Inspection Reports for Mission Chateau Senior Living Community
4100 W 85th St, Prairie Village, KS 66206, United States, KS, 66206
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Inspection Report
Re-Inspection
Deficiencies: 0
Nov 12, 2024
Visit Reason
An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 2024-10-30.
Findings
All deficiencies have been corrected as of the compliance date of 2024-11-05 and no new noncompliance was found. The facility is in compliance with all regulations surveyed.
Report Facts
Previous deficiencies cited: Deficiencies cited on 2024-10-30
Inspection Report
Re-Inspection
Census: 72
Deficiencies: 4
Oct 29, 2024
Visit Reason
This is a resurvey inspection conducted on 10/29/24 and 10/30/24 to evaluate compliance following a previous facility report #191381 at an assisted living community.
Findings
The inspection found multiple deficiencies including failure to develop adequate negotiated service agreements for residents, improper administration of medications not following physician orders, lack of resident names on over-the-counter medication packages, and improper medication storage practices including unlabeled and undated medication vials.
Severity Breakdown
Level D: 2
Level E: 1
Level F: 1
Deficiencies (4)
| Description | Severity |
|---|---|
| Failure to ensure the Negotiated Service Agreement for Residents 1 and 2 described the services they received based on their service needs and preferences. | Level D |
| Failure to ensure facility staff administered all medications to Resident 2 in accordance with his medical care provider's orders. | Level D |
| Failure to ensure a licensed pharmacist or licensed nurse placed the full names of residents on the original packages of six over-the-counter medications in the memory care unit. | Level E |
| Failure to ensure medications and biologicals were securely and properly stored in accordance with each manufacturer's recommendations, including unlabeled and undated tuberculin vials. | Level F |
Report Facts
Census: 72
Residents in sample: 6
Memory care residents: 33
Assisted living residents: 39
Medication administration errors: 13
Over-the-counter medications without resident names: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Administrative Nurse B | Confirmed failure of Negotiated Service Agreements and unlabeled tuberculin vial | |
| Administrative Nurse C | Confirmed medication administration errors for Resident 2 | |
| Certified Medication Aide D | Observed OTC medications lacking resident names and unlabeled tuberculin vial |
Inspection Report
Plan of Correction
Deficiencies: 0
Oct 29, 2024
Visit Reason
This document represents the provider's plan of correction following a resurvey conducted on 10/29/24 and 10/30/24 at the assisted living facility.
Findings
The plan of correction addresses findings from the resurvey linked to facility report #191381 conducted on the specified dates.
Inspection Report
Re-Inspection
Deficiencies: 0
Mar 7, 2023
Visit Reason
An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 2023-02-15.
Findings
All deficiencies have been corrected as of the compliance date of 2023-03-01, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.
Report Facts
Previous deficiencies cited: 1
Inspection Report
Re-Inspection
Census: 72
Deficiencies: 2
Feb 15, 2023
Visit Reason
The inspection was a resurvey with attached complaints #170650 and #164234 conducted at the assisted living facility.
Findings
The facility failed to develop a negotiated service agreement for a resident based on her functional capacity screening related to medication management. Additionally, the administrator failed to ensure evidence of certification checks for three staff members was completed upon hire.
Complaint Details
The resurvey included attached complaints #170650 and #164234.
Severity Breakdown
Level D: 1
Level F: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to develop a negotiated service agreement for Resident 217 based on her functional capacity screening regarding medication management. | Level D |
| Failure to ensure evidence of certification for three staff members was completed upon hire. | Level F |
Report Facts
Census: 72
Residents in sample: 6
Employee records reviewed: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Administrative Nurse C | Administrative Nurse | Confirmed failure of negotiated service agreement for Resident 217. |
| Administrative Staff H | Administrative Staff | Confirmed lack of certification check dates for three staff employee records. |
Inspection Report
Plan of Correction
Deficiencies: 0
Feb 14, 2023
Visit Reason
This document is a plan of correction addressing findings from a resurvey with attached complaints #170650 and #164234 conducted at the assisted living facility on 02/14/23 - 02/15/23.
Findings
The plan of correction corresponds to citations identified during the resurvey and complaint investigations at the assisted living facility conducted on 02/14/23 - 02/15/23.
Complaint Details
The visit was related to complaints #170650 and #164234 attached to the resurvey.
Inspection Report
Abbreviated Survey
Deficiencies: 0
Aug 11, 2020
Visit Reason
The special infection control survey for COVID-19 was conducted at the facility on 2020-08-11.
Findings
The survey resulted in findings of no deficiency citations.
Inspection Report
Original Licensing
Deficiencies: 0
Apr 15, 2019
Visit Reason
The initial licensure survey was conducted at the assisted living facility to determine compliance with licensing requirements.
Findings
The survey resulted in a finding of no deficiency citations on the dates 4-10-19, 4-11-19, and 4-15-19.
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