Inspection Reports for
Medicalodges Kinsley

The complaint involved verbal abuse of Resident 1 by CNA M on 06/08/25, witnessed by CNA O. The incident was not reported to the nurse until 06/11/25, allowing CNA M to work three additional shifts. The allegation was substantiated, and CNA M was terminated.

The facility failed to ensure Resident 1 remained free from verbal abuse and mistreatment by CNA M, who threatened the resident with physical violence. Additionally, the facility failed to timely report the abuse allegation, allowing CNA M to work additional shifts before termination.

The complaint investigation (KS00195955) was substantiated. The facility reported a census of 24 residents and reviewed four residents for abuse. The allegation involved CNA M verbally threatening Resident 1 on 06/08/25. The incident was witnessed by CNA O but was not reported to the nurse until 06/11/25. CNA M was terminated following the investigation.

The facility failed to ensure Resident 1 remained free from verbal abuse and mistreatment by CNA M, who threatened the resident with physical violence. Additionally, the facility failed to report the allegation of abuse within the required timeframe, allowing the CNA to work additional shifts before termination.

The facility updated care plans for psychosocial needs, suspended and terminated a CNA pending investigation, provided education on abuse recognition and reporting to staff, conducted resident interviews, notified law enforcement, and implemented ongoing monitoring through leadership rounding and QAPI review.

The facility failed to obtain supporting documentation for evidence of certification and criminal background checks for staff at the time of hire, as required by Kansas regulations.

The plan outlines corrective actions for multiple deficiencies including beneficiary notification, significant change MDS completion, skin condition assessments, pain assessments, medication monitoring, kitchen sanitation, and staffing hour reporting.

The complaint investigation focused on Resident 74's pain management, which was found to be inadequate, leading to immediate jeopardy and the resident's death on 10/01/24.

The facility was found not in substantial compliance with multiple regulations including failure to manage pain effectively for Resident 74, failure to complete significant change assessments for residents 11 and 19, failure to issue accurate Medicare notices for Resident 16, failure to complete weekly skin assessments for Resident 19, failure to administer prescribed heart medication for Resident 16, unsanitary food storage and preparation practices, and failure to submit accurate staffing data to Payroll Based Journal.

The facility had multiple deficiencies including failure to issue accurate Medicare beneficiary notices, failure to identify and assess significant changes in residents' conditions, inadequate pain management resulting in immediate jeopardy, failure to ensure consultant pharmacist identified medication administration issues, unsanitary food storage and preparation practices, and inaccurate staffing data submission.

The facility failed to conduct required annual functional capacity screenings and negotiated service agreement reviews for sampled residents. Additionally, the facility did not perform quarterly reviews of the emergency management plan with residents and staff and lacked policies related to these requirements.

The plan addresses deficiencies related to nebulizer equipment maintenance and staff education on BIPA posting and RN coverage. The facility outlines corrective actions including equipment changes, staff education, monitoring, and quality assurance reviews.

The visit was triggered by complaints identified as #KS00176439 and #KS00176011. The complaint investigation found substantiated deficiencies related to respiratory care and RN staffing.

The facility failed to ensure necessary respiratory care for a resident requiring inhalation treatments and failed to provide required registered nurse coverage for at least 8 hours a day, seven days a week, for five of six months reviewed.

The facility failed to provide safe and appropriate respiratory care for a resident requiring inhalation treatments and failed to ensure the use of a registered nurse on duty for at least 8 hours a day for five of the six months reviewed. The facility also lacked policies regarding respiratory care and staffing.

The report confirms that the deficiencies identified in the prior survey were corrected as of the revisit date.

The facility failed to ensure disaster and emergency preparedness by not conducting quarterly reviews of the emergency management plan with staff and residents and not performing an annual emergency drill including resident evacuation. The facility also failed to comply with tuberculosis guidelines by not completing timely TB testing and questionnaires for newly hired employees and lacked a TB policy.

The complaint investigation KS00164373 focused on the facility's handling of residents' personal funds, including accounting, notification of balances near SSI limits, and conveyance of funds after resident death.

The facility failed to provide quarterly resident funds statements to a resident and/or durable power of attorney, failed to notify residents or DPOAs when resident fund balances approached or exceeded SSI resource limits, and failed to convey remaining resident funds within 30 days of death for two residents.

The facility submitted a written plan addressing deficiencies related to providing quarterly resident funds statements and notification requirements regarding resident funds accounts nearing the SSI resource limit. The plan includes education for staff and ongoing monitoring to ensure compliance.

The plan addresses deficiencies related to food procurement, storage, preparation, and sanitary practices, as well as abuse, neglect, and exploitation training for staff. The facility outlines corrective actions including staff education, audits, and ongoing monitoring to achieve compliance.

The visit was triggered by a complaint investigation #157445. The facility was found noncompliant with food safety and staff training requirements.

The facility failed to ensure dietary staff wore hairnets and properly date food items after opening, which could affect all residents. Additionally, the facility did not ensure all staff received annual Abuse, Neglect, and Exploitation training as required.

The facility failed to ensure dietary staff wore hairnets and properly date food items after opening. Additionally, the facility did not ensure all staff received annual training on Abuse, Neglect, and Exploitation (ANE).

The report confirms that the deficiencies previously cited under regulations 26-41-104(d) and 26-41-207(b)(5-6)(c) were corrected as of the revisit date.

