Inspection Reports for The Wheatlands Health Care Center
750 W WASHINGTON ST, KINGMAN, KS, 67068-2000
Back to Facility ProfileInspection Report Summary
The most recent inspection on September 29, 2016, found no deficiencies, confirming that previously cited issues were corrected. Earlier inspections from 2016 showed deficiencies related mainly to infection control during food service, hot water temperature regulation, and hand hygiene, with accepted plans of correction addressing these areas. A complaint investigation in April 2016 substantiated a failure to notify a physician about a resident’s declining oxygen levels, which the facility subsequently addressed through staff training and monitoring. Enforcement actions such as fines or license suspensions were not listed in the available reports. The inspection history shows improvement over time, with the facility correcting prior deficiencies and achieving compliance by the most recent revisit.
Deficiencies (last 5 years)
Deficiencies (over 5 years)
10.6 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
77% worse than Kansas average
Kansas average: 6 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
16 residents
Based on a September 2016 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy over time
Inspection Report
Re-Inspection
Deficiencies: 1
Date: Sep 29, 2016
Visit Reason
This report is a revisit conducted by a State surveyor to verify that previously reported deficiencies have been corrected and to document the date such corrective action was accomplished.
Findings
The report confirms that the previously cited deficiency with ID Prefix S3420 and Regulation #28-39-256 was corrected as of 09/29/2016. No other deficiencies or uncorrected issues are noted.
Deficiencies (1)
Deficiency previously reported under ID Prefix S3420, Regulation #28-39-256
Inspection Report
Follow-Up
Deficiencies: 1
Date: Sep 26, 2016
Visit Reason
This post-certification revisit was conducted to verify that previously reported deficiencies on the CMS-2567 Statement of Deficiencies and Plan of Correction have been corrected.
Findings
The report confirms that the deficiency identified under regulation 483.35(i) with ID prefix F0371 was corrected as of 09/26/2016. No other deficiencies or uncorrected issues are noted.
Deficiencies (1)
Deficiency under regulation 483.35(i) previously cited
Inspection Report
Re-Inspection
Deficiencies: 1
Date: Sep 15, 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 an "E" level deficiency, pattern, 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.
Deficiencies (1)
"E" level deficiency, pattern, no actual harm with potential for more than minimal harm that is not immediate jeopardy
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Irina Strakhova | Licensure Certification & Enforcement Manager | Signed letter and referenced as contact for questions |
Inspection Report
Plan of Correction
Deficiencies: 1
Date: Sep 15, 2016
Visit Reason
This document is a Plan of Correction submitted in response to deficiencies cited in a prior inspection report dated 2016-09-15 for The Wheatlands facility.
Findings
The plan addresses deficiencies related to infection control during food service in the dementia wing, including staff education, retraining, and monitoring of food temperatures to ensure compliance.
Deficiencies (1)
Infection control procedures during the serving of food in the dementia wing were deficient.
Report Facts
Date of deficiency report: Sep 15, 2016
Plan of Correction completion date: Sep 28, 2016
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sharon Rinke | Administrator | Submitted the Plan of Correction |
| Shirley Boltz | Contact person for Plan of Correction assistance |
Inspection Report
Renewal
Census: 16
Deficiencies: 1
Date: Sep 15, 2016
Visit Reason
The inspection was conducted as an Assisted Living/Residential Healthcare Licensure Resurvey to assess compliance with mechanical requirements and other regulatory standards.
Findings
The facility failed to ensure that hot water temperatures in the assisted living North hall did not exceed 120 degrees Fahrenheit, with multiple resident sinks measuring temperatures above this limit. Maintenance staff reported no water temperature check logs for assisted living and no policy regarding water temperature checks was in place.
Deficiencies (1)
Failed to ensure hot water temperatures for residents on the North hall of assisted living were not over 120 degrees Fahrenheit.
Report Facts
Resident census: 16
Hot water temperature: 126.6
Hot water temperature: 128
Hot water temperature: 123.4
Hot water temperature: 123.2
Hot water temperature: 123.8
Hot water temperature: 120
Hot water temperature: 116
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Maintenance staff | Reported on water temperature checks and hot water heater settings |
| Administrative staff B | Administrative staff | Reported no policy regarding checking of water temperatures on assisted living |
Inspection Report
Re-Inspection
Census: 49
Deficiencies: 2
Date: Sep 7, 2016
Visit Reason
The inspection was a Health Resurvey to assess compliance with food procurement, storage, preparation, and serving sanitary requirements.
