Inspection Reports for Life Care Center of Andover

A revisit survey was conducted on 02/17/2020 and 02/18/2020 for all previous deficiencies cited on 01/15/2020.

All deficiencies have been corrected as of the compliance date of 02/05/2020, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.

The inspection was conducted as a Health Resurvey and Complaint Investigation involving multiple complaint numbers.

The facility was found deficient in multiple areas including failure to include responsible parties in care planning, failure to review and revise care plans, inadequate discharge summaries, insufficient assistance with activities of daily living, failure to provide restorative nursing services, unsafe transfer techniques, failure to ensure safe transport, failure to provide adequate pain management, and failure to act on pharmacist recommendations regarding medication orders.

The visit was triggered by multiple complaints as indicated by complaint investigation numbers #146783, #142970, #145913, #144810, #149246, and #149196.

This document is a Plan of Correction submitted by Life Care Center of Andover in response to deficiencies cited in a prior survey report dated 1/15/2020.

The facility was found deficient in multiple areas including failure to include responsible parties in care plans for cognitively impaired residents, failure to review and revise care plans for pain relief and splint use, incomplete discharge summaries, inadequate routine assistance with bathing, nail care and shaving, inadequate restorative nursing and adaptive equipment provision, improper transfer techniques, failure to provide pain management interventions, failure to act timely on pharmacy recommendations, and failure to ensure stop orders for psychotropic medications.

A revisit survey was conducted on 07/22/2019 for all previous deficiencies cited on 06/24/2019.

All deficiencies have been corrected as of the compliance date of 06/28/2019, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.

Partial extended survey conducted for complaint investigations #KS00142441 and #KS00142612 regarding allegations of neglect and elopement of resident #1.

The facility failed to timely report an allegation of neglect when resident #1 eloped from the building on 5/3/19, failed to thoroughly investigate the allegation, and failed to provide adequate supervision to prevent the resident from exiting the building, placing the resident in immediate jeopardy. The resident was found wandering outside by off-duty staff after staff failed to properly respond to an alarm and conduct a thorough search.

The complaint investigation was triggered by allegations that resident #1 eloped from the facility on 5/3/19 without staff knowledge. The facility failed to timely report the incident, failed to thoroughly investigate it, and failed to provide adequate supervision to prevent the elopement. The resident was found by off-duty staff wandering outside the facility. The family was not notified until the next day.

This document is a Plan of Correction submitted by Life Care Center of Andover in response to deficiencies cited in a prior survey related to allegations of neglect and inadequate supervision involving resident #1 who eloped.

The facility failed to report and thoroughly investigate an incident of alleged neglect when resident #1 eloped, and failed to provide adequate supervision to prevent the elopement. The facility has educated staff on reporting, investigation, and response procedures and will conduct ongoing reviews and drills to ensure compliance.

A revisit survey was conducted on 6/10-6/12/2019 for all previous deficiencies cited on 4/17/19 to verify correction of prior deficiencies.

All deficiencies cited in the previous inspection have been corrected as of the compliance date of 5/15/19, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.

A second non-compliance revisit survey was conducted on 6/10-6/12/2019 for all previous deficiencies cited on 4/17/19.

All deficiencies have been corrected as of the compliance date of 5/15/19, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.

This Plan of Correction document responds to deficiencies cited in a prior survey of Life Care Centers of Andover, addressing issues such as failure to notify physicians of changes in resident health status, failure to report and investigate suspected neglect, failure to develop individualized care plans, failure to provide adequate social services, medication administration errors, and failure to provide physician-ordered diets.

The facility submitted corrective actions for multiple deficiencies including failure to notify physicians and residents of changes, failure to report and investigate neglect, failure to develop individualized care plans for certain residents, failure to provide adequate social services related to grief counseling, medication administration errors, and failure to provide physician-ordered diets. The facility implemented staff education, daily reviews, audits, and monitoring to ensure compliance and planned to achieve substantial compliance by 5/15/2019.

This document is a Plan of Correction submitted by Life Care Centers of Andover in response to a survey report dated 4/17/2019, addressing deficiencies cited during the inspection.

