The most recent inspection on December 17, 2025, found that all previously cited deficiencies had been corrected and no new noncompliance was identified. Prior inspections showed a pattern of deficiencies related mainly to negotiated service agreements, medication labeling and storage, incident documentation, and chemical storage safety. Complaint investigations included some substantiated issues with medication management, service agreements, food safety, and employee health screenings, but enforcement actions such as fines or license suspensions were not listed in the available reports. Earlier inspections frequently cited these types of issues, but the facility took corrective actions as verified in subsequent revisits. The trend indicates improvement, with the most recent surveys showing full compliance after addressing prior deficiencies.
Deficiencies (last 9 years)
Deficiencies (over 9 years)1.4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 2025-11-25.
Findings
All deficiencies have been corrected as of the compliance date of 2025-12-16, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.
Report Facts
Previous deficiencies cited: Deficiencies cited on 2025-11-25, all corrected by 2025-12-16
An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 2025-11-25.
Findings
All deficiencies have been corrected as of the compliance date of 2025-12-16, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.
Report Facts
Previous deficiencies cited: Deficiencies cited on 2025-11-25 and corrected by 2025-12-16
An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 2025-11-25.
Findings
All deficiencies have been corrected as of the compliance date of 2025-12-16, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.
An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 2025-11-25.
Findings
All previously cited deficiencies have been corrected as of the compliance date of 2025-12-16, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.
Report Facts
Previous deficiencies cited: Deficiencies cited on 2025-11-25, all corrected by 2025-12-16
The inspection was a resurvey with attached complaints 196897, 192450, and 189088 at an assisted living facility to assess compliance with negotiated service agreements and other regulatory requirements.
Findings
The facility failed to ensure negotiated service agreements were fully developed for multiple residents based on their functional capacity screens and service needs. Medication labeling and storage deficiencies were found, including unlabeled medications and expired medications. Incident documentation was incomplete for discharged and deceased residents. The facility also failed to secure chemicals in locked areas, posing safety risks.
Complaint Details
The visit was a resurvey with attached complaints numbered 196897, 192450, and 189088.
Severity Breakdown
SS=E: 4SS=F: 1
Deficiencies (5)
Description
Severity
Negotiated Service Agreements (NSA) were not fully developed for residents R1, R2, R3, R4, R6, and R7, missing descriptions of services provided for cognition, communication, impaired decision making, and fall prevention.
SS=E
Prescription medication containers lacked pharmacist-provided labels, including an insulin glargine pen without resident name or label.
SS=E
Medications were not stored according to manufacturer or pharmacy recommendations; several insulin pens and other medications lacked dates opened or were expired.
SS=E
Licensed staff failed to document all incidents, symptoms, and indications of illness or injury including date, time, action taken, and results for residents R4, R5, and R6 during discharge or death.
SS=E
Facility failed to ensure all chemicals were stored within locked areas; multiple chemicals including air fresheners, disinfectants, and cleaners were found unsecured in public bathrooms and housekeeping carts.
An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 2022-08-22.
Findings
All deficiencies cited in the previous inspection have been corrected as of the compliance date of 2022-09-06, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.
Report Facts
Previous deficiencies cited: Deficiencies cited on 2022-08-22
The inspection was a resurvey with complaints (#169511 and #164206) conducted at Vintage Park at Wamego LLC on 08/22/22.
Findings
The facility failed to review and revise negotiated service agreements annually for sampled residents, failed to ensure licensed nurse oversight for health care services including bed assistive devices, failed to perform annual medication self-administration assessments, failed to administer medications according to physician orders, failed to label over-the-counter medications with resident names, failed to maintain proper food temperature logs and food storage sanitation, and failed to comply with tuberculosis screening guidelines for new employees.
Complaint Details
The inspection was a resurvey with complaints #169511 and #164206.
Severity Breakdown
SS=E: 4SS=D: 3SS=F: 2
Deficiencies (8)
Description
Severity
Failed to ensure review and revision of negotiated service agreements at least once every 365 days for sampled residents.
SS=E
Failed to ensure licensed nurse provided or coordinated necessary health care services regarding use of bed assistive devices for resident R319.
SS=D
Failed to ensure a licensed nurse performed annual assessment for residents self-administering medications.
SS=D
Failed to ensure all medications and treatments were administered in accordance with medical care provider's written orders.
SS=D
Failed to ensure licensed nurses or pharmacists placed the full name of the resident on each package of over-the-counter medications.
SS=E
Failed to ensure food was served at proper temperature; missing food temperature monitoring logs for multiple dates in July and August 2022.
SS=F
Failed to ensure all food was stored under safe and sanitary conditions; food items not sealed or dated, and refrigerator/freezer temperature logs missing since 08/05/22.
SS=F
Failed to ensure compliance with tuberculosis screening guidelines for new employees; TB testing and questionnaires were completed late for multiple staff.
SS=E
Report Facts
Census: 29Deficiencies cited: 8Missing food temperature log dates: 33Missing food temperature log dates: 31Employee records reviewed: 5
Employees Mentioned
Name
Title
Context
Operator/CNA A
Certified Nurse Aide
Named in multiple findings including failure to review negotiated service agreements, medication administration errors, food safety, and TB compliance.
CMA C
Certified Medication Aide
Named in TB screening deficiency.
CMA D
Certified Medication Aide
Named in TB screening deficiency.
CMA E
Certified Medication Aide
Named in TB screening deficiency.
Non-Certified Staff F
Staff
Named in TB screening deficiency.
Inspection Report Plan of CorrectionDeficiencies: 0Aug 22, 2022
Visit Reason
The document is a plan of correction related to a resurvey with complaints (#169511 and #164206) conducted at the facility on 08/22/22.
Findings
The plan of correction addresses citations found during the resurvey with complaints at the facility on 08/22/22.
Complaint Details
The resurvey was conducted in response to complaints #169511 and #164206.