Inspection Reports for
Pleasant View Home

108 N. WALNUT, PO BOX 249, INMAN, KS, 67546-0249

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Deficiencies (last 5 years)

Deficiencies (over 5 years) 5.2 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

13% better than Kansas average
Kansas average: 6 deficiencies/year

Deficiencies per year

24 18 12 6 0
2012
2013
2014
2015
2016

Occupancy

Latest occupancy rate 91% occupied

Based on a January 2016 inspection.

This facility has shown a decline in demand based on occupancy rates.

Occupancy rate over time

85% 90% 95% 100% 105% Dec 2014 Jan 2016

Inspection Report

Follow-Up
Deficiencies: 1 Date: Feb 17, 2016

Visit Reason
This visit was conducted as a post-certification revisit to verify that previously cited deficiencies have been corrected.

Findings
The report confirms that the deficiencies previously reported on the CMS-2567 Statement of Deficiencies and Plan of Correction have been corrected as of the revisit date.

Deficiencies (1)
Regulation 483.15(a) deficiency was corrected and completed by 02/17/2016.

Inspection Report

Enforcement
Deficiencies: 1 Date: Jan 19, 2016

Visit Reason
A Health survey was conducted to determine if the facility is in compliance with Federal participation requirements for nursing homes participating in Medicare and/or Medicaid programs.

Findings
The survey found a most serious deficiency at level "D", isolated, constituting no actual harm but with potential for more than minimal harm that is not immediate jeopardy. The facility submitted a plan of correction and was found to be in substantial compliance based on the credible allegation of compliance and the plan.

Deficiencies (1)
The facility had a level "D" deficiency that was isolated and constituted no actual harm but had potential for more than minimal harm without immediate jeopardy.

Employees mentioned
NameTitleContext
Irina Strakhova Enforcement Coordinator Signed the enforcement letter and communicated survey results.

Inspection Report

Plan of Correction
Deficiencies: 1 Date: Jan 19, 2016

Visit Reason
This document is a Plan of Correction submitted by the facility in response to deficiencies cited during a prior inspection.

Findings
The facility was cited for not consistently using urinary catheter bag covers. The Plan of Correction outlines actions to ensure all urinary bags are covered and staff are educated on the revised policy.

Deficiencies (1)
F241-D: A bag cover has been provided and will be used to cover the urinary catheter bag for the affected resident. Staff have been informed that all urinary bags must be in a bag cover, and compliance will be monitored daily.

Employees mentioned
NameTitleContext
Jalane White Administrator Submitted the Plan of Correction
Shirley Boltz Contact for Plan of Correction assistance
Irina Strakhova Added and modified the Plan of Correction

Inspection Report

Complaint Investigation
Census: 111 Deficiencies: 1 Date: Jan 19, 2016

Visit Reason
The inspection was conducted as a Health Resurvey and complaint investigation #95811.

Complaint Details
The visit was complaint-related under investigation #95811. The complaint was substantiated as the facility failed to maintain the dignity of Resident #64 regarding catheter bag coverage.
Findings
The facility failed to maintain or enhance Resident #64's dignity by not placing his/her urinary catheter bag in a covered privacy bag as required by facility policy and care plans.

Deficiencies (1)
F 241: The facility failed to provide or enhance the dignity of Resident #64 by not covering the urinary catheter bag with a dignity bag as required. Observations on multiple dates showed the catheter bag uncovered and visible from the doorway.
Report Facts
Resident census: 111 Sample size: 13

Employees mentioned
NameTitleContext
Nurse D Stated staff should cover the resident's urinary drainage bag at all times due to dignity issues.
Administrative Nurse A Stated facility policy requires catheter bag coverage when resident is out of room and expressed desire for coverage in room though not policy.

Inspection Report

Life Safety
Deficiencies: 0 Date: Dec 14, 2015

Visit Reason
A Life Safety Code survey was conducted by the State Fire Marshal's Office to determine compliance with Federal requirements for nursing homes participating in Medicare and/or Medicaid programs.

Findings
The survey found the most serious deficiencies at the facility to be at an 'F' level, indicating no harm but with potential for more than minimal harm that is not immediate jeopardy. A plan of correction was required and enforcement remedies were recommended if substantial compliance is not achieved.