The facility failed to develop and implement baseline care plans, review and revise care plans after assessments, develop discharge plans, provide treatment and care according to professional standards, ensure fall interventions, maintain an effective quality assessment and assurance program, and implement an antibiotic stewardship program. The facility has taken corrective actions including audits, staff education, and monitoring to achieve substantial compliance by 5/15/2019.

Complaint investigations were conducted based on multiple complaint numbers regarding concerns at Life Care Center of Andover.

The facility failed to ensure timely physician notification for resident decline, failed to notify a resident of medication changes, failed to report and investigate neglect allegations, failed to develop individualized care plans, failed to provide timely social services, failed to prevent significant medication errors, and failed to provide diets per physician orders.

The complaint investigations involved multiple complaint numbers (KS00140239, KS00140085, KS00139981, KS00139154, KS00138559, KS00138565) related to resident care concerns including neglect, medication errors, and care planning.

A Non-Compliance Revisit and partial extended survey was conducted by the Kansas Department for Aging and Disability Services on behalf of CMS to verify correction of previous deficiencies and assess compliance.

The facility was found not in substantial compliance with 42 CFR 483 subpart B, with deficiencies in baseline care plans, care plan timing and revision, discharge planning, quality of care including failure to maintain airway and oxygenation, medication errors, wound care, fall prevention, quality assurance program, and antibiotic stewardship.

A Non-Compliance Revisit and partial extended survey was conducted by the Kansas Department for Aging and Disability Services on behalf of CMS to verify correction of previous deficiencies and assess compliance with federal regulations.

The facility was found not in substantial compliance with multiple deficiencies including failure to complete baseline care plans, failure to revise care plans timely, inadequate discharge planning, failure to provide quality care resulting in immediate jeopardy, failure to prevent falls, and failure to maintain an effective quality assurance program including antibiotic stewardship.

This document is a Plan of Correction submitted by Life Care Centers of Andover in response to a survey identifying multiple deficiencies in care, environment, documentation, and staffing.

The facility was found deficient in multiple areas including privacy during care, cleanliness, misappropriation of property, documentation of discharge information, care planning, nursing assessments, medication management, staffing sufficiency, and infection control. The facility has implemented corrective actions including staff education, audits, and policy revisions to achieve substantial compliance by 3/8/2019.

An abbreviated survey was conducted by the Kansas Department for Aging & Disability Services to determine if the facility was in compliance with Federal participation requirements for nursing homes participating in Medicare and/or Medicaid programs.

The survey found that the facility was not in substantial compliance with participation requirements and constituted Immediate Jeopardy, Past Non-compliance to resident health or safety for F689, CFR 483.25(d)(1)(2). Enforcement remedies will be recommended and the facility will not be given an opportunity to correct deficiencies before remedies are imposed.

This document is a Plan of Correction submitted in response to deficiencies identified in a prior complaint investigation.

The plan indicates that the deficiencies identified as F0000 and F689-J were past noncompliance issues for which no plan of correction was required.

The inspection was conducted as a complaint investigation (#138867) regarding a resident elopement incident where the facility failed to provide adequate supervision to prevent a resident from exiting the building unnoticed.

The facility failed to respond timely to a door alarm, resulting in a cognitively impaired resident exiting the building and walking to a neighboring assisted living facility in cold weather, placing the resident in immediate jeopardy. The facility conducted an investigation, implemented corrective actions including elopement drills, staff education, and updated care plans and assessments.

Complaint investigation #138867. The resident exited the facility without staff knowledge at approximately 9:45 pm, walked to the assisted living facility next door in 26 degree Fahrenheit weather. The facility failed to respond to the exit door alarm in a timely manner.

The inspection was a Health Resurvey and Complaint Investigation to evaluate compliance with resident rights, safe environment, free from misappropriation, transfer and discharge requirements, resident care, and infection control.

