Inspection Reports for Life Care Center of Wichita

An offsite revisit survey was conducted on 08/27/2018 for all previous deficiencies cited on 06/12/2018.

All deficiencies have been corrected as of the compliance date of 07/11/2018, 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 Wichita in response to deficiencies cited during a prior inspection, outlining corrective actions to address identified issues.

The Plan of Correction addresses deficiencies related to timely completion of comprehensive and quarterly MDS assessments, proper labeling and removal of expired medications including insulin pens, and completion and maintenance of residents' personal effects inventories.

The inspection was a health licensure resurvey combined with complaint investigations for complaints #127573, #116987, and #115754.

The facility failed to ensure staff completed an inventory of personal possessions for 4 residents in the sample. Personal inventory sheets for residents #208, #89, #62, and #45 were found to be blank and incomplete.

The visit included complaint investigations for complaints #127573, #116987, and #115754.

An off-site survey was conducted to address deficiencies cited on May 8, 2018.

The deficiencies cited on May 8, 2018, were corrected as of the compliance date of June 7, 2018.

This Plan of Correction was submitted in response to deficiencies cited related to fall prevention and care plan interventions for residents, specifically addressing issues with non-skid socks or appropriate footwear and review of prior incidents for fall risk.

The facility acknowledged deficiencies related to fall prevention and care planning for residents, and outlined corrective actions including staff education, audits of fall interventions, and root cause analysis to prevent recurrence of falls.

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 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 7, 2018.

The inspection was conducted as a result of complaint investigations KS00129160 and KS00128903 focusing on falls and accident hazards in the facility.

The facility failed to implement interventions to prevent falls, failed to determine the cause of falls, and failed to place appropriate interventions on the care plan for 2 of 3 residents reviewed for falls. Resident #4 fell due to not wearing non-skid socks as required by the care plan, and resident #3 had multiple falls without causal factors identified or appropriate interventions planned.

The findings represent the results of complaint investigations KS00129160 and KS00128903. The facility failed to prevent falls and properly assess causal factors for falls in residents #3 and #4.

A revisit survey was conducted on 4/16-17/2018 for all previous deficiencies cited on 2/12/2018.

All deficiencies have been corrected as of the compliance date of 03/01/2018, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.

A revisit survey was conducted on 4/16-17/2018 for all previous deficiencies cited on 2/12/2018.

All deficiencies have been corrected as of the compliance date of 03/01/2018, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.

This Plan of Correction document is submitted in response to deficiencies cited during a prior survey of Life Care Center of Wichita, addressing corrective actions for skin assessments and fall prevention.

The facility identified deficiencies related to skin assessments and fall investigations for specific residents and outlined corrective actions including comprehensive assessments, staff in-service training, and ongoing audits to ensure compliance.

The inspection was conducted as a complaint investigation based on complaint investigation numbers #126152, 119306, and 105231.

The facility failed to adequately monitor and provide appropriate interventions for resident #8's sacral flap wound, resulting in worsening skin breakdown requiring surgical debridement and wound vacuum placement. Additionally, the facility failed to properly assess and monitor multiple non-pressure skin ulcers on resident #6. The facility also failed to identify causal factors and implement effective interventions to prevent falls for residents #5 and #3.

The inspection was triggered by complaints identified by investigation numbers #126152, 119306, and 105231.

This post-certification revisit was conducted to verify that previously reported deficiencies have been corrected and to confirm the date such corrective actions were accomplished.

All previously cited deficiencies identified by regulation numbers 483.10(a)(1), 483.10(i)(2), 483.25(c)(2)(3), and 483.25(d)(1)(2)(n)(1)-(3) were corrected as of the revisit date.

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

The facility addressed multiple deficiencies including dignity and respect of individuality, housekeeping and maintenance, increase/prevent decrease in range of motion, and free of accident hazards/supervision/devices. Corrective actions, education plans, and monitoring procedures were implemented to ensure compliance and prevent recurrence.

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 that constitutes 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 September 6, 2017.

The inspection was conducted as a complaint investigation based on allegations related to resident dignity, housekeeping, mobility treatment, and accident prevention.

The facility failed to maintain resident dignity by not ensuring appropriate dress and privacy for a resident with Huntington's disease. Housekeeping services were inadequate, with dingy floors and dust accumulation in many rooms. The facility also failed to apply planned bilateral hand splints for a resident with limited range of motion and used an inappropriate large lift sling instead of the prescribed medium sling during transfers, posing safety risks.

The complaint investigations #118019 and #118348 focused on issues including dignity and respect of residents, housekeeping and maintenance, mobility treatment, and accident prevention.

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 report indicates that the previously cited deficiency with regulation 483.25(d)(1)(2)(n)(1)-(3) was corrected as of the revisit date. No other deficiencies or uncorrected issues were noted.

