Inspection Reports for
Smoky Hill Rehabilitation Center

The facility failed to promote resident dignity and provide adequate bathing care per residents' care plans. Observations revealed residents with soiled clothing, body odors, and insufficient bathing over extended periods, with staff shortages and agency staff issues contributing to care deficiencies.

The facility failed to maintain sanitary conditions in the kitchen, with extensive dried food debris, grease, and dirt found on floors, walls, equipment, and utensils. This unsanitary environment placed all 61 residents at risk for food-borne illnesses.

The facility had multiple deficiencies including failure to protect resident privacy, incomplete care plans, improper medication storage, failure to provide required notices, inadequate assistance with activities of daily living, failure to monitor fluid restrictions, improper catheter care, lack of hospice communication, and failure to offer pneumococcal vaccinations.

The complaint investigation found that Resident 1 was not given prescribed oxycodone pain medication timely after admission, and acetaminophen was incorrectly ordered as needed instead of scheduled. The resident experienced significant pain, inability to sleep, and distress. Staff failed to contact multiple pharmacies to obtain medication and did not adequately respond to the resident's pain complaints.

The facility failed to obtain the prescribed as-needed pain medication (oxycodone) for Resident 1 and incorrectly scheduled acetaminophen as needed instead of scheduled. This resulted in unalleviated pain, decreased rehabilitation participation, inability to sleep, and psychosocial impairment for the resident.

The visit was complaint-related due to allegations of abuse, neglect, and failure to provide adequate care to Resident 1. The complaint was substantiated with findings of immediate jeopardy to resident health and safety.

The facility failed to ensure R1 remained free from neglect and abuse, failed to provide adequate post-fall care, and failed to implement safety interventions to prevent falls. R1 fell from bed, sustained a severe brain bleed, and subsequently died. Staff failed to ensure call light accessibility, timely assistance, proper neurological assessments, and dignity and comfort after the fall.

The investigation was complaint-related involving Resident 1 who fell from his wheelchair on 06/15/24, sustaining a broken nose and head laceration. The fall was witnessed by staff and resulted in hospital evaluation and surgery. The complaint was substantiated by findings of inadequate supervision.

The facility failed to provide adequate supervision to prevent Resident 1 from repeatedly leaning forward in his wheelchair, which led to a fall causing a broken nose and head laceration. The resident was at high risk for falls due to cognitive impairment and required assistance with transfers.

The complaint investigation substantiated neglect and inadequate care for Resident 1, including failure to assist with activities of daily living, incontinence care, hydration, and maintaining a clean environment. It also substantiated infection control failures for Resident 2 and inadequate abuse prevention policies facility-wide.

The facility failed to provide a safe, clean, and homelike environment for residents, neglected Resident 1's basic care needs resulting in actual harm including pressure ulcers, and failed to implement proper infection control practices for Resident 2. The facility also lacked adequate abuse prevention policies.

This was a complaint survey conducted on 12/27/2023. The findings included substantiated deficiencies related to care planning, pressure ulcer prevention, nurse staffing postings, and dietary compliance.

The facility failed to provide a baseline care plan within 48 hours of admission for one resident, failed to provide interventions to prevent skin breakdown for another resident, failed to post accurate and up-to-date nursing personnel hours, and failed to provide a physician-ordered dysphagia diet for a resident.

The facility was found deficient in multiple areas including failure to provide dignified care, inadequate pressure ulcer prevention, insufficient activities on weekends, inadequate supervision to prevent falls, failure to implement individualized toileting plans, improper dialysis care documentation, unsafe use of bed rails, insufficient weekend staffing, and lapses in infection control practices.

The facility had multiple deficiencies including failure to provide dignified care, inadequate pressure ulcer prevention, insufficient weekend staffing, improper dietary practices, inadequate infection control, and failure to ensure safe use of side rails and proper dialysis care.

The facility failed to safely transfer Resident 1 according to his care plan, which required full assistance by two staff for transfers. This deficient practice placed the resident at risk for accidents and injury.

The facility failed to provide consistent pressure ulcer wound care for two residents, R2 and R3, which posed a risk for prolonged wound healing and unwarranted physical complications. Documentation and treatment administration records showed multiple missed or undocumented wound care treatments.

A Licensed Nurse transcribed an admission order for Zyprexa 2.5 mg as 25 mg, resulting in Resident 1 receiving 10 incorrect doses. Resident 1 showed decreased responsiveness and was transferred to the hospital where he aspirated and died. The facility identified the error, performed root cause analysis, audited admission orders, and provided staff education.

