Deficiencies (last 8 years)
Deficiencies (over 8 years)
2.9 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
52% better than Kansas average
Kansas average: 6 deficiencies/yearDeficiencies per year
8
6
4
2
0
Occupancy
Latest occupancy rate
68% occupied
Based on a November 2025 inspection.
Occupancy rate over time
Inspection Report
Re-Inspection
Deficiencies: 0
Date: Dec 10, 2025
Visit Reason
An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 2025-11-18.
Findings
All deficiencies have been corrected as of the compliance date of 2025-12-02, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.
Inspection Report
Re-Inspection
Census: 34
Deficiencies: 4
Date: Nov 18, 2025
Visit Reason
The inspection was a resurvey with an attached complaint investigation at an assisted living facility.
Complaint Details
The visit was a resurvey with an attached complaint numbered 192939.
Findings
The facility failed to ensure that Negotiated Service Agreements (NSA) for residents fully described the services provided and the providers of those services based on residents' Functional Capacity Screens. Additionally, the facility failed to ensure food safety by storing dented canned foods and improperly labeled food items, and failed to store chemicals in locked areas to protect residents and visitors.
Deficiencies (4)
26-41-202(a) Negotiated Service Agreement: The facility failed to develop fully descriptive NSAs for residents R1, R2, R3, and R4, omitting services related to bladder incontinence, fall prevention, cognition difficulties, and impaired decision making.
26-41-206(d) Food Preparation: The facility used canned foods with significant defects including dents that could prevent normal stacking or opening.
26-41-206(e)(1) Facility Food Storage: Food items were stored without proper labeling or dates, including sliced cheeses and dressings, violating safe storage practices.
28-39-254 Construction: The facility failed to maintain health and safety by storing chemicals in unlocked cabinets accessible to residents and visitors.
Report Facts
Resident census: 34
Deficiencies cited: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Administrative Staff A | Confirmed failures in NSA descriptions and chemical storage. | |
| Administrative Nurse B | Confirmed NSA failures related to resident R4. | |
| Dietary Staff C | Confirmed dented food cans and improper food labeling. |
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Nov 17, 2025
Visit Reason
This document represents the findings of a resurvey with an attached complaint at an assisted living facility conducted on November 17-18, 2025.
Complaint Details
The visit was related to a complaint investigation with complaint number 192939 attached to the resurvey.
Findings
The document is a plan of correction related to a resurvey and complaint investigation conducted at the facility. It outlines corrective actions cross-referenced to the deficiencies found during the resurvey.
Inspection Report
Re-Inspection
Deficiencies: 0
Date: Apr 10, 2024
Visit Reason
An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 2024-03-18.
Findings
All deficiencies have been corrected as of the compliance date of 2024-04-03, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.
Inspection Report
Re-Inspection
Census: 34
Deficiencies: 5
Date: Mar 18, 2024
Visit Reason
The inspection was a resurvey with complaints conducted on 03/13/24, 03/14/24, and 03/18/24 at an assisted living facility.
Complaint Details
The visit was complaint-related, involving multiple complaints (180419, 180564, 181072, 182376, 182520, 185903, and 186477). The operator failed to protect residents from neglect and exploitation and failed to report allegations within required timelines.
Findings
The facility was found deficient in multiple areas including failure to protect residents from neglect and exploitation, failure to report allegations of abuse, neglect, or exploitation within 24 hours, incomplete negotiated service agreements, unlabeled prescription medication containers, and failure to perform quarterly emergency management plan reviews with residents.
Deficiencies (5)
KAR 26-41-101(f)(1)(B)(C) Staff Treatment of Residents ANE: The operator failed to protect resident R106 from neglect when staff deposited her morning medications in a sharps container instead of administering them. The operator also failed to protect resident R102 from exploitation when staff diverted narcotics from his medication supply.
KAR 26-41-101(f)(3) Staff Treatment of Residents Reporting: The operator failed to report an allegation of abuse, neglect, or exploitation to the department within 24 hours for incidents involving residents R106 and R102.
KAR 26-41-202(a)(1) Negotiated Service Agreement: The operator failed to ensure the negotiated service agreement for resident R101 was fully developed to include all items triggered by the functional capacity screen, service needs, and preferences.
