Inspection Reports for
The Homestead of Manhattan

1923 LITTLE KITTEN AVE, MANHATTAN, KS, 66502-7545

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Deficiencies (last 9 years)

Deficiencies (over 9 years) 2.2 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

63% better than Kansas average
Kansas average: 6 deficiencies/year

Deficiencies per year

8 6 4 2 0
2015
2016
2017
2019
2020
2021
2023
2024
2025

Occupancy

Latest occupancy rate 88% occupied

Based on a July 2025 inspection.

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

Occupancy rate over time

40% 60% 80% 100% Jun 2016 Oct 2017 Jul 2021 Feb 2023 Jul 2024 Jul 2025

Inspection Report

Re-Inspection
Deficiencies: 0 Date: 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.

Inspection Report

Plan of Correction
Deficiencies: 0 Date: Jul 16, 2025

Visit Reason
This document represents the findings of a resurvey conducted for an assisted living facility on 07/16/2025.

Findings
The document provides the provider's plan of correction in response to the findings from the resurvey conducted on 07/16/2025.

Inspection Report

Re-Inspection
Census: 35 Deficiencies: 3 Date: Jul 16, 2025

Visit Reason
This is a resurvey of an assisted living facility to verify correction of previous 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.

Deficiencies (3)
KAR 26-41-202(h) The operator failed to ensure that each individual involved in the development of the negotiated service agreement signed the agreement for three residents.
KAR 26-41-206(e) Facility staff failed to store food under safe and sanitary conditions, including broken freezer seals, missing thermometers, and unsealed food items.
KAR 28-39-254(a) The facility was not maintained to protect health and safety as kitchen cabinets and floors were found with grease, dust, food particles, and sticky substances.
Report Facts
Census: 35 Temperature: -12

Employees mentioned
NameTitleContext
Administrative Nurse BAdministrative NurseConfirmed lack of signatures on negotiated service agreements
Administrative Staff AAdministrative StaffConfirmed freezer issues, unsealed food, and unclean kitchen conditions

Inspection Report

Re-Inspection
Deficiencies: 0 Date: 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 cited in the prior inspection 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

Complaint Investigation
Census: 37 Deficiencies: 3 Date: Jul 11, 2024

Visit Reason
The inspection was a resurvey conducted in response to complaints 181563 and 187828 at an assisted living facility.

Complaint Details
The visit was a resurvey following complaints 181563 and 187828. The findings confirmed deficiencies related to negotiated service agreements and medication labeling.
Findings
The facility failed to fully develop negotiated service agreements for residents based on their functional capacity screenings. Additionally, the facility did not ensure that over-the-counter and prescription medications were properly labeled with the resident's full name as required.

Deficiencies (3)
KAR 26-41-202(a)(1) The administrator failed to ensure negotiated service agreements were fully developed based on residents' functional capacity screenings for residents R102 and R103.
KAR 26-41-205(g)(3) The operator failed to ensure licensed pharmacists or nurses placed the full name of the resident on original packages of over-the-counter medications for seven residents.
KAR 26-41-205(g)(2) The operator 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.
Report Facts
Census: 37 Residents with unlabeled OTC medications: 7

Employees mentioned
NameTitleContext
Administrative Nurse BConfirmed negotiated service agreement deficiencies for resident R102.
Licensed Nurse CStated resident R103 received wound care and commented on medication labeling expectations.
Licensed Nurse BAcknowledged lack of addendum to negotiated service agreement for resident R103.

Inspection Report

Plan of Correction
Deficiencies: 0 Date: Jul 10, 2024

Visit Reason
This document is a Plan of Correction submitted in response to findings from a resurvey conducted on 07/10/24 and 07/11/24 related to complaints 181563 and 187828 at the assisted living facility.

Findings
The Plan of Correction addresses citations identified during the resurvey triggered by complaints. Specific deficiencies are not detailed in this document.

Inspection Report

Follow-Up
Deficiencies: 0 Date: Mar 2, 2023

Visit Reason
An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 2023-02-07.

Findings
All deficiencies have been corrected as of the compliance date of 2023-03-02, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.

Inspection Report

Plan of Correction
Deficiencies: 0 Date: Feb 7, 2023

Visit Reason
This document is a plan of correction submitted in response to a resurvey with attached complaints conducted at the facility on 02/07/2023.

Findings
The plan of correction addresses findings from a resurvey and multiple complaints identified during the inspection on 02/07/2023.

Inspection Report

Re-Inspection
Census: 33 Deficiencies: 1 Date: Feb 7, 2023

Visit Reason
The visit was a resurvey with attached complaints (#173064, #172631, #170136, #167437) conducted at the facility.

