Deficiencies (last 3 years)
Deficiencies (over 3 years)
5.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
5% better than Kansas average
Kansas average: 6 deficiencies/yearDeficiencies per year
8
6
4
2
0
Occupancy
Latest occupancy rate
3% occupied
Based on a December 2018 inspection.
This facility has shown a decline in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Renewal
Census: 2
Deficiencies: 3
Date: Dec 10, 2018
Visit Reason
The inspection was a licensure resurvey conducted on 12/6/18 and 12/10/18 to assess compliance with state regulations for Ellinwood Country Living.
Findings
The facility failed to ensure a licensed nurse provided or coordinated necessary health care services for one resident regarding altered food and fluid consistency. Staff did not provide the mechanically altered diet according to the negotiated service agreement and medical orders. Additionally, over-the-counter medications for residents were not labeled with the full resident name as required.
Deficiencies (3)
KAR 26-42-204 (a) The facility failed to ensure a licensed nurse provided or coordinated necessary health care services for 1 of 2 residents regarding altered food and fluid consistency.
KAR 26-42-206 (a)(c) The facility failed to ensure staff provided the mechanically altered diet for 1 of 2 residents in accordance with the negotiated service agreement and medical orders.
KAR 26-42-205 (g)(3) The facility failed to ensure all over-the-counter medications were labeled with the full name of the resident for 2 current and 1 former resident.
Report Facts
Census: 2
Inspection Report
Re-Inspection
Census: 53
Deficiencies: 6
Date: Jan 12, 2017
Visit Reason
Licensure re-survey conducted at the assisted living facility to evaluate compliance with regulatory requirements and to verify correction of previous deficiencies.
Findings
The facility failed to ensure negotiated service agreements were properly completed for residents receiving outside services. The administrator did not obtain a written order for admission to the special care unit for a resident. Licensed nurses failed to provide or coordinate necessary health care services, including fall risk interventions, resulting in multiple falls and injuries. Medication administration procedures were deficient, with medication aides administering pre-drawn insulin syringes. Documentation of incidents and nursing assessments was incomplete. The facility failed to prepare a resident's therapeutic renal diet according to medical instructions.
Deficiencies (6)
26-41-202 (a) Negotiated Service Agreement: Administrator failed to ensure negotiated service agreements were completed in collaboration with residents or representatives and lacked descriptions of services, providers, and payment responsibilities for outside services.
26-41-203 (d) Special Care Services: Administrator failed to obtain a written medical order for admission to the special care unit for a resident.
26-41-204 (a) Health Care Services: Licensed nurse failed to provide or coordinate necessary health care services for residents, including fall risk interventions, resulting in multiple falls and injuries.
26-41-205 (d) (3) Facility Administration of Medication: Medication aide administered pre-drawn insulin syringes not personally prepared by the aide.
26-41-105 (f) (11) Resident Record Documentation of Incidents: Facility failed to document all incidents, symptoms, and indications of illness or injury including date, time, action taken, and results.
26-41-206 (a) (b) Dietary Services: Facility failed to prepare a resident's therapeutic renal diet according to instructions from a medical care provider or licensed dietitian.
Report Facts
Resident census: 53
Insulin units: 12
Fall risk scores: 16
Number of falls: 11
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed nurse #S | Named in multiple findings including medication administration, fall risk, and incident documentation | |
| Licensed nurse #R | Named in fall risk and incident documentation findings | |
| Certified staff #U | Confirmed outside provider sitter services for resident | |
| Dietary staff #T | Interviewed regarding resident diet preparation |
Inspection Report
Re-Inspection
Deficiencies: 4
Date: Oct 1, 2015
Visit Reason
This is a revisit report to verify correction of previously cited deficiencies at the facility.
Findings
The report documents that multiple deficiencies previously identified under specific regulations were corrected as of the revisit date.
Deficiencies (4)
Regulation 26-41-202 (a): Previously cited deficiency corrected as of 10/01/2015.
Regulation 26-41-202 (h): Previously cited deficiency corrected as of 10/01/2015.
Regulation 26-41-206 (d): Previously cited deficiency corrected as of 10/01/2015.
Regulation 26-41-206 (e)(1): Previously cited deficiency corrected as of 10/01/2015.
Inspection Report
Complaint Investigation
Census: 48
Deficiencies: 4
Date: Sep 9, 2015
Visit Reason
The inspection was a resurvey with complaint investigation 86874 conducted at an assisted living facility to evaluate compliance with negotiated service agreements, food preparation, and food storage regulations.
Complaint Details
The inspection was a resurvey with complaint investigation 86874 conducted on 9-2-15, 9-3-15, 9-8-15, and 9-9-15 at an assisted living facility.
Findings
The facility failed to ensure negotiated service agreements included required service descriptions, provider identifications, and payment responsibilities for residents. Food was not consistently prepared or served at proper temperatures, and food storage conditions were unsafe and unsanitary.
