Inspection Reports for
Medicalodges Independence
1000 MULBERRY P.O. BOX 627, INDEPENDENCE, KS, 67301
Back to Facility ProfileDeficiencies (last 7 years)
Deficiencies (over 7 years)
15.1 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
152% worse than Kansas average
Kansas average: 6 deficiencies/yearDeficiencies per year
32
24
16
8
0
Occupancy
Latest occupancy rate
96% occupied
Based on a June 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Annual Inspection
Census: 43
Deficiencies: 7
Date: Jun 18, 2025
Visit Reason
The inspection was conducted as an annual survey to assess compliance with regulatory requirements for nursing home care.
Findings
The facility was found deficient in multiple areas including failure to verify and maintain legal advanced directives, failure to protect resident privacy, failure to provide required transfer notifications, inadequate monitoring of medications, failure to provide appropriate pressure ulcer care, failure to ensure medication administration within ordered parameters, and unsanitary food preparation and storage conditions.
Deficiencies (7)
F 0578: The facility failed to verify that Do Not Resuscitate directives were accurate, legal, and properly signed by residents and physicians for multiple residents.
F 0583: The facility failed to protect residents' privacy during telephone use and room entry, placing residents at risk for psychosocial harm.
F 0628: The facility failed to provide timely written notification of resident transfer and failed to notify the Long Term Care Ombudsman for one resident.
F 0684: The facility failed to monitor antibiotic effectiveness and adverse reactions and failed to follow orders to discontinue medications with potential adverse effects for one resident.
F 0686: The facility failed to provide ordered pressure ulcer treatments and dressings consistently, placing a resident at risk for delayed healing and further injury.
F 0757: The facility failed to ensure medications were administered within physician-ordered parameters for blood sugar and blood pressure for two residents, risking adverse medication reactions.
F 0812: The facility failed to maintain sanitary conditions in the kitchen and kitchenettes, including unclean sinks, food debris, rusted equipment, and unlabeled and undated food items, risking foodborne illness.
Report Facts
Residents present: 43
Sample residents reviewed: 14
Medication administration errors: 6
Inspection Report
Annual Inspection
Census: 36
Deficiencies: 8
Date: Nov 29, 2023
Visit Reason
The inspection was conducted as an annual survey to assess compliance with regulatory requirements for nursing home care.
Findings
The facility was found deficient in multiple areas including failure to maintain resident dignity and privacy, incomplete care plans regarding transfer safety, inadequate pressure ulcer care, failure to prevent accidents, improper use of psychotropic medications, unsanitary food preparation conditions, and inadequate antibiotic stewardship.
Deficiencies (8)
F 0550: The facility failed to provide cares to maintain one resident's dignity and privacy, including inadequate clothing and exposure during care.
F 0657: The facility failed to review and revise the care plan for one resident to include staff instruction on using a gait belt during transfers.
F 0686: The facility failed to provide appropriate pressure ulcer care and prevention measures, including lack of pressure relieving cushions and heel offloading devices for one resident.
F 0689: The facility failed to ensure a nursing home area was free from accident hazards by not lowering beds to the lowest position and failing to use gait belts during transfers for dependent residents.
F 0689: The facility failed to provide safe repositioning techniques for a resident requiring partial to moderate assistance in her wheelchair.
F 0758: The facility failed to ensure monitoring for adverse effects of psychotropic medications for two residents, including incomplete DISCUS assessments.
F 0812: The facility failed to prepare and serve food under sanitary conditions, including dirty freezers, unsanitizable cutting boards, unclean trash cans, and undated opened food items.
F 0881: The facility failed to implement an effective antibiotic use monitoring program, including failure to track antibiotic orders and assess nonpharmacological interventions for one resident.
