Advanced Health Care of Overland Park

Inspectors wroteThe facility identified a census of 38 residents. The sample included six residents with three residents reviewed for abuse/neglect. Based on record review and interviews, the facility failed to submit completed investigations within the required five working-day timeframe following reported allegations to the State Agency (SA) for Residents (R) 1 and R2.

Inspectors wroteThe facility identified a census of 38 residents. The sample included six residents with three residents reviewed for abuse/neglect. Based on record review and interviews, the facility failed to conduct a complete investigation to rule out abuse and neglect after receiving allegations from representatives for Resident (R) 1 and R2.

Inspectors wroteThe facility identified a census of 35 residents with one kitchen. Based on observation, record review, and interviews, the facility failed to maintain sanitary dietary standards related to food storage. This deficient practice placed the residents who received food from the facility kitchen at risk related to food-borne illnesses and food safety concerns.

Inspectors wroteThe facility identified a census of 35 residents. The sample included 12 residents. Based on interview and record review, the facility failed to develop and implement a policy that prohibited and prevented the facility from employing or engaging staff with criminal backgrounds when the facility failed to conduct a background check as required for one employee and the facility policy allowed for 10 days of employment prior to the check. The deficient practice placed all residents at risk for abuse, neglect, misappropriation, or mistreatment.

Inspectors wroteThe facility had a census of 35 residents. The sample included 12 residents with three reviewed for accidents. Based on observation, record review, and interview, the facility failed to ensure a safe environment free from hazardous chemicals and materials for eight cognitively impaired independently mobile residents. This deficient practice placed the residents at risk for preventable accidents and injuries. Findings Included: - On 09/23/24 at 07:30 AM a walkthrough of the facility's Two Hall revealed an unlocked wound treatment cart. The cart contained multiple bottles of medicated diclofenac (used to treat pain) and nystatin (used to treat fungal infections) ointments with the warning of Keep medication out of reach of children. The cart also contained three purple containers of Sani-Cloth bleach wipes with the Keep out of reach from children warning label. [...]

Inspectors wroteThe facility identified a census of 35 residents. The sample included 12 residents with one reviewed for accommodation of needs. Based on record review, interviews, and observations, the facility failed to ensure Resident (R) 75 had her call light to communicate her needs or call for help. This deficient practice placed the resident at risk for unmet care needs. Findings Including: - The Medical Diagnosis section within R75's Electronic Medical Records (EMR) included diagnoses of fracture of her sacrum (bone break of the large triangular bone/area between the two hip bones), fracture of the lumber vertebra (spinal fracture of the lower back), insomnia (difficulty sleeping), and history of repeated falls. R75's admission Minimum Data Set (MDS) completed 09/20/24 noted a Brief Interview for Mental Status (BIMS) score of 11 indicating mild cognitive impairment. [...]

Inspectors wroteThe facility identified a census of 35 residents. The sample included 12 residents with three residents reviewed for beneficiary notices review. Based on record review, and interviews, the facility failed to provide Resident (R)82 with a Centers for Medicare and Medicaid Services (CMS) Notice of Medicare Non-Coverage (NOMNC) CMS -10095 Form upon discharge from Medicare A services. This deficient practice placed the resident at risk for uninformed decisions and inability to exercise her rights. Findings Included: - R82's Discharge Minimum Data Set (MDS) completed 08/30/24 noted a Brief Interview for Mental Status (BIMS) score of 15 indicating intact cognition. The MDS indicated she was discharged home and was not anticipated to return to the facility. [...]

Inspectors wroteThe facility identified a census of 35 residents. The sample included 12 residents with three reviewed for activities of daily living (ADLs). Based on observation, record review, and interviews, the facility failed to provide consistent bathing opportunities for Residents (R)18. This deficient practice placed R16 at risk for decreased psychosocial well-being and other complications. Findings Including: - The Medical Diagnosis section within R18's Electronic Medical Records (EMR) included diagnoses of malignant neoplasm of the pancreas (pancreatic cancer), nausea with vomiting, and gastroesophageal reflux disease (GERD-backflow of stomach contents to the esophagus). R18's admission Minimum Data Set (MDS) completed 09/08/24 revealed a Brief Interview for Mental Status (BIMS) score of 15 indicating intact cognition. [...]

