Inspection Reports for The Windsor of Lawrence

An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 2024-12-10.

All deficiencies have been corrected as of the compliance date of 2024-12-27, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.

The inspection was a resurvey with attached complaints 190424, 191933, 191936, 192103, and 188173 at the assisted living facility.

The facility failed to ensure accurate Functional Capacity Screens for medication management for several residents, failed to update Negotiated Service Agreements after significant changes in condition, lacked proper assessments for bed assist device safety, failed to document incidents and injuries adequately, stored food improperly without date labeling or safe storage, and failed to store chemicals in locked areas to protect resident safety.

The resurvey included attached complaints 190424, 191933, 191936, 192103, and 188173.

The document represents the findings of a resurvey with attached complaints 190424, 191933, 191936, 192103, and 188173 at the assisted living facility conducted on 12/09/24 and 12/10/24.

This plan of correction addresses the findings from the resurvey and attached complaints conducted at the facility on the specified dates.

The resurvey included attached complaints numbered 190424, 191933, 191936, 192103, and 188173.

An offsite revisit survey was conducted on 11/08/23 for all previous deficiencies cited on 10/18/23.

All deficiencies have been corrected as of the compliance date of 11/06/23, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.

The inspection was a resurvey with complaints numbered 174632, 175415, 177549, 177995, and 179464 at an assisted living facility.

The facility was found deficient in multiple areas including incomplete negotiated service agreements for residents, failure to provide specified health care and housekeeping services, lack of identification of licensed nurses responsible for health care plans, improper labeling and storage of medications, incomplete employee records, inadequate documentation of resident incidents, and unsafe water temperatures exceeding regulatory limits.

The inspection was a resurvey with complaints numbered 174632, 175415, 177549, 177995, and 179464.

The document is a plan of correction responding to findings from a resurvey with complaints numbered 174632, 175415, 177549, 177995, and 179464 conducted at the assisted living facility on 10/17/23 and 10/18/23.

The plan of correction addresses citations identified during the resurvey and complaint investigations conducted on the specified dates at the assisted living facility.

The resurvey was conducted in response to multiple complaints (174632, 175415, 177549, 177995, and 179464).

The inspection was an abbreviated survey conducted on 6/6/2022 and 6/7/2022 for multiple complaints numbered 172267, 170473, 169834, 169841, 169332, 168577, 167868, 167874, 167498, and 166058.

The facility failed to report an allegation of abuse involving resident R1 to the department within 24 hours of notification, as required by state regulations. The investigation was completed with an unsubstantiated outcome, but the required timely reporting and notification to the legal representative were not met.

The survey was complaint-related, triggered by multiple complaints. The allegation of abuse involving resident R1 was investigated and found unsubstantiated, but the facility failed to report the allegation to the department within the required 24-hour timeframe.

The document addresses findings from an abbreviated survey conducted on 6/6/2022 and 6/7/2022 related to multiple complaints against the facility.

An offsite revisit survey on 06/10/2022 confirmed that all previously cited deficiencies from 06/07/2022 were corrected by 06/09/2022, with no new noncompliance found. The facility is in compliance with all surveyed regulations.

The survey was conducted in response to complaints #172267, 170473, 169834, 169841, 169332, 168577, 167868, 167874, 167498, and 166058.

This revisit inspection was conducted to verify that previously reported deficiencies at The Windsor of Lawrence were corrected and to document the dates such corrective actions were accomplished.

All previously cited deficiencies identified by regulation numbers 26-41-101 (j), 26-41-204 (i), 26-41-205 (d) (1-2), and 26-41-207 (a) (b) were corrected as of 09/21/2021.

The inspection was an abbreviated survey conducted in response to complaint #164579 at an assisted living facility.

The facility was found deficient in multiple areas including lack of emergency telephones in cottages, failure to assess a resident after an unwitnessed fall, failure to administer medications according to physician orders, and failure to maintain sanitary conditions in resident bathrooms and food service areas.

The visit was complaint-driven based on complaint #164579. The complaint involved concerns about emergency telephone availability, resident care after a fall, medication administration, and sanitary conditions.

This is a revisit inspection conducted to verify that previously reported deficiencies have been corrected and to document the dates such corrective actions were accomplished.

The report shows that the deficiencies identified in the prior survey have been corrected as of 07/21/2021, with corrections documented for specific regulation numbers.

An abbreviated survey was conducted at the assisted living facility for complaint investigation #163802 on 07-21-2021 and 07-22-2021.

The allegation was found to be substantiated with no deficiency citations.

Complaint investigation #163802 was substantiated but resulted in no deficiency citations.

