CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Medicalodges Leavenworth
View the most recent health deficiencies and inspection results for Medicalodges Leavenworth. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Medicalodges Leavenworth. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2024-09-25 | 2024-12-04 | N |
| Meet other general requirements. | Fire Safety | 2024-09-25 | 2024-12-04 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-09-25 | 2024-12-04 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-09-25 | 2024-12-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-09-25 | 2024-12-04 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-09-25 | 2024-12-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-09-25 | 2024-12-04 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-09-25 | 2024-12-04 | N |
| Provide large enough exits. | Fire Safety | 2024-09-25 | 2024-12-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-09-25 | 2024-12-04 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-09-25 | 2024-10-31 | 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 | 2024-09-25 | 2024-10-31 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-09-25 | 2024-10-31 | Y |
| 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 | 2024-09-25 | 2024-10-31 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-09-25 | 2024-10-31 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-09-25 | 2024-10-31 | 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 | 2024-09-25 | 2024-10-31 | 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 | 2024-09-25 | 2024-10-31 | Y |
| 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. | Health | 2024-09-25 | 2024-10-31 | Y |
| 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 | 2024-09-25 | 2024-10-31 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-09-25 | 2024-10-31 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2024-09-25 | 2024-10-31 | Y |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-09-25 | 2024-10-31 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-09-18 | 2023-10-20 | Y |
| 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 |
| 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 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 |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | 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 |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-04-10 | 2023-06-10 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-04-10 | 2023-06-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-04-10 | 2023-06-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-10 | 2023-06-10 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-04-10 | 2023-06-10 | 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 | 2023-04-10 | 2023-06-10 | 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 activities to meet all resident's needs. | 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 |
| 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 |
| 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 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| Keep residents' personal and medical records private and confidential. | 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 |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-04-10 | 2023-05-09 | 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 |
| 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 |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-09-16 | 2021-12-23 | 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 | 2021-09-16 | 2021-12-23 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-09-16 | 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 | 2021-09-16 | 2021-12-23 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-09-16 | 2021-12-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-09-16 | 2021-12-23 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-09-16 | 2021-12-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-09-16 | 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 | 2021-09-16 | 2021-12-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-09-16 | 2021-12-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-09-16 | 2021-12-23 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-09-16 | 2021-12-23 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-09-16 | 2021-10-31 | N |
| 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 | N |
| Provide and implement an infection prevention and control program. | 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 |
| 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 |
| Ensure that residents are free from significant medication errors. | Health | 2021-09-16 | 2021-10-31 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-09-16 | 2021-10-31 | 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 | 2021-09-16 | 2021-10-31 | 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 | 2021-09-16 | 2021-10-31 | N |
| 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 | 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 | 2021-09-16 | 2021-10-31 | N |
| 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 | 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 | 2021-09-16 | 2021-10-31 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | 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 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2025-07-29 | Not Fixed | Y |