The facility was found deficient in multiple areas including failure to maintain resident dignity during care, unsafe and unsanitary environment conditions, failure to protect residents from misappropriation of property, inadequate transfer and discharge documentation and notification, incomplete baseline and comprehensive care plans, insufficient assistance with activities of daily living, inadequate nursing assessments following changes in condition, failure to prevent pressure ulcers, improper catheter care, insufficient nursing staff, incomplete nurse aide evaluations and training, improper medication storage, failure to provide appropriate dental care, serving food at improper temperatures, and ineffective infection prevention and control practices.

The visit was complaint-related as indicated by the Health Resurvey and Complaint Investigation #137208.

A desk review was conducted for the deficiencies cited on 2019-01-22 to verify the facility's compliance.

The deficiencies cited on 2019-01-22 were placed back into substantial compliance based upon the facility's compliance date effective 2019-01-24.

An abbreviated survey was conducted to determine if the facility is in compliance with Federal participation requirements for nursing homes participating in the Medicare and/or Medicaid program.

The survey found a 'D' level deficiency indicating no actual harm but with potential for more than minimal harm that is not immediate jeopardy. The facility submitted a plan of correction which was accepted, and the facility was found to be in substantial compliance effective January 24, 2019.

The inspection was conducted as a result of complaint investigations #135013 and #135487 to assess compliance with care plan development and pressure ulcer treatment requirements.

The facility failed to develop comprehensive care plans that included residents' activity preferences for 2 of 4 sampled residents and failed to provide necessary treatment and monitoring to promote healing of pressure ulcers for 2 of 4 sampled residents. Deficiencies included lack of activity care plans and delayed wound measurement and treatment.

The findings represent the results of complaint investigations #135013 and #135487.

This Plan of Correction is submitted in response to deficiencies cited in the Life Care Centers of Andover inspection report dated 12/13/2018, addressing care plan and pressure ulcer prevention deficiencies.

The facility was found deficient in ensuring care plans included resident preferences and in providing care to reduce the risk of pressure ulcers. Specific residents were identified with deficiencies in activity care plans and pressure ulcer care.

An off-site survey was conducted to address deficiencies cited on May 23, 2018.

The deficiencies cited during the prior survey were corrected as of the compliance date of June 27, 2018.

This document is a Plan of Correction submitted by Life Care Center of Andover in response to deficiencies cited related to medication administration and transcription.

The facility identified issues with medication dosage information, route of administration, and transcription errors. Corrective actions include clarifying orders, reviewing medication orders, implementing double check systems, and providing staff education to prevent future occurrences.

An abbreviated survey was conducted to determine if the facility is in compliance with Federal participation requirements for nursing homes participating in the Medicare and/or Medicaid program.

The survey found the most serious deficiency to be a "D" level deficiency indicating no actual harm with potential for more than minimal harm that is not immediate jeopardy. The facility submitted a plan of correction which was accepted, and the facility was found to be in substantial compliance effective June 27, 2018.

The inspection was conducted as a complaint investigation (#129501) to review concerns related to medication administration and ensure compliance with drug regimen requirements.

The facility failed to ensure that three residents received medications as ordered by the physician, including incorrect dosages, improper routes of administration, and unclear medication orders, potentially risking adverse effects and ineffective treatment.

The visit was triggered by complaint investigation #129501 regarding medication administration errors and failure to follow physician orders.

A revisit survey was conducted on 05/03/18 to verify correction of all previous deficiencies cited on 03/06/18.

All deficiencies cited in the previous inspection have been corrected as of the compliance date of 04/11/18, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.

A revisit survey was conducted on 05/03/18 to verify correction of all previous deficiencies cited on 03/06/18.

All deficiencies cited in the previous inspection have been corrected as of the compliance date of 04/11/18, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.

This document is a Plan of Correction submitted by Life Care Center of Andover in response to deficiencies cited during a state and federal inspection conducted on March 6, 2018.

The Plan of Correction addresses multiple deficiencies across various regulatory tags including resident rights, advance directives, environmental cleanliness, staff reference checks, comprehensive resident assessments, care planning, restorative services, medication management, staffing, dietary services, infection control, and equipment maintenance. The facility outlines corrective actions, education plans, audits, and ongoing monitoring to ensure compliance and prevent recurrence.