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

The facility was found deficient in maintaining a safe environment free of accident hazards, specifically related to resident supervision and interventions to prevent accidents. Corrective actions include implementing 3-day bladder diaries, installing grab bars, conducting audits of incontinence assessments, and performing root cause analyses for falls.

This Plan of Correction addresses deficiencies cited during a complaint investigation survey at Life Care Center of Wichita.

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 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 and was found to be in substantial compliance based on credible allegation of compliance and evidence of correction effective July 7, 2017.

The inspection was conducted as a complaint investigation (#115482) focusing on the facility's failure to thoroughly investigate all causal factors related to falls for sampled residents and to develop interventions to prevent further falls.

The facility failed to thoroughly investigate causal factors of repeated falls for two sampled residents and did not develop adequate interventions to prevent further falls. Investigations lacked critical information such as timing of toileting assistance, use of safety devices, and environmental factors. Root cause analyses were delayed and incomplete, and care plans were not revised appropriately following assessments.

The findings represent the results of complaint investigation #115482 regarding inadequate investigation and intervention for resident falls.

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 previously cited deficiency with ID Prefix F0333 related to regulation 483.25(m)(2) was corrected as of 05/27/2016. 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 have been corrected.

The report confirms that the previously cited deficiency with ID Prefix F0322 related to regulation 483.25(g)(2) was corrected as of 05/27/2016. No other deficiencies or uncorrected issues are noted.

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

The facility developed and implemented a system to assure correction and continued compliance regarding medication errors, including modifications to the admissions process, staff education, and monitoring through audits.

The plan addresses deficiencies cited during a complaint investigation, specifically related to medication errors affecting Resident #3 discharged for planned surgery on 5/5/16.

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

The facility developed and implemented a system to assure correction and continued compliance regarding treatment and services for residents with g-tube or peg tube sites, including education for nursing staff and monitoring through audits.

This Plan of Correction is linked to a complaint investigation at Life Care Center of Wichita (complaint date 05/17/2016).

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 that constitutes no actual harm with potential for more than minimal harm that is not immediate jeopardy. The facility submitted a plan of correction and was found to be in substantial compliance based on the credible allegation of compliance and the plan.

The inspection was conducted as a complaint investigation (#0198) regarding the facility's treatment and services related to residents with feeding tubes.

The facility failed to provide appropriate treatment and services to prevent infection and skin breakdown at gastrostomy tube sites for 2 of 3 residents receiving feedings through a gastrostomy tube. Specifically, dressing changes were not performed as ordered, and care plans and physician orders lacked specific instructions for feeding tube site care.

The complaint investigation #0198 was triggered by concerns about inadequate care of feeding tube sites, including observations of soiled dressings and signs of infection or skin breakdown.

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 and was found to be in substantial compliance based on the credible allegation of compliance and the plan of correction.

The inspection was conducted as a complaint investigation (#99478) regarding medication errors at the facility.

The facility failed to ensure staff transcribed medication orders correctly, clarify new orders when there was a drastic change, and administer medications as ordered, resulting in a significant medication error for one resident who was hospitalized after receiving triple the prescribed dose of Sensipar.

Complaint investigation #99478 focused on medication errors involving resident #3, who was hospitalized due to receiving triple the prescribed dose of Sensipar. The investigation found transcription errors by licensed nurses and failure to clarify orders, leading to the medication error.

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 related to various regulatory requirements were corrected as of the revisit date.

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

The survey found the most serious deficiency to be an 'F' level deficiency, 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 April 1, 2016.

The inspection was conducted as a Health Resurvey and complaint investigations #96373 and 86947.

The facility was found deficient in multiple areas including failure to monitor and assess a resident after dialysis, failure to prevent unnecessary drug use, failure to provide routine dental services, failure to maintain sanitary food storage and preparation areas, failure to properly label and dispose of medications, and failure to maintain infection control practices.

The visit was triggered by complaint investigations #96373 and 86947.

This document is a Plan of Correction submitted by Life Care Center of Wichita addressing deficiencies cited during a prior survey inspection conducted on 03/18/2016.

The Plan of Correction outlines corrective actions, education, and monitoring plans to address multiple deficiencies related to resident care, medication management, food sanitation, dental services, drug regimen review, medication storage, and infection control. Substantial compliance is targeted by 04/01/2016.

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.

The report documents that deficiencies identified in prior surveys under regulations 483.25(d) and 483.25(h) were corrected as of the revisit date.

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

The facility developed and implemented corrective actions to address deficiencies related to incontinence assessments and individualized toileting schedules, as well as the safe use of mechanical lifts for resident transfers. The plan includes staff education, audits, and ongoing monitoring to ensure compliance.

