Medicalodges Wichita

Inspectors wroteThe facility reported a census of 45 residents. Based on interview and record review, the facility failed to complete an annual performance review at least once every 12 months for one of the five Certified Nurse Aides (CNA) reviewed.

Inspectors wroteThe facility reported a census of 45 residents. Based 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 in one of one kitchen and one of two dining rooms.

Inspectors wroteThe facility reported a census of 45 residents. Based on observation, interview, and record review the facility failed to ensure adequate infection control practices related to the handling, processing, and storage of resident clothing and linen.

Inspectors wroteThe facility reported a census of 45 residents. The sample of 15 residents included five residents reviewed for unnecessary medications. Based on observations, interviews, and record review, the facility failed to ensure the accurate administering of multiple medications as ordered by the physician for one resident, Resident (R)17, related to pain medication and medications to treat constipation.

Inspectors wroteThe facility reported a census of 47 residents. Based 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 for the residents of the facility to prevent possible food-borne illnesses.

Inspectors wroteThe facility reported a census of 47 residents. Based on observation, interview, and record review, the facility failed to provide a safe, functional, sanitary environment for residents and staff in the facility kitchen for the residents of the facility to help prevent the development and transmission of infections.

Inspectors wroteThe facility reported a census of 47 residents. Based on observation, interview, and record review, the facility failed to maintain all mechanical and electrical equipment in safe operating condition in the kitchen.

Inspectors wroteThe facility reported a census of 47 residents. Based on observation, interview, and record review the facility failed to ensure a safe and sanitary environment for residents and staff in the facility kitchen.

Inspectors wroteThe facility reported a census of 43 residents one main kitchen that served all residents that received meals. Two residents received nutrition via feeding tubes. The facility failed to store food in a sanitary manner in the main kitchen. Findings Included: - Tour of the kitchen on 03/21/22 at 08:10 AM in the dry storage area revealed a large bag of Cheetos laid open on the shelf. Observation in the freezer revealed a bag of hamburger patties open with no closure, a bag with five fish fillets with no date, and a box of pizza dough left open to air. Interview on 03/23/22 at 01:10 PM with Certified Dietary Manager N verified she expected the staff to date all items when opened and all opened items should have proper closures. [...]

Inspectors wroteThe facility had a census of 43 residents with 13 included in the sample. Based on observation, interview and record review the facility failed to ensure the resident's dignity by the failure to place the catheter drainage bag in a dignity bag and away from public view for Resident (R) 29.

Inspectors wroteThe facility had a census of 43 residents with three reviewed for Beneficiary Protection Notification. The facility failed to provide notification (CMS form 10055) prior to ending Medicare Part A coverage for Resident (R) 99, which did not provide the resident the opportunity to dispute the decision to discontinue therapy services.

Inspectors wroteThe facility reported a census of 43 residents with 13 sampled, including one for hospitalization. Based on observation, interview, and record review the facility failed to send a copy of the facility-initiated hospitalization transfer/discharge notice to the representative of the Office of the State Long-Term Care Ombudsman for Resident (R) 28. Findings Included: - Review of R28's Minimum Data Set (MDS) tracking form documented the resident discharged to the hospital on [DATE] and returned to the facility on [DATE]. Review of R28's Medical Record lacked evidence of written notification of the facility-initiated hospitalization transfer/discharge to R28's Office of the State Long-Term Care Ombudsman. On 03/21/22 at 02:14 PM R28 sat in her wheelchair outside of her room and used her legs to move her wheelchair toward the dining room. [...]

Inspectors wroteThe facility reported a census of 43 resident with 13 residents included in the sample and two residents reviewed for respiratory care. Based on observation, interview, and record review the facility failed to ensure Resident (R)148's plan of care included changing of nebulizer tubing, and cleaning of respiratory equipment in a timely manner.

Inspectors wroteThe facility reported a census of 43 with 13 residents included in the sample. Based on observations, interviews, and record review the facility failed to ensure Resident (R) 148 received appropriate assessments and foot care.

Inspectors wroteThe facility census totaled 43 residents with 13 included in the sample, and one reviewed for urinary catheter. Based on observation, interview, and record review the facility failed to provide necessary services to decrease the risk of a urinary tract infection when staff failed to ensure Resident (R) 29 urinary catheter tubing did not come in contact with the floor.

Inspectors wroteThe facility reported a census of 43 resident, with 13 residents included in the sample, and two residents reviewed for respiratory care. Based on observation, interview, and record review the facility failed to ensure they had a system in place to change oxygen tubing, nebulizer tubing, and cleaning of respiratory equipment in a timely manner for Residents (R) 148 and R25.

Inspectors wroteThe facility census totaled 43 residents with 13 sampled including five reviewed for unnecessary medications. Based on observation, interview, and record review the facility failed to initiate a physician's order for a dose reduction for an antipsychotic medication, as recommended by consulting pharmacist, for six months for Resident (R) 33. The facility further failed to limit the time frame of an as needed (PRN) psychotropic medication, as recommended by the consulting pharmacist, for R28. Findings Included: - R28's Physician's Orders Sheet dated 03/21/22 documented a diagnosis of anxiety (mental or emotional reaction characterized by apprehension, uncertainty and irrational fear). The 01/18/22 Significant Change Minimum Data Set (MDS) documented a Brief Interview for Mental Status (BIMS) score of 99, which indicated the resident was unable to complete the interview. [...]

Inspectors wroteThe facility census totaled 43 residents, with 13 sampled, including five reviewed for unnecessary medications. Based on observation, interview, and record review the facility failed to initiate a physician's order for a dose reduction for an antipsychotic medication for six months for Resident (R) 33. The facility further failed to limit the time frame of an as needed (PRN) psychotropic medication for R28. Findings Included: - R28's Physician's Orders Sheet dated 03/21/22 documented a diagnosis of anxiety (mental or emotional reaction characterized by apprehension, uncertainty and irrational fear). The 01/18/22 Significant Change Minimum Data Set (MDS) documented a Brief Interview for Mental Status (BIMS) score of 99, which indicated the resident was unable to complete the interview. R28 received an antianxiety medication on one day in the seven-day look back period. [...]

Inspectors wroteThe facility reported a census of 43 residents. Based on observation, interview, and record review the facility failed to ensure nursing staff used Personal Protective Equipment (PPE) appropriately, by the failure to change gloves between dirty and clean tasks when providing care for Residents (R) 23 and R9. The facility further failed to clean a glucometer (instrument used to calculate blood glucose) after use to reduce the risk of spread of infectious diseases. Findings Included: - On 03/21/22 at 08:50 AM, observation revealed Certified Medication Aid (CMA) J and Administrative Nurse I entered R23's room and informed R23 of care to be provided. Both staff performed hand hygiene and donned gloves, positioned R23 with shorts down and brief open lying on his side. [...]