The inspection was an abbreviated survey conducted in response to multiple complaints (#163197, 163265, 162987, 162590, and 162463) regarding the facility.

The facility failed to update the negotiated service agreement for a resident to reflect changes in behavior and therapy needs after a fall. Additionally, licensed nurse and medication aides failed to administer medications as ordered and in a timely manner for multiple residents, including failure to locate medications and late administration of doses.

The visit was triggered by complaints #163197, 163265, 162987, 162590, and 162463. The findings substantiated issues with service agreement updates and medication administration.

The inspection was a licensure resurvey with multiple complaint investigations conducted on 4/22/2021, 4/26/2021, 4/27/2021, and 4/28/2021.

The facility failed to report an allegation of sexual abuse for resident #113 within 5 working days of the initial report and failed to ensure a licensed nurse performed an assessment for resident #576 regarding self-administration of medication. The investigation included interviews, record reviews, and revealed deficiencies in reporting and assessment procedures.

The licensure resurvey included complaint investigations for complaint numbers 161840, 160466, 157199, 157095, 155810, 155515, 155410, 151406, 151358, 148628, and 145432. The facility failed to report an allegation of sexual abuse for resident #113 and did not complete required assessments for resident #576.

The special infection control survey for COVID-19 was conducted at the facility on 07/16/2020.

The survey resulted in findings of no deficiency citations.

This revisit inspection was conducted to verify that previously reported deficiencies have been corrected and to document the dates such corrective actions were accomplished.

All previously cited deficiencies identified by regulation or Life Safety Code provisions were corrected as of the revisit date.

The inspection was conducted to assess compliance with nursing delegation procedures, specifically regarding the delegation of insulin administration by medication aides under the Kansas nurse practice act.

The facility failed to ensure that a licensed nurse properly delegated the procedure of insulin administration by injected pen to medication aides, as required. Certified staff dialed the insulin dose for a resident who self-injected, but lacked a competency exam for this delegated task.

The inspection was conducted for re-licensure with attached complaints at the assisted living facility.

The facility was found deficient in multiple areas including failure to ensure licensed nurse delegation of nursing procedures to medication aides, incomplete documentation of incidents and resident records, lack of disaster and emergency preparedness including failure to conduct evacuation drills and quarterly reviews, and non-compliance with tuberculosis screening guidelines for staff.

The survey was conducted with attached complaints, indicating the visit was complaint-related.

This revisit report documents the correction of deficiencies previously reported during an earlier survey at The Windsor of Lawrence facility.

The report confirms that previously identified deficiencies related to regulations 26-41-204 (a) and 26-41-204 (d) have been corrected as of the revisit date.

The inspection was a licensure re-survey with attached complaints at the assisted living facility in Lawrence, Kansas conducted on 5/9/17, 5/10/17, and 5/11/17.

The facility failed to ensure that a licensed nurse provides or coordinates necessary health care services in accordance with functional capacity screenings and negotiated service agreements. The negotiated service agreements lacked the name of the licensed nurse responsible for implementation and supervision. Additionally, documentation of incidents, symptoms, and indications of illness or injury were incomplete, lacking date, time, action taken, and results of the action for some residents.

The inspection included attached complaints which triggered the licensure re-survey.

Licensure resurvey with investigation of complaints at the assisted living facility.

The investigation resulted in a finding of no deficiency citations on 2015-10-07 and 2015-10-08.

Investigation of complaints resulted in no deficiency citations.

This revisit inspection was conducted to verify that previously reported deficiencies had been corrected and to document the dates such corrective actions were accomplished.

The report confirms that all previously cited deficiencies identified by regulation or Life Safety Code provisions were corrected as of the revisit date.

The inspection was a resurvey with complaint investigations 75002 and 71025 conducted at the assisted living facility on 5-13-14, 5-14-14, and 5-15-14.

The facility was found deficient in disaster and emergency preparedness due to failure to perform quarterly reviews of the emergency management plan with residents. Food preparation records lacked documentation of proper food temperatures. Some resident apartments did not meet building interior requirements for sleeping areas with windows and living areas. Hot water temperatures in resident areas exceeded the allowable range, posing a safety risk.

The inspection included complaint investigations 75002 and 71025.

This document is a Plan of Correction related to a facility inspection event identified by ASPEN Event ID 5G2112 and State ID N023017.

No specific deficiencies or findings are listed in this Plan of Correction document. It appears to be a placeholder or an empty record with no detailed content.

This document is a Plan of Correction related to a facility inspection event identified by State ID N023017 and ASPEN Event ID IR4D11.

No specific deficiencies or findings are listed in this Plan of Correction document; it appears to be a placeholder or an empty record with no detailed content provided.