Inspection Reports for Pleasant View Home
108 N. WALNUT, PO BOX 249, KS, 67546-0249
Back to Facility ProfileInspection Report Summary
The most recent inspection on February 17, 2016, found no deficiencies, confirming that previously identified issues had been corrected. Earlier inspections showed some deficiencies mostly related to resident dignity, specifically the failure to cover urinary catheter bags, as well as issues with comprehensive assessments, care planning, medication administration, and infection control. A substantiated complaint in January 2016 involved the uncovered urinary catheter bag, which was addressed through policy changes and staff education. No fines, immediate jeopardy findings, or license actions were listed in the available reports. The facility’s record shows improvement over time, with the most recent follow-up confirming correction of prior deficiencies.
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
12
9
6
3
0
Census
Latest occupancy rate
111 residents
Based on a January 2016 inspection.
This facility has shown a decline in demand based on occupancy rates.
Census over time
Inspection Report
Follow-Up
Deficiencies: 0
Feb 17, 2016
Visit Reason
This post-certification revisit report was conducted to verify that previously reported deficiencies have been corrected and to document the date such corrective actions were accomplished.
Findings
The report confirms that all previously identified deficiencies have been corrected as of the revisit date, with no uncorrected deficiencies remaining.
Report Facts
Regulation number: 483.15
Inspection Report
Plan of Correction
Deficiencies: 1
Jan 19, 2016
Visit Reason
This document is a Plan of Correction submitted in response to deficiencies identified in a prior inspection of Pleasant View Home on January 19, 2016.
Findings
The deficiency involved failure to ensure urinary catheter bags were covered. The facility revised its policy to require urinary bags to be in a cover, educated staff, and implemented monitoring and alert systems to ensure compliance.
Deficiencies (1)
| Description |
|---|
| Failure to ensure urinary catheter bags were covered for residents. |
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Shirley Boltz | Contact person for Plan of Correction assistance. | |
| Jalane White | Administrator | Submitted the Plan of Correction. |
Inspection Report
Re-Inspection
Deficiencies: 1
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 the Medicare and/or Medicaid program.
Findings
The survey found the most serious deficiencies to be a 'D' level deficiency, isolated, constituting no actual harm with potential for more than minimal harm that is not 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 and plan of correction.
Severity Breakdown
D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Most serious deficiencies found were a 'D' level deficiency, isolated, constituting no actual harm with potential for more than minimal harm that is not immediate jeopardy. | D |
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Irina Strakhova | Enforcement Coordinator | Named as Enforcement Coordinator in relation to the survey and plan of correction acceptance. |
Inspection Report
Complaint Investigation
Census: 111
Deficiencies: 1
Jan 19, 2016
Visit Reason
The inspection was conducted as a Health Resurvey and complaint investigation #95811 to assess compliance with dignity and respect of individuality requirements.
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, despite staff instructions and facility policy emphasizing the importance of covering the catheter bag for dignity.
Complaint Details
The visit was complaint-related as indicated by the Health Resurvey and complaint investigation #95811. The deficiency was substantiated as true.
Deficiencies (1)
| Description |
|---|
| Failure to provide or enhance the resident's dignity by not covering the urinary catheter bag for Resident #64. |
Report Facts
Census: 111
Sample size: 13
Inspection Report
Life Safety
Deficiencies: 1
Dec 14, 2015
Visit Reason
A Life Safety Code survey was conducted by the State Fire Marshal's Office to determine if the facility was in compliance with Federal requirements for nursing homes participating in Medicare and/or Medicaid programs.
Findings
The survey found the most serious deficiencies to be at 'F' level, indicating no harm but with potential for more than minimal harm that is not immediate jeopardy. The facility was required to submit an acceptable plan of correction within ten calendar days.
Severity Breakdown
F: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Deficiencies cited at 'F' level severity | F |
Report Facts
Effective date for denial of payments: 2016.0314
Provider agreement termination date: 2016.0614
Plan of correction submission timeframe: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Irina Strakhova | Enforcement Coordinator | Signed the enforcement letter |
| Brenda McNorton | Director of Fire Prevention Division | Contact for informal dispute resolution process |
Inspection Report
Follow-Up
Deficiencies: 0
Jan 9, 2015
Visit Reason
This post-certification revisit was conducted to verify that deficiencies previously reported on the CMS-2567 Statement of Deficiencies and Plan of Correction have been corrected.
Findings
All previously cited deficiencies listed with their regulation numbers were corrected as of the revisit date, January 9, 2015.
Report Facts
Deficiencies corrected: 11
Inspection Report
Plan of Correction
Deficiencies: 10
Dec 18, 2014
Visit Reason
This document is a Plan of Correction submitted by Pleasant View Home in response to deficiencies cited in a prior inspection report.
Findings
The plan addresses multiple deficiencies including comprehensive assessments, care plan updates, neurological checks, skin assessments, fall event documentation, medication holding, flu vaccination information, follow-up documentation, missed medication doses, and housekeeping chemical sanitizing procedures.
Severity Breakdown
D: 7
C: 1
E: 1
Deficiencies (10)
| Description | Severity |
|---|---|
| Annual comprehensive assessment not completed timely | D |
| Care plan did not include dialysis treatment | D |
| Staff not properly trained on neurological checks | D |
| Weekly skin assessments and foot checks not completed | D |
| Care plan did not reflect resident's transfer or ambulation preference | D |
| Nurse not educated regarding holding medications | D |
| Flu vaccination information and consent process deficient | C |
| Follow-up documentation on hospice care incomplete | D |
| Staff not educated on missed doses of pain medication | D |
| Housekeeping staff did not follow proper chemical contact time for sanitizing | E |
Report Facts
45 day monitoring period: 45
3 month QA checks: 3
6 weeks observation period: 6
3 times per week checks: 3
Date of flu information mailing: Dec 12, 2014
Training dates: Dec 29, 2014
Training date: Dec 23, 2014
Plan completion dates: Jan 9, 2015
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Shirley Boltz | Contact for Plan of Correction assistance | |
| Jalane White | Administrator | Submitted the Plan of Correction |
Inspection Report
Complaint Investigation
Census: 120
Deficiencies: 10
Dec 11, 2014
Visit Reason
The inspection was conducted as a Health Resurvey and Complaint Investigation to assess compliance with regulatory requirements and investigate complaints.