Report Facts
Effective date for denial of payments: Mar 14, 2016 Provider agreement termination date: Jun 14, 2016

Employees mentioned
NameTitleContext
Irina Strakhova Enforcement Coordinator Signed the enforcement letter and coordinated the survey results.
Brenda McNorton Director of Fire Prevention Division Contact for Informal Dispute Resolution process.

Inspection Report

Follow-Up
Deficiencies: 0 Date: Jan 9, 2015

Visit Reason
This visit was a post-certification revisit to verify that previously identified deficiencies had been corrected.

Findings
All deficiencies previously reported on the CMS-2567 Statement of Deficiencies and Plan of Correction were corrected as of the revisit date.

Inspection Report

Plan of Correction
Deficiencies: 10 Date: Dec 18, 2014

Visit Reason
This document is a Plan of Correction submitted by Pleasant View Home in response to deficiencies identified in a prior inspection report.

Findings
The plan outlines corrective actions for multiple deficiencies including comprehensive assessments, care plan updates, staff training on neurological checks, skin assessments, fall event analysis, medication holding, flu vaccination information, follow-up documentation, pain medication administration, and housekeeping chemical sanitizing procedures.

Deficiencies (10)
F275: The annual comprehensive assessment for a resident will be completed by 12-24-14, with ongoing monitoring by the MDS coordinator using an electronic tracking system.
F279: The care plan for a resident has been updated to include dialysis treatment, and a dialysis template will be created for future residents.
F309: Staff will be in-serviced on completing neurological checks, and a neurological assessment checklist will be implemented for affected residents.
F314: Staff will complete weekly skin assessments and use a bath body observation tool; pressure ulcer education will be provided by a physical therapist.
F323: The care plan will be amended to reflect resident mobility preferences, and fall events will include root cause analysis with staff training.
F329: Nurses were educated on holding medications, with ongoing monitoring for missed doses for 45 days and quarterly thereafter.
F334: Flu information sheets and consent forms were mailed to current residents and included in new resident packets, with annual consent requests.
F425: Nurses and hospice staff were educated on follow-up documentation, with clinical supervisors monitoring missed treatments for 45 days and quarterly.
F428: Staff were educated on missed doses of pain medication; pharmacist consultant will monitor medication charts monthly for trends.
F441: Housekeeping supervisor reviewed chemical contact times with staff and will monitor sanitizing processes for compliance over several months.
Report Facts
Correction completion dates: Dec 18, 2014 Correction completion dates: Dec 31, 2014 Correction completion dates: Jan 9, 2015 Monitoring period: 45 Monitoring frequency: 3

Inspection Report

Complaint Investigation
Census: 120 Deficiencies: 10 Date: Dec 11, 2014

Visit Reason
Health Resurvey and Complaint Investigation #81534 conducted to assess compliance with regulatory requirements.

Complaint Details
The inspection was triggered by a complaint investigation #81534. The findings include substantiated deficiencies in care planning, medication administration, infection control, and resident safety.
Findings
The facility was found deficient in multiple areas including failure to conduct annual comprehensive assessments, develop comprehensive care plans, provide necessary care and services after falls, prevent pressure sores, ensure a safe environment to prevent accidents, administer medications as ordered, provide immunization education, maintain pharmaceutical services, and infection control practices.

Deficiencies (10)
F 275: The facility failed to conduct an annual comprehensive assessment for Resident #26, missing the required annual MDS review.
F 279: The facility failed to develop a comprehensive, individualized care plan for Resident #120 regarding dialysis care and precautions.
F 309: The facility failed to provide necessary care and services after a fall for Resident #82, including incomplete neurological follow-up checks.
F 314: The facility failed to provide necessary treatment and services to prevent pressure sores for Resident #82, who developed an avoidable unstageable pressure sore on the left great toe.
F 323: The facility failed to provide adequate supervision and a safe environment to prevent accidents for Resident #82, who sustained multiple injuries after an unwitnessed fall.
F 329: The facility failed to administer scheduled pain medication for Resident #89 and failed to administer antipsychotic medication as ordered for Resident #103.
F 334: The facility failed to provide education to residents or their legal representatives regarding benefits and potential side effects of the current influenza immunizations for 5 sampled residents.
F 425: The facility failed to provide physician-ordered wound care supplies timely for Resident #57 and failed to provide scheduled pain medication for Resident #134.
F 428: The facility's pharmacist consultant failed to report medication irregularities related to numerous missed doses of pain medication for Resident #89 to the Director of Nursing or physician.
F 441: The facility failed to maintain a sanitary environment to prevent infection transmission, including improper cleaning procedures of resident sinks.
Report Facts
Resident census: 120 Sampled residents: 17 Residents reviewed for falls: 4 Days Norco pain medication not administered: 25 Neurological checks missed: 6 Pressure ulcer size: 1.5 Bruise size: 10.8

