Inspection Reports for The Homestead of Manhattan
1923 LITTLE KITTEN AVE, KS, 66502-7545
Back to Facility ProfileInspection Report Summary
The most recent inspection on August 7, 2025, found no deficiencies and confirmed the facility was in compliance with all regulations. Earlier inspections showed some deficiencies related mainly to negotiated service agreements and food service sanitation, including issues with signatures on agreements and kitchen cleanliness. Prior reports also noted medication labeling concerns and incomplete service agreements, with complaint investigations mostly unsubstantiated. There were no enforcement actions or fines listed in the available reports. The facility appears to have addressed previous issues effectively, as recent follow-up inspections consistently found corrections and no new deficiencies.
Deficiencies (last 9 years)
Deficiencies (over 9 years)
2.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
55% better than Kansas average
Kansas average: 6 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
35 residents
Based on a July 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Follow-Up
Deficiencies: 0
Aug 7, 2025
Visit Reason
An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 2025-07-16.
Findings
All deficiencies have been corrected as of the compliance date of 2025-08-06, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.
Report Facts
Previous deficiencies cited: Deficiencies cited on 2025-07-16
Inspection Report
Plan of Correction
Deficiencies: 0
Jul 16, 2025
Visit Reason
The document represents the findings of a resurvey conducted for the assisted living facility on 07/16/25.
Findings
This document is a Plan of Correction submitted in response to the findings of the resurvey conducted on 07/16/25 for the assisted living facility.
Inspection Report
Re-Inspection
Census: 35
Deficiencies: 3
Jul 16, 2025
Visit Reason
The inspection was a resurvey of the assisted living facility to verify compliance with previously identified deficiencies.
Findings
The facility failed to ensure that negotiated service agreements were signed by residents or their legal representatives for three sampled residents. Additionally, food storage and kitchen sanitation deficiencies were found, including broken freezer seals, missing thermometers, unsealed food items, and unclean kitchen surfaces.
Severity Breakdown
SS=E: 1
SS=F: 2
Deficiencies (3)
| Description | Severity |
|---|---|
| Failure to ensure that each individual involved in the development of the Negotiated Service Agreement signed the agreement for three residents. | SS=E |
| Failure to store food under safe and sanitary conditions, including broken freezer seal, missing thermometer, and unsealed food items. | SS=F |
| Failure to maintain the facility to protect health and safety by ensuring food service areas were cleaned and sanitary. | SS=F |
Report Facts
Census: 35
Residents sampled: 3
Temperature: -12
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Administrative Nurse B | Administrative Nurse | Confirmed lack of signatures on Negotiated Service Agreements for residents |
| Administrative Staff A | Administrative Staff | Confirmed freezer issues, missing thermometer, unsealed food, and unclean kitchen conditions |
Inspection Report
Follow-Up
Deficiencies: 0
Jul 31, 2024
Visit Reason
An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 2024-07-11.
Findings
All deficiencies have been corrected as of the compliance date of 2024-07-31, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.
Inspection Report
Re-Inspection
Census: 37
Deficiencies: 3
Jul 11, 2024
Visit Reason
The inspection was a resurvey conducted with complaints 181563 and 187828 at the assisted living facility to evaluate compliance with negotiated service agreements and medication labeling requirements.
Findings
The facility failed to ensure negotiated service agreements were fully developed based on residents' functional capacity screenings for two residents. Additionally, the facility failed to ensure over-the-counter and prescription medications were properly labeled with the resident's full name as required by regulations.
Complaint Details
The visit was a resurvey with complaints 181563 and 187828.
Severity Breakdown
SS=E: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Failed to ensure the negotiated service agreement was fully developed based on the resident's functional capacity screening, service needs, and preferences for residents R102 and R103. | SS=E |
| Failed to ensure a licensed pharmacist or licensed nurse placed the full name of the resident on the original package of over-the-counter medications for seven residents. | SS=E |
| Failed to ensure each prescription medication container had a label provided by a dispensing pharmacist affixed to the container including the resident's full name. | SS=E |
Report Facts
Census: 37
Residents sampled: 3
Residents with unlabeled OTC medications: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Administrative Nurse B | Confirmed that resident R102's negotiated service agreement failed to describe services provided. | |
| Licensed Nurse C | Stated resident R103 received wound care from a home health agency and was unaware that prescription medication containers needed to have a label with the resident's full name. | |
| Licensed Nurse B | Acknowledged no addendum was completed to resident R103's negotiated service agreement when discharged from wound care. |
Inspection Report
Plan of Correction
Deficiencies: 0
Jul 10, 2024
Visit Reason
The document is a Plan of Correction addressing findings from a resurvey conducted on 07/10/24 and 07/11/24 related to complaints 181563 and 187828 at the named Assisted Living facility.