KAR 26-41-205(g)(2) Medication Labeling: The operator failed to ensure each prescription medication container had a label provided by a dispensing pharmacist affixed to the container, as observed on multiple residents' medications.
KAR 26-41-104(d)(3) Disaster and Emergency Preparedness: The operator failed to ensure quarterly reviews of the facility's emergency management plan were performed with residents, lacking documentation for the second and third quarters of 2023.
Report Facts
Census: 34
Deficiencies cited: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Administrative Staff A | Confirmed neglect and exploitation incidents, reporting failures, and lack of emergency plan reviews. | |
| Certified Medication Aide B | Provided observation regarding resident R101's alertness and orientation. | |
| Licensed Nurse D | Licensed Nurse | Subject of an incomplete interview regarding suspected narcotics diversion. |
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Mar 13, 2024
Visit Reason
This document is a Plan of Correction submitted in response to a resurvey with multiple complaints at the assisted living facility conducted on 03/13/24, 03/14/24, and 03/18/24.
Findings
The Plan of Correction addresses findings from a resurvey triggered by complaints numbered 180419, 180564, 181072, 182376, 182520, 185903, and 186477. The document does not detail specific deficiencies but references the linked deficiency report.
Inspection Report
Re-Inspection
Deficiencies: 0
Date: Feb 27, 2023
Visit Reason
An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 2023-02-02.
Findings
All deficiencies cited in the prior inspection have been corrected as of the compliance date of 2023-02-16, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Feb 1, 2023
Visit Reason
This document is a Plan of Correction responding to findings from a resurvey with complaint investigations conducted on 02/01/23 and 02/02/23 at an Assisted Living facility.
Findings
The Plan of Correction addresses citations from a resurvey that included multiple complaint investigations for the facility conducted over two days.
Inspection Report
Re-Inspection
Census: 31
Deficiencies: 3
Date: Feb 1, 2023
Visit Reason
The inspection was a resurvey with complaint investigations for an assisted living facility conducted on 02/01/23 and 02/02/23.
Complaint Details
The resurvey included complaint investigations numbered 163640, 164981, 165000, 165090, 165101, 165919, 1672209, 173408, 175767, and 176324.
Findings
The facility had multiple deficiencies including failure to complete required criminal background checks for newly hired staff, failure to conduct quarterly reviews of the emergency management plan with residents and staff, and failure to ensure all exit doors alarmed and gates were secured, resulting in a resident elopement risk.
Deficiencies (3)
KAR 26-41-102(d)(2) The executive director failed to have evidence that a criminal background check was completed for one of five newly hired staff as required by state law.
KAR 26-41-104(d)(3) The administrator failed to ensure quarterly reviews of the emergency management plan with all residents and staff, including all eight required potential emergencies.
KAR 28-39-254(a) The executive director failed to ensure all exit doors alarmed and were functioning properly and that all exit gates were secured, resulting in a resident elopement through an unsecured gate leading to an unsafe area.
Report Facts
Resident census: 31
Resident census: 22
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Executive Director | Named as responsible for failure to ensure criminal background checks and exit door security | |
| Administrative Staff A | Reported issues with criminal background check submission and emergency management plan reviews | |
| Administrative Licensed Nurse B | Observed resident elopement and reported on door alarms and elopement risk assessments | |
| Certified Medication Aide D | Reported that door alarms come across walkies |
Inspection Report
Follow-Up
Deficiencies: 3
Date: May 17, 2021
Visit Reason
This revisit inspection was conducted to verify that previously reported deficiencies have been corrected and to confirm the date such corrective actions were accomplished.
Findings
The report confirms that all previously cited deficiencies identified by regulation numbers 26-41-204 (a), 26-41-204 (i), and 26-41-205 (g)(3) have been corrected as of the revisit date.
Deficiencies (3)
Regulation 26-41-204 (a) deficiency was corrected by the revisit date.
Regulation 26-41-204 (i) deficiency was corrected by the revisit date.
Regulation 26-41-205 (g)(3) deficiency was corrected by the revisit date.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Apr 12, 2021
Visit Reason
This document is a plan of correction related to a prior inspection report for Vintage Park at Tonganoxie dated April 12, 2021.
