| General |
| City |
| Wichita |
Leavenworth |
| State attribute explanation |
| Ks |
Ks |
| Street |
| 5005 E 21st St N |
1503 |
| Zip Code |
| 67,208 |
66,048 |
| Phone |
| 3,166,859,291 |
9,137,721,844 |
|
Overall Star Rating |
| 1 |
3 |
|
Health Inspections Star Rating |
| 1 |
2 |
|
Nurse Staffing Star Rating |
| 3 |
4 |
|
Quality Measures Star Rating |
| 4 |
3 |
|
RN Only Star Rating |
| 2 |
4 |
|
Number of Certified Beds |
| 96 |
80 |
|
Total Number of Residents |
| 86 |
63 |
|
Percent of Occupied Beds |
| 90 % |
79 % |
| Health Survey Date |
| 2/6/2012 |
12/6/2011 |
| Fire Survey Date |
| 10/20/2011 |
4/6/2011 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| For Profit - Corporation |
For Profit - Corporation |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| Yes |
Yes |
| Resident and Family Councils |
| Both |
Resident |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| Yes |
Yes |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 2 |
75.2 |
| Total Enforcement Actions Count |
| 2 |
75.2 |
| # of deficiencies |
| 15 |
23 |
|
| Staff Information |
| Number of Residents |
| 86 |
63 |
| Number of RN Hours Per Resident Per Day |
| 0.34 |
0.58 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.83 |
1.03 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.17 |
1.61 |
| Number of CNA Hours Per Resident Per Day |
| 0.02 |
0.02 |
| Number Therapy Hours Per Resident Per Day |
| 0.02 |
0.02 |
| Environmental Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 2deficiency: Make Sure That A Working Call System Is Available In Each Resident's Room Or Bathroom And Bathing Area.survey Date: 02/06/2012date Of Correction: 02/27/2012 |
Scope: Somelevel Of Harm: 2deficiency: Make Sure That A Working Call System Is Available In Each Resident's Room Or Bathroom And Bathing Area.survey Date: 02/28/2012date Of Correction: 03/29/2012 |
| Deficiency #2 |
| Scope: Manylevel Of Harm: 2deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.survey Date: 02/06/2012date Of Correction: 02/27/2012 |
Scope: Somelevel Of Harm: 2deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 01/26/2011date Of Correction: 02/25/2011 |
| Deficiency #3 |
| Scope: Manylevel Of Harm: 4deficiency: Maintain Comfortable And Safe Temperature Levels.survey Date: 07/26/2011date Of Correction: 08/25/2011 |
Scope: Manylevel Of Harm: 2deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.survey Date: 08/24/2010date Of Correction: 09/23/2010 |
| Deficiency #4 |
| Scope: Fewlevel Of Harm: 4deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 04/14/2010date Of Correction: 04/19/2010 |
Scope: Somelevel Of Harm: 2deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 08/24/2010date Of Correction: 09/23/2010 |
| Deficiency #5 |
| Scope: Somelevel Of Harm: 2deficiency: Make Sure That A Working Call System Is Available In Each Resident's Room Or Bathroom And Bathing Area.survey Date: 01/05/2010date Of Correction: 02/02/2010 |
Scope: Somelevel Of Harm: 2deficiency: Provide Housekeeping And Maintenance Services.survey Date: 08/24/2010date Of Correction: 09/23/2010 |
| Deficiency #6 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 01/05/2010date Of Correction: 02/02/2010 |
Scope: Somelevel Of Harm: 2deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 06/30/2009date Of Correction: 07/30/2009 |
| Deficiency #7 |
|
Scope: Somelevel Of Harm: 2deficiency: Provide Housekeeping And Maintenance Services.survey Date: 06/30/2009date Of Correction: 07/30/2009 |
| Mistreatment Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: 1) Hire Only People With No Legal History Of Abusing, Neglecting Or Mistreating Residents; Or 2) Report And Investigate Any Acts Or Reports Of Abuse, Neglect Or Mistreatment Of Residents.survey Date: 02/28/2012date Of Correction: 03/29/2012 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 3deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.survey Date: 02/28/2012date Of Correction: 03/29/2012 |
| Resident Rights Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 2deficiency: Listen To The Resident Or Family Groups Or Act On Their Complaints Or Suggestions.survey Date: 01/05/2010date Of Correction: 02/02/2010 |
|
| Deficiency #2 |
| Scope: Somelevel Of Harm: 2deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.survey Date: 01/05/2010date Of Correction: 02/02/2010 |
|
| Quality Care Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Medically-related Social Services To Help Each Resident Achieve The Highest Possible Quality Of Life.survey Date: 02/28/2012date Of Correction: 03/29/2012 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 01/11/2012date Of Correction: 02/10/2012 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 3deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So.survey Date: 11/03/2011date Of Correction: 11/25/2011 |
| Deficiency #4 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Each Resident Who Enters The Nursing Home Without A Catheter Is Not Given A Catheter, And Receive Proper Services To Prevent Urinary Tract Infections And Restore Normal Bladder Function.survey Date: 08/24/2010date Of Correction: 09/23/2010 |