Findings
The facility failed to ensure foods served from the steam table remained at or above 135 degrees Fahrenheit and failed to ensure staff washed their hands between resident contact and plating of food, risking cross contamination and foodborne illness.
Deficiencies (2)
Failed to ensure foods served from the steam table remained at 135 degrees Fahrenheit or higher.
Failed to ensure staff washed their hands between resident contact and plating of food to prevent cross contamination.
Report Facts
Facility census: 49
Residents on memory unit: 14
Food temperatures below safe level: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dietary staff A | Observed taking temperatures of some food items but not all | |
| Direct care staff B | Plated food without taking temperatures first, did not wash hands between tasks, handled food and residents | |
| Dietary staff C | Reported expectations for food temperature and hand washing | |
| Administrative nursing staff D | Reported expectations for hand washing during food service |
Inspection Report
Follow-Up
Deficiencies: 1
Date: Apr 28, 2016
Visit Reason
This post-certification revisit was conducted to verify that previously reported deficiencies on the CMS-2567 Statement of Deficiencies and Plan of Correction have been corrected.
Findings
The revisit report indicates that all previously cited deficiencies have been corrected as of the revisit date.
Deficiencies (1)
Deficiency related to regulation 483.10(b)(11)
Report Facts
Deficiency correction date: Apr 28, 2016
Inspection Report
Complaint Investigation
Census: 48
Deficiencies: 1
Date: Apr 15, 2016
Visit Reason
The inspection was conducted as a complaint investigation (DNRX11) regarding the facility's failure to notify the physician of changes in a resident's condition as requested.
Complaint Details
The complaint investigation revealed that the facility did not notify the physician as requested when the resident's oxygen saturations dropped to low levels multiple times between 2/23/16 and 3/8/16, despite documentation of these events in nursing notes.
Findings
The facility failed to assess and notify the physician as requested about decreases in oxygen saturations for one resident, despite multiple nurse notes documenting low oxygen levels without physician notification or lung sound assessments.
Deficiencies (1)
Failure to assess and notify the physician of decreases in resident's oxygen saturations as requested.
Report Facts
Resident census: 48
Residents in sample: 3
Oxygen saturation levels: 53
Oxygen saturation levels: 55
Oxygen saturation levels: 65
Oxygen saturation levels: 73
Oxygen saturation levels: 90
Oxygen saturation levels: 91
Oxygen saturation levels: 92
Oxygen saturation levels: 94
Blood pressure: 86
Blood pressure: 51
Pulse: 166
Fluid restriction: 2000
Diuretic dosage: 1
Metalozone dosage: 2.5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Nurse B | Licensed Nurse | Reported resident had O2 on at all times and described episode of shortness of air leading to hospital admission |
| Administrative Nurse A | Administrative Nurse | Reported resident was on continuous O2 and family instructed no removal of O2 during therapy; noted nurses should have followed up on low O2 saturations |
| Direct Care Staff C | Direct Care Staff | Reported resident required O2 at all times and family monitored oxygen levels with pulse oximeter |
Inspection Report
Abbreviated Survey
Deficiencies: 1
Date: Apr 13, 2016
Visit Reason
An Abbreviated 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 deficiency to be a 'D' level deficiency that constitutes 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 the plan.
Deficiencies (1)
Most serious deficiency found was a 'D' level deficiency constituting no actual harm with potential for more than minimal harm that is not immediate jeopardy.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Caryl Gill | Complaint Coordinator | Named as the contact person for questions concerning the information in the letter. |
Inspection Report
Life Safety
Deficiencies: 1
Date: Mar 22, 2016
Visit Reason
A Life Safety Code survey was conducted by the State Fire Marshal's Office to determine if the facility complied with Federal requirements for nursing homes participating in Medicare and/or Medicaid programs.
Findings
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 enforcement remedies were recommended due to failure to achieve substantial compliance.
Deficiencies (1)
Most serious deficiencies found at 'F' level indicating no harm but potential for more than minimal harm.
