LIFE CARE CENTER OF KANSAS CITY KS DEFICIENCY REPORT

	Nursing Home Deficiency Report current as of November 25, 2009
Date	Deficiency	Scope	Level of Harm
05/04/2010	1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan.	Pattern	Minimal harm or potential for actual harm
05/04/2010	Make sure that each resident's nutritional needs were met.	Pattern	Minimal harm or potential for actual harm
05/04/2010	1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects.	Isolated	Minimal harm or potential for actual harm
05/04/2010	Develop/implement required procedures for the administration of immunizations.	Isolated	Minimal harm or potential for actual harm
05/04/2010	Make sure that residents are well nourished.	Isolated	Minimal harm or potential for actual harm
05/04/2010	Have a program to keep infection from spreading.	Isolated	Minimal harm or potential for actual harm
12/10/2009	corridor and hallway doors that block smoke.	Isolated	Minimal harm or potential for actual harm
12/10/2009	proper backup exit lighting.	Widespread	Minimal harm or potential for actual harm
12/10/2009	properly protected cooking facilities.	Widespread	Minimal harm or potential for actual harm
12/10/2009	fire safety features required by current fire safety codes.	Widespread	Minimal harm or potential for actual harm
12/10/2009	no-smoking signs where oxygen is used.	Pattern	Minimal harm or potential for actual harm
02/23/2009	Protect residents from mistreatment, neglect, and/or theft of personal property.	Isolated	Minimal harm or potential for actual harm
02/23/2009	Provide social services for related medical problems to help each resident achieve the highest possible quality of life.	Isolated	Minimal harm or potential for actual harm
02/23/2009	Provide needed housekeeping and maintenance.	Pattern	Minimal harm or potential for actual harm
02/23/2009	Provide clean bed and bath linens that are in good condition.	Pattern	Minimal harm or potential for actual harm
02/23/2009	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	Isolated	Minimal harm or potential for actual harm
02/23/2009	1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan.	Pattern	Minimal harm or potential for actual harm
02/23/2009	Give each resident care and services to get or keep the highest quality of life possible.	Pattern	Minimal harm or potential for actual harm
02/23/2009	Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene.	Pattern	Minimal harm or potential for actual harm
02/23/2009	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	Isolated	Minimal harm or potential for actual harm
02/23/2009	Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary.	Isolated	Minimal harm or potential for actual harm
02/23/2009	Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion.	Isolated	Minimal harm or potential for actual harm
02/23/2009	Make sure that the nursing home area is free of dangers that cause accidents.	Pattern	Minimal harm or potential for actual harm
02/23/2009	1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects.	Pattern	Minimal harm or potential for actual harm
02/23/2009	Store, cook, and give out food in a safe and clean way.	Pattern	Minimal harm or potential for actual harm
02/23/2009	Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly.	Widespread	Minimal harm or potential for actual harm
02/23/2009	Provide at least one room to use as a dining room and for activities, that is a good size, with good lighting, airflow and furniture.	Pattern	Minimal harm or potential for actual harm
10/22/2008	approved construction type or materials.	Pattern	Minimal harm or potential for actual harm
10/22/2008	corridor and hallway doors that block smoke.	Pattern	Minimal harm or potential for actual harm
10/22/2008	an approved installation, maintenance and testing program for fire alarm systems.	Widespread	Minimal harm or potential for actual harm
10/22/2008	automatic sprinkler systems that have been maintained in working order.	Pattern	Minimal harm or potential for actual harm
10/22/2008	portable fire extinguishers.	Pattern	Minimal harm or potential for actual harm
10/22/2008	proper medical gas storage and administration areas.	Pattern	Minimal harm or potential for actual harm
10/22/2008	properly installed electrical wiring and equipment.	Widespread	Minimal harm or potential for actual harm
12/05/2007	Use a registered nurse at least 8 hours a day, 7 days a week.	Widespread	Minimal harm or potential for actual harm
12/05/2007	post nurse staffing information.	Widespread	Potential for minimal harm
12/05/2007	Store, cook, and give out food in a safe and clean way.	Pattern	Minimal harm or potential for actual harm
12/05/2007	Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly.	Pattern	Minimal harm or potential for actual harm
12/05/2007	At least once a month, have a licensed pharmacist check the drugs that each resident takes.	Isolated	Minimal harm or potential for actual harm
12/05/2007	Properly mark drugs and other similar products.	Pattern	Minimal harm or potential for actual harm
12/05/2007	Allow residents to easily see the results of the nursing home's most recent survey.	Pattern	Potential for minimal harm
12/05/2007	Let the appropriate people see and talk to each resident.	Pattern	Minimal harm or potential for actual harm
12/05/2007	Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.	Pattern	Minimal harm or potential for actual harm
12/05/2007	Provide needed housekeeping and maintenance.	Pattern	Minimal harm or potential for actual harm
12/05/2007	Make a complete assessment that covers all questions for areas that are listed in official regulations.	Isolated	Minimal harm or potential for actual harm
12/05/2007	1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan.	Pattern	Minimal harm or potential for actual harm
12/05/2007	Make sure that residents receive treatment/services to continue to be able to care for themselves, unless a change is unavoidable.	Isolated	Minimal harm or potential for actual harm
12/05/2007	Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary.	Isolated	Minimal harm or potential for actual harm
12/05/2007	1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects.	Isolated	Minimal harm or potential for actual harm
07/27/2007	exits that are accessible at all times.	Pattern	Minimal harm or potential for actual harm
07/27/2007	emergency lighting that can last at least 1 1/2 hours.	Widespread	Minimal harm or potential for actual harm
07/27/2007	properly located and lighted "Exit" signs.	Pattern	Minimal harm or potential for actual harm
07/27/2007	an approved automatic sprinkler system connected to the fire alarm system.	Widespread	Minimal harm or potential for actual harm
07/27/2007	automatic sprinkler systems that have been maintained in working order.	Widespread	Minimal harm or potential for actual harm
07/27/2007	exits that are free from obstructions and can be used at all times.	Widespread	Minimal harm or potential for actual harm
07/27/2007	restrictions on the use of flammable curtains.	Pattern	Minimal harm or potential for actual harm
07/27/2007	proper medical gas storage and administration areas.	Pattern	Minimal harm or potential for actual harm

