuse reporting requirements.

The facility was found to be in compliance with abuse reporting requirements. However, multiple deficiencies were identified including failure to provide a homelike environment during meals, failure to transmit MDS assessments timely, lack of physician orders for TED hose use, improper oxygen administration, lack of lab monitoring for diabetic resident, medication errors related to crushing medications, dietary manager lacking required credentials, food safety violations, improper oxygen tubing storage, toiletries improperly stored in bathrooms, incomplete fire drills, and unsecured oxygen cylinders storage.

The facility was found to have multiple deficiencies including failure to ensure call lights were within reach, failure to provide bathing per resident preferences, improper use and monitoring of physical restraints, failure to complete significant change assessments, incomplete care plans, inadequate activity programming, failure to address bruising and skin care, and failure to repair assistive devices such as reading glasses. Additionally, a life safety code deficiency was noted related to improper posting of exit door codes.

The facility was found deficient in multiple areas including resident rights to self-determination, care plan updates, quality of care including pain management and oxygen therapy, accident hazards, food safety, emergency lighting, fire alarm system maintenance, and fire extinguisher maintenance. Several residents lacked documented preferences or updated care plans. Environmental and safety hazards were identified and corrected.

The facility had multiple deficiencies including failure to document hiring decisions for staff with criminal backgrounds, incomplete discharge summaries, unsanitary bathroom floors, incomplete care plans for multiple residents, failure to use gait belts and wheelchair footrests during resident transfers, expired food items and undated opened food containers, expired medications not disposed, incomplete wound care documentation, unsealed smoke barrier penetrations, and failure to conduct fire drills at varied times.

The facility was found deficient in multiple areas including unsecured hazardous chemicals accessible to residents, improper food storage and temperature monitoring, inadequate infection control practices related to respiratory equipment and linens, uncovered urinals, and life safety code violations such as missing self-closing door devices and incomplete sprinkler system coverage.

The complaint alleged the facility failed to protect residents from abuse and failed to report allegations of abuse. The facility was substantiated to have failed to report an abuse investigation to the State Agency as required.

The facility protected residents from abuse with no unprofessional staff interactions observed and staff trained on abuse reporting. However, the facility failed to notify the State Agency of a staff to resident abuse investigation as required by regulations, resulting in a cited deficiency.

The facility failed to identify the causal factors of an episode of unresponsiveness, diaphoresis, and clamminess in Resident 5 and did not implement monitoring for further signs or symptoms of potential cardiac complications. Documentation and assessments following the incident were incomplete.

The facility failed to conduct a comprehensive Minimum Data Set (MDS) assessment after a significant change in a resident's condition and failed to develop a comprehensive care plan addressing the nutritional needs and interventions for the resident at risk for nutritional problems.

The complaint investigation included allegations of failure to identify change in condition, ensure physician visits, address weight loss, prevent skin breakdown and pressure sores, provide necessary services, and ensure residents are not chemically restrained. The investigation involved medical record reviews, resident observations, and interviews with staff, residents, and family members.

The facility was found deficient in initiating comprehensive assessments following resident condition declines and protecting resident privacy during medication administration and vital sign procedures. Other allegations such as physician visits, weight loss interventions, skin and pressure sore care, necessary services, and chemical restraint monitoring were found to have no violations. The facility census was 40.

The facility was found deficient in multiple areas including failure to allow residents to choose bathing schedules, inadequate housekeeping and maintenance, inaccurate resident assessments, incomplete care plan updates after falls, unsecured hazardous chemicals, failure to offer pneumococcal vaccinations, inadequate food service sanitation, unlocked medication carts, and infection control lapses such as improper handwashing and equipment cleaning. Life safety code violations included sprinkler obstructions and improper electrical wiring.

The facility failed to maintain complete and accurate clinical records for residents, specifically failing to document monitoring of Resident 4's swallowing difficulties. The deficiency was based on record review and interviews with staff.

The facility was found deficient in maintaining resident privacy during personal care, housekeeping and maintenance issues including floor tile cleanliness and bathroom door repairs, food safety violations including improper glove use, unclean food preparation equipment, improper dishware storage, and dietary staff wearing unauthorized jewelry. Additionally, the kitchen exhaust hood was not properly cleaned as required by fire safety standards.