The visit was triggered by complaint investigations KS00174970, KS00174916, KS00174902, KS00174862, and KS00174756. The medication error was substantiated and placed Resident 1 in Immediate Jeopardy.

The facility failed to prevent a significant medication error when a licensed nurse transcribed a medication order for Resident 1 at 10 times the prescribed dose, resulting in the resident receiving 10 incorrect doses. Resident 1 experienced severe adverse effects, was hospitalized, aspirated, and died. The facility identified the error, performed a root cause analysis, audited admission orders, and provided staff education prior to the survey.

The complaint investigations #KS00172328 and KS00172172 found immediate jeopardy due to the facility's failure to prevent elopement of Resident 1. The resident was missing for approximately 1.5 hours after exiting the facility unsupervised. The facility took corrective actions including 15-minute checks, changing door exit codes, and securing gates with alternative locks.

The facility failed to prevent elopement of Resident 1, who exited the building unsupervised through an unalarmed door and a gate secured with a baby lock, walking three blocks away before being found and returned. The facility was cited for inadequate supervision and environmental safety, placing the resident in immediate jeopardy.

Resident R1 was moved to a secure locked unit following an elopement incident. The facility implemented measures including staff monitoring, changing exit door codes, and staff education to prevent further elopements.

The plan addresses multiple deficiencies related to resident care including pain assessment, medication self-administration, transfer assistance, behavior management, injury prevention, dental services, dietary needs, and bathing. The facility implemented in-services, audits, and monitoring to ensure compliance and improve care quality.

The facility had multiple deficiencies including failure to maintain resident dignity, incomplete medication self-administration assessments, failure to accommodate resident preferences, lack of required notices, incomplete care plans for behaviors, inadequate skin injury prevention, insufficient personal hygiene care, failure to prevent falls, delayed pain management, inadequate behavioral health care for dementia, delayed dental care, and improper preparation of pureed diets.

The facility failed to employ a full-time certified dietary manager to plan and supervise meal preparation for the 55 residents, placing them at risk for inadequate nutrition.

The plan addresses deficiencies related to medication self-administration assessments, proper administration of insulin and accuchecks for diabetic residents, bed linen changing schedules, and bathing of residents. The facility implemented immediate in-services and established audit procedures to ensure compliance and ongoing monitoring.

The complaint investigation KS00168527 and KS00168525 focused on resident self-administration of medications and bathing care deficiencies.

The facility failed to properly assess residents for safe self-administration of medications and failed to provide consistent bathing and linen changes for multiple residents, placing them at risk for medication errors, impaired dignity, infection, and skin integrity issues.

The facility identified deficiencies related to missed treatments and documentation for residents with pressure ulcers. Corrective actions include education for licensed nurses, daily and weekly audits of Treatment Admission Reports, and ongoing monitoring by facility leadership.

The findings represent the results of complaint investigations #165311 and #165348. The facility failed to provide ordered wound care treatments and proper documentation for one resident's pressure ulcers.

The facility failed to provide services and treatments to promote healing of pressure ulcers for one resident, despite physician orders. Documentation of wound care treatments was incomplete or missing, placing the resident at risk for prolonged wound healing.

The complaint investigation (#164011) found the medication error substantiated. The resident received an incorrect daily dose of Methotrexate instead of the prescribed weekly dose, leading to hospitalization and death.

The facility failed to correctly transcribe admission medication orders for one resident, resulting in the resident receiving Methotrexate daily instead of weekly. This medication error caused the resident to develop a gastrointestinal bleed, be hospitalized, and subsequently die.

The plan addresses past noncompliance issues identified under tags F0000 and F760-J, with corrective actions completed by July 9, 2021.

The complaint investigations #160536 and #160726 were substantiated, revealing misappropriation of Resident 2's pain medication and subsequent staff disciplinary actions including suspension and termination.

The facility failed to ensure one resident was free from abuse when their pain medication was misappropriated. The investigation revealed missing Fentanyl patches and improper handling of controlled substances by staff.

A resident's pain medication was discovered missing but was reordered promptly, ensuring no interruption in medication. The facility implemented new tracking systems, staff education, and weekly audits to improve controlled substance management.

The complaint investigation (#159814) was substantiated. The facility failed to prevent and timely report abuse involving a resident when a CNA posted a video of the resident on social media and another CNA delayed reporting the incident to management.

The facility failed to prevent and report an incident of abuse when a Certified Nurse Aide posted a video of a resident in a vulnerable state on social media. The facility terminated the responsible employee and provided staff education on abuse and social media policies.

