Medicalodges Atchison

Inspectors wroteBased on observation, interview, and record review, the facility failed to store, prepare, and served food in a sanitary manner for the residents who reside in the facility and receive meals from the facility kitchen.

Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure a sanitary and comfortable environment to help prevent the development and transmission of communicable diseases and infections when staff failed to change gloves or wash hands between cares for Resident (R)24. Staff also failed to place Enhanced Barrier Precautions (EBP-infection control interventions designed to reduce transmission of resistant organisms, which employ targeted gown and glove use during high contact care) signage on R3 and R6, who had Foley catheters (a tube inserted into the bladder to drain urine into a collection bag), and R20, who had a percutaneous endoscopic gastrostomy (PEG tube-a tube surgically placed through an artificial opening into the stomach). Staff also failed to wear appropriate EBP when providing wound care for R8. [...]

Inspectors wroteBased on observation, record review, and interview, the facility failed to develop a comprehensive care plan for one resident, Resident (R) 7 for his dentures and glasses.

Inspectors wroteThe facility identified a census of 39 residents. The sample included three residents reviewed for misappropriation of property. Based on observation, record review, and interviews, the facility failed to ensure Resident (R) 1 and R2 remained free from misappropriation of medications when during a random controlled substance audit it was discovered three of the nine entries from 03/01/25 to 03/26/25 for R1 and three out of six entries from 03/24/25 to 03/26/25 for R2 were signed out on the count sheet by Licensed Nurse (LN) G but were not documented on the Electronic Medication Administration Record (EMAR). Further investigation by the facility revealed LN G signed out medications as being destroyed using another nurse's initials and initials that were identified as not belonging to any member of the licensed facility staff. [...]

Inspectors wroteThe facility identified a census of 37 residents. The facility had one main kitchen. Based on observations, record reviews, and interviews, the facility failed to properly label and store food and failed to follow standards for food and supply storage. This deficient practice placed the residents at risk for foodborne illness.

Inspectors wroteThe facility had a census of 37 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 materials and equipment from nine cognitively impaired independently mobile residents. This deficient practice placed the residents at risk for preventable accidents and injuries. Findings Included: - On 06/25/24 at 07:05 AM a walkthrough of the facility was completed. An inspection of an unsecured soiled utility room on 100 Hall revealed multiple cleaning aerosol deodorizers, a spray bottle of Virex II (used to kill viral germs), and a laundry presoak chemical on a counter in the room. The items contained the warning, Keep out of reach of children, hazardous to humans can cause eye irritation, harmful if swallowed. [...]

Inspectors wroteThe facility identified a census of 37 residents. The facility identified four residents on enhanced barrier precautions (EBP-infection control interventions designed to reduce transmission of resistant organisms which employs targeted gown and glove use during high contact care). Based on record review, observations, and interviews, the facility failed to follow sanitary infection control standards related to the handling of soiled laundry and hand hygiene during care. These deficient practices placed the residents at risk for infectious diseases. Findings Included: -On 06/25/24 at 07:30 AM an inspection of the shower room next to the nurse's station revealed a pile of used towels placed directly on the floor of the shower room. On 06/26/24 at 07:17 AM Resident (R)1 lay on his bed. Certified Nurse's Aide (CNA) M put on an isolation gown, washed her hands, and donned her gloves. [...]

Inspectors wroteThe facility identified a census of 37 residents. The sample included 12 residents. Based on observation and interviews, the facility failed to provide a clean, home-like environment for Resident (R)11. This placed R11 at risk for impaired comfort and decreased psychosocial well-being.

Inspectors wroteThe facility identified a census of 37 residents. The sample included 12 residents with two reviewed for care plan revisions. Based on observation, record review, and interviews, the facility failed to revise Resident (R) 25's Care Plan to reflect her bed rail evaluation and current use. The facility additionally failed to revise R11's plan to reflect his weight monitoring. This deficient practice placed both residents at risk for uncommunicated care needs. Findings Included: - The Medical Diagnosis section within R25's Electronic Medical Records (EMR) diagnoses of Alzheimer's disease (progressive mental deterioration characterized by confusion and memory failure), insomnia (difficulty sleeping), hypertension (high blood pressure), and a history of repeated falls. [...]