Deficiencies (4)
KAR 26-41-202(a) The administrator failed to ensure negotiated service agreements provided descriptions of services, identification of providers, and payment responsibilities for residents #420 and #421.
KAR 26-41-202(h) The administrator failed to ensure all individuals involved in developing the negotiated service agreement signed it and that copies were provided to residents or their legal representatives.
KAR 26-41-206(d) The administrator failed to ensure food was prepared using safe methods that conserved nutritive value, flavor, and appearance and served at proper temperatures, with multiple missing temperature logs.
KAR 26-41-206(e)(1) The administrator failed to ensure all food was stored under safe and sanitary conditions, including unlabeled cereals, raw chicken stored at 46°F, and improperly stored frozen foods.
Report Facts
Census: 48
Missing food temperature log entries: 31
Refrigerator temperature: 50
Freezer temperature: 10
Reach-in cooler temperature: 46
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N089045 POC 2TVG11
Visit Reason
This document is a Plan of Correction related to a prior inspection event identified as 2TVG11 for the facility with State ID N089045.
Findings
No deficiency details or findings are included in this document. It only references the Plan of Correction status and contact information for assistance.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N089045 POC 4BLW11
Visit Reason
This document is a Plan of Correction related to a previously identified deficiency report for the facility.
Findings
No deficiency details or findings are included in this document. It only references the Plan of Correction status and contact information for assistance.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N089045 POC 4BLW12
Visit Reason
This document is a Plan of Correction related to a prior inspection event identified as 4BLW12 for facility State ID N089045 ASPEN.
Findings
No deficiency records or findings are included in this Plan of Correction document.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N089045 POC FROO11
Visit Reason
This document is a plan of correction related to a prior inspection event identified as FROO11 for the facility with State ID N089045.
Findings
No deficiency records or findings are included in this plan of correction document.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N089045 POC FROO12
Visit Reason
This document is a Plan of Correction related to a prior inspection or regulatory event for the facility identified as ASPEN with State ID N089045 and Event ID FROO12.
Findings
No deficiencies or findings are detailed in this document. It serves solely as a Plan of Correction record with no substantive content provided.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N089045 POC RSKG11
Visit Reason
This document is a Plan of Correction related to a prior deficiency report for Aspen facility identified by State ID N089045 and Event ID RSKG11.
Findings
No specific findings or deficiencies are detailed in this document. It serves as a placeholder or administrative record for the Plan of Correction submission.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N089045 POC V49511
Visit Reason
This document is a Plan of Correction related to a prior deficiency report for the facility identified as State ID N089045.
Findings
No specific deficiencies or findings are detailed in this document. It serves as a record of the Plan of Correction submission and modification dates.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N089045 POC YFZL11
Visit Reason
This document is a Plan of Correction related to a prior deficiency report for the facility identified as ASPEN with State ID N089045.
Findings
No specific findings or deficiencies are detailed in this document. It serves as a record of the Plan of Correction submission and modification dates.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N089045 POC YFZL12
Visit Reason
This document is a Plan of Correction related to a previous inspection or regulatory finding for the facility identified as ASPEN with State ID N089045 and Event ID YFZL12.
Findings
No deficiency details or findings are included in this Plan of Correction document. It only references the absence of linked deficiency reports.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N089045 POC ZYFW11
Visit Reason
This document is a Plan of Correction related to a previous inspection event identified as ZYFW11 for facility State ID N089045 ASPEN.
Findings
No deficiency records or findings are included in this Plan of Correction document.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N089045 POC 0E2J11
Visit Reason
This document is a Plan of Correction related to a prior inspection event for the facility identified as ASPEN with State ID N089045 and Event ID 0E2J11.
Findings
No deficiency details or findings are included in this Plan of Correction document. It only references the related deficiency report with no records found.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N089045 POC 0E2J12
Visit Reason
This document is a Plan of Correction related to a previous inspection event for the facility identified as ASPEN with State ID N089045 and Event ID 0E2J12.
Findings
No deficiency records or findings are included in this Plan of Correction document.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N089045 POC 2I0J11
Visit Reason
This document is a Plan of Correction related to a prior inspection or regulatory event for the facility identified as ASPEN with State ID N089045.
Findings
No specific deficiencies or findings are detailed in this document. It serves as a placeholder or record for the Plan of Correction submission.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N089045 POC 2I0J12
Visit Reason
This document is a Plan of Correction related to a prior inspection or deficiency report for the facility identified as ASPEN with State ID N089045.
Findings
No deficiency records or findings are included in this Plan of Correction document. It serves as a corrective action response without detailed findings.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N089045 POC 2I0J13
Visit Reason
This document is a Plan of Correction related to a prior inspection event for the facility identified as ASPEN with State ID N089045 and Event ID 2I0J13.
Findings
No deficiency records or findings are included in this Plan of Correction document.
Viewing
Loading inspection reports...