The complaint survey was triggered by a staff member observing an unauthorized video posted on social media showing Resident 1 in a vulnerable state. Immediate jeopardy was initially declared but later downgraded to past non-compliance after corrective actions.

The facility was found not to be in substantial compliance with 42 CFR 483.12 due to an episode of abuse involving Resident 1. Immediate jeopardy was identified but later determined to be past non-compliance after corrective actions were taken.

The facility was found to be in compliance with CMS and CDC recommended practices to prepare for COVID-19.

The plan addresses multiple deficiencies related to resident care, including ensuring residents have designated representatives or DPOAs, proper transportation policies, updated advance directives, resident inventory sheets, individualized care plans, nutritional support, blood sugar management, dietary services, and safe water serving practices.

The facility had multiple deficiencies including failure to provide resident rights to designate representatives, failure to accommodate transportation needs, failure to offer advance directives, failure to document and safeguard personal property, failure to provide individualized activities, failure to implement nutritional interventions, failure to provide medically related social services, failure to monitor blood sugars adequately, failure to employ a full-time certified dietary manager, and failure to maintain infection prevention and control.

The facility was found to be in compliance with CMS and Centers for Disease Control and Prevention (CDC) recommended practices to prepare for COVID-19.

The complaint investigation found the facility was not in substantial compliance with 483.45 due to medication errors placing Resident 1 in immediate jeopardy. The deficient practice was identified as past non-compliance and corrected by suspension of Licensed Nurse G and education of licensed nurses.

The facility failed to administer Resident 1's prescribed medications from 11/15/19 through 01/19/2020, causing critical health issues and hospitalization. The immediate jeopardy was removed after suspension of a licensed nurse and staff education on medication verification procedures.

The plan addresses past non-compliance issues identified under tags F0000 and F760-J, with corrective actions cross-referenced to the respective deficiencies.

The plan addresses a deficiency related to care plan meeting notifications, including corrective actions such as audits, staff education, and monitoring to prevent recurrence.

The findings represent the results of complaint investigations #139862 and #141736. The facility failed to notify representatives of residents #1 and #3 about care plan meetings, violating their rights to participate.

The facility failed to notify the representatives of two sampled residents about care plan meetings, denying them the right to participate in the planning process. This failure placed the residents at risk for inadequate care and unmet needs.

The inspection was triggered by complaint investigations #136279 and #137846.

The facility failed to develop baseline care plans with specific ADL directions for 2 of 19 sampled residents, failed to prevent and treat pressure ulcers for 1 of 3 sampled residents, failed to provide nutritional support consistent with care plans for 2 of 4 sampled residents, failed to maintain a system for returning unused medications, and failed to provide a certified dietary manager.

The plan addresses multiple deficiencies including baseline care plans, pressure ulcer prevention, nutritional supplements, medication disposal, and oversight of dietary services. Corrective actions include audits, staff education, monitoring, and ongoing quality assurance reviews.

All deficiencies identified in the prior inspection have been corrected and no new noncompliance was found. The facility is in compliance with all regulations surveyed.

The facility identified multiple deficiencies related to notification forms, resident altercations, nutritional supplement care plans, medication administration, expired medications, food handling, and disinfection procedures. Corrective actions including staff education, monitoring, and process improvements were planned and implemented.

The facility had multiple deficiencies including failure to provide Advance Beneficiary Notices, failure to report and investigate resident-to-resident altercation, inadequate care plan revisions for nutritional supplements, failure to maintain nutritional status for several residents, failure to act on pharmacist recommendations for medication irregularities, medication errors causing hospitalizations, improper medication labeling and storage, unsafe food handling practices, and inadequate infection control related to glucometer disinfection.

Complaint investigation #120132 focused on failure to properly notify and document reasons for discharge and failure to ensure safe discharge planning for Resident #1.

The facility failed to record reasons for discharge in the medical record, failed to notify the Office of the State Long-Term Care Ombudsman, and failed to provide a 30-day discharge notice to a terminally ill resident receiving Hospice services. The facility also failed to develop and implement an effective discharge plan and post-discharge plan of care, resulting in unsafe discharge conditions.

The report confirms that the previously reported deficiency under regulation 483.45(f)(1) was corrected as of the revisit date. No uncorrected deficiencies were noted.

The survey found a 'D' level deficiency 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 credible allegation of compliance and evidence of correction.

Complaint investigation related to medication errors involving medication patches at Smoky Hill Health & Rehabilitation.