Health Resurvey and Complaint Investigation with multiple complaint numbers, including review of resident rights, advance directives, safe environment, staff employment screening, comprehensive assessments, care planning, activities of daily living, medication regimen, and infection control.

The facility had multiple deficiencies including failure to periodically review resident rights, failure to maintain advance directives documentation, unsafe and unclean dining environment, failure to obtain reference checks for new employees, incomplete comprehensive assessments and care plans, inadequate restorative nursing services, insufficient staffing, failure to monitor medications with black box warnings, failure to provide adequate toileting and hygiene care, failure to maintain kitchen sanitation and equipment, and failure to implement an antibiotic stewardship program.

Complaint investigation included multiple complaint numbers and focused on resident rights, advance directives, safe environment, staffing, care planning, medication management, infection control, and dietary services.

An off-site survey was conducted to review the deficiencies cited on December 29, 2017.

The deficiencies cited in the prior survey were corrected as of the compliance date of February 6, 2018.

This document is a Plan of Correction submitted by Life Care Center of Andover in response to deficiencies cited during a complaint survey.

The Plan of Correction addresses multiple deficiencies including environmental concerns, care plan updates for residents with special dietary and dialysis needs, bathing assistance, catheter care, and toileting provision. The facility has implemented corrective actions such as audits, staff education, and ongoing monitoring to ensure compliance.

An abbreviated survey was conducted to determine if the facility is in compliance with Federal participation requirements for nursing homes participating in the Medicare and/or Medicaid program.

The survey found the most serious deficiency to be an 'E' level deficiency indicating no actual harm but with potential for more than minimal harm that is not immediate jeopardy. The facility submitted a plan of correction which was accepted, and the facility was found to be in substantial compliance effective February 6, 2018.

The inspection was conducted based on complaint investigations #124422 and #125155 to assess compliance with regulations related to safe environment, care planning, ADL care, incontinence care, and dietary needs.

The facility failed to maintain a clean and sanitary environment affecting the assisted dining area, failed to properly review and revise care plans for therapeutic diets, failed to provide adequate bathing and personal hygiene care for dependent residents, failed to provide appropriate urinary catheter and bowel care, failed to provide toileting opportunities as planned, and failed to provide the ordered renal diet to a dialysis resident.

The inspection was triggered by complaints #124422 and #125155 regarding sanitation, care planning, personal hygiene, catheter care, bowel management, toileting, and dietary compliance.

An off-site survey was conducted to review deficiencies cited on 2017-10-13 and verify their correction by the compliance date of 2017-10-31.

The deficiencies cited on 2017-10-13 were corrected as of the compliance date of 2017-10-31.

This document is a Plan of Correction submitted by Life Care Center of Andover in response to deficiencies cited during a complaint survey (Complaint 101317).

The facility identified deficiencies related to assistance with activities of daily living (ADLs) including bathing and oral care, bowel and bladder assessments, and timely dental services. The plan outlines corrective actions including audits, education, and care plan updates to ensure compliance and prevent recurrence.

This Plan of Correction addresses deficiencies cited during a complaint investigation (Complaint 101317).

An abbreviated survey was conducted to determine if the facility is in compliance with Federal participation requirements for nursing homes participating in the Medicare and/or Medicaid program.

The survey found a 'D' level deficiency indicating no actual harm but with potential for more than minimal harm that is not immediate jeopardy. The facility submitted a plan of correction which was accepted, and the facility was found to be in substantial compliance effective October 31, 2017.

Complaint investigation #121437 was conducted to assess the facility's compliance with regulations related to activities of daily living care, urinary continence, and dental services for dependent residents.

The facility failed to ensure adequate personal hygiene assistance and bathing opportunities for dependent residents, failed to provide individualized toileting plans to maintain normal bladder function and prevent urinary tract infections, and failed to provide timely dental health services for a resident with decayed teeth requiring extraction.

Complaint investigation #121437 focused on personal hygiene care, urinary continence management, and dental services for dependent residents.

This post-certification revisit was conducted to verify that previously reported deficiencies on the CMS-2567 Statement of Deficiencies and Plan of Correction had been corrected.

