Medicalodges Leavenworth

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

F0585 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jul 10, 2026) · From a complaint

Protect each resident from the wrongful use of the resident's belongings or money.

F0602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Past Non-Compliance · From a complaint

Provide safe and appropriate respiratory care for a resident when needed.

F0695 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Oct 31, 2024) · From a complaint

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

F0686 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Oct 31, 2024) · From a complaint

Provide and implement an infection prevention and control program.

F0880 · Infection Control Deficiencies · Deficient, Provider has date of correction (Oct 31, 2024) · From a complaint

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

F0727 · Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction (Oct 31, 2024) · From a complaint

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

F0947 · Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction (Oct 31, 2024) · From a complaint

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

F0849 · Administration Deficiencies · Deficient, Provider has date of correction (Oct 31, 2024) · From a complaint

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

F0756 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Oct 31, 2024) · From a complaint

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

F0758 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Oct 31, 2024) · From a complaint

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

F0690 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Oct 31, 2024) · From a complaint

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

F0755 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Oct 31, 2024) · From a complaint

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

F0801 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Oct 31, 2024) · From a complaint

Observe each nurse aide's job performance and give regular training.

F0730 · Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction (Oct 31, 2024) · From a complaint

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

F0882 · Infection Control Deficiencies · Deficient, Provider has date of correction (Oct 31, 2024) · From a complaint

Develop and implement policies and procedures for flu and pneumonia vaccinations.

F0883 · Infection Control Deficiencies · Deficient, Provider has date of correction (Jun 15, 2023)

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

F0686 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jun 15, 2023)

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

F0582 · Resident Rights Deficiencies · Deficient, Provider has date of correction (May 9, 2023)

Ensure each resident’s drug regimen must be free from unnecessary drugs.

F0757 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (May 9, 2023)

Ensure residents have reasonable access to and privacy in their use of communication methods.

F0576 · Resident Rights Deficiencies · Deficient, Provider has date of correction (May 9, 2023)

Provide safe, appropriate dialysis care/services for a resident who requires such services.

F0698 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (May 9, 2023)

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

F0684 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jun 15, 2023)

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

F0550 · Resident Rights Deficiencies · Deficient, Provider has date of correction (May 9, 2023)

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

F0656 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (May 9, 2023)

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

F0688 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jun 15, 2023)

Keep residents' personal and medical records private and confidential.

F0583 · Resident Rights Deficiencies · Deficient, Provider has date of correction (May 9, 2023)

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F0689 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (May 9, 2023)

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

F0661 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (May 9, 2023)

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

F0657 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (May 9, 2023)

Reasonably accommodate the needs and preferences of each resident.

F0558 · Resident Rights Deficiencies · Deficient, Provider has date of correction (May 9, 2023)

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

F0694 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (May 9, 2023)

Provide activities to meet all resident's needs.

F0679 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (May 9, 2023)

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

F0758 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Jun 15, 2023)

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

F0584 · Resident Rights Deficiencies · Deficient, Provider has date of correction (May 9, 2023)

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

F0849 · Administration Deficiencies · Deficient, Provider has date of correction (May 9, 2023)

Provide and implement an infection prevention and control program.

F0880 · Infection Control Deficiencies · Deficient, Provider has date of correction (Jun 15, 2023)

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

F0727 · Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction (May 9, 2023)

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

F0655 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (May 9, 2023)

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

F0744 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (May 9, 2023)

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

F0756 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (May 9, 2023)

Provide safe and appropriate respiratory care for a resident when needed.

F0695 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (May 9, 2023)

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

F0623 · Resident Rights Deficiencies · Deficient, Provider has date of correction (May 9, 2023)

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

F0690 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (May 9, 2023)

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

F0882 · Infection Control Deficiencies · Deficient, Provider has date of correction (Oct 31, 2021)

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

F0758 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Oct 31, 2021)

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

F0686 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Oct 31, 2021)

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F0812 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Oct 31, 2021)

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F0689 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Oct 31, 2021)

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

F0690 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Oct 31, 2021)

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

F0756 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Oct 31, 2021)

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

F0688 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Oct 31, 2021)

Develop and implement policies and procedures for flu and pneumonia vaccinations.