Report Facts
Effective date for denial of payments: Jun 22, 2016
Provider agreement termination date: Sep 22, 2016
Plan of correction submission timeframe: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Irina Strakhova | Licensure Certification & Enforcement Manager | Signed the report and mentioned in relation to enforcement and certification. |
| Brenda McNorton | Director of Fire Prevention Division | Contact for Informal Dispute Resolution process related to deficiencies. |
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Mar 30, 2015
Visit Reason
The Health Survey and investigation of complaints #75574 and #78056 were conducted at the facility.
Complaint Details
Investigation of complaints #75574 and #78056 resulted in no deficiency citations.
Findings
The investigation resulted in a finding of no deficiency citations with respect to applicable regulations under 42 CFR Part 483, Subpart F, for long-term care facilities.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Mar 30, 2015
Visit Reason
The inspection was conducted as a health survey and investigation of complaints #75574 and #78056 at The Wheatlands Health Care Center.
Complaint Details
Investigation of complaints #75574 and #78056 resulted in no deficiencies found.
Findings
The investigation resulted in a finding of no deficiency citations with respect to applicable regulations under 42 CFR Part 483, Subpart F, requirements for long-term care facilities.
Inspection Report
Life Safety
Deficiencies: 1
Date: Aug 12, 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 'F' level, widespread, with 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.
Deficiencies (1)
Most serious deficiencies found were 'F' level, widespread, with no harm but potential for more than minimal harm that is not immediate jeopardy.
Report Facts
Effective date for denial of payments: Nov 12, 2014
Provider agreement termination date: Feb 12, 2015
Plan of correction submission timeframe: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Irina Strakhova | Enforcement Coordinator | Signed the report and is Enforcement Coordinator at Kansas Department for Aging and Disability Services. |
| Brenda McNorton | Director of Fire Prevention Division | Contact person for Informal Dispute Resolution process. |
Inspection Report
Follow-Up
Deficiencies: 8
Date: Jan 9, 2014
Visit Reason
This is a post-certification revisit to verify correction of previously cited deficiencies from the survey completed on 2013-12-10.
Findings
All previously cited deficiencies identified by regulation numbers and prefix codes were corrected as of 2014-01-09.
Deficiencies (8)
Deficiency F0252 related to regulation 483.15(h)(1)
Deficiency F0274 related to regulation 483.20(b)(2)(ii)
Deficiency F0279 related to regulations 483.20(d), 483.20(k)(1)
Deficiency F0280 related to regulations 483.20(d)(3), 483.10(k)(2)
Deficiency F0281 related to regulation 483.20(k)(3)(i)
Deficiency F0309 related to regulation 483.25
Deficiency F0323 related to regulation 483.25(h)
Deficiency F0329 related to regulation 483.25(l)
Report Facts
Deficiencies corrected: 8
Inspection Report
Re-Inspection
Deficiencies: 1
Date: Jan 9, 2014
Visit Reason
This revisit inspection was conducted to verify that previously reported deficiencies at The Wheatlands Health Care Center were corrected.
Findings
The report confirms that the deficiency identified under regulation 26-40-303 (b)(i)(ii)(iii)(iv)(c) was corrected as of the revisit date.
Deficiencies (1)
Deficiency under regulation 26-40-303 (b)(i)(ii)(iii)(iv)(c)
Inspection Report
Follow-Up
Deficiencies: 0
Date: Jan 3, 2014
Visit Reason
This revisit inspection was conducted to verify that previously reported deficiencies had been corrected and to confirm the dates such corrective actions were accomplished.
Findings
The report documents that all previously cited deficiencies identified by regulation or Life Safety Code provisions were corrected as of the revisit date.
Inspection Report
Plan of Correction
Deficiencies: 4
Date: Dec 10, 2013
Visit Reason
This document is a Plan of Correction submitted in response to deficiencies identified during a prior inspection of The Wheatlands Assisted Living Facility.
Findings
The plan addresses deficiencies related to posting of facility policies and survey reports, and completion of Functional Capacity Screenings and Negotiated Service Agreements upon admission, annually, and after significant changes.
Deficiencies (4)
The location and availability of facility policies and procedures were not properly posted in the assisted living dining room.