The revisit report indicates that all previously cited deficiencies were corrected as of the dates listed, with no uncorrected deficiencies remaining at the time of the revisit.

This document is a Plan of Correction submitted by Life Care Center of Andover in response to deficiencies cited during a prior survey, specifically addressing pressure ulcer prevention and treatment.

The facility developed and implemented a system to assure correction and continued compliance with regulations related to pressure ulcer care, including staff education, skin assessments for all residents, and ongoing audits to ensure proper documentation and treatment.

An abbreviated survey was conducted to determine if the facility was in compliance with Federal participation requirements for nursing homes participating in Medicare and/or Medicaid programs.

The survey found the most serious deficiency to be F314, related to pressure ulcers, at a level of actual harm that is not immediate jeopardy. Due to the facility's history of noncompliance, no opportunity to correct deficiencies before remedies are imposed was given, resulting in enforcement actions including denial of payment for new Medicare and Medicaid admissions.

The inspection was conducted as a complaint investigation (#117173) related to pressure ulcer care and treatment at the facility.

The facility failed to ensure one resident admitted with pressure ulcers received adequate care to prevent recurrence and worsening of pressure ulcers. The resident developed multiple recurring and new pressure ulcers due to failures in assessment, monitoring, use of pressure relieving devices, proper positioning, and availability of physician-ordered treatments.

The visit was triggered by complaint investigation #117173. The complaint involved inadequate care for pressure ulcers, including failure to assess, monitor, and treat wounds properly, and failure to use pressure relieving devices and positioning to prevent ulcer worsening.

This post-certification revisit was conducted to verify that previously reported deficiencies on the CMS-2567 Statement of Deficiencies and Plan of Correction have been corrected.

All previously cited deficiencies identified by regulation numbers 483.20(d), 483.20(k)(1), 483.25, 483.25(d), 483.25(l), 483.60(a),(b), and 483.65 were corrected as of the revisit date.

This document reports on a revisit conducted on November 9, 2016, following a September 6, 2016 health survey, to verify that the facility had achieved and maintained compliance with Federal requirements for nursing homes participating in Medicare and Medicaid programs.

The revisit found the most serious deficiency to be a 'G' level deficiency, indicating a level of actual harm or above. As a result, a denial of payment for new Medicare and Medicaid admissions was imposed effective September 28, 2016, and a recommendation for termination of the provider agreement was made if substantial compliance is not achieved by March 6, 2017.

The action is based on deficiencies found on the current revisit survey and a complaint survey conducted on September 28, 2016.

This post-certification revisit was conducted to verify that previously identified deficiencies reported on the CMS-2567 Statement of Deficiencies and Plan of Correction have been corrected.

All previously cited deficiencies listed with their regulation numbers and identification prefix codes were marked as corrected and completed as of the revisit date.

This revisit inspection was conducted to verify that previously reported deficiencies at Life Care Center of Andover were corrected and to document the dates such corrective actions were accomplished.

The report confirms that all previously cited deficiencies identified by regulation numbers 26-40-303 (b)(c), 26-40-305 (c)(1)(2), 26-40-305 (3), and 28-39-163 were corrected as of the revisit date.

This document is a Plan of Correction submitted by Life Care Center of Andover in response to deficiencies cited during a survey conducted on November 9, 2016.

The facility developed and implemented corrective actions addressing deficiencies related to urinary catheter care, fluid restriction and medication administration, prevention of urethral trauma, monitoring of bowel movements and blood glucose, pain medication administration, and infection control. The plan includes education for licensed nurses and monitoring of corrective actions through audits and committee reviews.

The inspection was a non-compliance revisit and complaint investigation #106957 to assess regulatory compliance related to care planning, quality of care, medication administration, infection control, and other related concerns.

The facility failed to develop comprehensive care plans, provide necessary care to prevent catheter trauma and infections, monitor residents' weights and fluid intake, administer medications as ordered, and maintain an effective infection control program including surveillance and antibiotic use tracking.

The visit was triggered by a complaint investigation #106957 and a non-compliance revisit.