Inspectors wroteThe facility identified a census of 35 residents. The sample included 12 residents with three reviewed for bowel and bladder management. Based on observation, record review, and interviews, the facility failed to ensure appropriate Foley catheter (a tube inserted into the bladder to drain urine into a collection bag) care for Resident (R)16 when staff failed to maintain the urine collection bag below R16's bladder to encourage dependent drainage. This deficient practice placed R16 at risk for catheter-related complications including urinary tract infections (UTI). Findings Including: [...]

Inspectors wroteThe facility identified a census of 35 residents. The sample included 12 residents with two reviewed for nutritive diets. Based on observation, record review, and interviews, the facility failed to ensure meals were served at a palatable, safe, and appetizing temperature for Residents (R)75 and R76. This deficient practice placed the residents at risk for impaired nutrition and decreased quality of life.

Inspectors wroteThe facility identified a census of 35 residents. Based on record reviews, observations, and interviews, the facility failed to follow sanitary infection control standards related to maintaining biliary drains (catheter drain inserted in the liver) and Foley catheters (a tube inserted into the bladder to drain urine into a collection bag). These deficient practices placed the residents at risk for infectious diseases. Findings Included: - On 9/23/24 at 08:15 AM Resident(R)75 slept in her bed. R75's bed was in the lowest position and her urinary catheter collection bag rested flat on the floor to the right of her bed. On 09/23/24 at 10:18 AM R18 slept in her bed. R18's bed was in the lowest position. R18's tubing for her biliary drain ran over her covers to the right side of her bed. Her drainage collection bag rested on the floor to the right of her bed. [...]

Inspectors wroteThe facility identified a census of 38 residents. The sample included three residents reviewed for accidents. Based on record review, interview, and observations, the facility failed to identify hazards and implement adequate supervision and care to ensure safe smoking for Resident (R) 1. R1 admitted to the facility on [DATE] at approximately 01:00 PM. R1 was alert and oriented to person place time and situation and received oxygen via nasal cannula at six liters per minute (LPM). At 05:15 PM on 12/08/23, Certified Nurse Aide (CNA) M took R1 outside for a cigarette break while R1 wore his oxygen. CNA M locked R1's wheelchair brakes and went back inside. Between 05:26 PM and 05:29 PM, R1 lit his cigarette. Around 05:34 PM R1's nasal cannula ignited. R1 removed the nasal cannula, shook it, and attempted to put out the flame. [...]

Inspectors wroteThe facility identified a census of 30 residents. The facility had one main kitchen and one dining area. The facility failed to ensure that staff members properly tested the dishwashing sanitization chemicals and recording the dish machine temperatures. The facility also failed to ensure the ice machine lid was closed in the nourishment area was closed This deficient practice placed residents at risk for contamination and food borne illness.

Inspectors wroteThe facility had a census of 56 residents. The sample included 12 residents. Based on observation, record review and interview the facility failed to secure chemicals in a safe, locked area, and out of reach of the five cognitively impaired independently mobile residents. This placed the affected residents at risk for accidents. Findings Included: - On 02/23/23 at 07:05 AM an initial walkthrough of the facility revealed opened Micro-Kill germicidal cylindrical containers of disinfectant wipes were in the hallway, unsecured, outside of Residents (R)7, R23, R88, R90, and R142's rooms. The disinfectant wipes were also noted outside of unoccupied rooms 104, 105, 108, 114, and 134. The walkthrough revealed 12 total containers of chemical wipes left unsecured. [...]

Inspectors wroteThe facility identified a census of 30 residents. The sample included 12 residents with two residents reviewed for care plan revisions related to accidents. Based on observation, record review, and interviews, the facility failed to revise Residents (R)15 and R33's care plans to reflect interventions implemented for recent falls. This deficient practice placed both residents at risk for uncommunicated care needs. Findings Included: - The Medical Diagnosis section within R15's Electronic Medical Records (EMR) included diagnoses of multiple sclerosis (progressive disease of the nerve fibers of the brain and spinal cord), fibromyalgia (condition of musculoskeletal pain, spasms, stiffness, fatigue and severe sleep disturbance), muscle spasms, anxiety disorder (mental or emotional reaction characterized by apprehension, uncertainty and irrational fear), and muscle weakness. [...]