Resident #1 no longer resides in the facility. Resident #2 was assessed for adverse reactions with none noted. All residents receiving medication patches were checked and no other errors were found. Licensed staff and CMAs were educated on medication error definitions and administration protocols.

The complaint investigation (#116607) found substantiated medication errors involving improper management of Fentanyl patches for two residents.

The facility failed to ensure that two of three residents reviewed received medications as ordered, resulting in medication errors involving Fentanyl patches being improperly managed. Both residents received twice the physician-ordered narcotic pain medication due to failure to remove old patches before applying new ones, placing them at risk for adverse effects.

The survey found a 'D' level deficiency indicating no actual harm but potential for more than minimal harm that is not immediate jeopardy. The facility submitted a plan of correction which was accepted, and the facility is found to be in substantial compliance effective June 9, 2017.

The findings represent the results of complaint investigations #114840 and #115689. The facility failed to provide appropriate treatment and services for one of three residents reviewed for incontinence.

The facility failed to provide appropriate treatment and services for one resident with urinary and fecal incontinence, resulting in inadequate toileting assistance and wet clothing, which placed the resident at risk for embarrassment, infections, and skin breakdown.

The revisit confirmed that the deficiencies previously reported under regulations 483.10(b)(4) and 483.75(e)(8) were corrected by 06/16/2016. No uncorrected deficiencies were noted at the time of this revisit.

The revisit confirmed that the deficiencies previously cited under regulations 483.10(b)(4) and 483.75(e)(8) were corrected by 06/16/2016. No uncorrected deficiencies were noted at the time of this revisit.

The facility addressed issues related to staff suspension pending investigation and education on responding to full code events. The plan includes staff training on CPR, Basic Life Support, communication tools, and monitoring of code status documentation.

The survey found that the facility was not in substantial compliance with participation requirements and that conditions constituted immediate jeopardy to resident health or safety related to F155, CFR 483.10(b)(4). Enforcement remedies including denial of payment for new admissions were imposed.

The complaint investigations #101533 and #101686 were related to failure to initiate CPR on a full code resident and inadequate nurse aide in-service training. The facility was found to be in immediate jeopardy for the CPR failure.

The facility failed to initiate CPR for a full code resident found unresponsive, resulting in the resident's death and immediate jeopardy. Additionally, the facility failed to provide the required 12 hours of yearly in-service education for 4 of 34 nurse aides.

All previously reported deficiencies were corrected as of the revisit date. Each deficiency was identified by regulation number and marked as completed.

The facility addressed multiple deficiencies related to resident dignity, housekeeping, care planning for toileting, accident hazard prevention, medication labeling, and infection control. Corrective actions include staff education, monitoring, and integration into the Quality Assurance Performance Improvement program.

The survey found the most serious deficiencies to be 'E' level deficiencies, 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, resulting in a finding of substantial compliance effective June 7, 2016.

The inspection included complaint investigations #100279, #99678 and #96776.

The facility failed to promote dignity and respect by clearing dining tables while residents were seated, failed to act on resident grievances about bedding changes, failed to maintain a sanitary and comfortable environment due to room damages, failed to develop comprehensive care plans for urinary incontinence, failed to assess and intervene for bowel issues, failed to provide appropriate urinary incontinence care, failed to maintain a safe environment by cleaning tables with disinfectant while residents were seated, failed to secure medications and treatment carts, and failed to maintain infection control during bathroom cleaning.

The survey found the most serious deficiencies 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 remedies including denial of payments and possible termination of provider agreement were recommended if substantial compliance is not achieved.

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 remedies including denial of payments and possible termination of provider agreement were recommended if substantial compliance is not achieved.

This Plan of Correction responds to deficiencies cited in the Smokey Hill complaint investigation dated 01/20/2016.

The plan addresses multiple deficiencies related to resident care, including notification of physician for changes in condition, abuse neglect and exploitation policies, care plan updates, peri-care competency, infection control, weight loss monitoring, and quality assurance processes. Substantial compliance was reported to be accomplished by January 29, 2016.

The inspection was triggered by complaint investigations #95076 and #95570 involving allegations of abuse, neglect, and failure to provide adequate care.

The facility failed to timely notify a resident's physician of significant decline leading to systemic infection and death, failed to promptly report and investigate an allegation of abuse, failed to review and revise care plans for urinary status and nutrition, failed to provide appropriate peri-care to prevent UTIs, and failed to maintain an effective infection control program and quality assurance committee to monitor and address infection trends.

