Wichita Presbyterian Manor

Inspectors wroteThe facility reported a census of 46 residents. Based on observation, interview, and record review, the facility failed to ensure drugs and biologicals used in the facility were labeled and stored in locked compartments and permitted only authorized personnel to have access to the keys. This placed the residents at risk for medication errors, ineffective medication regimens, and diversions.

Inspectors wroteThe facility reported a census of 46 residents. The sample included 12 residents. Based on observation, interview, and record review, the facility failed to disinfect the shared sit-to-stand lift (a mechanical lift) after use and failed to utilize proper respiratory infection control methods. This placed the residents at risk for infections.

Inspectors wroteThe facility reported a census of 46 residents. Five Certified Nurse Aide (CNA) staff, who worked in the facility were reviewed for required in-service training. Based on interview and record review, the facility failed to develop, implement, and permanently maintain an in-service training program for Certified Nurse Aide (CNAs) with the required topics and no less than 12 hours per year when one of the five nurse aides sampled lacked the required training hours. This placed the residents at risk for decreased quality of care.

Inspectors wroteThe facility reported a census of 46 residents. The sample included 12 residents sampled. Based on interview, observation, and record review, the facility failed to inform Resident (R)37 and/or his representative regarding the risks related to psychotropic (alters mood or thoughts) medications. These practices had the potential to lead to negative and unwarranted physical side effects.

Inspectors wroteThe facility reported a census of 46 residents. The sample included 12 residents. Based on observation, interview, and record review, the facility failed to assess Resident (R) 22 to ensure it was clinically appropriate to leave medication at the resident's bedside for the resident to self-administer. This placed the resident at risk for medication errors and ineffective medication regimens.

Inspectors wroteThe facility reported a census of 46 residents. The sample included 12 residents with five sampled for unnecessary medications. Based on observation, interview, and record review, the facility failed to perform an assessment for side effects related to ongoing antipsychotic (a class of medications used to treat major mental conditions that cause a break from reality) use for Resident (R)37. This deficient practice placed R37 at risk for adverse reactions and complications related to psychotropic (alters mood or thought) medication.

Inspectors wroteThe facility identified a census of 46 residents. The sample included 12 residents. Based on observation, interview and record review, the facility failed to provide Resident (R) 10 with activities of daily living (ADL) services, including shaving of facial hair. This placed the resident at risk for decreased quality of life and poor hygiene.

Inspectors wroteThe facility census totaled 46 residents with 12 residents in the sample. Based on observation, interview and record review the facility failed to provide sanitary respiratory care and services when staff failed to clean the nebulizer (a device for administering inhaled medication) after each use for Resident (R) 45. This placed the resident at risk for infection and increased respiratory complications.

Inspectors wroteThe facility reported a census of 46 residents with 12 residents sampled which included five residents for unnecessary medications. Based on observation, interview, and record review the facility's pharmacist failed to identify and report irregularities to the attending physician, the facility's medical director, and the director of nursing for Resident (R)18 related to monitoring his pulse for effectiveness and side effects of antihypertensive medications as ordered by the physician. This placed the residents at risk for unnecessary medications and related side effects.

Inspectors wroteThe facility reported a census of 46 resident with 12 residents sampled which included five residents for unnecessary medications. Based on observation, interview, and record review the facility failed to monitor for effectiveness and side effects of antihypertensive medications as ordered by the physician and for side effects, including constipation related to the use of pain medication for Resident (R) 18. This placed the resident at risk for unnecessary medications and related side effects.

Inspectors wroteThe facility reported a census of 47 residents. The facility identified one central kitchen with four dining areas. Based on observation, interview, and record review, the facility failed to provide sanitary food preparation and storage of food to prevent the spread of food borne illness to the residents of the facility.

Inspectors wroteThe facility reported a census of 47 residents with 14 residents sampled, including two residents reviewed for respiratory care. Based on observations, record reviews, and interviews, the facility failed to provide necessary respiratory care consistent with professional standards of practice regarding the use of a nebulizer (a device that delivers medication as a mist to the lungs) for Resident (R)2.

Inspectors wroteThe facility reported a census of 47 residents with 14 residents sampled, which included five residents reviewed for unnecessary medications. Based on observation, interview, and record review, the facility failed to ensure one Resident (R)7, medication regimen was free of unnecessary drugs due to inadequate monitoring related to the resident, who required a laxative, without bowel movement on two occasions for a period of four to ten days.

Inspectors wroteThe facility reported a census of 47 residents with 14 residents sampled, including two residents reviewed for respiratory care. Based on observations, record reviews, and interviews, the facility failed to appropriately clean the equipment for nebulized medication use by Resident (R)2. This deficient practice could lead to possible respiratory complications and contamination of the devices used for inhaled medication administration.

Inspectors wroteThe facility reported a census 49 residents, with 16 included in the sample, and one reviewed for elopements. Based on observation, interview, and record review, the facility failed to provide sufficient supervision to cognitively impaired Resident (R) 22 who eloped from the facility for approximately eight minutes without staff knowledge within a mile of a busy four-lane highway and within a quarter mile of a busy four-lane intersection next to live railroad tracks. These failures placed R22 in immediate jeopardy.

Inspectors wroteThe facility reported a census of 49 residents with one main kitchen and two satellite kitchens, which served all residents in the facility. Based on observation, interview, and record review the facility failed to store food in accordance with professional standards for food service safety, ensuring the residents remain free from the potential of a foodborne illness, when staff failed to date or discard expired food items.

Inspectors wroteThe facility reported a census of 49 residents with 16 sampled including one for hospitalization. Based interview and record review the facility failed to provide a copy of the facility bed hold policy to Resident (R) 45 or her representative for her facility-initiated hospitalization. Findings Include: - R45's Electronic Health Record lacked evidence of written notification of the facility-initiated hospitalization transfers and bed holds to R45 or R45's representative. The 09/11/21 Nursing Progress Note documented R45's son requested R45 be sent to the hospital when it was determined R45 had difficulty breathing. The facility obtained an order from Provider K to send R45 to the hospital. Interview on 12/06/11 at 01:52 PM with Social Services Director (SSD) J revealed she spoke with R45's son on the telephone during the weekend of 09/11/21. [...]

Inspectors wroteThe facility reported a census of 49 residents, with 16 sampled, and one reviewed for elopement. Based on observation, interview, and record review the facility failed to update Resident (R) 22's care plan in a timely manner to include interventions related to the use of a wander guard (bracelet that sets off an alarm when residents wearing one attempt to exit the building without an escort). Findings Include: - The 10/28/21 Electronic Medical Record (EMR) documented the following diagnoses for R22: dementia (progressive mental disorder characterized by failing memory, confusion), Alzheimer's (progressive mental deterioration characterized by confusion and memory failure), and depression (abnormal emotional state characterized by exaggerated feelings of sadness, worthlessness and emptiness). [...]