Findings
The Plan of Correction references citations from a resurvey with complaints but does not detail specific findings or deficiencies within this document.
Complaint Details
The resurvey was conducted in response to complaints numbered 181563 and 187828.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Shirley Boltz | Contact person for Plan of Correction assistance. | |
| Mary Tegtmeier | Submitted and modified the Plan of Correction document. |
Inspection Report
Follow-Up
Deficiencies: 0
Mar 2, 2023
Visit Reason
An offsite revisit survey was conducted on 03/02/23 to verify correction of all previous deficiencies cited on 02/07/23.
Findings
All deficiencies have been corrected as of the compliance date of 03/02/23, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.
Inspection Report
Plan of Correction
Deficiencies: 0
Feb 7, 2023
Visit Reason
The document is a plan of correction related to a resurvey with attached complaints (#173064, #172631, #170136, #167437) conducted at the facility on 02/07/23.
Findings
The plan of correction addresses findings from a resurvey and multiple complaints at the facility conducted on 02/07/23.
Complaint Details
The resurvey was conducted with attached complaints numbered #173064, #172631, #170136, and #167437.
Inspection Report
Re-Inspection
Census: 33
Deficiencies: 1
Feb 7, 2023
Visit Reason
The inspection was a resurvey with attached complaints (#173064, #172631, #170136, #167437) conducted at the facility.
Findings
The facility failed to ensure licensed nurses or pharmacists placed the full name of residents on each package of the resident's over-the-counter medication, as observed with two residents' medications lacking full names.
Complaint Details
The resurvey was conducted with attached complaints #173064, #172631, #170136, and #167437.
Severity Breakdown
Level D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Licensed nurses or pharmacists failed to place the full name of residents on each package of over-the-counter medication. | Level D |
Report Facts
Census: 33
Sample size: 3
Closed record review residents: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Nurse B | Interviewed and observed medication carts during inspection. | |
| Operator A | Failed to ensure licensed nurses or pharmacists placed full names on medication packages. |
Inspection Report
Follow-Up
Deficiencies: 4
Aug 17, 2021
Visit Reason
This revisit report documents the correction of deficiencies previously reported during an earlier survey, verifying that corrective actions were completed as of the revisit date.
Findings
All previously cited deficiencies identified by regulation or Life Safety Code provisions were corrected and completed by the revisit date of 08/17/2021.
Deficiencies (4)
| Description |
|---|
| Deficiency related to regulation 26-39-103 (i) |
| Deficiency related to regulation 26-41-205 (l) |
| Deficiency related to regulation 26-41-205 (l) (2) |
| Deficiency related to regulation 26-41-104 (d) |
Inspection Report
Renewal
Census: 19
Deficiencies: 4
Jul 20, 2021
Visit Reason
The inspection was a Licensure Resurvey conducted on 7/14/2021, 7/15/2021, 7/19/2021, and 7/20/2021, including investigation of multiple complaints (#163162, #162995, #160912, #150277, and #146120).
Findings
The facility was found deficient in ensuring resident privacy under video and audio surveillance, failure to conduct timely quarterly medication regimen reviews by a licensed pharmacist for several residents, failure to notify and obtain timely responses from medical providers regarding pharmacist-identified medication variances, and failure to complete quarterly emergency management plan reviews with residents.
Complaint Details
The inspection included investigation of complaints #163162, #162995, #160912, #150277, and #146120.
Severity Breakdown
SS=F: 1
SS=E: 3
Deficiencies (4)
| Description | Severity |
|---|---|
| Failure to ensure privacy and confidentiality of residents under video and audio surveillance in common areas without written or posted notice. | SS=F |
| Failure to conduct quarterly medication regimen reviews by a licensed pharmacist for residents #185, #187, and #189. | SS=E |
| Failure to notify medical care providers and obtain responses within required timeframes for pharmacist-identified medication variances for residents #185, #187, and #189. | SS=E |
| Failure to complete quarterly emergency management plan reviews with residents between July 2020 and April 2021. | SS=E |
Report Facts
Census: 19
Residents with facility managed medications: 13
Employees hired since last resurvey: 18
Dates of resident disaster reviews: Dates included 12/17/2019, 01/01/2020, 04/02/2020, 07/02/2020, 04/01/2021, 07/01/2021.
Dates of employee disaster reviews: Dates included 07/15/2021, 04/15/2021, 01/13/2021, 10/21/2020, 07/15/2020, 04/23/2020.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Operator #G | Confirmed video/audio surveillance in common areas and lack of resident disaster reviews between July 2020 and April 2021. | |
| Resident Care Coordinator #H | Provided information on medication regimen review failures and pharmacist recommendations not submitted or responded to by physicians. | |
| Activity Director #I | Responsible for resident disaster reviews and explained the process and gaps in quarterly emergency plan reviews. |
Inspection Report
Routine
Deficiencies: 0
Jul 20, 2020
Visit Reason
The special infection control survey for COVID-19 was conducted at the facility on 7/20/2020.
