Inspection Reports for
Medicalodges Wichita
2280 S MINNEAPOLIS AVE, WICHITA, KS, 67211-5398
Back to Facility ProfileDeficiencies (last 2 years)
Deficiencies (over 2 years)
8.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
42% worse than Kansas average
Kansas average: 6 deficiencies/yearDeficiencies per year
12
9
6
3
0
Census
Latest occupancy rate
68 residents
Based on a April 2013 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy over time
Inspection Report
Follow-Up
Deficiencies: 1
Date: May 3, 2013
Visit Reason
This visit was conducted as a post-certification revisit to verify correction of previously cited deficiencies from the CMS-2567 Statement of Deficiencies and Plan of Correction.
Findings
The report confirms that the previously cited deficiency identified by regulation 483.13(c)(1)(ii)-(iii), (c)(2)-(4) was corrected as of the revisit date.
Deficiencies (1)
Deficiency related to regulation 483.13(c)(1)(ii)-(iii), (c)(2)-(4)
Report Facts
Deficiency correction date: May 3, 2013
Follow-up survey completion date: Apr 15, 2013
Inspection Report
Complaint Investigation
Census: 68
Deficiencies: 3
Date: Apr 15, 2013
Visit Reason
The inspection was conducted as a complaint survey for complaint #65082 regarding allegations of abuse and neglect at the facility.
Complaint Details
The complaint investigation involved two residents (#1 and #2) with allegations of abuse. Resident #1 reported verbal abuse and threatening behavior by staff member H during a dining room incident. Multiple staff witnessed the event. Resident #2 made allegations of neglect and sexual abuse, which were not thoroughly investigated or reported to the State agency or guardian. The facility delayed reporting and did not conduct complete investigations.
Findings
The facility failed to thoroughly investigate allegations of abuse and neglect, failed to immediately report allegations of abuse to the administrator and the State survey and certification agency for two sampled residents, and failed to report allegations to the resident's guardian. Investigations were incomplete, lacking staff and resident interviews, and the facility delayed reporting incidents to the State agency.
Deficiencies (3)
Failed to thoroughly investigate allegations of abuse and neglect for two residents.
Failed to immediately report allegations of abuse to the administrator and State survey and certification agency.
Failed to report allegations of abuse to the resident's guardian.
Report Facts
Census: 68
Sampled residents: 2
Complaint number: 65082
Inspection Report
Plan of Correction
Deficiencies: 1
Date: Apr 10, 2013
Visit Reason
This document is a Plan of Correction submitted by the facility in response to a complaint investigation regarding allegations of abuse and neglect.
Complaint Details
Complaint investigation related to allegations of abuse. Staff member H was suspended on 04/10/13 during investigation. Resident #1 and Resident #2 reported feeling safe after interventions. The facility implemented staff training and ongoing monitoring to ensure compliance.
Findings
The facility was found to have deficiencies related to failure to immediately report allegations of abuse and to thoroughly investigate and report such allegations to the State Survey and Certification agency. Staff member H was suspended pending investigation, and residents reported feeling safe following corrective actions.
Deficiencies (1)
Failure to immediately report an allegation or incident of abuse to the Administrator and State Survey and Certification agency.
Report Facts
Complete Date for Plan of Correction: May 3, 2013
Resident Interviews: 5
Resident Meetings: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Doug Wyckoff | Administrator | Submitted the Plan of Correction and involved in staff training and investigation |
| Director of Nursing | Provided education with the Administrator on company policy for abuse investigation | |
| Staff member H | Suspended pending investigation of abuse allegation |
Inspection Report
Follow-Up
Deficiencies: 6
Date: May 23, 2012
Visit Reason
This post-certification revisit was conducted to verify that previously cited deficiencies from the CMS-2567 Statement of Deficiencies and Plan of Correction had been corrected.
Findings
All previously reported deficiencies identified by regulation or LSC provision numbers were corrected as of the revisit date.