Report Facts
Residents in census: 36
Residents selected for review: 15
Pressure ulcer size: 1.2
Pressure ulcer size: 0.7
Pressure ulcer size: 0.2
Urine culture bacteria count: 100000
Antibiotic dosage: 50
Antibiotic dosage: 500
Antibiotic dosage: 100
Inspection Report
Complaint Investigation
Census: 40
Deficiencies: 1
Date: Oct 10, 2023
Visit Reason
The inspection was conducted due to a complaint or concern regarding the facility's failure to maintain an accurate accounting system for residents' controlled narcotic medications.
Complaint Details
The investigation was triggered by a complaint or concern about missing controlled narcotic medication. The complaint was substantiated as the facility confirmed the medication card was missing and the reconciliation process was inadequate.
Findings
The facility failed to maintain an accurate reconciliation system for controlled narcotic medications, resulting in one card with 31 tablets of Resident 1's MS Contin missing. The failure to reconcile medications at shift changes and maintain proper documentation has the potential to affect all residents receiving controlled medications.
Deficiencies (1)
F0755: The facility failed to maintain an accurate accounting system of residents' controlled narcotic medications, resulting in one card with 31 tablets of Resident 1's MS Contin missing. The medication reconciliation was not performed at each shift change, and documentation was incomplete.
Report Facts
Residents present: 40
Missing tablets: 31
Total tablets sent by pharmacy: 63
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Nurse H | Licensed Nurse | Received Resident 1's medications and signed for them; involved in medication count sheets |
| Administrative Nurse D | Administrative Nurse | Searched for missing narcotic and reported reconciliation procedures |
| Licensed Nurse G | Licensed Nurse | Verified observation of medication placement and noted lack of reconciliation at shift changes |
| Licensed Nurse J | Licensed Nurse | Requested medication refill and reported inability to locate missing medication card |
| Licensed Nurse I | Licensed Nurse | Verified nursing staff do not reconcile controlled medications at shift change |
Inspection Report
Routine
Census: 31
Deficiencies: 2
Date: Apr 7, 2022
Visit Reason
The inspection was conducted as a routine survey to assess compliance with care standards, including catheter care and antibiotic stewardship.
Findings
The facility failed to properly cleanse the urinary catheter tubing after emptying the catheter bag, risking urinary tract infections for one resident. Additionally, the facility failed to implement an effective antibiotic stewardship program to ensure appropriate antibiotic use and monitoring.
Deficiencies (2)
F 0690: The facility failed to properly cleanse the drain nozzle of the urinary catheter tubing after emptying urine from the catheter bag for a resident with a history of urinary tract infections.
F 0881: The facility failed to perform ongoing antibiotic stewardship to ensure appropriate antibiotic use and to track infection trends, including conflicting antibiotic orders for a resident with MRSA in a heel wound.
Report Facts
Resident census: 31
Residents sampled: 16
Urine volume emptied: 1200
Antibiotic treatments: 3
Antibiotic treatments: 7
Antibiotic treatments: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA M | Certified Nurse Aide | Failed to cleanse catheter tubing nozzle with alcohol swab after emptying urine |
| LN G | Licensed Nurse | Stated staff should use alcohol swab to clean catheter tubing nozzle |
| Administrative Nurse D | Administrative Nurse | Did not complete March 2022 Infection Control Surveillance Log and stated documentation gaps in antibiotic stewardship |
| LN I | Licensed Nurse | Not familiar with McGeer's Criteria for infection assessment |
| Administrative Nurse E | Administrative Nurse | Reported wound culture results and antibiotic order changes for resident with MRSA |
Inspection Report
Follow-Up
Deficiencies: 0
Date: Apr 16, 2014
Visit Reason
This visit was a post-certification revisit to verify that previously cited deficiencies have been corrected as documented on the CMS-2567 and Plan of Correction.
Findings
All deficiencies previously reported were corrected by 03/29/2014 as verified during this revisit. The report confirms completion of corrective actions for multiple regulatory requirements.
Report Facts
Correction completion date: Mar 29, 2014
Inspection Report
Re-Inspection
Deficiencies: 1
Date: Apr 16, 2014
Visit Reason
This visit was a follow-up to verify correction of previously reported deficiencies at the facility.