The facility was found not in substantial compliance and conditions constituted immediate jeopardy to resident health or safety from December 4, 2015 through January 15, 2016 related to F315, CFR 483.25(d). Enforcement remedies including denial of payment for new admissions were imposed.

This Plan of Correction is related to a complaint investigation at Smoky Hill Health and Rehabilitation.

The facility was found to have issues with safely transferring residents who require assistance, specifically resident #2. The plan includes reviewing and correcting care plans, educating staff on safe transfer techniques, and monitoring transfers for compliance.

The report confirms that the previously reported deficiencies have been corrected as of the revisit date.

The survey found a 'D' level deficiency indicating 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.

The findings represent the results of complaint investigations #89911, #89208, and #89864.

The facility failed to provide one resident with a safe and appropriate transfer method, contrary to the resident's care plan, creating a potential for injury.

The report documents that the previously cited deficiency under regulation 28-39-158(a) was corrected as of 05/15/2015. No other deficiencies are listed as outstanding.

Complaint investigation focused on allegations of abuse, neglect, mistreatment, and failure to report incidents. The facility was found deficient in multiple areas including investigation and reporting of falls, dignity and respect, activities, social services, environment, assessments, care planning, medication monitoring, infection control, and safety.

The facility failed to thoroughly investigate and report falls with injury, maintain resident dignity and respect, provide individualized activity programs, ensure medically-related social services, maintain a sanitary and safe environment, accurately assess residents, develop comprehensive care plans, provide necessary care and services, ensure sufficient hydration, monitor medications with black box warnings, provide palatable food at proper temperatures, provide dental services, and maintain infection control.

The survey found the most serious deficiencies to be widespread 'F' level deficiencies with no harm but potential for more than minimal harm, not constituting immediate jeopardy. A plan of correction was required and remedies including denial of payments and possible termination of provider agreement were recommended if substantial compliance is not achieved.

The survey found the most serious deficiencies to be widespread 'F' level deficiencies with no harm but potential for more than minimal harm, not constituting immediate jeopardy. A plan of correction was required and remedies including denial of payments and possible termination of provider agreement were recommended if substantial compliance was not achieved.

The revisit confirmed that the previously cited deficiency under regulation 483.25(h) was corrected as of 12/12/2014. No other deficiencies were noted.

The revisit found the most serious deficiency to be a 'D' level deficiency. Based on these deficiencies, denial of payment for new Medicare/Medicaid admissions will be imposed and termination of the provider agreement is recommended.

The investigation was triggered by complaints #80988, #81180, and #81104. The complaint was substantiated as the facility failed to safely transfer a resident, causing bruising.

The facility failed to provide safe transfer techniques for one resident using a mechanical lift, resulting in extensive bruising. Staff used an unsafe method by tilting the wheelchair backwards during transfer, contrary to facility policy and training.

The survey found the most serious deficiency in the facility to be a "G" level. Enforcement remedies including denial of payment for new Medicare admissions were imposed due to failure to achieve substantial compliance.

The complaint investigations involved concerns about Resident #4's psychosocial status changes, including the resident leaving the facility unsupervised at night and expressing suicidal ideation. The facility failed to notify the physician promptly and lacked documentation of psychosocial services. The resident had a history of lung cancer and anxiety, and the facility did not have a sign-out sheet for residents leaving the premises.

The facility failed to promptly notify the physician of a significant change in Resident #4's psychosocial status prior to the resident leaving the facility. The facility also failed to provide adequate bathing care for dependent residents #2 and #6, and failed to evaluate Resident #4's behavior to maintain mental or psychosocial functioning.

The facility submitted corrective actions addressing multiple deficiencies including resident mail delivery, restraint use, reporting of abuse and neglect, grievance handling, resident assessments, medication administration, food service sanitation, pharmacist reporting, and facility maintenance.

The report confirms that the previously identified deficiency under regulation 26-40-301 (c)(3)(4)(5)(6) was corrected as of the revisit date.

The report confirms that the previously identified deficiency under regulation 26-40-301 (c)(3)(4)(5)(6) was corrected as of the revisit date.

The visit was complaint-related as part of complaint investigation #71712.

The facility failed to maintain a safe entryway and parking lot free of potholes and uneven rough surfaces, posing risks to residents, staff, and visitors. Resident council minutes documented complaints about the rough asphalt surface, and staff verified these environmental concerns.

The report confirms that the deficiencies previously cited under regulations 483.13(c)(1)(ii)-(iii), (c)(2)-(4) and 483.25(h) were corrected by 12/06/2013.