This document is a Plan of Correction submitted by Life Care Center of Andover addressing deficiencies cited during a prior survey. It outlines corrective actions, systemic changes, and monitoring plans to achieve substantial compliance.

The Plan of Correction details multiple deficiencies related to resident care, safety, medication management, environmental conditions, staffing, infection control, and policy compliance. It includes specific resident cases, systemic education and training, and monitoring strategies to ensure correction and ongoing compliance.

A Health survey was conducted on September 6, 2016, by the Kansas Department for Aging and Disability Services to determine compliance with Federal participation requirements for nursing homes participating in Medicare and/or Medicaid programs.

The survey found serious deficiencies at a level of actual harm that is not immediate jeopardy, with a history of noncompliance from a prior abbreviated survey on February 24, 2016. Enforcement remedies include denial of payment for new Medicare and Medicaid admissions effective September 28, 2016, until substantial compliance is achieved or the provider agreement is terminated.

The enforcement action references deficiencies found on the current survey and a complaint survey conducted on February 24, 2016, indicating a history of noncompliance.

The inspection was a Health Resurvey, an Extended Health Resurvey and Complaint investigations related to multiple resident incidents and facility compliance.

The facility had multiple deficiencies including failure to thoroughly investigate and report resident falls with injuries, failure to promote resident dignity and respect, inadequate environmental cleanliness, insufficient lighting, incomplete resident assessments and care plans, failure to provide adequate bathing and oral care, pressure ulcer prevention and treatment deficiencies, inadequate respiratory care, medication administration errors, insufficient nursing staff, unsanitary food handling, and lack of updated facility policies and quality assurance oversight.

A Life Safety Code survey was conducted by the State Fire Marshal's Office to determine if the facility was in compliance with Federal requirements for nursing homes participating in Medicare and/or Medicaid programs.

The survey found the most serious deficiencies at the facility to be at the 'F' level, indicating no harm with potential for more than minimal harm but not immediate jeopardy. Remedies including denial of payments and possible termination of provider agreement were recommended if substantial compliance is not achieved.

This post-certification revisit was conducted to verify that previously reported deficiencies on the CMS-2567 Statement of Deficiencies and Plan of Correction have been corrected.

The report confirms that the deficiency identified under regulation 483.25(h) was corrected as of 03/11/2016. No other deficiencies or uncorrected issues are noted.

This post-certification revisit was conducted to verify that previously reported deficiencies on the CMS-2567 Statement of Deficiencies and Plan of Correction had been corrected.

The revisit confirmed that all previously cited deficiencies were corrected as of 03/11/2016, with no uncorrected deficiencies remaining.

This document is a Plan of Correction submitted by Life Care Center of Andover in response to deficiencies cited during a prior survey related to falls and resident care.

The facility developed and implemented a system to assure correction and continued compliance with regulations regarding fall prevention. Staff education and monitoring of care plan interventions for residents at risk of falls were emphasized.

The inspection was conducted as a complaint investigation based on complaint investigation numbers 95422, 96693, and 96724.

The facility failed to provide planned interventions to prevent falls for one cognitively impaired resident, resulting in a fall with a head laceration requiring three staples. The resident was left unattended in a wheelchair in their room despite care plans directing staff not to leave the resident alone, indicating inadequate supervision and failure to follow care plans.

The visit was triggered by complaint investigations #95422, 96693, and 96724. The complaint was substantiated as the facility failed to prevent a fall for a high-risk resident, resulting in injury.

Two separate abbreviated surveys were conducted on February 16, 2016 and February 24, 2016 to determine if the facility was in compliance with Federal participation requirements for nursing homes participating in Medicare and/or Medicaid programs.

The surveys found the most serious deficiency in the facility to be a 'G' level cited on February 24, 2016, resulting in enforcement remedies including a denial of payment for new Medicare and Medicaid admissions effective May 16, 2016 until substantial compliance is achieved.

Two separate abbreviated surveys were conducted on February 16, 2016 and February 24, 2016 to determine if the facility was in compliance with Federal participation requirements for nursing homes participating in Medicare and/or Medicaid programs.

