Advanced Rehabilitation and Healthcare of Wichita

Inspectors wroteBased on observation, interviews, and record review, the facility failed to ensure the menus were followed for 1 of 1 facility for food and nutrition services. The facility failed to follow the meal posted for lunch or dinner. The facility failed to post and follow the current week's menu in the dietary department. The facility failed to post the current week's menu where the residents can see it. This failure could result in the lack of knowledge and lead to nutritional, physical, and psychosocial upset.

Inspectors wroteBased on observation, interviews, and record review, the facility failed to provide written notice to the State Agency responsible for licensing the facility at the time of change, for a change in the facility's administrator for 1 of 1 facility reviewed for administration. The facility failed to notify the State Agency of a change in the facilities administrator within 30 days. This failure could result in the lack of knowledge and inability to connect with the appropriate leadership of the facility.

Inspectors wroteBased on observation, interview, and record review, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen, in that:1. Dietary Aide D was wearing gloves while rinsing dirty dishes and loading the dish racks for the dish machine. He stated he washed his gloves (gloved hands) before touching the clean dishes.2. The walk-in freezer had rack shelf units with open cardboard boxes/cases with bagged food items open to the air and not sealed - 1 box with enchiladas; 2 boxes with meat patties.3. The deep fryer units interior surfaces were soiled with dried and fried food crumbs and breading crumbs.4. The reach-in refrigerator had a square plastic container labeled and dated as lemon pudding 3/02/2026. The lid was warped and did not securely fit the container.5. [...]

Inspectors wroteBased on interviews and record reviews the facility failed to readmit the resident, when the hearing officer determines that the discharge was inappropriate, the facility, uopn written notification by the hearing officer, must readmit the resident immediately, or to the next availble bed. The facility failed to readmit (Resident #1) of two Residents reviewed for discharge requirement. 1) The facility failed and refused to readmit Resident #1 from the hospital where she was transferred for evaluation and treatment. 2) The facility did not permit resident to return to the facility after the appeal ruled the facility must reverse their decision to discharge the resident. 3) The facility did not permit Resident #1 to remain in the facility for 30 days after giving her 30-day discharge notice as required. [...]

Inspectors wroteBased on interview and record review, the facility failed to ensure the right to be free from verbal abuse for 1 of 1 resident reviewed for mistreatment, (Resident #1). On 02/02/25 at 1:00 pm, LVN A began arguing with Resident #1. LVN A continued arguing after being asked to stop by other staff repeatedly, and continued to anger and upset Resident #1. This failure could place residents at risk for resident mistreatment.

Inspectors wroteBased on interviews and record review, the facility failed to permit each resident to remain in the facility, and not transfer or discharge the resident from the facility unless the discharge was necessary for the resident's welfare and the resident's needs could not be met in the facility for 1 of 1 resident (Resident #2 reviewed for discharge requirements. The facility failed to readmit Resident #2 after being admitted to the hospital, while facility initiated discharge was Pending Appeal. This failure placed residents at risk of not receiving necessary care and services. .

Inspectors wroteBased on interviews and record review, the facility failed to implement its policies and procedures to prohibit and prevent abuse, neglect and exploitation of residents and misappropriation of resident property for 4 of 4 staff members (ADM, DON, ADON and CNA B) reviewed for abuse protocol. The facility failed to complete annual Criminal Background Checks for the ADM, DON, ADON and CNA B. This failure could place residents at risk for abuse, neglect, and exploitation.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure it was free of medication error rates of five percent or greater. There were 4 medication errors out of 28 opportunities, resulting in a medication error rate of 14% involving 4 of 10 residents (Resident #s #151, #113, #39, & #80) reviewed for medication errors. A. On 12/4/24 at 11:29 am, LVN A administered Micafungin Sodium IV to a Resident #151 at the incorrect physician ordered administration time. B. On 12/4/24 at 11:38 am, LVN A failed to prime the insulin needle prior to administering Novolog 100 units/ml via a Flex Pen to Resident #113. C. On 12/4/24 at 11:44 am, LVN A failed to prime the insulin needle prior to administering Humalog 100 units/ml via a Flex Pen to Resident #39. D. [...]

