Sunporch of Dodge City

Inspectors wroteThe facility identified a census of 40 residents with four residents included in the sample. Based on observation, interview and record review, the facility failed to ensure one resident, Resident (R) 1 was assessed for safety related to bed rail use. Additionally, the facility failed to obtain or provide evidence of informed consent from R1 or his representative prior to the use of bed rails.

Inspectors wroteThe facility reported a census of 32 residents. Based on interview and record review, the facility failed to complete an annual performance review at least once every 12 months for two Certified Nurse Aides (CNAs) reviewed, to ensure adequate appropriate cares and services provided to the residents of the facility. The facility identified 12 CNAs employed over 12 the month period.

Inspectors wroteThe facility reported a census of 32 residents with 12 residents sampled and five reviewed for unnecessary medications. Based on observations, interviews and record review, the facility failed to ensure the physician responded in a timely manner to monthly medication regimen reviews (MRR) for Resident (R)15, 19 and R25 related to psychotropic (any class of medications that alters mood or thought) medications and for R3 when the physician failed to provide appropriate rational when they declined a pharmacy recommended gradual dose reduction (GDR) for psychotropic medications. These deficient practices had the potential to lead to the residents receiving medications unnecessarily.

Inspectors wroteThe facility reported a census of 32 residents. Based on observation, interview, and record review, the facility failed to follow sanitary dietary standards related to the storage of food. This deficient practice placed the residents at risk related to food-borne illnesses.

Inspectors wroteThe facility reported a census of 32 residents. The sample included 12 residents. Based on observation, interview, and record review, the facility failed to maintain an effective infection control program related to the lack of hand hygiene when incontinent care was provided to R3 and improper removal of personal protective equipment (PPE- gowns, face shields and/or eyeglasses/goggles, and gloves) after care provided to R3. The facility staff failed to wear proper PPE when emptying a catheter (a flexible tube inserted through a narrow opening into a body cavity, particularly the bladder, for removing fluid) drainage bag and when changing the leg bag (a small bag that collects urine from a Foley catheter and is worn on the leg during the day) to the gravity drainage bag. [...]

Inspectors wroteThe facility census totaled 32 residents on three halls with a commons area where residents gathered for meals and activities. The facility had two medication carts and one nurse treatment cart that services the facility. Based on observation, interview, and record review, the facility failed to provide a safe environment by the failure to ensure a medication cart that contained prescription medications, narcotic medications in a locked box within the medication cart and over-the-counter (OTC - medications that do not require a prescription) and a nurse treatment cart that contained insulin (a medication used to treat diabetes [a disease when the body cannot use glucose, not enough insulin made or the body cannot respond to the insulin]), topical ointments and creams, remained locked when not in direct line of vision of the nurse, in an area where residents could access it.

Inspectors wroteThe facility reported a census of 32 residents with 12 residents selected for review. Based on observation, interview, and record review, the facility failed to accurately revise three residents care plans. The facility failed to revise the care plan after Resident (R)19 who had increased exiting behaviors, and actual elopements (when a cognitively impaired resident leaves the facility without the knowledge or supervision of staff) from facility on 10/12/23 and 02/14/24. AdditionallyThe facility failed to update and place appropriate fall interventions for R3 and R15 who had multiple falls. This failure placed the residents at risk for uncommunicated care needs.

Inspectors wroteThe facility reported a census of 32 residents with 12 residents in the sample and four residents reviewed for accidents. Based on observation, interview, and record review, the facility failed to provide an environment that remained free from accident hazards for four residents. The facility failed to identify, implement, and reevaluate fall prevention interventions to prevent falls for two residents. Resident (R) 15 had multiple falls with a lack of appropriate fall interventions. Additionally, the facility failed to implement new interventions to prevent R19 after she had an elopement (when a cognitively impaired resident leaves the facility without the knowledge or supervision of staff) from facility. The facility failed to put an effective smoking plan in place for R9. These deficient practices could potentially result in an injury.

Inspectors wroteThe facility reported a census of 32 residents with 12 residents sampled, including two residents reviewed for respiratory care. Based on observations, record reviews, and interviews, the facility failed to properly clean the nebulizer (a device for administering inhaled medications) after each medication was administered for Resident (R)3 and R134 in accordance with the standards of care This deficient practice had the potential to spread possible lung infections to the residents. During an observation on 01/22/25 at 09:34 AM, Licensed Nurse (LN) G removed the nebulizer equipment off f R3 after breathing treatment was completed. LN G placed the nebulizer equipment into a bag. LN G washed her hands, and she reported she would not rinse the nebulizer equipment after she had administered a breathing treatment as the nebulizer equipment was cleaned once a day on the night shift. [...]

Inspectors wroteThe facility reported a census of 32 residents with 12 residents sampled and five reviewed for unnecessary medications. Based on observations, interviews and record review, the facility failed to ensure that four residents remained free of unnecessary psychotropic (any class of medications that alters mood or thought) medications when the facility failed to ensure the physician responded in a timely manner to monthly medication regimen reviews (MRR) for Resident (R)15, 19 and R25 related to psychotropic medications and for R3 when the physician failed to provide appropriate rational when they declined a pharmacy recommended gradual dose reduction (GDR) for psychotropic medications. These deficient practices had the potential to lead to the residents receiving medications unnecessarily.

Inspectors wroteThe facility reported a census of 32 residents. The sample included 12 residents, with five reviewed for immunizations. The facility failed to provide proper documentation of vaccination or declination of vaccines for COVID-19 (vaccines designed to prevent COVID-19 [highly contagious respiratory virus]) for, Resident (R) R11. Also failed to provide documentation of pneumococcal (vaccines designed to prevent pneumonia [inflammation of the lungs which can be debilitating or lethal in the elderly]) for R84.

Inspectors wroteThe facility had a census of 31 residents with one main kitchen that served one dining room. Based on observation, interviews, and record review the facility failed to properly store food under sanitary conditions for all the residents of the facility.

Inspectors wroteThe facility census totaled 31 residents. Based on interview and record review, the facility failed to ensure all facility staff were trained on Abuse, Neglect, and Exploitation (ANE), Dementia Care, and Social Media annually.

Inspectors wroteThe facility reported a census of 31 residents, with 12 sampled, including five for unnecessary medications. Based on observation, interview, and record review, the facility failed to address the consultant pharmacist's recommendations for Resident (R)28, R23, R9, and R32.

Inspectors wroteThe facility reported a census of 31 residents, with 12 sampled and five reviewed for unnecessary medications. Based on interviews and record review, the facility failed to adequately follow the physicians' diabetic orders and document appropriately for Resident (R) 9.

Inspectors wroteThe facility reported a census of 31 residents, with 12 sampled, including five reviewed for unnecessary medications. Based on interview and record review, the facility failed to provide a stop date on the as needed (PRN) psychotropic medication for Resident (R) 28 and R32.