The location and availability of the facility's survey report were not properly posted in the assisted living dining room.
Functional Capacity Screening was not consistently completed upon admission, annually, and after significant resident changes.
Negotiated Service Agreements were not consistently completed upon admission, annually, and after significant resident changes.
Report Facts
Date audit completed: Dec 10, 2013
Plan completion dates: Jan 3, 2014
Plan completion dates: Jan 9, 2014
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sharon Rinke | Administrator | Submitted the Plan of Correction |
Inspection Report
Re-Inspection
Census: 47
Deficiencies: 2
Date: Dec 10, 2013
Visit Reason
The inspection was a health resurvey to assess compliance with nursing facility support system regulations, specifically regarding emergency call systems in resident bathing areas.
Findings
The facility failed to ensure an emergency call light was within reach in a common bathing area, specifically the TLC Angels unit shower area. The emergency call pull cord was mounted away from the shower and not easily accessible, and the facility lacked a call light policy.
Deficiencies (2)
Failed to ensure an emergency call light was within reach in a common bathing area, with the pull cord placed away from the shower and not easily accessible.
Failed to provide a call light policy.
Report Facts
Facility census: 47
Residents potentially affected: 13
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Maintenance Staff K | Confirmed the emergency call pull cord was not reachable and reported moving it to an accessible location | |
| Administrative Nursing Staff B | Interviewed regarding expectations about the call cord location | |
| Administrative Staff A | Interviewed regarding expectations about the call cord location |
Inspection Report
Plan of Correction
Deficiencies: 8
Date: Dec 9, 2013
Visit Reason
This document is a Plan of Correction submitted by the facility in response to deficiencies identified during a prior inspection.
Findings
The Plan of Correction outlines corrective actions for multiple deficiencies related to resident care plans, fall risk assessments, wound care, and facility policies. It includes staff training, audits, and monitoring responsibilities assigned to the Director of Nursing and Administrator.
Deficiencies (8)
Towel bars labeled to prevent cross contamination
Weekly interdisciplinary team meetings to monitor significant changes in residents' ADLs
Checklist added to admission packet and weekly wound assessments to update skin issues and interventions
Checklist added to admission packet to update fall risks and interventions; audits started to identify residents at risk
Temporary care plan developed upon admission and kept accessible at nurses stations
QAPI committee to review and update Fall Policy and Procedure with mandatory staff inservice
Resident #55's care plan updated to include monitoring behaviors with mandatory staff training
Call light moved during survey to be within reach of residents
Report Facts
Dates of corrective actions and trainings: Multiple dates including 01/02/2014, 01/09/2014, 12/20/2013, 12/09/2013
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sharon Rinke | Administrator | Submitted the Plan of Correction and responsible for monitoring compliance |
| Irina Strakhova | Added and modified the Plan of Correction |
Inspection Report
Renewal
Census: 16
Deficiencies: 4
Date: Dec 5, 2013
Visit Reason
The inspection was a Licensure Resurvey conducted to assess compliance with state regulations for The Wheatlands Health Care Center.
Findings
The facility failed to post notices regarding the availability of policies and procedures and the most recent survey results in places accessible to residents. Additionally, the facility did not complete required annual Functional Capacity Screens and Negotiated Service Agreements for one sampled resident within the required 365-day timeframe.
Deficiencies (4)
Failure to post notice of availability of policies and procedures related to resident services in a place readily accessible to residents.
Failure to have the results of the most recent survey available for examination in a public place.
Failure to complete a Functional Capacity Screen at least once every 365 days for 1 of 3 sampled residents.
Failure to complete a Negotiated Service Agreement at least once every 365 days for 1 of 3 sampled residents.
Report Facts
Facility census: 16
Days late for Functional Capacity Screen: 45
Days late for Negotiated Service Agreement: 21
Sample size: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Administrative nursing staff B | Reported on missing policy postings and late completion of FCS and NSA | |
| Administrative staff A | Reported on missing policy postings and survey results availability | |
| Direct Care staff C | Reported unawareness of policy and procedure posting location |
Inspection Report
Follow-Up
Deficiencies: 7
Date: Aug 31, 2012
Visit Reason
This is a post-certification revisit to verify that previously reported deficiencies have been corrected as of the revisit date.