Findings
The report documents that previously identified deficiencies have been corrected as of the dates listed, with no uncorrected deficiencies remaining.
Deficiencies (1)
Regulation 28-39-158(a) deficiency was corrected on 2014-03-29.
Report Facts
Date of Revisit: Apr 16, 2014
Correction Completion Date: Mar 29, 2014
Inspection Report
Plan of Correction
Deficiencies: 15
Date: Mar 29, 2014
Visit Reason
This document is a Plan of Correction submitted by the facility in response to an annual survey to address cited deficiencies and ensure compliance with federal and state regulations.
Findings
The plan outlines corrective actions for multiple deficiencies including maintenance and housekeeping issues, restorative therapy program revisions, pain monitoring, medication management, dietary staff education, and infection control procedures. The facility commits to ongoing monitoring and reporting to the Quality Assurance and Performance Improvement (QAPI) committee.
Deficiencies (15)
F253-E: Facility maintenance and housekeeping personnel will clean and repair grouted tile areas, bedside commode, walls, recliner, emesis basin, privacy curtains, and over the bed tables in resident rooms as needed.
F280-D: Administrative staff will revise the Restorative Therapy program to assign a designated RN to coordinate post-therapist care and oversee restorative care plans for affected residents.
F309-D: Nursing staff will monitor pain each shift, provide interventions, and be in-serviced on pain recognition and reporting procedures.
F311-D: Administrative staff will revise the Restorative Therapy program for affected residents including RN coordination and weekly review meetings.
F315-D: Nursing staff will follow policy for developing toileting programs and be in-serviced on individualized toileting interventions.
F317-G: Administrative staff will revise the Restorative Therapy program for affected residents with designated RN coordination and oversight.
F318-D: Administrative staff will revise the Restorative Therapy program for affected residents with designated RN coordination and weekly compliance reviews.
F329-D: Director of Nursing will coordinate with physicians to establish blood sugar parameters for residents and educate nursing staff on administration and documentation.
F363-E: Certified Dietary Manager will provide additional education to dietary staff on portion sizes for pureed foods and monitor compliance.
F371-F: Certified Dietary Manager will educate dietary staff on glove use and food handling; Activities Director will ensure nourishment area cleanliness.
F425-D: Expired insulin was discarded; nursing staff will be in-serviced on medication storage and expiration policies, with designated monitoring.
F428-D: Director of Nursing will coordinate blood sugar medication parameters and educate nursing staff on administration and documentation.
F441-F: Administrative staff will in-service nursing staff on cleaning and storage of aerosol and PEG tube supplies; housekeeping supervisor will monitor infection control procedures.
F520-F: Facility QAPI committee will monitor compliance with corrective actions and implement a wellness program to review resident care quarterly.
S0600-F: Certified Dietary Manager will provide education on portion sizes and food handling, monitor staff performance, and oversee dietary department management.
Report Facts
Date of expired insulin discard: Feb 20, 2014
Plan of Correction completion date: Mar 29, 2014
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Travis McBride | Administrator | Submitted the Plan of Correction |
| Shirley Boltz | Contact for Plan of Correction assistance |
Inspection Report
Re-Inspection
Census: 44
Deficiencies: 14
Date: Feb 28, 2014
Visit Reason
Health resurvey inspection to evaluate compliance with previously identified deficiencies and overall facility regulatory requirements.
Findings
The facility was found deficient in multiple areas including housekeeping and maintenance services, care planning and pain management, rehabilitation services, urinary incontinence care, range of motion services, medication management, infection control, dietary services, and quality assurance processes.
Deficiencies (14)
F253 Housekeeping and maintenance services were inadequate as evidenced by dirty grout, rusted commode parts, stained privacy curtains, and damaged furniture in resident rooms and hallways.
F280 The facility failed to review and revise the plan of care for resident #22 to address refusal of restorative therapy and pain management.
F309 The facility failed to implement measures to decrease pain for resident #22, including lack of nonmedication interventions and inadequate care planning.