This Plan of Correction addresses deficiencies cited during a complaint survey for Life Care Center of Wichita.

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, resulting in a finding of substantial compliance.

The inspection was conducted as a complaint investigation (#KS00093374) focusing on concerns related to catheter use, urinary incontinence treatment, and safe transfer practices at the facility.

The facility failed to provide appropriate treatment and services to prevent urinary tract infections and restore bladder function for one resident, including lack of a comprehensive toileting plan and failure to offer toileting opportunities as directed by the care plan. Additionally, the facility failed to ensure safe transfers for the same resident by not following manufacturer recommendations for sit to stand lift use, including failure to fasten safety belts and use two staff as required.

The complaint investigation focused on Resident #5's care related to urinary incontinence and transfer safety. The investigation substantiated failures in providing appropriate incontinence care and safe transfer practices.

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 at 'F' level, indicating no harm with potential for more than minimal harm but not immediate jeopardy. The facility was required to submit an acceptable plan of correction within ten calendar days.

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

The report confirms that the previously identified deficiency with ID prefix F0309 related to regulation 483.25 was corrected as of 06/10/2015.

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

The facility developed and implemented a system to assure correction and continued compliance with regulations related to care and services for residents with surgical incisions, including staff education and monitoring.

The Plan of Correction addresses deficiencies cited during a complaint survey. Resident #1 was discharged, and the facility identified potential impact on any resident with a surgical incision. The plan includes education and monitoring to prevent recurrence. Substantial compliance was noted on 6/10/15.

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

The survey found the most serious deficiency to be 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, resulting in a finding of substantial compliance effective June 10, 2015.

The inspection was conducted as a complaint investigation (#6289 and #5309) regarding the facility's failure to provide necessary care and services for dressing changes for a surgical incision on a resident.

The facility failed to assess and change the surgical dressing daily as ordered for resident #1, resulting in a MRSA infection and the need for a second surgical procedure (debridement). Nursing staff did not properly document or perform dressing changes, leading to delayed treatment and infection.

The investigation was triggered by complaints regarding the lack of daily dressing changes for resident #1's surgical incision, which led to infection and hospital readmission. The complaint was substantiated by findings of missed dressing changes and infection.

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 deficiencies previously cited with various regulatory references were corrected as of the revisit date, 12/12/2014.

This document is a Plan of Correction submitted by Life Care Center of Wichita addressing deficiencies cited during a prior survey.

The Plan of Correction outlines corrective actions taken for multiple deficiencies related to assessment accuracy, care plans, unnecessary drugs, immunizations, dental services, drug review regimen, medication storage, and QAA committee meetings, with education and monitoring systems implemented to prevent recurrence.

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 an 'F' level deficiency, 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 December 12, 2014.

The inspection was a health resurvey to assess compliance with regulatory requirements including assessment accuracy, care planning, medication management, immunizations, dental services, and quality assurance.

The facility failed to accurately assess residents' conditions, develop comprehensive care plans, monitor medication effectiveness, provide pneumococcal immunizations after consent, remove expired medications, and ensure physician attendance at quality assurance meetings.

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 'F' level, widespread, 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 is not achieved.

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

The report confirms that all previously identified deficiencies related to regulations 483.13(c)(1)(ii)-(iii), (c)(2)-(4), 483.20(d), 483.20(k)(1), 483.25, and 483.60(a),(b) have been corrected as of the revisit date.

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

The Plan of Correction addresses multiple deficiencies including failure to investigate and report allegations of abuse, care plan inaccuracies, pain assessment documentation, and pharmaceutical service procedures. The facility implemented education, monitoring, and auditing systems to ensure compliance and prevent recurrence.

This Plan of Correction is in response to a complaint survey. Resident #2 was discharged from the facility. The facility addressed allegations of abuse and other deficiencies cited during the complaint investigation.

The inspection was conducted as a complaint investigation (#70373) related to allegations of neglect or abuse at the facility.

The facility failed to immediately report an allegation of possible abuse or neglect, failed to develop a comprehensive care plan for a resident with a hip fracture, failed to adequately assess and manage pain for a resident, and failed to accurately document the administration and effectiveness of narcotic pain medications.

The complaint investigation (#70373) focused on allegations of neglect or abuse involving 1 or 2 residents. The facility failed to immediately report the allegation involving a resident with a new left leg fracture, which required investigation to rule out abuse or neglect.

This visit was conducted as a post-certification revisit to verify that previously identified deficiencies have been corrected.

The report documents that all previously cited deficiencies identified by their regulation numbers were corrected by the revisit date of 09/30/2013.

This document is a Plan of Correction submitted by Life Care Center of Wichita addressing deficiencies cited during a prior survey.