The surveys found the most serious deficiency in the facility to be a 'G' level cited on February 24, 2016. As a result, a denial of payment for new Medicare and Medicaid admissions will be imposed effective May 16, 2016 until substantial compliance is achieved or the provider agreement is terminated.

The inspection was conducted as a complaint investigation (#95681 and 96112) regarding concerns about medication administration, bathing care, and staffing adequacy at the facility.

The facility failed to ensure timely administration of pain medications for one resident, failed to provide bathing as planned for three residents, and lacked sufficient nursing staff to meet the physical, mental, and psychosocial needs of all 74 residents. Multiple observations and interviews confirmed inadequate staffing, delayed responses to call lights, and insufficient care provision.

The complaint investigation (#95681 and 96112) was substantiated with findings of medication administration failures, inadequate bathing care, and insufficient staffing.

This document is a Plan of Correction submitted by Life Care Center of Andover in response to deficiencies cited during a complaint investigation survey conducted on February 16, 2016.

The plan addresses deficiencies related to timely administration of pain medication, bathing schedules, and adequate staffing to meet resident needs including timely call light response and removal of trays. The facility implemented education, audits, interviews, and compliance rounds to assure correction and continued compliance.

This Plan of Correction is in response to a complaint investigation survey conducted on February 16, 2016, at Life Care Center of Andover.

This post-certification revisit was conducted to verify that previously identified deficiencies reported on the CMS-2567 Statement of Deficiencies and Plan of Correction have been corrected.

The report confirms that the deficiencies previously cited under regulations 483.13(c)(1)(ii)-(iii), (c)(2)-(4) and 483.60(a),(b) were corrected as of the revisit date.

This document is a Plan of Correction submitted by Life Care Center of Andover in response to deficiencies cited during a complaint investigation survey.

The facility developed and implemented corrective actions to address medication administration errors and timely receipt of medications from the pharmacy, including staff education, competency audits, and monitoring through random observations and logs.

An abbreviated survey was conducted to determine if the facility is in compliance with Federal participation requirements for nursing homes participating in the Medicare and/or Medicaid program.

The survey found the most serious deficiencies to be 'D' level deficiencies that constitute no actual harm with potential for more than minimal harm that is not immediate jeopardy. The facility submitted a plan of correction which was accepted, and the facility was found to be in substantial compliance effective June 29, 2015.

The inspection was conducted as a complaint investigation (#87713 and #87726) related to allegations of neglect and medication errors at the facility.

The facility failed to report a medication error involving insulin administration to a non-diabetic resident, and failed to provide ordered medications in a timely manner for newly admitted residents. There were errors in medication administration, including administering insulin to a resident without physician orders and borrowing medications from another resident. The facility also failed to report the medication error to the state agency as required.

The complaint investigation found substantiated neglect related to medication errors, including insulin administration to a non-diabetic resident and failure to report the incident to the state agency.

This post-certification revisit was conducted to verify that previously cited deficiencies have been corrected as indicated on the CMS-2567 Statement of Deficiencies and Plan of Correction.

All previously reported deficiencies identified by regulation or Life Safety Code provision numbers were corrected as of the revisit date of 05/08/2015.

This document is a Plan of Correction submitted by Life Care Center of Andover in response to deficiencies cited during a prior survey.

The Plan of Correction outlines corrective actions for multiple deficiencies related to resident care, including notification of changes in resident status, bathing and waking schedules, skin care, urinary incontinence, restorative care, staffing, infection control, and facility grounds maintenance. The facility describes education, audits, monitoring, and performance improvement activities to ensure compliance and ongoing quality.

A Health survey was conducted by the Kansas Department for Aging & Disability Services to determine if the facility complies with Federal participation requirements for nursing homes participating in Medicare and/or Medicaid.

The survey found the most serious deficiencies to be 'F' level, widespread, constituting no actual harm but with potential for more than minimal harm that is not immediate jeopardy. The facility submitted a plan of correction which was accepted, resulting in a finding of substantial compliance effective May 8, 2015.