Complaint Details
The resurvey was conducted with attached complaints numbered #173064, #172631, #170136, and #167437.
Findings
The facility failed to ensure licensed nurses or pharmacists placed the full name of the resident on each package of the resident's over-the-counter medication. Observation and interview confirmed medications for two residents lacked full first and last names on the packaging.

Deficiencies (1)
KAR 26-41-205 (g) (3) Over the counter drugs regulation was not met as licensed nurses or pharmacists failed to place the full name of residents on each package of over-the-counter medication.
Report Facts
Census: 33

Inspection Report

Follow-Up
Deficiencies: 0 Date: Aug 17, 2021

Visit Reason
This is a follow-up revisit to verify that previously reported deficiencies have been corrected and to document the date such corrective actions were accomplished.

Findings
All previously cited deficiencies identified by regulation numbers 26-39-103(i), 26-41-205(l), 26-41-205(l)(2), and 26-41-104(d) were corrected as of the revisit date 08/17/2021.

Inspection Report

Renewal
Census: 19 Deficiencies: 4 Date: Jul 20, 2021

Visit Reason
The inspection was a Licensure Resurvey of an Assisted Living Facility conducted on 7/14/2021, 7/15/2021, 7/19/2021, and 7/20/2021, including investigations of multiple complaints.

Complaint Details
The inspection included investigations of complaints #163162, #162995, #160912, #150277, and #146120.
Findings
The facility was found deficient in ensuring resident privacy under video and audio surveillance, conducting quarterly medication regimen reviews by a licensed pharmacist, timely notification and response to medication regimen variances, and completing quarterly emergency management plan reviews with residents.

Deficiencies (4)
KAR 26-39-103(i)(1) The Operator failed to ensure privacy and confidentiality for residents during personal visits and meetings in common areas under video and audio surveillance without posted notice or written consent.
KAR 26-41-205(l) The Operator failed to ensure a licensed pharmacist conducted quarterly medication regimen reviews for three sampled residents as required.
KAR 26-41-205(l)(2) The Operator failed to ensure a licensed nurse sought a response from the medical care provider within five working days of notification of pharmacist-identified medication variances for three sampled residents.
KAR 26-41-104(d) The Operator failed to ensure disaster and emergency preparedness by completing quarterly emergency management plan reviews with residents, missing reviews between July 2020 and April 2021.
Report Facts
Census: 19 Residents with facility managed medications: 13 Employees hired since last resurvey: 18

Inspection Report

Plan of Correction
Deficiencies: 0 Date: Jul 20, 2021

Visit Reason
This document is a Plan of Correction submitted in response to deficiencies cited in the inspection report dated 07/20/2021 for the facility 'the homestead of manhattan'.

Findings
No specific findings or deficiencies are detailed in this Plan of Correction document itself; it references a prior deficiency report.

Inspection Report

Routine
Deficiencies: 0 Date: Jul 20, 2020

Visit Reason
The special infection control survey for COVID-19 was conducted at the facility on 07/20/2020.

Findings
The survey resulted in findings of no deficiency citations.

Inspection Report

Re-Inspection
Deficiencies: 0 Date: 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

Follow-Up
Deficiencies: 1 Date: Dec 7, 2017

Visit Reason
This visit was conducted as a follow-up to verify that previously reported deficiencies have been corrected.

Findings
The report confirms that the previously identified deficiency under regulation 26-41-102 (d) was corrected as of 12/07/2017.

Deficiencies (1)
Regulation 26-41-102 (d) deficiency was corrected by the revisit date.

Inspection Report

Re-Inspection
Census: 33 Deficiencies: 6 Date: Oct 30, 2017

Visit Reason
Licensure re-survey conducted at the assisted living facility to assess compliance with admission policies, negotiated service agreements, health care services, medication regimen review, staff qualifications, and resident record documentation.

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 status.

