Inspection Reports for Wesley Towers Inc

An offsite revisit survey was conducted on 07/24/2018 for all previous deficiencies cited on 06/14/2018.

All deficiencies have been corrected as of the compliance date of 07/11/2018, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.

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.

The survey found a 'F' level deficiency that was widespread and constituted no actual harm but had potential for more than minimal harm without immediate jeopardy. The facility submitted a plan of correction which was accepted, and the facility was found to be in substantial compliance effective 07/11/2018.

This document is a Plan of Correction submitted in response to deficiencies cited during a QIS survey conducted at Wesley Towers on June 14, 2018.

The plan addresses deficiencies related to maintaining a sanitary kitchen environment, ensuring appropriate hand hygiene and cleaning responsibilities, and effective infection control in housekeeping, particularly disinfection of isolation rooms with proper sanitizer wet times.

The inspection was conducted as a Health Resurvey and Complaint Investigations #102100, #100764, and #102610 to assess compliance with food safety and infection control regulations.

The facility failed to maintain a sanitary kitchen environment in 2 of the 7 kitchenettes and did not maintain adequate hand hygiene practices in the main kitchen. Additionally, housekeeping failed to properly sanitize a resident's isolation room, not allowing adequate wet time for disinfectant, risking infection spread.

The visit was complaint-related, involving Health Resurvey and Complaint Investigations #102100, #100764, and #102610.

This post-certification revisit was conducted to verify that previously identified deficiencies reported on the CMS-2567 Statement of Deficiencies and Plan of Correction have been corrected.

All previously reported deficiencies were corrected as of the revisit date, with corrections completed for multiple regulatory requirements including 483.25(h), 483.35(i), 483.60(b),(d),(e), and 483.65.

A Health survey was conducted to determine if the facility is in compliance with Federal participation requirements for nursing homes participating in Medicare and/or Medicaid programs.

The survey found the most serious deficiencies to be 'E' level deficiencies, pattern, constituting no actual harm but 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.

This document is a Plan of Correction submitted in response to deficiencies cited during a QIS survey conducted at Wesley Towers on March 2, 2016.

The plan addresses multiple deficiencies related to chemical safety in the beauty shop, sanitary handling of drinks, medication management including dating and disposal of medications, and adherence to manufacturer recommendations for cleaning chemicals to maintain a sanitary environment.

The inspection was conducted as a Health Resurvey and Complaint Investigation #85346 to assess compliance with safety, sanitary, medication, and infection control regulations.

The facility was found deficient in maintaining a safe environment due to unlocked hazardous chemicals, improper sanitary handling of drinkware, failure to label and date medications properly, failure to remove expired medications, and inadequate infection control practices related to disinfectant wet times.

The visit was triggered by a complaint investigation #85346. The findings included unsafe chemical storage, unsanitary food handling, medication labeling and expiration issues, and infection control lapses.

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.

The survey found the most serious deficiency to be at an 'F' level, indicating no harm but with potential for more than minimal harm that is not immediate jeopardy. The facility was required to submit an acceptable plan of correction within ten calendar days.

This post-certification revisit was conducted to verify that previously identified deficiencies reported on the CMS-2567 Statement of Deficiencies and Plan of Correction have been corrected.

The revisit report confirms that the deficiencies identified under regulations 483.15(a) and 483.25(h) were corrected as of 05/08/2015.

An abbreviated survey was conducted by the Kansas Department for Aging & Disability Services to determine if the facility is in compliance with Federal participation requirements for nursing homes participating in Medicare and/or Medicaid programs.

The survey found the most serious deficiencies to be 'D' level, indicating no actual harm but with potential for more than minimal harm that is not immediate jeopardy. The facility submitted a plan of correction which was accepted, resulting in a finding of substantial compliance effective May 8, 2015.

Complaint survey #84447 was conducted to investigate concerns related to resident care, dignity, respect, and fall prevention.

The facility failed to maintain resident dignity and respect, failed to prevent accidents by not thoroughly investigating falls or updating care plans for three residents, and did not timely update comprehensive care plans with new interventions to prevent further falls.

The complaint survey #84447 focused on dignity and respect issues and fall prevention failures for residents #1, #2, and #3.

This document is a Plan of Correction submitted in response to deficiencies cited during a complaint investigation survey at Wesley Towers.

The plan addresses deficiencies related to dignity and respect in resident care, fall management policies, and communication with residents and families. It outlines corrective actions including staff training, policy review, and ongoing quality assurance monitoring.

This Plan of Correction is in response to a complaint investigation at Wesley Towers, addressing alleged deficiencies related to resident care and communication.

This revisit report documents the correction of deficiencies previously reported during a prior survey, verifying that corrective actions were accomplished.

