Deficiencies (last 2 years)
Deficiencies (over 2 years)
12 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
100% worse than Kansas average
Kansas average: 6 deficiencies/yearDeficiencies per year
20
15
10
5
0
Occupancy
Latest occupancy rate
76% occupied
Based on a November 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Re-Inspection
Deficiencies: 0
Date: Dec 15, 2025
Visit Reason
An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 2025-11-18.
Findings
All deficiencies have been corrected as of the compliance date of 2025-12-12, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Nov 18, 2025
Visit Reason
This document represents the provider's plan of correction following a resurvey with multiple attached complaints conducted on 11/12/25, 11/13/25, 11/17/25, and 11/18/25 at the assisted living facility.
Findings
The plan of correction addresses findings from a resurvey and numerous complaints identified during the inspection period in November 2025.
Inspection Report
Re-Inspection
Census: 68
Deficiencies: 13
Date: Nov 18, 2025
Visit Reason
Resurvey with attached complaints conducted at Oxford Vista Senior Living on multiple dates in November 2025 to assess compliance with regulatory requirements.
Complaint Details
This inspection was a resurvey with attached complaints numbered 196268, 196307, 196311, 196499, 196885, 196930, 197158, 197188, 197329, 197331, 197342, 197345, 197349, 197363, 197377, 197381, 197382, 197392, 197422.
Findings
The facility failed to ensure negotiated service agreements were complete and updated, failed to provide adequate safety measures for wandering residents, failed to label over-the-counter medications properly, lacked documentation of incidents, failed to conduct quarterly emergency management plan reviews, failed to maintain proper food storage and temperature logs, failed to provide sanitary hand drying options, failed to comply with tuberculosis screening guidelines, and failed to secure chemicals properly.
Deficiencies (13)
KAR 26-41-202(a)(1) The facility failed to ensure negotiated service agreements described services based on residents' functional capacity screens for multiple residents.
KAR 26-41-202(d)(1)(2) The facility failed to revise negotiated service agreements annually and after significant condition changes for residents.
KAR 26-41-202(h) The facility failed to ensure negotiated service agreements were signed by all involved individuals for a resident.
KAR 26-41-204(d) The facility failed to name the licensed nurse responsible for implementing and supervising healthcare service plans in negotiated service agreements for multiple residents.
KAR 26-41-204(i) The facility failed to ensure safety of wandering residents by not providing pagers to direct-care staff and not posting warning signs at exit doors.
KAR 26-41-205(g)(3) The facility failed to ensure over-the-counter medications were labeled with the resident's full name by a pharmacist or licensed nurse.
KAR 26-41-105(f)(11) The facility failed to document all incidents, symptoms, and indications of illness or injury including dates, times, actions taken, and results for multiple residents.
KAR 26-41-104(d)(3) The facility failed to provide evidence of quarterly reviews of the emergency management plan with staff and residents.
KAR 26-41-206(d) The facility failed to ensure food items were served at the proper temperature and failed to maintain food temperature logs.
KAR 26-41-206(e)(1) The facility failed to store food under safe and sanitary conditions by not covering and dating food items properly.
KAR 26-41-207(a) The facility failed to provide disposable towels for drying hands after washing in all assisted living unit dining rooms.
KAR 26-41-207(c) The facility failed to comply with tuberculosis screening guidelines for adult care homes for two residents and one staff member.
KAR 28-39-254(a) The facility failed to secure chemicals properly, leaving multiple cleaning chemicals unlocked in assisted living unit areas.
Report Facts
Deficiencies cited: 12
Residents at risk for wandering: 6
Residents requiring physical assistance with ADLs: 15
Residents in memory care unit: 18
Residents in assisted living side: 50
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Administrative Nurse D | Administrative Nurse | Named in incident documentation and TB screening record review. |
| Administrative Nurse C | Administrative Nurse | Confirmed multiple deficiencies including TB screening delays and NSA issues. |
| Administrative Staff B | Administrative Staff | Provided email confirmations and statements regarding facility policies and deficiencies. |
| Maintenance Staff E | Maintenance Staff | Confirmed pager availability and chemical storage observations. |
| Certified Medication Aide F | Certified Medication Aide | Reported lack of pagers during wandering incident. |
| Certified Medication Aide G | Certified Medication Aide | Reported lack of pagers on assisted living side. |
Inspection Report
Follow-Up
Deficiencies: 0
Date: May 29, 2025
Visit Reason
This visit was conducted as a follow-up to verify that previously reported deficiencies have been corrected.
Findings
All previously reported deficiencies listed by regulation numbers were corrected as of the revisit date.
Inspection Report
Complaint Investigation
Census: 44
Deficiencies: 5
Date: Apr 29, 2025
Visit Reason
The inspection was an abbreviated survey conducted in response to multiple complaints regarding resident safety, abuse reporting, medication administration, and documentation at Oxford Vista Senior Living.