Inspectors wroteThe facility identified a census of 37 residents. The sample included 12 residents with one resident reviewed for discharge. Based on observation, record review, and interview, the facility failed to ensure Resident (R) 38 had a recapitulation of their stay including medication reconciliation. This placed R38 at risk for not receiving timely and appropriate care.

Inspectors wroteThe facility identified a census of 37 residents. The sample included 12 residents with one resident observed for a catheter (a flexible tube inserted through a narrow opening into a body cavity, particularly the bladder, for removing fluid). Based on observation, record reviews, and interviews the facility failed to ensure the standard of care was provided for Resident (R)1, who had a history of urinary tract infection (UTI-an infection in any part of the urinary system). This deficient practice placed R1 at risk of catheter-related complications and further UTIs.

Inspectors wroteThe facility identified a census of 37 residents. The sample included 12 residents with three residents reviewed for accidents. Based on observation, record review, and interviews, the facility failed to ensure that Resident (R)7 had a documented safety assessment for the use of side rails, consent for the use of the side rails, and failed to ensure the resident and/or responsible party were advised of the risks and/or benefits of the use of the side rails. This placed the R7 at risk for uninformed decisions and impaired safety related to the risks associated with the use of side rails. Findings Included: [...]

Inspectors wroteThe facility identified a census of 37 residents. The sample included 12 residents, three medication carts, and two medication rooms. Based on observation, record review, and interviews, the facility failed to properly store medications in one of the three medication carts. This placed the residents at risk for adverse outcomes or ineffective medication regimens.

Inspectors wroteThe facility identified a census of 33 residents. The sample included three residents reviewed for abuse. Based on observations, record review, and interviews, the facility failed to ensure Resident (R) 1, R2, R3, and R4 remained free from abuse when Certified Nurse Aide (CNA) M recorded the residents with her phone and sent the videos to an individual outside the facility. This deficient practice placed the residents at risk for further abuse and a decline in psychosocial well-being.

Inspectors wroteThe facility had a census of 34 residents. The sample included 12 residents. Based on observation, record review, and interview the facility failed to distribute and serve food in accordance with professional standards for food service safety for the 34 residents who resided in the facility and received their food from the facility kitchen, when staff failed to use safe food handling in the dining room during the meal distribution to the residents seated at the dining room table. - On 09/12/22 at 11:43 AM, observation revealed Dietary Staff (DS) BB had her mask below her nose, covering her mouth. Continued observation revealed DS BB picked up Resident (R) 23's glass on the top of the cup with her bare hands filled the cup with apple juice from the beverage cart then delivered it to the resident, continuing to deliver by touching the top of the cup/lip service. [...]

Inspectors wroteThe facility had a census of 34 residents. The sample included 12 residents with one resident reviewed for non-pressure related skin condition. Based on observation, record review, and interview, the facility failed to administer topical medication in an effective manner in accordance to standards of practice for Resident (R)27. This placed the resident risk for delayed healing.

Inspectors wroteThe facility had a census of 34 residents. The sample included 12 residents, with five reviewed for unnecessary medications. Based on observation, record review, and interview, the facility's Consultant Pharmacist failed to identify and report to the Director of Nursing, facility medical director, and physician, an inappropriate diagnosis for the use of an antipsychotic medication (class of medications used to treat any major mental disorder characterized by a gross impairment in reality testing and other mental emotional conditions) for one of five sampled residents, Resident (R)22. This placed the resident at risk for inappropriate use of an antipsychotic medication with side effects.

Inspectors wroteThe facility had a census of 34 residents. The sample included 12 residents, with five reviewed for unnecessary medications. Based on observations, record review, and interview, the facility failed to ensure an appropriate diagnosis for one of the five sampled residents, Resident (R) 22's, antipsychotic (a medication used to treat any major mental disorder characterized by a gross impairment in reality testing) medication Seroquel. This placed R22 at increased risk for side effects related to medications and unnecessary medication use.