F0883 · Infection Control Deficiencies · Deficient, Provider has date of correction (Oct 31, 2021)

Ensure medication error rates are not 5 percent or greater.

F0759 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Oct 31, 2021)

Provide and implement an infection prevention and control program.

F0880 · Infection Control Deficiencies · Deficient, Provider has date of correction (Oct 31, 2021)

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

F0761 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Oct 31, 2021)

Provide care and assistance to perform activities of daily living for any resident who is unable.

F0677 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Oct 31, 2021)

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

F0693 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Oct 31, 2021)

Ensure that residents are free from significant medication errors.

F0760 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Oct 31, 2021)

Have proper medical gas storage and administration areas.

K0923 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Dec 4, 2024)

Have simulated fire drills held at unexpected times.

K0712 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (Dec 4, 2024)

Provide large enough exits.

K0231 · Egress Deficiencies · Deficient, Provider has date of correction (Dec 4, 2024)

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

K0223 · Egress Deficiencies · Deficient, Provider has date of correction (Dec 4, 2024)

Have properly located and lighted "Exit" signs.

K0293 · Egress Deficiencies · Deficient, Provider has date of correction (Dec 4, 2024)

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

K0914 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Dec 4, 2024)

Meet other general requirements.

K0200 · Egress Deficiencies · Deficient, Provider has date of correction (Dec 4, 2024)

Have properly installed electrical wiring and gas equipment.

K0511 · Services Deficiencies · Deficient, Provider has date of correction (Dec 4, 2024)

Inspect, test, and maintain automatic sprinkler systems.

K0353 · Smoke Deficiencies · Deficient, Provider has date of correction (Dec 4, 2024)

Have approved installation, maintenance and testing program for fire alarm systems.

K0345 · Smoke Deficiencies · Deficient, Provider has date of correction (Dec 4, 2024)

Install corridor and hallway doors that block smoke.

K0363 · Smoke Deficiencies · Deficient, Provider has date of correction (Jun 10, 2023)

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

K0521 · Services Deficiencies · Deficient, Provider has date of correction (Jun 10, 2023)

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

K0761 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (Jun 10, 2023)

Inspect, test, and maintain automatic sprinkler systems.

K0353 · Smoke Deficiencies · Deficient, Provider has date of correction (Jun 10, 2023)

Install emergency lighting that can last at least 1 1/2 hours.

K0291 · Egress Deficiencies · Deficient, Provider has date of correction (Jun 10, 2023)

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

K0222 · Egress Deficiencies · Deficient, Provider has date of correction (Jun 10, 2023)

Have properly installed electrical wiring and gas equipment.

K0511 · Services Deficiencies · Deficient, Provider has date of correction (Dec 23, 2021)

Properly select, install, inspect, or maintain portable fire extinguishes.

K0355 · Smoke Deficiencies · Deficient, Provider has date of correction (Dec 23, 2021)

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

K0222 · Egress Deficiencies · Deficient, Provider has date of correction (Dec 23, 2021)

Have generator or other power source capable of supplying service within 10 seconds.

K0918 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Dec 23, 2021)

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

K0914 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Dec 23, 2021)

Ensure proper usage of power strips and extension cords.

K0920 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Dec 23, 2021)

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

K0321 · Smoke Deficiencies · Deficient, Provider has date of correction (Dec 23, 2021)

Have simulated fire drills held at unexpected times.

K0712 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (Dec 23, 2021)

Install emergency lighting that can last at least 1 1/2 hours.

K0291 · Egress Deficiencies · Deficient, Provider has date of correction (Dec 23, 2021)

Install corridor and hallway doors that block smoke.

K0363 · Smoke Deficiencies · Deficient, Provider has date of correction (Dec 23, 2021)

Inspect, test, and maintain automatic sprinkler systems.

K0353 · Smoke Deficiencies · Deficient, Provider has date of correction (Dec 23, 2021)

Install smoke barrier doors that can resist smoke for at least 20 minutes.

K0374 · Smoke Deficiencies · Deficient, Provider has date of correction (Dec 23, 2021)