Kansas Christian Home

Inspectors wroteBased on observation, record review, and interview, the facility failed to prepare and serve food under sanitary conditions to the residents of the facility appropriately to prevent the potential for food borne bacteria.

Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure residents received assistance with activities of daily living (ADL) including facial hair removal for Resident (R) 21 and assistance with nail care for R45, R6, R16, and R18.

Inspectors wroteBased on interview and record review, the facility failed to ensure informed consent including purpose, risks versus benefits, and expected therapeutic benefits for the use of antipsychotic (a class of medications used to treat major mental conditions that cause a break from reality), anti-anxiety (medication used to treat symptoms of anxiety, hypnotics (a class of medications used to induce sleep) and antidepressant (a class of medications used to treat mood disorders) medications for R4. This placed the resident at risk for adverse side effects of the medications and uninformed decisions.

Inspectors wroteBased on observation, interviews, and record review, the facility failed to ensure Resident (R) 38 received the opportunity to participate in the care planning process when staff failed to invite R38, or their responsible party to the care pan meetings.

Inspectors wroteBased on observation, interview, and record review, the facility failed to obtain a stop date for an as needed (PRN) antianxiety medication for R4 and R3's lorazepam (an antianxiety medication).

Inspectors wroteBased on observation, interview, and record review, the facility failed to report an allegation of abuse to the State Agency (SA) within the required time frame of the alleged incident(s) as required for Resident (R) 59.

Inspectors wroteBased on observation, interview, and record review, the facility failed to identify and implement resident-centered fall interventions for Resident (R) 4, who was at risk for falls.

Inspectors wroteBased on observation, interview, and record review, the facility failed to monitor Resident (R) 6's physician-ordered fluid restriction.

Inspectors wroteBased on observation, interview and record review, the facility's pharmacy consultant failed to report irregularities to the resident's physicians, the facility administrator and the director of nursing regarding the lack of stop dates for as needed (PRN) antianxiety medication for Resident (R)4 and R3's PRN lorazepam (an antianxiety medication).

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure collaboration between the facility and hospice which included a hospice (a program that gives special care to people who are near the end of life) service visit frequency, medications, medical equipment, and the resident representative's preference for Resident (R) 3.

Inspectors wroteBased on interviews, observation, and record review, the facility failed to ensure adequate hand hygiene eye medication administration for Resident (R) 47 and during a dressing change for R45.

Inspectors wroteBased on interview and record review the facility failed to offer and provide or obtain an informed declination for the pneumococcal vaccine (vaccine designed to prevent pneumonia [inflammation of the lungs which can be debilitating or lethal in the elderly]) for Resident (R) 4. Additionally, the facility failed to offer and provide or obtain informed declination for the influenza vaccine (vaccine designed to prevent highly contagious viral infection) form to R6.

Inspectors wroteBased on interview and record review the facility failed to offer and provide or obtain an informed declination for the COVID-19 vaccine (a vaccine designed to prevent highly contagious respiratory virus) for Resident (R) 6 and R21.

Inspectors wroteThe facility reported a census of 46 residents. The sample included three residents reviewed for neglect. Based on observation, interview, and record review, the facility failed to protect dependent Resident (R)1 from harm, when staff did not follow the resident's care plan, which instructed nursing staff to utilize a slide board (assist users and caregivers in the safe transfer from wheelchair to bed) to transfer the resident. On 10/18/24 at approximately 12:00 PM, Licensed Nurse (LN) G requested assistance from Certified Medication Aide (CMA) M when the resident requested to use the restroom. Certified Medication Aide (CMA) M entered the resident's room and observed the resident sitting in her wheelchair. CMA M offered to transfer R1 from her wheelchair to the bed to use the bed pan per her care plan, but the resident requested to use the toilet in the bathroom. [...]

Inspectors wroteThe facility reported a census of 47 residents. Based on observation, interview, and record review, the facility failed to store, prepare, and serve food in a sanitary manner to prevent possible foodborne illness for the residents in the facility.

Inspectors wroteThe facility reported a census of 47 residents. Based on observation, interview, and record review, the facility failed to conduct annual performance reviews for two of five Certified Nurse Aide/Medication Aides reviewed, to ensure the residents received adequate cares.

Inspectors wroteThe facility reported a census of 47 residents. Based on observation, interview and record review, the facility failed to monitor and serve food at safe palatable (pleasant to taste) temperatures as required.

Inspectors wroteThe facility identified a census of 47 residents, which included 16 residents sampled and reviewed for care plan development. Based on interview, observations, and record review, the facility failed to develop a comprehensive person-centered care plan for one resident. Resident (R) 35 comprehensive person-centered care plan was not completed in a timely manner of 21 days from admission. This deficient practice had the potential to lead to uncommunicated needs, which could lead to negative impacts on the resident's physical, mental and psychosocial well-being.

Inspectors wroteThe facility reported a census of 47 residents with 16 residents included in the sample. Based on observation, record review, and interview, the facility failed to review and revise the care plan for one Resident (R)1 regarding weekly weights and interventions to prevent further weight loss.

Inspectors wroteThe facility identified a census of 47 residents with 16 sampled. Based on observation, interview, and record review, the facility failed obtain daily weights as ordered on 03/28/24 for cognitively impaired Resident (R) 1, who had an identified weight loss. This deficient practice had the potential to negatively affect the resident's physical well-being.

Inspectors wroteThe facility reported a census of 52 residents. Based on observation and interview, the facility failed to store prepare and serve foods under sanitary conditions to the residents of the facility.

Inspectors wroteThe facility reported a census of 52 residents which included five residents reviewed for vaccine administration. Based on record review and interview, the facility failed to ensure residents who declined the influenza, pneumococcal and covid-19 vaccinations were provided with the benefits verses risk for these vaccines and had a system in place for acknowledgement of the benefit verses risk for declination of these vaccines.

Inspectors wroteThe facility reported a census of 52 residents with 16 selected for review. Based on observation, interview and record review, the facility failed to develop a baseline care plan for one newly admitted sampled resident (R)151, to include the resident's physical disability of right below knee amputation status.

Inspectors wroteThe facility reported a census of 52 residents with 16 selected for review. Based on observation, interview and record review, the facility failed to review and revise one sampled dependent resident (R) 27's care plan to include interventions and treatment for her left heel blister.

Inspectors wroteThe facility reported a census of 52 residents with sixteen selected for review which included one resident reviewed for hospice services and one resident reviewed for skin issues. Based on observation, interview and record review, the facility failed to coordinate wound care with the hospice provider for the one resident (R)151 and failed to provide a protective foot device for the one resident (R)27.

Inspectors wroteThe facility reported a census of 52 residents with 16 selected for review which included two residents reviewed for nutrition. Based on observation, interview and record review, the facility failed to provide recommended additional nutritional services for one of the two residents (R)12 reviewed for nutrition.

Inspectors wroteThe facility reported a census of 52 residents with 16 selected for review including five reviewed for unnecessary medications. Based on record review and interview, the facility failed to accurately monitor abd hold an antihypertensive medication (for high blood pressure) when the blood pressure was out of the physician ordered parameters for Resident (R)26 and failed to accurately monitor and notify the physician for R47 when the pulse was out of physician ordered parameters with an anti-hypertensive medication.