| Deficiency #5 |
|
Scope: Fewlevel Of Harm: 2deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.survey Date: 08/24/2010date Of Correction: 09/23/2010 |
| Deficiency #6 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 08/24/2010date Of Correction: 09/23/2010 |
| Deficiency #7 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 06/30/2009date Of Correction: 07/30/2009 |
| Resident Assessment Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.survey Date: 02/06/2012date Of Correction: 02/27/2012 |
Scope: Somelevel Of Harm: 2deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan.survey Date: 08/24/2010date Of Correction: 09/23/2010 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan.survey Date: 06/30/2009date Of Correction: 07/30/2009 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 2deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.survey Date: 06/30/2009date Of Correction: 07/30/2009 |
| Pharmacy Service Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 2deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.survey Date: 02/06/2012date Of Correction: 02/27/2012 |
Scope: Fewlevel Of Harm: 2deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist.survey Date: 01/26/2011date Of Correction: 02/25/2011 |
| Deficiency #2 |
| Scope: Somelevel Of Harm: 2deficiency: 1) Make Sure That Each Resident's Drug Regimen Is Free From Unnecessary Drugs; 2) Each Resident's Entire Drug/medication Is Managed And Monitored To Achieve Highest Well Being.survey Date: 02/06/2012date Of Correction: 02/27/2012 |
Scope: Fewlevel Of Harm: 2deficiency: 1) Make Sure That Each Resident's Drug Regimen Is Free From Unnecessary Drugs; 2) Each Resident's Entire Drug/medication Is Managed And Monitored To Achieve Highest Well Being.survey Date: 08/24/2010date Of Correction: 09/23/2010 |
| Deficiency #3 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.survey Date: 01/05/2010date Of Correction: 02/02/2010 |
Scope: Fewlevel Of Harm: 2deficiency: Keep The Rate Of Medication Errors (wrong Drug, Wrong Dose, Wrong Time) To Less Than 5%.survey Date: 06/30/2009date Of Correction: 07/30/2009 |
| Deficiency #4 |
| Scope: Fewlevel Of Harm: 2deficiency: 1) Make Sure That Each Resident's Drug Regimen Is Free From Unnecessary Drugs; 2) Each Resident's Entire Drug/medication Is Managed And Monitored To Achieve Highest Well Being.survey Date: 01/05/2010date Of Correction: 02/02/2010 |
|
| Nutrition and Dietary Deficiencies |
| Deficiency #1 |
| Scope: Manylevel Of Harm: 2deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.survey Date: 01/05/2010date Of Correction: 02/02/2010 |
Scope: Fewlevel Of Harm: 2deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.survey Date: 08/24/2010date Of Correction: 09/23/2010 |
| Deficiency #2 |
| Scope: Somelevel Of Harm: 2deficiency: Prepare Food That Is Nutritional, Appetizing, Tasty, Attractive, Well-cooked, And At The Right Temperature.survey Date: 01/05/2010date Of Correction: 02/02/2010 |
|
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 40.6 % |
20 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
4.1 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 2.20 % |
4.6 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 8.6:1 |
|
| Percent of long-stay residents who lose too much weight |
| 2.4 % |
3.7 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 21.7 % |
|
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 4.4 % |
3.5 % |
| Percent of long-stay residents with a urinary tract infection |
| 6 % |
75.2 % |
| Percent of long-stay residents who have depressive symptoms |
| 3.5 % |
5.6:1 |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
75.2 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
|
94.1 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 20.8 % |
96.2 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
|
75.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 5.9 % |
5.5 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 37.6 % |
31.6 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
4.8 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 4.5 % |
12.2 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 4.4 % |
9.6 % |
| Percent of long-stay residents who lose too much weight |
| 2.8 % |
7.6 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 21.9 % |
40 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 4.6 % |
1.9 % |
| Percent of long-stay residents with a urinary tract infection |
| 11.3 % |
75.2 % |
| Percent of long-stay residents who have depressive symptoms |
| 4.2 % |
7.5 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
75.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 5.1 % |
6.8 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 16.7 % |
18.9 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 59.5 % |
93.6 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 23.1 % |
92.9 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 4 % |
24.8 % |