F311 The facility failed to provide appropriate treatment and services to maintain or improve abilities of resident #38, including inadequate restorative therapy and failure to encourage participation in transfers and ambulation.
F315 The facility failed to provide appropriate treatment and services to prevent urinary tract infection and restore bladder function for resident #38, including lack of toileting schedule and voiding diaries.
F317 The facility failed to ensure restorative services to prevent unavoidable decline in range of motion for resident #17, including inadequate therapy, lack of RN oversight, and failure to address resident resistance.
F318 The facility failed to provide services to maintain or prevent further decline in range of motion for residents #22 and #27, including inconsistent restorative care and failure to investigate refusals.
F329 The facility failed to adequately monitor medications for resident #6, including failure to establish blood sugar parameters and failure to discontinue expired insulin.
F363 The facility failed to follow the planned menu for pureed diets, providing incorrect portion sizes for pureed meatloaf and scalloped potatoes to 4 residents.
F371 The facility failed to maintain sanitary conditions in food preparation and serving areas, including unclean cooking range and improper handling of food and medical equipment.
F425 The facility failed to ensure expired insulin was not administered to resident #29, with insulin used beyond the 28-day expiration after opening.
F428 The facility's consultant pharmacist failed to adequately monitor resident #6's medications, missing the need for blood sugar parameters to guide staff in managing abnormal glucose levels.
F441 The facility failed to maintain an effective infection control program, including improper cleaning and storage of aerosol equipment, lack of knowledge and chemicals for C. difficile isolation room cleaning, and inadequate infection tracking and trending.
F520 The facility failed to maintain a quality assurance committee that effectively identified and corrected quality deficiencies related to pain management, rehabilitation, urinary incontinence, range of motion, medication monitoring, infection control, and environment.
Report Facts
Resident census: 44
Expired insulin days administered: 19
Blood sugar readings: 339
Blood sugar readings: 328
Blood sugar readings: 304
Blood sugar readings: 61
Blood sugar readings: 316
Pureed diet portion size: 3
Inspection Report
Plan of Correction
Deficiencies: 1
Date: Jan 18, 2013
Visit Reason
This document is a Plan of Correction submitted by the facility to address deficiencies cited in a prior inspection.
Findings
The facility acknowledged deficiencies related to dietary management and outlined corrective actions including hiring a certified dietary manager and monitoring the dietary department to ensure cleanliness and resident dietary needs are met.
Deficiencies (1)
S0600-C The facility has placed an ad for hiring a certified dietary manager and until hired, the current dietary managers will monitor the kitchen and attend meetings to ensure a clean and sanitary dietary department and meet residents' dietary needs.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Laurie Hamilton | Certified Dietary Manager | Submitted the Plan of Correction. |
Inspection Report
Re-Inspection
Census: 49
Deficiencies: 1
Date: Jan 10, 2013
Visit Reason
This was a non-compliant revisit inspection to verify correction of previous deficiencies related to dietary services.
Findings
The facility failed to retain a full-time certified dietary manager to oversee and manage the dietary department, despite advertising the position and having part-time coverage. Observations and interviews confirmed the dietary manager was on extended sick leave and the business manager served only part-time in this role.
Deficiencies (1)
28-39-158(a) Dietary services require a full-time certified dietary manager to oversee the department. The facility failed to maintain full-time dietary management, relying on part-time coverage and lacking consistent supervision.
Report Facts
Resident census: 49
Inspection Report
Follow-Up
Deficiencies: 16
Date: Jan 10, 2013
Visit Reason
This visit was conducted as a post-certification revisit to verify that previously cited deficiencies had been corrected as of the corrective action dates.
Findings
The report confirms that all previously identified deficiencies listed on the CMS-2567 Statement of Deficiencies and Plan of Correction were corrected by 12/07/2012.
Deficiencies (16)
Regulation 483.15(a) deficiency corrected on 12/07/2012.
Regulation 483.15(f)(1) deficiency corrected on 12/07/2012.
Regulation 483.15(h)(2) deficiency corrected on 12/07/2012.