Findings
The report confirms that all previously cited deficiencies identified by their regulation numbers and prefix codes have been corrected as of 08/31/2012.
Deficiencies (7)
Deficiency identified under regulation 483.20(g)-(j)
Deficiency identified under regulation 483.20(d)(3), 483.10(k)(2)
Deficiency identified under regulation 483.25(d)
Deficiency identified under regulation 483.25(h)
Deficiency identified under regulation 483.35(d)(1)-(2)
Deficiency identified under regulation 483.35(i)
Deficiency identified under regulation 483.60(b), (d), (e)
Report Facts
Deficiencies corrected: 7
Inspection Report
Plan of Correction
Deficiencies: 6
Date: Aug 31, 2012
Visit Reason
This document is a Plan of Correction submitted by The Wheatlands ALF to address deficiencies cited in a prior inspection report.
Findings
The Plan of Correction outlines corrective actions including dental assessments, nursing staff re-education on care plans and falls, voiding diaries, dietary staff retraining on food preparation and sanitizer use, and monitoring responsibilities assigned to the Director of Nursing and Certified Dietary Manager to ensure future compliance.
Deficiencies (6)
Dental assessments were incomplete for residents #24 and #27.
Nurses were not consistently reviewing care plans after resident falls.
A three day voiding diary was not consistently completed for resident 33 and others.
Dietary staff failed to refrigerate canned fruits and puddings for at least 24 hours prior to serving and did not follow recipes properly.
Dietary staff did not use sanitizer according to manufacturer directions.
Nurses were not fully educated on State and Federal laws regarding insulin storage and use.
Report Facts
Completion date for compliance: Aug 31, 2012
Date of nursing meeting: Aug 23, 2012
Date of dietary retraining meeting: Aug 30, 2012
Date of cook retraining: Aug 17, 2012
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Shirley Boltz | Contact person for Plan of Correction assistance | |
| Sharon Rinke | Administrator | Submitted the Plan of Correction |
Inspection Report
Re-Inspection
Census: 21
Deficiencies: 1
Date: Aug 20, 2012
Visit Reason
The visit was a licensure re-survey to assess compliance with dietary service regulations.
Findings
The facility failed to ensure proper sanitation of the three compartment sink used for washing large pots and pans, as chemical sanitizer levels were below the manufacturer's required 200 PPM at the time of observation.
Deficiencies (1)
Failure to ensure proper chemical sanitizer levels in the three compartment sink as required by the manufacturer.
Report Facts
Chemical sanitizer level: 0
Facility census: 21
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dietary Staff G | Interviewed regarding chemical sanitizer levels and sink sanitation |
Inspection Report
Plan of Correction
Deficiencies: 1
Date: N048003 POC DNRX11
Visit Reason
This document is a Plan of Correction submitted in response to deficiencies cited in a complaint investigation at the Wheatlands Health Care Center.
Findings
The plan addresses a deficiency related to licensed nurses failing to notify physicians when a resident's condition changes. The facility plans to hold a mandatory nurses meeting and implement monitoring and counseling to ensure compliance.
Deficiencies (1)
Failure of licensed nurses to notify the physician when a change of condition occurs for any and every resident.
Report Facts
Complete Date: May 5, 2016
Complete Date: Apr 28, 2016
Compliance Date: Apr 30, 2016
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Shirley Boltz | Contact person for Plan of Correction assistance | |
| Sharon Rinke | Administrator | Submitted the Plan of Correction |
Inspection Report
Plan of Correction
Deficiencies: 1
Date: N048003 POC JCPV11
Visit Reason
This document is a Plan of Correction submitted by the facility in response to deficiencies cited in a prior inspection report.
Findings
The Plan of Correction addresses a deficiency related to water temperature, specifying training for housekeeping, maintenance, and residential living employees, creation of a water temperature log, and assignment of responsibility for monitoring and compliance.
Deficiencies (1)
Water temperature must be at 120 degrees or below.
Report Facts
Date for Quality Assurance Committee meeting: Sep 28, 2016
Water temperature requirement: 120
Plan of Correction completion date: Sep 10, 2016
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Shirley Boltz | Contact person for Plan of Correction assistance | |
| Sharon Rinke | Administrator | Submitted the Plan of Correction |
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