The facility failed to ensure quarterly reviews of the emergency management plan with employees and residents, and failed to comply with tuberculosis guidelines by not completing TB questionnaires for all residents since 07/31/19.

The plan addresses multiple deficiencies including resident rights, care plan meetings, safety concerns, outdated oxygen tubing, chemical storage, staffing coverage, and dietary food handling. The facility outlines corrective actions, staff education, audits, and monitoring to ensure substantial compliance.

The facility failed to inform and provide resident R16 the opportunity to make decisions regarding treatment options, failed to ensure quarterly care plan meetings, lacked a system for anonymous grievance filing, failed to follow care plans for oxygen tubing changes for residents R2 and R10, failed to properly prepare pureed diets, failed to properly store food items with date labels, and failed to provide RN coverage for at least eight consecutive hours on several days.

The facility was found deficient in multiple areas including failure to post required notices, incomplete functional capacity screenings, incomplete and unsigned negotiated service agreements, medication administration errors, lack of quarterly emergency preparedness reviews, and noncompliance with tuberculosis testing requirements for residents and staff.

The facility was found not in substantial compliance and conditions constituted immediate jeopardy to resident health or safety from July 31, 2016 through September 29, 2016. Deficiencies cited included noncompliance with F223 and F225 regulations, resulting in substandard quality of care.

Complaint investigation of alleged abuse of resident #1 by Direct Care Staff C. Allegations included rough and verbal abuse witnessed by staff and reported to nursing and administrative staff, who failed to take timely and appropriate action.

The facility failed to ensure resident #1 was free from physical and verbal abuse by Direct Care Staff C. The facility also failed to immediately report, thoroughly investigate, and protect all residents during the ongoing abuse investigation, allowing the alleged perpetrator to continue working for up to two months.

This plan of correction is related to a complaint investigation (ML Kinsley complaint 10052016) involving allegations of abuse and neglect. The complaint was addressed through staff resignations, education, resident interviews, and monitoring.

The facility had allegations of abuse, neglect, and rough handling by staff. Investigations found no further allegations or injuries after interviews and skin assessments. Staff education and monitoring protocols were implemented to ensure compliance.

The plan outlines corrective actions for multiple deficiencies including bed hold policies, bowel and bladder care, fall management, medication reviews, immunization documentation, nurse staffing postings, refrigerator temperature monitoring, pharmacy recommendations, infection control, and quality assurance processes.

Complaint investigation #0309 and #9853 were part of the survey.

The facility had multiple deficiencies including failure to inform responsible parties of bed hold policies, incomplete significant change assessments, inadequate care plan revisions for toileting, failure to prevent falls, unnecessary medication use without proper monitoring, incomplete infection control program, failure to post nurse staffing data, improper food storage and serving temperatures, and failure to act on pharmacist recommendations.

The survey found the most serious deficiency to be at an 'F' level, indicating no harm but with potential for more than minimal harm that is not immediate jeopardy. The facility was required to submit an acceptable plan of correction within ten calendar days.

The report confirms correction of the previously cited deficiency identified by regulation 28-39-158(a) with correction completed on 2015-05-15.

The facility outlines corrective actions for multiple deficiencies including quality assurance, resident assessments, catheter care, hazardous item security, medication use, food storage, laundry equipment maintenance, and staff education. The facility commits to monitoring and achieving substantial compliance by May 15, 2015.

The facility failed to employ a full-time dietary supervisor who had successfully completed a certified dietary manager's training/education course. The dietary staff member was enrolled in the certification course but had not completed it.

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, and the facility is found to be in substantial compliance based on the credible allegation of compliance.

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

The report confirms that the deficiency identified by regulation 28-39-161 with ID prefix S0835 was corrected as of 2014-01-20. No other deficiencies or findings are noted.

The report documents that all previously identified deficiencies have been corrected as of the revisit date.

The plan addresses multiple deficiencies including environmental cleanliness, resident assessments, pain management, fall risk interventions, medication monitoring, sharps disposal, and laundry temperature controls. The facility commits to staff education, environmental rounds, audits, and ongoing Quality Assurance Committee oversight to ensure compliance.

The facility was found deficient in housekeeping and maintenance, comprehensive resident assessments, care and services for resident well-being, accident hazard prevention, unnecessary drug use, food sanitation, drug regimen review, and infection control practices.

The facility failed to complete a required assessment before a resident began self-administration of medications, failed to securely store medications accessible only to authorized persons, failed to store food in a sanitary manner, and failed to monitor laundry water temperatures daily to meet professional health care standards.

The plan addresses deficiencies related to medication self-administration assessments, secure medication storage, cleaning and maintenance of equipment, and laundry water temperature monitoring. The facility has implemented monitoring and training measures to prevent recurrence of these issues.

All previously reported deficiencies identified by regulation or LSC provision numbers were corrected as of the revisit date.

The plan details corrective actions for multiple deficiencies including medication management, accessibility of survey results, cleaning and maintenance of equipment and facility areas, and monitoring of black box warning medications. Responsibilities for ongoing compliance are assigned to specific staff roles.

The facility failed to develop a written negotiated service agreement reflecting all resident service needs, failed to make the most recent survey report accessible to residents and visitors, and failed to maintain sanitary food preparation conditions due to inadequate cleaning of the kitchen exhaust hood.