Regulation 483.20(b)(1) deficiency corrected on 12/07/2012.
Regulation 483.20(b)(2)(ii) deficiency corrected on 12/07/2012.
Regulation 483.20(d) and 483.20(k)(1) deficiencies corrected on 12/07/2012.
Regulation 483.25 deficiency corrected on 12/07/2012.
Regulation 483.25(h) deficiency corrected on 12/07/2012.
Regulation 483.25(i) deficiency corrected on 12/07/2012.
Regulation 483.25(k) deficiency corrected on 12/07/2012.
Regulation 483.25(l) deficiency corrected on 12/07/2012.
Regulation 483.35(i) deficiency corrected on 12/07/2012.
Regulation 483.60(a) and (b) deficiencies corrected on 12/07/2012.
Regulation 483.60(c) deficiency corrected on 12/07/2012.
Regulation 483.60(b), (d), and (e) deficiencies corrected on 12/07/2012.
Regulation 483.65 deficiency corrected on 12/07/2012.
Inspection Report
Plan of Correction
Deficiencies: 17
Date: Dec 7, 2012
Visit Reason
This document is a Plan of Correction submitted by the facility to address deficiencies cited during a prior inspection survey.
Findings
The facility identified multiple deficiencies related to resident care, assessment, activity programming, housekeeping, medication administration, dietary services, infection control, and safety. Corrective actions including staff education, care plan updates, audits, and quality assurance programs were implemented to address these issues.
Deficiencies (17)
F241-D: Staff used terms of endearment instead of residents' preferred names. Education and monitoring were implemented to ensure use of preferred names.
F248-D: Activity needs of residents were not being met. Staff reminded residents of activities and scheduled additional activities with monitoring.
F253-E: Furniture was observed in need of cleaning. Repairs and weekly inspections were initiated to maintain cleanliness and repair.
F272-D: Comprehensive assessments (CAA's) were absent for some residents. Completed assessments and audits were conducted to ensure compliance.
F274-D: Significant change comprehensive assessment was missing for a resident. Completed assessment and weekly audits were implemented.
F279-E: Individualized care plans lacked development for specific resident needs. Care plans were updated and staff in-serviced on protocols.
F309-D: Lack of coordination between facility and hospice services for bathing. Care plans updated and staff trained on hospice coordination.
F323-E: Side rail use and chemical hazards were not properly managed. Assessments updated, inspections conducted, and staff in-serviced on safety.
F325-G: Residents experienced weight loss. Dietitian recommendations obtained and staff trained on nutritional interventions.
F328-D: Nutritional status maintenance policies were not fully followed. Monitoring and dietary interventions implemented with audits.
F329-D: Drug regimens were not adequately monitored. Nursing staff in-serviced and audits planned for medication administration and monitoring.
F371-F: Dietary department was not clean and sanitary. Cleaning completed, staff in-serviced, and ongoing monitoring established.
F425-D: Deficient medication administration practices reported. Staff in-serviced and monitoring audits implemented.
F428-D: Monthly drug regimen reviews by pharmacist were not consistently performed. Consultant pharmacist engaged and audits planned.
F431-D: Improper storage of unopened insulin pens found. Daily checks and staff education on insulin storage implemented.
F441-E: Potential cross contamination from improper linen handling observed. Staff in-serviced and random audits of linen distribution initiated.
S0600-F: Facility lacked a certified dietary manager. Recruitment efforts underway and interim monitoring by existing staff established.
Report Facts
Date of Plan of Correction completion: Dec 7, 2012
Date of surveyor observations: Nov 9, 2012
Number of residents referenced in deficiencies: 63
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Skyedean | RN/DON | Submitted the Plan of Correction and referenced as Director of Nursing involved in corrective actions. |
| Shirley Boltz | Contact person for Plan of Correction assistance. |
Inspection Report
Plan of Correction
Census: 51
Deficiencies: 1
Date: Nov 9, 2012
Visit Reason
The inspection was conducted to evaluate compliance with dietary services regulations, specifically focusing on the facility's retention of a certified dietary manager and the sanitary conditions of the dietary department.