The report confirms that the previously cited deficiency identified by regulation 28-39-256 with prefix code S3420 was corrected as of 01/09/2015.

This document is a Plan of Correction submitted in response to deficiencies cited during a QIS survey at Wesley Towers ALF.

The plan addresses water temperature concerns where no harm was caused to residents; corrective actions include routine monthly water temperature checks, staff retraining, and ongoing monitoring reviewed by the Quality Assurance Committee.

The licensure survey of the assisted living facility was conducted to assess compliance with mechanical requirements including heating, air conditioning, plumbing, and electrical systems.

The facility failed to maintain hot water temperatures between 98 and 120 degrees Fahrenheit in common areas accessible to residents, with observed temperatures exceeding the acceptable range. Maintenance staff adjusted the water heater setting during the survey and staff confirmed the temperatures were too hot.

This post-certification revisit was conducted to verify that previously identified deficiencies reported on the CMS-2567 Statement of Deficiencies and Plan of Correction have been corrected.

All deficiencies previously cited with various regulation numbers were corrected as of the revisit date, 12/12/2014.

This document is a Plan of Correction responding to deficiencies cited during a QIS survey at the facility.

The plan outlines corrective actions for multiple deficiencies including catheter care, care plan completeness, fall prevention, staffing, food handling, medication management, and resident dining preferences. The facility commits to policy revisions, staff education, competency checks, monitoring, and quality assurance reviews to ensure compliance and improve resident care.

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.

The survey found the most serious deficiencies to be an 'F' level deficiency, widespread, constituting no actual harm but 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 effective December 12, 2014.

The inspection was a health resurvey to assess compliance with federal regulations related to resident care, safety, and facility operations.

The facility was found deficient in multiple areas including dignity and respect for residents, provision of medically related social services, development and revision of comprehensive care plans, urinary catheter care, fall prevention and supervision, staffing sufficiency, food safety and handling, medication management, and dining room adequacy.

A Life Safety Code survey was conducted on March 12, 2014, 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.

The survey found the most serious deficiencies to be an 'F' level deficiency, widespread, with no harm but potential for more than minimal harm, not constituting 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 was not achieved.

This is a post-certification revisit to verify that deficiencies previously reported on the CMS-2567 Statement of Deficiencies and Plan of Correction have been corrected.

All previously cited deficiencies listed with their regulation numbers were corrected as of the revisit date 08/18/2013.

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 the previously cited deficiencies under regulations 26-40-302 (b)(c) and 26-40-305 (c)(1)(2) were corrected as of 08/18/2013.

This revisit report documents the correction of deficiencies previously reported during an earlier survey and confirms the dates when corrective actions were completed.

The report indicates that the previously identified deficiency with regulation KSA 39-970(d) was corrected as of 08/18/2013. No other deficiencies or issues are noted.

This document is a Plan of Correction submitted by Wesley Towers in response to deficiencies cited during a QIS survey.

The plan outlines corrective actions for multiple deficiencies including privacy of electronic records, abuse reporting, care plan updates, medication management, food safety, environmental safety, and quality assurance processes. Each deficiency is addressed with specific corrective measures, staff education, and ongoing monitoring responsibilities.

Annual resurvey and complaint investigation to assess compliance with health and safety regulations in the facility.

The facility had multiple deficiencies including failure to ensure privacy of electronic resident records, failure to report and investigate abuse allegations, failure to revise care plans to reflect resident status changes, inadequate monitoring of fluid restrictions, failure to monitor and treat skin conditions properly, improper medication management including failure to clarify orders and monitor black box warnings, unsanitary food handling practices, unsecured hazardous chemicals, unlocked medication carts and rooms, and ineffective quality assurance monitoring.

This post-certification revisit was conducted to verify that deficiencies previously reported on the CMS-2567 Statement of Deficiencies and Plan of Correction had been corrected.

The report shows that all previously cited deficiencies identified by their regulation numbers (483.15(a), 483.20(g)-(j), 483.25(c), and 483.25(h)) were corrected as of the revisit date.

This document is a Plan of Correction submitted in response to deficiencies cited during a QIS survey of the facility.

The plan outlines corrective actions to address deficiencies related to resident dignity and respect, incontinence care, pressure ulcer assessment and treatment, and maintaining a safe resident environment free of accident hazards.

The visit was a resurvey to assess compliance following a prior inspection, focusing on deficiencies related to resident dignity, assessment accuracy, pressure ulcer care, and safety hazards.

The facility failed to promote dignity for residents in the special care unit by leaving incontinent pads on chairs, failed to accurately assess and document pressure ulcers including staging and treatment, and failed to maintain a safe environment by not securing hazardous chemicals in the beauty shop.