Complaint investigation #69073 focused on allegations of inadequate investigation and supervision related to resident accidents and injuries. The complaint was substantiated as the facility failed to investigate and supervise adequately, resulting in serious injuries to Resident #1.

The facility failed to thoroughly investigate an accident resulting in injury for one resident and failed to provide adequate supervision to prevent two unattended falls that caused serious injuries.

The report confirms that the previously identified deficiencies under regulations 483.25(k) and 483.60(a),(b) were corrected as of the revisit date.

The report confirms that all deficiencies previously cited on the CMS-2567 Statement of Deficiencies have been corrected as of 07/18/2013.

The visit was a complaint investigation combined with a non-compliance revisit involving respiratory care and medication administration issues for specific residents.

The facility failed to provide proper respiratory treatment and care for one resident when the oxygen tank was empty, causing labored breathing. Additionally, the facility failed to provide physician-ordered medications to a newly admitted resident on the day of admission.

Complaint investigation #66205 was substantiated with findings of deficiencies in social services, care planning, pain management, wound care, and nutrition for Resident #2.

The facility failed to provide medically-related social services, develop a comprehensive care plan for comfort care, provide effective pain management, promote aggressive wound management, and maintain acceptable nutritional status for Resident #2. The resident had a stage 4 pressure ulcer, significant weight loss, and inadequate pain control, placing the resident in immediate jeopardy.

This Plan of Correction responds to deficiencies identified during a complaint investigation at Smoky Hill Rehabilitation Center.

The facility addressed deficiencies related to medically related social services, comprehensive care plans, pain management, pressure ulcer prevention, and resident assessments. Corrective actions include staff in-service, interdisciplinary team monitoring, policy reviews, and integration into the Quality Assurance Performance Improvement (QAPI) program.

All deficiencies previously reported on the CMS-2567 were corrected as of the revisit date. The report lists multiple regulatory citations with correction completion dates.

The plan details multiple deficiencies related to resident care, staff training, facility maintenance, medication management, and documentation. Corrective actions include staff in-services, monitoring protocols, and facility repairs, with timelines for completion and ongoing compliance monitoring.

The facility was found deficient in multiple areas including failure to notify legal representatives of resident condition changes, inadequate employee background checks, dignity concerns in resident care, housekeeping and maintenance deficiencies, inaccurate resident assessments, failure to revise care plans, inadequate provision of care and services, improper medication management, malfunctioning nurse call systems, insufficient dining space, and sanitary violations in food preparation.

The plan addresses discharge procedures and documentation, ensuring all discharges are reviewed by the interdisciplinary team and appropriate agencies are notified. Staff will be in-serviced on discharge planning and notifications, and audits will verify compliance.

The facility maintains it provides treatment and services for residents, specifically addressing timely toileting and reviewing bowel and bladder programs for appropriateness. Staff education and monitoring plans are outlined to ensure compliance and effectiveness.

This Plan of Correction addresses deficiencies identified during a complaint investigation at Smoky Hill Rehabilitation Center.

The facility was found deficient in investigating alleged violations involving mistreatment, neglect, abuse, injuries of unknown origin, and misappropriation of resident property. Additionally, the facility failed to ensure adequate supervision to prevent accidents for resident #1.

This Plan of Correction is related to a complaint investigation at Smoky Hill Rehabilitation Center.

The plan addresses deficiencies related to notification of changes in resident status, scheduling of resident baths, and identification and intervention for residents with depression or psychosocial issues. Corrective actions include staff in-service training, monitoring compliance, and integration into the Quality Assurance Performance Improvement program.

The plan addresses improper resident transfer techniques involving resident #7 and outlines training and monitoring measures to ensure compliance with the facility's Mechanical Lift Policy.

This Plan of Correction addresses deficiencies cited in a complaint investigation at Smoky Hill Rehabilitation Center.

The facility identified deficiencies related to respiratory care and medication administration, including ensuring oxygen tanks are full and proper use of respiratory equipment, as well as maintaining adequate supplies of routine and emergency drugs and biologicals.

The plan addresses multiple deficiencies including investigation of alleged violations of mistreatment and abuse, promotion of resident dignity and respect, activities programming, social services, housekeeping and maintenance, accurate resident assessments, medication monitoring, care plan revisions, infection control, hydration monitoring, dental services, and environmental safety. Corrective actions include staff training, monitoring, documentation, and integration into the facility's Quality Assurance Performance Improvement (QAPI) program.