Inspection Reports for
Moundridge Manor
710 N. CHRISTIAN AVENUE, MOUNDRIDGE, KS, 67107-800
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
50% better than Kansas average
Kansas average: 6 deficiencies/yearDeficiencies per year
8
6
4
2
0
Occupancy
Latest occupancy rate
91% occupied
Based on a September 2024 inspection.
Occupancy rate over time
Inspection Report
Complaint Investigation
Census: 71
Deficiencies: 3
Date: Sep 25, 2024
Visit Reason
The inspection was conducted due to complaints regarding inadequate supervision to prevent accidents, failure to assess residents' ability to handle hot liquids safely, failure to serve food at safe temperatures, and failure to coordinate hospice care.
Complaint Details
The investigation was complaint-driven, focusing on falls and injuries to residents, unsafe handling of hot liquids resulting in burns, improper food temperature control, and inadequate hospice care coordination.
Findings
The facility failed to provide adequate supervision to prevent falls resulting in injury, failed to assess and implement safety interventions for handling hot liquids leading to burns, failed to serve ground meat at safe temperatures risking foodborne illness, and failed to coordinate hospice care plans for a resident receiving hospice services.
Deficiencies (3)
F 0689: The facility failed to provide adequate supervision and safety interventions for Resident 10 after a fall, resulting in a second fall causing a palm laceration requiring sutures and multiple rib fractures. The facility also failed to assess Resident 17's ability to safely handle hot liquids, leading to second-degree burns from spilled coffee.
F 0804: The facility failed to ensure ground hamburger meat was served at or above 140 degrees Fahrenheit, risking foodborne illness and decreased quality of life for residents.
F 0849: The facility failed to coordinate care between the facility and hospice provider for Resident 42, placing the resident at risk for inappropriate end-of-life care.
Report Facts
Residents present: 71
Residents reviewed: 18
Residents reviewed for accidents: 12
Temperature of ground meat: 132
Safe serving temperature for hot food: 140
Coffee temperature: 145
Length of laceration: 7
Size of burns and blisters: 19.5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Administrative Nurse D | Administrative Nurse | Verified supervision and fall interventions for Resident 10 and discussed risks related to Resident 17's hot liquid handling |
| Administrative Nurse E | Administrative Nurse | Provided information on supervision and call light pendant use for Resident 10 |
| Dietary CC | Dietary Aide | Observed serving ground hamburger meat below safe temperature |
| Dietary BB | Certified Dietary Manager | Confirmed ground meat should be served at 165 degrees Fahrenheit |
| Licensed Nurse G | Licensed Nurse | Observed Resident 17's burns and use of lids on cups |
Inspection Report
Complaint Investigation
Census: 77
Deficiencies: 1
Date: Apr 18, 2023
Visit Reason
The inspection was conducted due to a complaint investigation regarding the facility's failure to provide adequate supervision to prevent an elopement of a cognitively impaired resident.
Complaint Details
The investigation was triggered by a complaint regarding the facility's failure to supervise Resident 1, who had dementia and exhibited exit seeking behaviors. The complaint was substantiated as Resident 1 eloped on 04/08/23 and was found outside the facility unsupervised.
Findings
The facility failed to prevent Resident 1, who was cognitively impaired and at high risk for falls, from eloping on 04/08/23. Resident 1 left the facility unsupervised, ambulated into the street, and was only redirected by staff after an off-duty employee reported her presence outside.
Deficiencies (1)
F 0689: The facility failed to provide adequate supervision to prevent Resident 1's elopement, placing her in immediate jeopardy. Resident 1 left the facility without staff knowledge and ambulated into a street with posted speed limits of 35 to 45 mph.
Report Facts
Resident census: 77
Fall risk score: 19
Steps ambulated into street: 5
Temperature: 70
Speed limits: 35
Speed limits: 45
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LN G | Licensed Nurse | Assisted Resident 1 during elopement incident and provided redirection |
| Administrative Nurse D | Administrative Nurse | Provided statements regarding Resident 1's elopement risk and facility procedures |
| CMA R | Certified Medication Aide | Reported Resident 1 missing and assisted in search during elopement incident |
Inspection Report
Routine
Census: 78
Deficiencies: 4
Date: Mar 15, 2023
Visit Reason
Routine inspection of Moundridge Manor nursing home to assess compliance with regulatory requirements including discharge procedures, accident prevention, medication management, and psychotropic drug use.
Findings
The facility failed to develop a discharge summary including a recapitulation for a discharged resident, failed to prevent an avoidable fall resulting in injury, failed to follow a resident's fall care plan, and failed to ensure appropriate use and monitoring of antipsychotic medication by the consultant pharmacist.
Deficiencies (4)
F0661: The facility failed to develop a discharge summary that included a recapitulation of the resident's stay for Resident 77, placing the resident at risk for unmet care needs.
F0689: The facility failed to ensure Resident 20 was properly secured and supervised in the whirlpool chair, resulting in a fall with facial injuries requiring sutures. The facility also failed to follow Resident 31's fall care plan, resulting in two falls.
F0756: The facility's consultant pharmacist failed to identify and report inappropriate indication for Resident 52's use of antipsychotic medication Risperdal, placing the resident at risk for side effects.
F0758: The facility failed to ensure appropriate indication for the use of antipsychotic medication Risperdal for Resident 52, placing the resident at risk for unnecessary side effects.
Report Facts
Residents in sample: 18
Residents reviewed for accidents: 5
Laceration size: 4.8
Laceration size: 2.3
Laceration size: 2.4
Abrasion size: 3.5
Abrasion size: 2.5
Medication dosage: 0.25
Inspection Report
Deficiencies: 0
Date: Aug 26, 2021
Visit Reason
The document is a statement of deficiencies and plan of correction related to a regulatory survey of the nursing home facility.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Follow-Up
Deficiencies: 1
Date: May 26, 2012
Visit Reason
This visit was a post-certification revisit to verify correction of previously cited deficiencies from the survey completed on 2012-04-26.
Findings
The report confirms that the previously identified deficiencies, including those under regulation 483.35(i), were corrected as of the revisit date.
Deficiencies (1)
Regulation 483.35(i) deficiency was corrected by the revisit date of 2012-05-26.
Report Facts
Deficiencies corrected: 1
Inspection Report
Plan of Correction
Deficiencies: 2
Date: May 26, 2012
Visit Reason
This document is a Plan of Correction submitted by the facility in response to deficiencies identified in a prior inspection.
Findings
The facility was found to have issues with maintaining a sanitary environment in the dining room, including staff holding glasses on drinking surfaces.
Deficiencies (2)
F0000 The facility will take statement of deficiencies to the QA committee.
F371-E The facility will provide a sanitary environment in the dining room. Staff will not hold glasses on drinking surfaces and nursing staff will review the Dining Room Infection Control Worklist.
Inspection Report
Re-Inspection
Census: 73
Deficiencies: 1
Date: Apr 26, 2012
Visit Reason
This visit was a health resurvey to assess compliance following a prior inspection.
Findings
The facility failed to serve beverages in a sanitary manner during meals for residents requiring assistance in the assisted dining section over three consecutive days.
Deficiencies (1)
483.35(i) The facility failed to serve beverages in a sanitary manner by staff handling residents' glasses by the lip surface during meal service on three separate days.
Report Facts
Resident census: 73
Sample residents observed: 9
Days of survey with beverage handling issues: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nurse A | Verified staff should not handle residents' drinking glasses by the lip surface |
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