Findings
The facility failed to retain a certified dietary manager to oversee dietary staff and maintain a clean and sanitary dietary department. Multiple sanitation issues were observed, including dust, debris, sticky surfaces, torn shelf paper, marred cabinet edges, and black slime near the ice machine.
Deficiencies (1)
The facility failed to retain the services of a certified dietary manager to oversee dietary staff and ensure a clean and sanitary dietary department. Observations revealed multiple sanitation issues including dust, debris, sticky surfaces, torn shelf paper, marred cabinet edges, and black slime near the ice machine.
Report Facts
Resident census: 51
Duration of dietary manager absence: 12
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CC | Dietary Staff | Provided information about dietary manager absence and kitchen supervision |
| DD | Administrative Staff | Stated being the dietary manager on record and described current management situation |
| BB | Dietary Staff | Verified sanitation findings regarding torn shelf paper and marred cabinets |
| H | Maintenance Staff | Verified presence of black slime near ice machine drainage pipe |
Inspection Report
Follow-Up
Deficiencies: 1
Date: Jul 24, 2012
Visit Reason
This is a post-certification revisit to verify that previously identified deficiencies have been corrected as of the revisit date.
Findings
The report confirms that the deficiency identified under regulation 483.13(c)(1)(ii)-(iii), (c)(2)-(4) was corrected by the revisit date of 07/24/2012.
Deficiencies (1)
Regulation 483.13(c)(1)(ii)-(iii), (c)(2)-(4) deficiency was corrected as of 07/24/2012.
Inspection Report
Complaint Investigation
Census: 43
Deficiencies: 1
Date: Jul 11, 2012
Visit Reason
Investigation of complaints #55496 and 58233 regarding allegations of abuse by direct care staff.
Complaint Details
The investigation was triggered by complaints #55496 and 58233. The allegations of verbal abuse were substantiated, but the facility failed to report them to the state agency in a timely manner.
Findings
The facility failed to immediately report and thoroughly investigate two reports of verbal abuse by two direct care staff affecting at least 7 residents. Both staff were terminated after internal investigations, but the facility did not report the abuse to the state agency as required.
Deficiencies (1)
F225: The facility failed to immediately report and thoroughly investigate allegations of verbal abuse by two direct care staff affecting at least 7 residents. The abuse included refusal to assist residents with toileting and verbal mistreatment.
Report Facts
Resident census: 43
Residents affected: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Administrative nursing staff B | Reported termination of two aides and investigation details. | |
| Administrative staff A | Reported miscommunication about reporting abuse. | |
| Licensed nursing staff G | Reported verbal abuse allegations to administrative staff. | |
| Licensed nursing staff D | Reported verbal abuse allegations to administrative staff. | |
| Licensed nursing staff B | Wrote disciplinary action record for direct care staff F. |
Inspection Report
Plan of Correction
Deficiencies: 2
Date: Jul 5, 2012
Visit Reason
This document is a Plan of Correction submitted in response to complaint investigations #55496 and #58233 completed and turned into the State agency on July 5, 2012.
Complaint Details
Complaint investigations #55496 and #58233 were completed and turned into the State agency on 7/5/12. The plan addresses allegations of mistreatment, neglect, or abuse and outlines investigation and reporting procedures.
Findings
The facility investigated allegations involving mistreatment, neglect, or abuse, including injuries of unknown source and misappropriation of resident property. The plan outlines procedures for reporting, investigating, and preventing abuse and neglect, with monitoring and staff in-service training scheduled.
Deficiencies (2)
F0000: This plan of correction constitutes a written allegation of substantial compliance with Federal Medicare and Medicaid requirements. Statement of deficiencies has been taken to the facility's Quality Assurance/Assessment Committee.
F225-D: Investigation of complaints #55496 and #58233 was completed and submitted to the State agency on 7/5/12. Allegations of mistreatment, neglect, or abuse will be reported and investigated within 24 hours, with results reported within 5 working days and corrective action taken if verified.