Deficiencies (6)
KAR 26-39-102(a)(1)(C)(3) Admission Policy: The operator failed to execute a written admission agreement with resident #125 detailing services and resident obligations.
KAR 26-41-202(a) Negotiated Service Agreement: The operator failed to ensure the NSA for resident #127 included service descriptions, providers, and payment responsibilities for outside services.
KAR 26-41-204(a) Health Care Services: The operator failed to ensure licensed nurses provided or coordinated necessary health care services for residents #125 and #128 per functional capacity screening and NSA.
26-41-205(l)(2) Medication Regimen Review Variance Report: The operator failed to ensure licensed pharmacist or nurse notified medical providers of medication variances requiring immediate action for 18 residents.
KAR 26-41-102(d) Staff Qualifications Employee Records: The operator failed to ensure employee records contained criminal background checks prior to employment for 4 certified staff.
KAR 26-41-105(f)(11) Resident Record Documentation of Incidents: The operator failed to document all incidents, including date, time, action taken, and results for resident #127.
Report Facts
Census: 33 Pharmacy recommendations: 18 Certified staff missing background checks: 4

Inspection Report

Re-Inspection
Census: 27 Deficiencies: 2 Date: Jun 16, 2016

Visit Reason
The inspection was a licensure re-survey with complaint (#94487) conducted over 6/13/16 to 6/16/16 at an assisted living facility.

Complaint Details
The visit was complaint-related based on complaint #94487. The complaint was substantiated as the facility failed to investigate and report abuse allegations timely and maintain proper incident documentation.
Findings
The facility failed to ensure timely investigation and reporting of abuse allegations to the department within required timeframes. Additionally, documentation of incidents, including date, time, actions taken, and results, was incomplete for a focus resident.

Deficiencies (2)
KAR 26-41-101 (f)(3) Staff Treatment of Residents Reporting: The facility failed to start an investigation and submit complaint investigation reports to the department within five working days for allegations of abuse and neglect.
KAR 26-41-105 (f)(11) Resident Record Documentation of Incidents: The facility failed to document all incidents, including date, time, action taken, and results, for a focus resident.
Report Facts
Resident census: 27 Complaint number: 94487 Dates of inspection: 4

Inspection Report

Renewal
Deficiencies: 0 Date: Jan 8, 2015

Visit Reason
The Licensure Resurvey was conducted as a renewal inspection of the Assisted Living Facility in Manhattan, Kansas.

Findings
The inspection resulted in no deficiency citations.

Inspection Report

Plan of Correction
Deficiencies: 0 Date: N081006 POC YK2K12

Visit Reason
This document is a Plan of Correction related to a previously identified deficiency report for the facility.

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: N081006 POC 7XU311

Visit Reason
This document is a Plan of Correction related to a prior inspection or deficiency report for The Homestead Of Manhattan facility.

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

Inspection Report

Plan of Correction
Deficiencies: 0 Date: N081006 POC DUUG11

Visit Reason
This document is a Plan of Correction related to a previously conducted facility inspection.

Findings
No specific findings or deficiencies are detailed in this document. It references a linked deficiency report but contains no records itself.

Inspection Report

Plan of Correction
Deficiencies: 0 Date: N081006 POC DUUG12

Visit Reason
This document is a Plan of Correction related to a previously identified deficiency report for the facility.

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: N081006 POC L4QX11

Visit Reason
This document is a Plan of Correction related to a previously identified deficiency report for the facility.

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: N081006 POC MV5B11

Visit Reason
This document is a Plan of Correction related to a previous deficiency report for the facility.

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

Inspection Report

Plan of Correction
Deficiencies: 0 Date: N081006 POC NFDY11

Visit Reason
This document is a Plan of Correction related to a previously identified deficiency report for the facility.

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: N081006 POC QB9Y11

Visit Reason
This document is a Plan of Correction related to deficiencies identified in a prior inspection report for the facility.

Findings
No specific findings or deficiencies are detailed in this document; it serves as a placeholder or reference to the linked deficiency report.

Inspection Report

Plan of Correction
Deficiencies: 0 Date: N081006 POC RLJN11

Visit Reason
This document is a Plan of Correction related to a prior inspection event identified as RLJN11 for the facility with State ID N081006.

Findings
No specific deficiencies or findings are detailed in this document. It serves as a placeholder or record for the Plan of Correction submission.

Inspection Report

Plan of Correction
Deficiencies: 0 Date: N081006 POC UF9F12

Visit Reason
This document is a Plan of Correction submitted in response to a prior inspection or deficiency report.

Findings
No deficiencies or findings are detailed in this document. It serves solely as a Plan of Correction record with no substantive content provided.

Inspection Report

Plan of Correction
Deficiencies: 0 Date: N081006 POC VMFF11

Visit Reason
This document is a Plan of Correction related to a prior deficiency report for the facility.

Findings
No specific findings or deficiencies are detailed in this Plan of Correction document.

Inspection Report

Plan of Correction
Deficiencies: 0 Date: N081006 POC YK2K11

Visit Reason
This document is a Plan of Correction related to a previous inspection event for the facility identified as ASPEN with State ID N081006.

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

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