Findings
The survey resulted in findings of no deficiency citations.
Inspection Report
Re-Inspection
Deficiencies: 0
Sep 10, 2019
Visit Reason
The visit was a resurvey of the assisted living facility conducted on September 9 and 10, 2019.
Findings
The resurvey resulted in no citations or deficiencies.
Inspection Report
Re-Inspection
Deficiencies: 1
Dec 7, 2017
Visit Reason
This is a revisit inspection 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 the previously cited deficiency related to regulation 26-41-102 (d) was corrected as of 12/07/2017. No other deficiencies or findings are noted.
Deficiencies (1)
| Description |
|---|
| Deficiency related to regulation 26-41-102 (d) previously cited and now corrected |
Inspection Report
Re-Inspection
Census: 33
Deficiencies: 6
Oct 30, 2017
Visit Reason
The inspection was a licensure re-survey conducted at the assisted living facility to assess compliance with state regulations.
Findings
The facility was found deficient in multiple areas including failure to execute written admission agreements, incomplete negotiated service agreements, inadequate coordination of health care services by licensed nurses, failure to notify medical providers of medication regimen variances, incomplete employee records regarding criminal background checks, and insufficient documentation of resident incidents and changes in condition.
Severity Breakdown
SS=D: 2
SS=E: 3
SS=F: 1
Deficiencies (6)
| Description | Severity |
|---|---|
| Failed to execute with the resident or legal representative a written admission agreement detailing services and obligations. | SS=D |
| Failed to ensure negotiated service agreements were completed in collaboration with residents or representatives and included required information. | SS=D |
| Failed to ensure licensed nurse provides or coordinates necessary health care services in accordance with functional capacity screening and negotiated service agreement. | SS=E |
| Failed to notify medical care provider of medication regimen variances requiring immediate action and to seek timely response. | SS=E |
| Failed to maintain employee records with required criminal background checks prior to employment. | SS=F |
| Failed to document all incidents, symptoms, and indications of illness or injury including date, time, action taken, and results. | SS=E |
Report Facts
Deficiencies cited: 6
Census: 33
Pharmacy recommendations: 18
Certified staff lacking documentation: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| licensed nurse #B | Licensed Nurse | Confirmed deficiencies related to negotiated service agreements, health care services coordination, medication variance notifications, and resident incident documentation. |
| operator #A | Operator | Confirmed criminal background checks were not completed prior to staff employment. |
| licensed nurse #F | Licensed Nurse | Documented resident #127's illness and hospitalization notes. |
| pharmacy consultant #E | Pharmacy Consultant | Provided medication regimen reviews with recommendations not timely forwarded to physicians. |
Inspection Report
Re-Inspection
Census: 27
Deficiencies: 2
Jun 16, 2016
Visit Reason
The inspection was a licensure re-survey with complaint (#94487) conducted over multiple days from 6/13/16 to 6/16/16 at an assisted living facility.
Findings
The facility failed to ensure timely investigation and reporting of abuse allegations to the department within required timeframes, and failed to maintain complete documentation of incidents including date, time, actions taken, and results for resident #616.
Complaint Details
The visit was complaint-related, triggered by complaint #94487. The complaint was substantiated as the facility failed to investigate and report abuse allegations timely and maintain proper documentation.
Severity Breakdown
SS=D: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to report allegations of abuse, neglect, or exploitation to the department within 24 hours and to complete complaint investigation reports within five working days. | SS=D |
| Failure to document all incidents, symptoms, and indications of illness or injury including date, time, action taken, and results of the action. | SS=D |
Report Facts
Census: 27
Complaint number: 94487
Dates of inspection: Inspection conducted on 6/13/16, 6/14/16, 6/15/16, and 6/16/16.
Inspection Report
Renewal
Deficiencies: 0
Jan 8, 2015
Visit Reason
The Licensure Resurvey at the Assisted Living Facility in Manhattan, Kansas was conducted on 01/08/2015 as part of the facility's licensure renewal process.
Findings
The inspection resulted in no deficiency citations, indicating full compliance with regulatory requirements at the time of the visit.
Inspection Report
Plan of Correction
Deficiencies: 0
N081006 NFDY11
Visit Reason
This document is a Plan of Correction related to a facility inspection event identified by State ID N081006 and ASPEN Event ID NFDY11.
Findings
No specific deficiencies or findings are detailed in this document; it serves as a record for the Plan of Correction submission and status.
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