Inspectors wroteThe facility identified a census of 30 residents. The sample included 12 residents with two reviewed for activities of daily living (ADL). Based on observations, record review, and interviews, the facility failed to provide consistent bathing opportunities and the level of assistance required for Resident (R)15. This deficient practice placed R15 at risk for impaired skin integrity, discomfort, and decreased psychosocial well-being. Findings Included: -The Medical Diagnosis section within R15's Electronic Medical Records (EMR) included diagnoses of multiple sclerosis (progressive disease of the nerve fibers of the brain and spinal cord), fibromyalgia (condition of musculoskeletal pain, spasms, stiffness, fatigue and severe sleep disturbance), muscle spasms, anxiety disorder (mental or emotional reaction characterized by apprehension, uncertainty and irrational fear), and muscle weakness. [...]

Inspectors wroteThe facility identified a census of 37 residents. The sample included 13 residents with five residents sampled for unnecessary medication review. Based on observation, record review, and interview, the facility failed to ensure the Consultant Pharmacist (CP) identified and reported to the facility irregularities (bowel monitoring was not being documented daily for Resident (R)23, weights were not obtained as ordered for R81 and R82, blood sugars were not obtained as ordered for R78). This deficient practice placed the residents at increased risk for complications related to unnecessary medications and adverse effects.

Inspectors wroteThe facility identified a census of 37 residents. The sample included 13 residents with five residents sampled for unnecessary medication review. Based on observation, record review, and interview, the facility failed to ensure that bowel monitoring was being documented daily and bowel medications administered as ordered for Resident (R)23 and R78, weights were obtained as ordered for R81, and R82, and blood sugars were obtained as ordered for R78. This deficient practice placed the residents at increased risk for complications related to unnecessary medications and adverse effects.

Inspectors wroteThe facility identified a census of 37 residents, two medication carts, one treatment cart, and one medication storage room. Based on observations, record reviews, and interviews, the facility failed to discard expired medications and influenza (a common viral infection that can be deadly, especially in high-risk groups) vaccinations; failed to properly store and date Tubersol (tuberculin purified protein derivative [PPD- sterile solution of a purified protein derivative used in the diagnosis of tuberculosis]); failed to properly store and date insulin (medication used to treat a chronic condition that affected the way the body processed blood sugar); failed to properly store and date medicated eye drops; [...]

Inspectors wroteThe facility identified a census of 37 residents. The sample included 13 residents; one resident sampled for hospitalization. Based on record review and interviews, the facility failed to provide a written notification of transfer, as soon as was practicable, to Resident (R) 178 or to her family/durable power of attorney (DPOA- legal document that named a person to make healthcare decisions when the resident was no longer able to). This deficient practice had the risk of miscommunication between facility and resident/family and possible missed opportunity for healthcare services.

Inspectors wroteThe facility identified a census of 37 residents. The sample included 13 residents with three residents sampled for falls. Based on observations, record reviews, and interviews, the facility failed to investigate causative factors and ensure interventions were followed for the prevention of falls for Resident (R) 8. This deficient practice placed R8 at increased risk for further falls, possible injuries from falls, and unwarranted physical complications.

Inspectors wroteThe facility identified a census of 38 residents. The sample included 13 residents with five residents reviewed for medications. Based on record review, observations and interviews, the facility failed to ensure Resident (R)18 was free from unnecessary psychotropic (affecting mood or thinking) medications when the facility failed to ensure R18's as needed (PRN) lorazepam ( psychotropic antianxiety medication) had the required stop date of 14 days. This placed R18 at risk for unnecessary medications and side effects associated with lorazepam use.

Inspectors wroteThe facility identified a census of 37 residents, the sample included 13 residents. Based on observations, record reviews, and interviews, the facility failed to perform hand hygiene after doffing (removing) gloves or before donning (putting on) gloves during dressing changes. This deficient practice had the risk to spread illness and infection to all residents and prolonged wound healing for Resident (R) 179 and 78.