A list of the most recent deficiencies for The Healthcare Resort of Olathe. 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 | 2023-10-17 | 2023-11-24 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-10-17 | 2023-11-24 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-10-17 | 2023-11-24 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-09-12 | 2023-10-13 | 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 | 2023-09-12 | 2023-10-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-09-12 | 2023-10-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-09-12 | 2023-10-13 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-09-12 | 2023-10-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-12 | 2023-10-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-09-12 | 2023-10-13 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-09-12 | 2023-10-13 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-09-12 | 2023-10-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-09-12 | 2023-10-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-09-12 | 2023-10-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-17 | 2023-09-29 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-09 | 2023-09-15 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-08-09 | 2023-09-15 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2023-08-09 | 2023-09-15 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2023-08-09 | 2023-09-15 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-08-09 | 2023-09-15 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-08-09 | 2023-09-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-09 | 2023-09-15 | 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 | 2023-08-09 | 2023-09-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-09 | 2023-09-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-09 | 2023-09-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-09 | 2023-09-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-08-09 | 2023-09-15 | 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 | 2023-08-09 | 2023-09-15 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-08-09 | 2023-09-15 | 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 | 2023-08-09 | 2023-09-15 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-08-09 | 2023-09-15 | 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 | 2023-08-09 | 2023-09-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-09 | 2023-09-15 | N |
| 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. | Health | 2023-08-09 | 2023-09-15 | Y |
| Provide activities to meet all resident's needs. | Health | 2023-08-09 | 2023-09-15 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-09 | 2023-09-15 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-06-26 | 2023-06-19 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-01-26 | 2022-02-28 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2022-01-26 | 2022-02-28 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2022-01-26 | 2022-02-28 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2022-01-26 | 2022-02-28 | 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 | 2022-01-26 | 2022-02-28 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-01-26 | 2022-02-28 | 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 | 2022-01-26 | 2022-02-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-01-26 | 2022-02-28 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2022-01-26 | 2022-02-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-01-26 | 2022-02-28 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-01-26 | 2022-02-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-01-26 | 2022-02-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-01-26 | 2022-02-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-01-26 | 2022-02-28 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-01-26 | 2022-02-28 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-01-26 | 2022-02-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-01-26 | 2022-02-28 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-01-26 | 2022-02-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-01-26 | 2022-02-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-01-26 | 2022-02-28 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-01-26 | 2022-02-28 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-12-30 | 2022-01-25 | Y |
| 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 | 2021-12-30 | 2022-01-25 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-30 | 2022-01-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-30 | 2022-01-25 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-12-30 | 2022-01-25 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-12-30 | 2022-01-25 | 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 | 2021-12-30 | 2022-01-25 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-12-30 | 2022-01-25 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2021-12-30 | 2022-01-25 | 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 | 2021-12-30 | 2022-01-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-12-30 | 2022-01-25 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2020-01-03 | 2020-01-24 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-01-03 | 2020-01-24 | N |
| Provide activities to meet all resident's needs. | Health | 2020-01-03 | 2020-01-24 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-01-03 | 2020-01-24 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-01-03 | 2020-01-24 | 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 | 2020-01-03 | 2020-01-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-03 | 2020-01-24 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2020-01-03 | 2020-01-24 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2019-10-15 | 2019-11-15 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-10-15 | 2019-11-15 | 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 | 2019-10-15 | 2019-11-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-15 | 2019-11-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-10-15 | 2019-11-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-10-15 | 2019-11-15 | N |