Findings
The facility was found deficient in multiple areas including failure to conduct annual comprehensive assessments, develop comprehensive care plans, provide necessary care after falls, prevent pressure sores, maintain a safe environment to prevent accidents, administer medications as ordered, provide influenza vaccine education, ensure pharmaceutical services, and maintain infection control standards.
Complaint Details
The inspection included a complaint investigation identified as #81534.
Severity Breakdown
SS=D: 9
SS=E: 1
Deficiencies (10)
| Description | Severity |
|---|---|
| Failed to conduct an annual comprehensive assessment for 1 of 17 sampled residents. | SS=D |
| Failed to develop a comprehensive plan of care for a resident receiving dialysis services. | SS=D |
| Failed to provide necessary care and services after a fall and lacked complete neurological follow-up checks. | SS=D |
| Failed to provide necessary treatment and services to prevent pressure sores for 1 of 2 sampled residents who developed an avoidable unstageable pressure sore. | SS=D |
| Failed to provide adequate supervision and an environment free of accident hazards to prevent accidents with injury for 1 of 4 sampled residents. | SS=D |
| Failed to provide medication as scheduled for Resident #89 and failed to provide antipsychotic medication as physician directed for Resident #103. | SS=D |
| Failed to provide education regarding benefits and potential side effects of influenza immunizations to residents or their legal representatives for 5 sampled residents. | SS=D |
| Failed to provide necessary medicated wound care solution and physician ordered pain medication for 2 sampled residents. | SS=D |
| Pharmacist consultant failed to report medication irregularities to the Director of Nursing or physician for 1 sampled resident who missed scheduled pain medication numerous times. | SS=E |
| Failed to maintain a sanitary environment to prevent the development and transmission of disease and infection; improper cleaning procedures observed. | — |
Report Facts
Residents sampled: 17
Residents reviewed for falls: 4
Residents reviewed for medication regimen: 6
Residents reviewed for influenza vaccine education: 5
Pressure ulcer measurement: 1.5
Pressure ulcer measurement: 1
Bruise measurement: 10.8
Bruise measurement: 5.5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Nurse A | Administrative Nurse | Verified failure to complete annual MDS review and care plan deficiencies |
| Nurse M | Verified care plan lacked specific dialysis interventions | |
| Medication Aide L | Verified care plan lacked dialysis access care instructions | |
| Nurse J | Verified resident would get up without assistance and neurological assessment was incomplete | |
| Nurse B | Verified missed medication doses and physician consultation regarding held antipsychotic medication | |
| Pharmacist Consultant D | Did not report medication irregularities for missed doses | |
| Housekeeping Staff E | Observed improper cleaning procedure of resident sinks | |
| Housekeeping Supervisor F | Verified cleaning procedures and contact times for disinfectants |
Inspection Report
Plan of Correction
Deficiencies: 1
Dec 11, 2014
Visit Reason
A Health survey 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 a pattern constituting no actual harm but with potential for more than minimal harm that is not immediate jeopardy. The facility submitted a plan of correction which was accepted, and the facility was found to be in substantial compliance effective January 9, 2015.
Severity Breakdown
E: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Level "E" deficiency, pattern, constituting no actual harm with potential for more than minimal harm that is not immediate jeopardy. | E |
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Irina Strakhova | Enforcement Coordinator | Signed the enforcement letter related to the survey findings. |
Inspection Report
Life Safety
Deficiencies: 1
Jun 6, 2014
Visit Reason
A Life Safety Code survey was conducted by the State Fire Marshal's Office to determine if the facility was in compliance with Federal requirements for nursing homes participating in Medicare and/or Medicaid programs.
Findings
The survey found the most serious deficiencies to be isolated 'D' level deficiencies with no harm but potential for more than minimal harm, not constituting immediate jeopardy. Remedies including denial of payments and possible termination of provider agreement were recommended if substantial compliance is not achieved.
Severity Breakdown
D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Isolated 'D' level deficiencies with no harm but potential for more than minimal harm | D |
Report Facts
Effective date for denial of payments: Sep 6, 2014
Provider agreement termination date: Dec 6, 2014
Plan of correction submission timeframe: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jalane White | Administrator | Facility administrator named in the report header |
| Brenda McNorton | Director of Fire Prevention Division | Contact person for Informal Dispute Resolution process |
| Irina Strakhova | Enforcement Coordinator | Signed the report as Enforcement Coordinator |
Inspection Report
Re-Inspection
Deficiencies: 0
Sep 19, 2013
Visit Reason
The visit was a Health Resurvey of the facility to assess compliance with applicable regulations under 42 CFR Part 483, Subpart B for long term care facilities.
Findings
The Health Resurvey resulted in a finding of no deficiency citations with respect to the applicable regulations.
Inspection Report
Re-Inspection
Deficiencies: 0
Jun 20, 2012
Visit Reason
The visit was a Health Resurvey of the facility to assess compliance with applicable regulations under 42 CFR Part 483, Subpart B for long term care facilities.
Findings
The Health Resurvey resulted in a finding of no deficiency citations with respect to the applicable regulations.
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