Have you or someone you know become a victim of nursing home abuse or neglect? If so, contact one of our experienced nursing home lawyers today. Help End Nursing Home Abuse

Where does this data come from?

The data on this website describes nursing home characteristics, quality measures, inspection results, and nursing staff information.

The data come from 2 sources:

1. Centers for Medicare & Medicaid Services (CMS) have an Online Survey, Certification, and Reporting (OSCAR) database - Includes the nursing home characteristics and health deficiencies issued during the three most recent state inspections and recent complaint investigations.

   The survey inspection results are collected by the state survey agencies, who perform onsite visits to nursing homes . The inspections occur at least once during a 15-month period, or any time in between as a result of a complaint received by the state. The inspections ensure that the nursing home residents receive quality care and services in a safe and comfortable environment in accordance with rules established by CMS. Complaints may be reported and inspected during the year (outside of the 9-15 month survey cycle). Inspections about a complaint that result in the citation of a health deficiency are reported to CMS and included in this website. Sometimes the inspection finds a problem that the nursing home identified and corrected before the inspection occurred. The fact and the nature of these prior problems (deficiencies) may be included in this website.

   The information on the nursing homes' characteristics derived from OSCAR are prepared by each nursing home at the beginning of the regular State inspection. This information is reported by the nursing homes themselves. It is reviewed by nursing home inspectors, but not formally audited to ensure data accuracy. In addition, this information changes frequently as residents are discharged and admitted, or resident conditions change.

2. National database known as the Minimum Data Set (MDS) Repository

   The data for the quality measures come from the MDS Repository. The MDS is collected on regular intervals for every resident in a Medicare or Medicaid certified nursing home. Information is collected on the resident's health, physical functioning, mental status, and general well-being. These data are used by the nursing home to access the needs and develop a plan of care unique to each resident.

   Regulations require that a MDS assessment be performed at admission, quarterly, annually, and whenever the resident experiences a significant change in status. For residents in a Medicare Part A stay, the MDS is also used to determine the Medicare reimbursement rate. These assessments are performed on the 5th, 14th, 30th, 60th and 90th day of admission.

   All of this data is reported by the nursing homes themselves. It is reviewed by nursing home inspectors, but not formally audited to ensure that it is accurate. Every attempt is made to assure the accuracy and timeliness of this information. However, this information changes frequently as residents are discharged and admitted, or resident conditions change. We advise interpreting this information cautiously and supplementing it with information from the Ombudsman's office, the State Survey Agency, or other sources.

   Some MDS items used to calculate the quality measures consider the resident's condition during previous days prior to the assessment date. The following table provides these "observation" or "look back" time frames.

Signs of Nursing Home Abuse:

• Unexplained injuries or bruises
• Over or under medication
• Visible cuts, bruises, or welts
• Rapid weight loss or weight gain
• Dehydration, malnutrition, and bedsores
• Unsanitary living conditions
• Infections
• Broken bones
• Sudden death