Complaint Details
The investigation was triggered by multiple complaints (#195079, 195080, 194954, 194362, 194367, 193187, and 192282) concerning resident safety, abuse reporting failures, medication errors, and documentation deficiencies.
Findings
The facility was found to have immediate jeopardy due to insufficient staffing in a secured specialty unit leading to a resident elopement. The administrator failed to ensure timely reporting and thorough investigation of abuse allegations, proper training and ongoing education for Certified Medication Aides, accurate medication administration, and complete documentation of incidents.
Deficiencies (5)
K.A.R. 26-41-101 (f) (1) (B) The administrator failed to provide sufficient staffing in the secured specialty unit, resulting in a resident leaving the facility unsupervised for approximately 83 minutes, placing her in immediate jeopardy.
K.A.R. 26-41-101 (f)(3)(C) The administrator failed to ensure allegations of abuse or neglect were reported promptly and thoroughly investigated within five working days, with incomplete complaint investigation reports for residents R2 and R4.
K.A.R. 26-41-204 (i) The administrator failed to ensure Certified Medication Aides received initial and ongoing medication training as stated in the facility handbook.
K.A.R. 26-41-205 (d) The administrator failed to ensure medications were administered according to medical orders and professional standards, evidenced by a medication error involving resident R5.
K.A.R. 26-41-105 (f)(11) The administrator failed to ensure resident R2's record contained complete documentation of incidents, including date, time, actions taken, and results after a head laceration incident.
Report Facts
Resident census: 44
Residents in secured specialty unit: 20
Duration resident was missing: 83
Residents at risk for elopement: 16
Medication error dose: 0.25
Medication order dose: 0.5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LN A | Licensed Nurse | Named in findings related to staffing, elopement incident, and abuse reporting |
| CMA B | Certified Medication Aide | Named in findings related to staffing, elopement incident, and medication administration |
| Administrator C | Administrator | Named in findings related to staffing, abuse reporting, training, and medication administration |
| Director of Clinical Services G | Director of Clinical Services | Named in findings related to medication administration and documentation |
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Apr 29, 2025
Visit Reason
The document is a plan of correction submitted in response to an abbreviated survey conducted for multiple complaints against the facility on April 29, 30, and May 1, 2025.
Findings
The plan of correction addresses findings from an abbreviated survey related to complaints numbered 195079, 195080, 194954, 194362, 194367, 193187, and 192282 conducted over three days.
Inspection Report
Re-Inspection
Deficiencies: 0
Date: Nov 12, 2024
Visit Reason
An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 2024-10-28.
Findings
All deficiencies have been corrected as of the compliance date of 2024-11-08 and no new noncompliance was found. The facility is in compliance with all regulations surveyed.
Inspection Report
Original Licensing
Census: 31
Deficiencies: 6
Date: Oct 28, 2024
Visit Reason
Initial certification survey with a complaint #189585 at Oxford Vista Senior Living conducted on 10/22/24 and 10/28/24.
Complaint Details
The inspection included a complaint investigation (#189585) related to deficiencies in negotiated service agreements and health care services.
Findings
The facility failed to fully develop negotiated service agreements based on residents' functional capacity screenings and service needs, failed to revise service agreements after significant changes, did not ensure licensed nurse coordination of health care services, lacked documentation of incidents, and failed to maintain sanitary conditions in the kitchen.
Deficiencies (6)
KAR 26-41-202(a)(1) The facility failed to ensure negotiated service agreements were fully developed based on residents' functional capacity screenings, service needs, and preferences for residents R101 and R103.
KAR 26-41-202(d)(4) The facility failed to revise negotiated service agreements when resident R103 received physical and occupational therapy from an outside provider.
KAR 26-41-204(a) The facility failed to ensure a licensed nurse provided or coordinated necessary health care services for resident R103, including assessment for bed rail use and safety.
KAR 26-41-204(d) The facility failed to identify the licensed nurse responsible for implementation and supervision of health care services in the negotiated service agreements for residents R101 and R103.
KAR 26-41-105(f)(11) The facility failed to document all incidents, symptoms, and indications of illness or injury for resident R101, including details of an elopement incident.
KAR 26-41-207(b)(4) The facility failed to ensure sanitary conditions for food service by not documenting daily hot water temperature and chemical sanitizer strength in the memory care unit kitchen.
Report Facts
Census: 31
Memory care unit residents: 15
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Administrative Nurse B | Interviewed regarding deficiencies in negotiated service agreements and health care services for residents R101 and R103. | |
| Administrative Staff A | Acknowledged lack of documentation regarding an elopement incident for resident R101. | |
| Dining Services Director C | Interviewed about lack of documentation of hot water temperature logs in the memory care unit kitchen. |
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Oct 22, 2024
Visit Reason
The document is a plan of correction responding to findings from an initial certification survey with a complaint at an assisted living facility conducted on October 22 and October 28, 2024.
Complaint Details
The visit was triggered by complaint #189585 as part of the initial certification survey.
Findings
The plan of correction addresses citations resulting from the initial certification survey and complaint investigation at the assisted living facility.
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