Deficiencies (6)
Deficiency related to regulation 483.13(c)(1)(ii)-(iii), (c)(2) - (4)
Deficiency related to regulation 483.20(k)(3)(i)
Deficiency related to regulation 483.25(a)(3)
Deficiency related to regulation 483.25(h)
Deficiency related to regulation 483.60(b), (d), (e)
Deficiency related to regulation 483.65
Report Facts
Deficiencies corrected: 6
Inspection Report
Complaint Investigation
Census: 63
Deficiencies: 6
Date: May 2, 2012
Visit Reason
The inspection was conducted as a resurvey and complaint investigation related to allegations of abuse, neglect, and mistreatment of residents, as well as concerns about care and facility compliance.
Complaint Details
The complaint investigation #4354 was triggered by allegations of abuse, neglect, and mistreatment of residents, including failure to investigate and report abuse, failure to provide care, and failure to maintain resident safety and infection control.
Findings
The facility failed to thoroughly investigate and report allegations of abuse and neglect for multiple residents, failed to develop an initial care plan for a resident, failed to maintain grooming standards for residents, failed to ensure a safe environment by leaving a hydroculator unlocked, failed to dispose of expired medications properly, and failed to maintain an effective infection control program.
Deficiencies (6)
Failed to thoroughly investigate and report allegations of abuse and neglect for residents #25, the spouse of resident #25, and #45.
Failed to develop an initial care plan for resident #79 before the resident passed away.
Failed to provide necessary services to maintain good grooming for residents #1 and #9 by failing to maintain facial hair.
Failed to ensure the resident environment remained free of accident hazards by leaving an unlocked hydroculator accessible to residents and failing to provide adequate supervision to cognitively impaired residents.
Failed to dispose of expired Tuberculin test serum with 25 doses left, risking use of ineffective medication.
Failed to maintain an infection control program by improper cleaning of a C-diff resident's room, lack of appropriate disinfectants, improper linen handling, and failure to track infections.
Report Facts
Residents in sample for abuse, neglect, and exploitation: 7
Facility census: 63
Tuberculin test doses left: 25
Residents identified as cognitively impaired and independently mobile: 28
Residents reviewed for ADLs: 3
Residents included in sample for care plan review: 25
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Administrative staff A | Administrative Nurse | Interviewed regarding abuse allegations, care plan development, infection control, and shaving standards |
| Administrative staff B | Administrator in charge of ANE program | Interviewed regarding abuse allegations and investigation |
| Licensed Nurse M | Interviewed regarding resident #25's care and abuse allegations | |
| Social Service Staff L | Social Service Director | Interviewed regarding resident #25's abuse allegations and concerns |
| Direct Care Staff O | Named in abuse allegations for rough treatment of residents | |
| Direct Care Staff Y | Named in resident #45's allegation of intimidation and threats related to call light use | |
| Licensed Nursing Staff E | Interviewed regarding resident #45's allegations and infection control | |
| Direct Care Staff F | Interviewed regarding resident grooming and shaving | |
| Housekeeping Staff J | Interviewed regarding cleaning procedures for C-diff resident's room | |
| Environmental Supervisor K | Interviewed regarding cleaning policies and knowledge of disinfectants | |
| Consultant T | Consultant who assisted with medication policies |
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N087021 IO9211
Visit Reason
This document is a Plan of Correction related to a prior inspection event identified by ASPEN Event ID IO9211 for facility State ID N087021.
Findings
No specific findings or deficiencies are detailed in this document; it serves as a placeholder or record for the Plan of Correction status and related metadata.
Inspection Report
Plan of Correction
Deficiencies: 6
Date: N087021 POC HB2N11
Visit Reason
This document is a Plan of Correction submitted by Medicalodges Wichita in response to deficiencies cited during a prior inspection.
Findings
The plan addresses multiple deficiencies including allegations of abuse reporting, care plan development, grooming and hygiene services, environmental safety hazards, medication expiration management, and infection control program maintenance.
Deficiencies (6)
Failure to assure all allegations of abuse, neglect, or exploitation are reported and investigated.
Failure to develop initial care plans for all new admissions within 48 hours.
Failure to provide necessary services to maintain good nutrition, grooming, and personal and oral hygiene.
Failure to assure the resident environment remains free of accident hazards.
Failure to ensure all expired medications are discarded according to policy.
Failure to establish and maintain an Infection Control Program to prevent disease and infection.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Doug Wyckoff | Administrator | Administrator named as submitting the Plan of Correction and responsible for monitoring compliance. |
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