Inspection Report Summary
The most recent inspection on September 17, 2025, found the facility in compliance with all regulations and no new deficiencies. However, the prior inspection on September 9, 2025, cited deficiencies related to failure to complete a Functional Capacity Screen and to revise a Negotiated Service Agreement for a resident after a significant change in condition. Earlier inspections generally showed no deficiencies, indicating that these issues were isolated and promptly addressed. Complaint investigations related to the September 9 inspection resulted in substantiated findings, but no fines or enforcement actions were listed in the available reports. The trend suggests the facility corrected the cited issues quickly and returned to compliance by the latest inspection.
Deficiencies (last 5 years)
Deficiencies (over 5 years)
0.4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
93% better than Kansas average
Kansas average: 6 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Follow-Up
Deficiencies: 0
Sep 17, 2025
Visit Reason
An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 2025-09-09.
Findings
All deficiencies have been corrected as of the compliance date of 2025-09-16, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.
Report Facts
Previous deficiencies cited: Deficiencies cited on 2025-09-09 and corrected by 2025-09-16
Inspection Report
Plan of Correction
Deficiencies: 0
Sep 9, 2025
Visit Reason
The document represents the findings of a resurvey with complaints 195516 and 196812 at the named Assisted Living facility conducted on 08/19/25, 08/28/25, and 09/09/25.
Findings
This is a Plan of Correction document submitted in response to the findings from the resurvey and complaints at the assisted living facility.
Complaint Details
The resurvey was conducted with complaints 195516 and 196812.
Inspection Report
Re-Inspection
Census: 36
Deficiencies: 2
Sep 9, 2025
Visit Reason
The inspection was a resurvey with complaints 195516 and 196812 conducted on 08/19/25, 08/28/25, and 09/09/25 at an assisted living facility.
Findings
The facility failed to complete a Functional Capacity Screen (FCS) and revise the Negotiated Service Agreement (NSA) for Resident 105 after a significant change in condition, specifically a decline in physical abilities requiring physical assistance with toileting and transfers.
Complaint Details
The visit was complaint-related involving complaints 195516 and 196812.
Severity Breakdown
SS=D: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to complete a Functional Capacity Screen for Resident 105 after a significant change in condition. | SS=D |
| Failure to revise the Negotiated Service Agreement for Resident 105 after a significant change in condition. | SS=D |
Report Facts
Census: 36
Dates of complaint-related visits: 08/19/25, 08/28/25, and 09/09/25
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Administrative Nurse A | Interviewed and stated details about Resident 105's care level changes. | |
| Regional Nurse | Worked with Administrative Nurse A to change Resident 105's level of care. |
Inspection Report
Abbreviated Survey
Deficiencies: 0
Sep 10, 2024
Visit Reason
The abbreviated survey was conducted on 09/10/24 at the assisted living facility to review compliance and identify any deficiencies.
Findings
The survey resulted in a finding of no deficiency citations.
Inspection Report
Abbreviated Survey
Deficiencies: 0
Sep 10, 2024
Visit Reason
The abbreviated survey with review of facility report #190340 was conducted at the assisted living facility.
Findings
The survey resulted in a finding of no deficiency citations.
Inspection Report
Re-Inspection
Deficiencies: 0
Feb 13, 2024
Visit Reason
The visit was a resurvey at the assisted living facility conducted on 02/12/2024 and 02/13/2024.
Findings
The resurvey resulted in no citations or deficiencies.
Inspection Report
Plan of Correction
Deficiencies: 0
Feb 12, 2024
Visit Reason
This document represents the findings of a resurvey at the assisted living facility conducted on 02/12/24 and 02/13/24.
Findings
The resurvey conducted on 02/12/24 and 02/13/24 resulted in no citations.
Inspection Report
Renewal
Deficiencies: 0
Jul 21, 2022
Visit Reason
The licensure resurvey was conducted as a renewal inspection of the assisted living facility Vintage Park at Baldwin City LLC on 07/20/22-07/21/22.
Findings
The inspection resulted in a finding of no deficiency citations.
Inspection Report
Plan of Correction
Deficiencies: 0
Jul 20, 2022
Visit Reason
The licensure resurvey was conducted on 07/20/22-07/21/22 at the assisted living facility to assess compliance and determine if any deficiencies were present.
Findings
The resurvey resulted in a finding of no deficiency citations.
Inspection Report
Renewal
Deficiencies: 0
Sep 29, 2020
Visit Reason
A survey for re-licensure with attached complaints was conducted on 9/28/20 and 9/29/20 at the assisted living facility in Baldwin City, KS.
Findings
The survey resulted in a finding of no deficiency citations.
Inspection Report
Routine
Deficiencies: 0
Jul 28, 2020
Visit Reason
The special infection control survey for COVID-19 was conducted at the facility on 07/28/2020.
Findings
The survey resulted in findings of no deficiency citations.
Inspection Report
Re-Inspection
Deficiencies: 0
Mar 1, 2018
Visit Reason
A re-survey for licensure was conducted at the facility on 2018-02-28 and 2018-03-01.
Findings
The re-survey resulted in a finding of no deficiency citations.
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