Report Facts
Complaint IDs: 2
Monitoring duration: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Skye Dean | RN/DON | Submitted the Plan of Correction |
| Shirley Boltz | Contact for Plan of Correction assistance |
Inspection Report
Follow-Up
Deficiencies: 9
Date: Sep 27, 2011
Visit Reason
This visit was a post-certification revisit to verify that previously cited deficiencies have been corrected as indicated in the prior CMS-2567 Statement of Deficiencies and Plan of Correction.
Findings
All previously reported deficiencies were corrected by the revisit date of 09/27/2011, as documented by the correction completion dates for each cited regulation.
Deficiencies (9)
Regulation 483.15(a): Previously cited deficiency corrected as of 09/27/2011.
Regulations 483.20(d) and 483.20(k)(1): Previously cited deficiencies corrected as of 09/27/2011.
Regulations 483.20(d)(3) and 483.10(k)(2): Previously cited deficiencies corrected as of 09/27/2011.
Regulation 483.25(d): Previously cited deficiency corrected as of 09/27/2011.
Regulation 483.25(e)(2): Previously cited deficiency corrected as of 09/27/2011.
Regulation 483.25(l): Previously cited deficiency corrected as of 09/27/2011.
Regulation 483.65: Previously cited deficiency corrected as of 09/27/2011.
Regulation 483.70(c)(2): Previously cited deficiency corrected as of 09/27/2011.
Regulation 483.70(h)(4): Previously cited deficiency corrected as of 09/27/2011.
Inspection Report
Annual Inspection
Census: 47
Deficiencies: 9
Date: Aug 29, 2011
Visit Reason
Annual survey of The Regal Estate of Glenwood to assess compliance with health and safety regulations.
Findings
The facility was found deficient in multiple areas including dignity and respect during dining assistance, development and revision of comprehensive care plans, catheter care and prevention of urinary tract infections, medication management with Black Box warnings, infection control practices including glucometer disinfection, laundry sanitation, and pest control.
Deficiencies (9)
F241: The facility failed to ensure staff treated 9 dependent residents with dignity during assisted dining by using clothing protectors instead of napkins and standing over residents rather than sitting while feeding.
F279: The facility failed to develop comprehensive care plans for 2 of 3 residents with indwelling urinary catheters, lacking individualized interventions and parameters for physician notification.
F280: The facility failed to review and revise care plans for 3 residents to address changes in condition including fall risk, contractures, and altered posture.
F315: The facility failed to provide appropriate catheter care and prevent urinary tract infections for 3 residents with indwelling catheters, including failure to prevent catheter tubing from contacting the floor.
F318: The facility failed to provide restorative services and assistive devices to maintain or improve range of motion for one resident, resulting in contractures and lack of feeding assistance.
F329: The facility failed to identify and monitor medications with Black Box warnings for 8 residents, lacking policies and procedures to ensure medication regimens were free from unnecessary drugs and adverse effects were monitored.
F441: The facility failed to disinfect the blood glucose testing machine between resident use and failed to adequately sanitize laundry, risking transmission of infection.
F456: The facility failed to maintain laundry equipment in safe operating condition, resulting in inadequate processing and sanitization of linens.
F469: The facility failed to maintain an effective pest control program, resulting in presence of flies in resident rooms and activity areas.
Report Facts
Resident census: 47
Residents sampled: 19
Deficiency count: 9
Medication Black Box Warning residents: 8
Flies observed: 3
Water temperature: 130
Water temperature: 163
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N063017 POC HJSS11
Visit Reason
This document is a Plan of Correction related to a previous inspection or regulatory finding for the facility identified by State ID N063017.
Findings
No deficiency records or findings are included in this Plan of Correction document.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N063017 POC 267W11
Visit Reason
This document serves as a plan of correction related to a prior deficiency report for The Regal Estates facility.
Findings
No specific findings or deficiencies are detailed in this document. It references a linked deficiency report but contains no records or corrective details itself.
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