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
Renewal
Census: 36
Deficiencies: 3
Date: Apr 12, 2021
Visit Reason
The inspection was conducted as a survey for re-licensure with attached complaints on multiple dates in April 2021 at an assisted living facility in Tonganoxie, KS.
Complaint Details
The survey was conducted with attached complaints (#131559, 133941, 134913, 135941, 138806, 146496, 154925, 154899, 156510).
Findings
The facility failed to ensure licensed nursing staff provided or coordinated necessary health care services according to residents' functional capacity screenings and negotiated service agreements. Deficiencies included lack of interventions for residents with frequent falls, failure to document wound size and condition, and failure to label over-the-counter medication packages with residents' full names.
Deficiencies (3)
KAR 26-41-204(a) The operator failed to ensure a licensed nurse provided or coordinated necessary health care services for residents with frequent falls, lacking interventions in health care service plans.
KAR 26-41-204(i) The operator failed to ensure nursing staff documented the size and condition of wounds for residents receiving wound care.
KAR 26-41-205(g)(3) The operator failed to ensure a licensed nurse or pharmacist placed the full name of the resident on packages of over-the-counter medications, with containers labeled only by room number.
Report Facts
Census: 36
Residents receiving medication management: 34
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed nurse #B | Interviewed and confirmed deficiencies related to lack of interventions for falls and wound documentation. | |
| Certified staff #C | Interviewed regarding medication cart observations and confirmed OTC medications lacked resident full names. |
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 2020-07-20.
Findings
The survey resulted in findings of no deficiency citations.
Inspection Report
Follow-Up
Deficiencies: 5
Date: Apr 12, 2018
Visit Reason
This revisit inspection was conducted to verify that previously reported deficiencies have been corrected and to document the dates such corrective actions were accomplished.
Findings
All previously cited deficiencies identified by regulation or Life Safety Code provisions were corrected as of April 11, 2018.
Deficiencies (5)
26-39-103 (q): Previously cited deficiency corrected as of 04/11/2018.
26-41-204 (a): Previously cited deficiency corrected as of 04/11/2018.
26-41-205 (g) (3): Previously cited deficiency corrected as of 04/11/2018.
26-41-105 (f) (11): Previously cited deficiency corrected as of 04/11/2018.
26-41-104 (d): Previously cited deficiency corrected as of 04/11/2018.
Inspection Report
Renewal
Deficiencies: 0
Date: Mar 7, 2016
Visit Reason
The visit was a licensure resurvey of the assisted living facility to assess compliance and determine if any deficiencies were present.
Findings
The licensure resurvey resulted in a finding of no deficiency citations on 3-7-16.
Inspection Report
Renewal
Deficiencies: 0
Date: Jun 12, 2014
Visit Reason
The inspection was a licensure resurvey of the assisted living facility to verify compliance with licensing requirements.
Findings
The licensure resurvey resulted in a finding of no deficiency citations on June 11 and June 12, 2014.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N052008 POC P6K812
Visit Reason
This document is a Plan of Correction related to a prior inspection event identified as P6K812 for the facility with State ID N052008.
Findings
No deficiency details or findings are included in this Plan of Correction document. It serves as a corrective action response to a previous inspection.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N052008 POC RD1N11
Visit Reason
This document is a plan of correction related to a prior inspection identified as vintage park at tonganoxie covid 7.20.2020.
Findings
No specific findings or deficiencies are detailed in this document. It serves as a placeholder or administrative record for the plan of correction submission.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N052008 POC VLUD11
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: N052008 POC 4K4F11
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 document contains the facility's corrective actions cross-referenced to the cited deficiencies. No specific findings or deficiencies are detailed in this document.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N052008 POC EJOU11
Visit Reason
This document is a Plan of Correction related to a previous deficiency report for the facility Vintage Park at Tonganoxie.
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: N052008 POC K5B011
Visit Reason
This document is a Plan of Correction related to a prior inspection event identified as K5B011 for the facility with State ID N052008.
Findings
No deficiency records or findings are included in this Plan of Correction document.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: N052008 POC K5B012
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: N052008 POC MC1T11
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.
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