Inspectors wroteBased on observation, interviews, and record reviews, the facility failed to provide an appetizing temperature meal for 3 of 3 residents reviewed for meal palatability. The facility failed to serve meals at palatable, attractive, and at an appetizing temperature for residents #105, #25 and #27 served their meals in their rooms. This failure could affect the residents by placing them at risk for malnutrition due to not providing appetizing temperature meal.

Inspectors wroteBased on observation, interview, and record review, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 1 of 33 residents (Residents #39) reviewed for infection control. The facility failed to ensure LVN A donned (put on) Personal Protective Equipment (PPE), as required for residents who were on transmission-based precautions (TBP), when she entered Resident #39's room. This failure could place residents at risk for infections.

Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to implement care interventions in accordance with each resident's written plan of care for 1 of 3 residents (Resident #s 1) whose care was reviewed in that: The facility failed to implement ADL transfer interventions for Resident #1 as care planned. This failure could affect residents that required assistance with transfers.

Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to provide supervision to prevent accidents for 1 of 3 residents (Resident #s 1) whose care was reviewed in that: The facility failed to implement ADL transfer interventions for Resident #1 . This failure could affect residents that required assistance with transfers.

Inspectors wroteBased on interview and record review, the facility failed to ensure professional staff were licensed for 1 of 41 nursing staff (Staff A) reviewed. Staff A's LVN license had not been renewed as of [DATE] causing her LVN license to be delinquent. This deficient practice could place residents at risk of having receiving care from unlicensed staff to provide proper medical care.

Inspectors wroteBased on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in the facility's only kitchen reviewed for food and nutrition services. The facility failed to ensure Dietary Aide A wore effective hair restraints while preparing lunch. This failure could affect residents by placing them at risk for food borne illness.

Inspectors wroteBased on Observation, interview and record review the facility failed to ensure the MDS assessment accurately relected the resident's status for 1 of 11 resident (Resident #4) reviewed for assessments. The facility failed to address skin conditions under Section M (Skin Conditions) : This failure could place residents at risk of worsening of skin conditions.

Inspectors wroteBased on observation, interview and record review the facility failed to ensure a resident who was fed by enteral means received the appropriate treatment and services to restore, if possible, oral eating skills and to prevent complications of enteral feeding which included but not limited to aspiration, pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities and nasal-pharyngeal ulcers for one of 1 resident (Resident #) reviewed for enteral nutrition. RN D failed to check placement of Resident #17's g-tube before starting the medication administration via g-tube feeding as required to avoid medical complications. This failure could place residents at risk for aspiration pneumonia and ineffective medication absorption.

Inspectors wroteBased on observation, interview and record review the facility failed to provide pharmaceutical services, including procedures that assure the accurate acquiring, receiving, dispensing and administering of all drugs and biologicals to meet the needs of each resident for 9 of 9 residents (Residents #40, #33, #36, #130, #68, #49, #26, #124 and #145) reviewed for pharmacy services. The facility failed to accurately monitor and document controlled drugs for 9 residents with medications stored on 1 of 4 Medication carts (2300 hall medication cart) reviewed for narcotic reconciliation. This failure could place residents at risk of medication overdose, medication under-dose, and ineffective therapeutic outcomes, and drug diversion.

Inspectors wroteBased on observation, interview and record review the facility failed to ensure, in accordance with State and Federal laws, all drugs and biologicals were in locked compartments under proper temperature controls, and permitted only authorized personnel to have access to the keys for 1 of 4 medication carts (2300 hall med cart) reviewed for medication storage . The facility failed to ensure the 2300 hall medication cart did not contain loose pills. This failure could place residents at risk of receiving incorrect medications or ineffective therapeutic doses.

Inspectors wroteBased on observation, interview and record review the facility failed to, in accordance with accepted professional standards and practices, maintain clinical records on each resident that were complete and accurately documented for 1 of 11 residents (Resident #4) reviewed for clinical records. The facility failed to ensure Resident #4's electronic record reflected the residents skin conditions including the appearance, and treatment. This failure could place residents at risk of worsening skin integrity and decline in comfort level .

Inspectors wroteBased on observation, interview and record review the facility failed to post the nurse staffing data on a daily basis at the beginning of each shift that was in a clear and readable format and in a prominent place readily accessible to residents and visitors for 1 of 4 reviewed for nursing services. 4 The facility failed to update and post the daily nurse staffing information on 11/17/2023. This failure could place residents at risk of not having access to information regarding staffing data and facility census.