The inspection was a Health Resurvey and complaint investigations related to multiple citations including failure to notify physician timely, failure to provide resident choices, failure to provide ongoing activities, failure to revise care plans, failure to meet professional standards, failure to provide necessary care and services, insufficient nursing staff, infection control deficiencies, and environmental safety concerns.

The facility was cited for multiple deficiencies including failure to timely notify physician of a pressure ulcer, failure to provide resident choices for bathing and wake time, failure to provide ongoing activities, failure to revise care plans after significant changes, failure to develop interim care plans, failure to provide pacemaker checks, failure to coordinate dialysis care, failure to provide adequate oral hygiene and bathing, failure to provide range of motion therapy as ordered, insufficient nursing staff to meet resident needs, failure to monitor and treat pressure ulcers adequately, failure to provide timely toileting and peri-care, failure to maintain infection control program and failure to maintain safe and stable parking lot and entrance areas.

A Life Safety Code survey was conducted by the State Fire Marshal's Office to determine if the facility was in compliance with Federal requirements for nursing homes participating in Medicare and/or Medicaid programs.

The survey found the most serious deficiencies to be isolated 'D' level deficiencies with no harm but potential for more than minimal harm that is not immediate jeopardy. A plan of correction was required and remedies including denial of payments and possible termination of provider agreement were recommended if substantial compliance was not achieved.

This is a revisit report to verify that previously reported deficiencies have been corrected and to document the date such corrective action was accomplished.

The report confirms that the previously cited deficiency identified by regulation 28-39-149 with ID prefix S0235 was corrected as of 01/21/2014.

This post-certification revisit was conducted to verify that deficiencies previously reported on the CMS-2567 Statement of Deficiencies and Plan of Correction have been corrected.

The report shows that all previously cited deficiencies have been corrected as of the revisit date, with each deficiency fully identified by regulation number and correction completion date.

This document is a Plan of Correction submitted by Life Care Center of Andover addressing deficiencies cited during a prior survey and outlining corrective actions to ensure compliance with regulations.

The plan details corrective actions for multiple deficiencies including replacement of missing resident items, environmental repairs, assessment corrections, care plan revisions, pressure ulcer prevention, catheter management, medication administration, and infection control measures. The facility has implemented education, audits, and monitoring processes to maintain compliance.

The inspection was a health resurvey of the Life Care Center of Andover to assess compliance with regulatory requirements including resident rights, housekeeping, assessment accuracy, care planning, treatment services, infection control, and medication management.

The facility was found deficient in multiple areas including failure to safeguard resident property, maintain a sanitary environment, accurately complete resident assessments, develop comprehensive care plans, provide appropriate treatment to maintain or improve resident abilities, prevent pressure ulcers, ensure medical justification for catheters, check feeding tube placement before medication administration, prevent repeated falls, properly store medications for destruction or return, and maintain infection control during blood glucose testing.

This revisit inspection was conducted to verify that previously reported deficiencies had been corrected.

The report confirms that the previously cited deficiency under regulation 28-39-158(a) was corrected as of 09/20/2012.

This post-certification revisit was conducted to verify that deficiencies previously reported on the CMS-2567 Statement of Deficiencies and Plan of Correction have been corrected.

The report confirms that the previously cited deficiencies identified by regulation numbers 483.35(i), 483.60(b),(d),(e), and 483.65 have been corrected as of the revisit date.

This document is a Plan of Correction submitted by Life Care Center of Andover in response to deficiencies cited during a survey inspection.

The facility developed and implemented corrective actions to address deficiencies related to dietary department sanitation, medication expiration monitoring, safe handling of linens to prevent infection spread, and ensuring a qualified dietary manager. The plan includes staff inservices, cleaning schedules, audits, and ongoing monitoring by designated staff.

The inspection was conducted as an annual survey to assess compliance with dietary services regulations, including staffing, food safety, and sanitation in the dietary department.

The facility failed to retain a certified dietary manager and did not maintain adequate sanitation in the dietary department. Food was served at unsafe temperatures, and multiple areas in the kitchen exhibited grime, food residue, and poor cleaning practices.