The facility developed and implemented corrective actions to address deficiencies related to care plans, dental services, infection control, and performance improvement, with monitoring plans to ensure continued compliance.

This visit was conducted as a post-certification revisit to verify that previously cited deficiencies have been corrected and to document the dates such corrective actions were accomplished.

The report shows that all previously identified deficiencies from the CMS-2567 Statement of Deficiencies and Plan of Correction have been corrected, with correction completion dates ranging from 09/26/2013 to 09/27/2013.

This inspection was a 1st Non-Compliance Revisit to assess the facility's compliance with previously cited deficiencies.

The facility failed to complete comprehensive care plans timely for resident #331, failed to assess or offer routine dental services for resident #2, and did not ensure proper infection control practices in a Clostridium difficile precaution room. Additionally, the facility failed to monitor and ensure the effectiveness of quality assurance plans addressing these deficiencies.

This document is a Plan of Correction submitted by Life Care Center of Wichita addressing deficiencies cited during a prior survey, detailing corrective actions, education, monitoring, and compliance measures for various regulatory tags.

The Plan of Correction outlines corrective actions for multiple deficiencies including rights to survey results, abuse investigations, dignity and respect, care plans, medication management, infection control, and other resident care concerns. Education, monitoring, and auditing systems have been implemented to ensure substantial compliance.

Annual resurvey of the facility to assess compliance with health and safety regulations, including review of allegations of abuse, resident care, medication administration, infection control, and other regulatory requirements.

The facility had multiple deficiencies including failure to make survey results accessible, inadequate investigation and reporting of abuse allegations, failure to maintain resident dignity and respect, failure to ensure resident choice in bathing, inadequate activity programming, incomplete and outdated care plans, unsafe medication administration practices, failure to monitor medications with black box warnings, improper food temperature and sanitation practices, failure to maintain infection control protocols, and failure to post nurse staffing information accessibly.

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

The report confirms that the deficiencies identified under regulations 483.10(b)(11) and 483.25 were corrected as of the revisit date.

The inspection was conducted as a complaint investigation (#66481) focusing on notification of changes and nursing assessment after resident falls.

The facility failed to notify a resident's family about a fall and changes in treatment for one resident, and failed to properly assess and provide care to another resident after a fall, resulting in potential risk of injury and inadequate communication.

Complaint investigation #66481 focused on notification failures and nursing assessment after falls. The facility failed to notify family members of a resident's fall and treatment changes, and failed to properly assess a resident after a fall, risking further injury.

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

The facility developed and implemented a system to assure correction and continued compliance with regulations, including education for nursing staff on proper notification of treatment changes and assessment after resident falls, with ongoing audits and monitoring planned.

This Plan of Correction addresses deficiencies cited during a complaint survey at Life Care Center of Wichita.

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 deficiency with ID prefix F0314 related to regulation 483.25(c) was corrected as of 04/10/2013.

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

The facility developed and implemented a system to assure correction and continued compliance related to wound care and proper use of bed linens with air mattresses. Staff education and monitoring audits were planned to ensure substantial compliance by April 10, 2013.

The Plan of Correction addresses deficiencies cited during a complaint investigation survey.

The inspection was conducted as a complaint survey for complaints #64390 and #63767, focusing on issues related to pressure sores and skin integrity in residents.

The facility failed to ensure that a resident without pressure sores did not develop them unless unavoidable, resulting in two pressure ulcers on the resident's buttocks. The facility also failed to provide adequate treatment and pressure relief interventions, including ineffective wheelchair cushions, improper use of an air mattress, and failure to follow moisture barrier cream directions.

The survey was conducted in response to complaints #64390 and #63767 regarding pressure sore prevention and treatment.

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.

All previously cited deficiencies identified by their regulation numbers and prefix codes were corrected as of the revisit date.

This document is a Plan of Correction submitted by Life Care Center of Wichita addressing deficiencies cited during a prior survey inspection.

The Plan of Correction details corrective actions taken for multiple deficiencies related to care plans, fluid restrictions, activity preferences, medication monitoring, food handling, and safety measures. It includes education plans for staff, monitoring and auditing schedules, and responsibilities assigned to facility leadership.

Annual health resurvey conducted to assess compliance with regulatory requirements including care planning, medication management, infection control, and safety.

The facility failed to develop comprehensive care plans addressing residents' needs including activities, discharge planning, hydration, and incontinence. Medication management was deficient with lack of monitoring and care planning for medications with black box warnings and failure to document PRN medication administration. Infection control practices were inadequate, including improper food handling and linen management. Medication carts were left unlocked and unattended. Expired insulin vials were not discarded timely. Several residents did not receive proper grooming services. A resident with limited range of motion did not consistently have a prescribed hand splint applied.