A list of the most recent deficiencies for Medicalodges Leavenworth. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-09-18 | 2023-10-20 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-09-18 | 2023-10-20 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-08-28 | 2023-09-20 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-28 | 2023-09-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-10 | 2023-06-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-04-10 | 2023-06-15 | N |
| 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. | Health | 2023-04-10 | 2023-06-15 | N |
| 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. | Health | 2023-04-10 | 2023-06-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-10 | 2023-06-15 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-04-10 | 2023-06-15 | N |
| 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. | Fire Safety | 2023-05-09 | 2023-06-10 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-05-09 | 2023-06-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-09 | 2023-06-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-05-09 | 2023-06-10 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-05-09 | 2023-06-10 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-05-09 | 2023-06-10 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-04-10 | 2023-05-09 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-04-10 | 2023-05-09 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2023-04-10 | 2023-05-09 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-04-10 | 2023-05-09 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-04-10 | 2023-05-09 | N |
| 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. | Health | 2023-04-10 | 2023-05-09 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-04-10 | 2023-05-09 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-04-10 | 2023-05-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-10 | 2023-05-09 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-04-10 | 2023-05-09 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-04-10 | 2023-05-09 | N |
| Provide activities to meet all resident's needs. | Health | 2023-04-10 | 2023-05-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-10 | 2023-05-09 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-04-10 | 2023-05-09 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-04-10 | 2023-05-09 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-04-10 | 2023-05-09 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-04-10 | 2023-05-09 | N |
| 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. | Health | 2023-04-10 | 2023-05-09 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-04-10 | 2023-05-09 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-04-10 | 2023-05-09 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-04-10 | 2023-05-09 | N |
| 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. | Health | 2023-04-10 | 2023-05-09 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-01-04 | 2022-02-03 | Y |
| 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. | Fire Safety | 2021-10-18 | 2021-12-23 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-10-18 | 2021-12-23 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-10-18 | 2021-12-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-10-18 | 2021-12-23 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-10-18 | 2021-12-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-10-18 | 2021-12-23 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-10-18 | 2021-12-23 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-10-18 | 2021-12-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-10-18 | 2021-12-23 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-10-18 | 2021-12-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-10-18 | 2021-12-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-10-18 | 2021-12-23 | N |
| 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. | Health | 2021-09-16 | 2021-10-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-16 | 2021-10-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-16 | 2021-10-31 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-09-16 | 2021-10-31 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-09-16 | 2021-10-31 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-09-16 | 2021-10-31 | Y |
| 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. | Health | 2021-09-16 | 2021-10-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-16 | 2021-10-31 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2021-09-16 | 2021-10-31 | Y |
| 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. | Health | 2021-09-16 | 2021-10-31 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-09-16 | 2021-10-31 | Y |
| 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. | Health | 2021-09-16 | 2021-10-31 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-09-16 | 2021-10-31 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-09-16 | 2021-10-31 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2021-09-16 | 2021-10-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-01 | 2021-06-24 | Y |
| 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. | Health | 2019-11-26 | 2020-01-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-11-26 | 2019-12-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-11-26 | 2019-12-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-11-26 | 2019-12-20 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-11-26 | 2019-12-20 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-11-26 | 2019-12-20 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-10-08 | 2019-11-08 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-10-08 | 2019-11-08 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-10-08 | 2019-11-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-10-08 | 2019-11-08 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-10-08 | 2019-11-08 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-10-08 | 2019-11-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-10-08 | 2019-11-08 | N |