Employees mentioned
NameTitleContext
Nurse C Nurse Held Resident #103's Risperdal medication without physician consultation.
Nurse B Nurse Verified missed Norco doses for Resident #89 and physician consultation about medication holding.
Administrative Nurse A Administrative Nurse Verified multiple deficiencies including medication administration and wound care supply issues.
Housekeeping Staff E Housekeeping Staff Observed improperly cleaning resident sinks without adequate contact time for disinfectants.
Pharmacist Consultant D Pharmacist Consultant Did not report medication irregularities for Resident #89.

Inspection Report

Plan of Correction
Deficiencies: 1 Date: Dec 11, 2014

Visit Reason
The visit was conducted to determine if the facility is in compliance with Federal participation requirements for nursing homes participating in the Medicare and/or Medicaid program.

Findings
The survey found a most serious deficiency at level "E", indicating no actual harm but potential for more than minimal harm without immediate jeopardy. The facility submitted a plan of correction which was accepted, and the facility was found to be in substantial compliance based on the credible allegation of compliance.

Deficiencies (1)
A level "E" deficiency was cited, indicating no actual harm but potential for more than minimal harm that is not immediate jeopardy.

Inspection Report

Life Safety
Deficiencies: 1 Date: Jun 6, 2014

Visit Reason
A Life Safety Code survey was conducted to determine if the facility complied with Federal requirements for nursing homes participating in Medicare and/or Medicaid programs.

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

Deficiencies (1)
The facility had isolated 'D' level deficiencies indicating noncompliance with Life Safety Code requirements. These deficiencies posed no immediate jeopardy but had potential for more than minimal harm.
Report Facts
Effective date for denial of payments: Sep 6, 2014 Effective date for provider agreement termination: Dec 6, 2014 Plan of correction submission timeframe: 10

Employees mentioned
NameTitleContext
Jalane White Administrator Facility administrator named in report header
Brenda McNorton Director of Fire Prevention Division Contact for Informal Dispute Resolution process
Irina Strakhova Enforcement Coordinator Signed report as Enforcement Coordinator

Inspection Report

Re-Inspection
Deficiencies: 0 Date: Sep 19, 2013

Visit Reason
The visit was a Health Resurvey to assess compliance with applicable regulations under 42 CFR Part 483, Subpart B for long term care facilities.

Findings
The resurvey found no deficiency citations related to the applicable regulations for the facility.

Inspection Report

Re-Inspection
Deficiencies: 0 Date: Jun 20, 2012

Visit Reason
The visit was a Health Resurvey to assess compliance with applicable regulations under 42 CFR Part 483, Subpart B for long term care facilities.

Findings
The resurvey found no deficiency citations in relation to the applicable regulations for the facility.

Inspection Report

Plan of Correction
Deficiencies: 0 Date: N059006 POC HXUS11

Visit Reason
This document is a plan of correction related to a prior deficiency report for Pleasant View Home.

Findings
No deficiency details or findings are included in this document. It only references the plan of correction status and contact information for assistance.

Inspection Report

Plan of Correction
Deficiencies: 0 Date: N059006 POC MV9811

Visit Reason
This document is a Plan of Correction related to a prior inspection event identified as MV9811 for the facility with State ID N059006.

Findings
No deficiency records or findings are included in this Plan of Correction document.

Inspection Report

Plan of Correction
Deficiencies: 0 Date: N059006 POC PXSB11

Visit Reason
This document is a Plan of Correction related to a prior inspection or deficiency report for Pleasant View Home.

Findings
No specific findings or deficiencies are detailed in this document. It serves as a record of the Plan of Correction submission and related administrative information.

Report

April 8, 2025

Report

October 9, 2024

Report

April 26, 2023

Report

October 5, 2021

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