PROVIDENCE LIVING CENTER KS DEFICIENCY REPORT

	Nursing Home Deficiency Report current as of November 25, 2009
Date	Deficiency	Scope	Level of Harm
06/22/2010	Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for; or 2) how to apply for Medicaid, along with the names and addresses of State groups that can help.	Isolated	Minimal harm or potential for actual harm
06/22/2010	Properly hold, secure and manage each resident's personal money which is deposited with the nursing home.	Pattern	Minimal harm or potential for actual harm
06/22/2010	Allow residents to easily see the results of the nursing home's most recent survey.	Widespread	Potential for minimal harm
06/22/2010	Have a private telephone available for use.	Isolated	Minimal harm or potential for actual harm
06/22/2010	1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.	Isolated	Minimal harm or potential for actual harm
06/22/2010	Make sure each resident has the right to choose activities, schedules and health care according to his or her interests, assessment, and plan of care.	Pattern	Minimal harm or potential for actual harm
06/22/2010	Listen to the resident or family groups or act on their complaints or suggestions.	Isolated	Minimal harm or potential for actual harm
06/22/2010	Provide activities to meet the needs of each resident.	Pattern	Minimal harm or potential for actual harm
06/22/2010	Provide needed housekeeping and maintenance.	Pattern	Minimal harm or potential for actual harm
06/22/2010	Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them.	Isolated	Minimal harm or potential for actual harm
06/22/2010	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
06/22/2010	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.	Isolated	Minimal harm or potential for actual harm
06/22/2010	Make sure that the nursing home area is free of dangers that cause accidents.	Pattern	Minimal harm or potential for actual harm
06/22/2010	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.	Pattern	Minimal harm or potential for actual harm
06/22/2010	post nurse staffing information.	Widespread	Potential for minimal harm
06/22/2010	Store, cook, and give out food in a safe and clean way.	Widespread	Minimal harm or potential for actual harm
06/22/2010	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
06/22/2010	At least once a month, have a licensed pharmacist check the drugs that each resident takes.	Pattern	Minimal harm or potential for actual harm
06/22/2010	Make sure that a working call system is available in each resident's room or bathroom and bathing area.	Pattern	Minimal harm or potential for actual harm
06/02/2010	exits that are accessible at all times.	Widespread	Minimal harm or potential for actual harm
06/02/2010	emergency lighting that can last at least 1 1/2 hours.	Pattern	Minimal harm or potential for actual harm
06/02/2010	properly located and lighted "Exit" signs.	Pattern	Minimal harm or potential for actual harm
06/02/2010	record of quarterly fire drills for each shift under varying conditions.	Widespread	Minimal harm or potential for actual harm
06/02/2010	automatic sprinkler systems that have been maintained in working order.	Pattern	Minimal harm or potential for actual harm
06/02/2010	posted "No-smoking" signs in areas where smoking is not permitted or did not provide ashtrays where smoking was allowed.	Widespread	Minimal harm or potential for actual harm
06/02/2010	proper medical gas storage and administration areas.	Isolated	Minimal harm or potential for actual harm
06/02/2010	properly installed electrical wiring and equipment.	Pattern	Minimal harm or potential for actual harm
06/02/2010	proper backup exit lighting.	Pattern	Minimal harm or potential for actual harm
06/22/2009	Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for; or 2) how to apply for Medicaid, along with the names and addresses of State groups that can help.	Pattern	Minimal harm or potential for actual harm
06/22/2009	Properly hold, secure and manage each resident's personal money which is deposited with the nursing home.	Widespread	Minimal harm or potential for actual harm
06/22/2009	Keep each resident's personal and medical records private and confidential.	Isolated	Minimal harm or potential for actual harm
06/22/2009	Provide needed housekeeping and maintenance.	Pattern	Minimal harm or potential for actual harm
06/22/2009	Give each resident care and services to get or keep the highest quality of life possible.	Isolated	Minimal harm or potential for actual harm
06/22/2009	Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene.	Isolated	Minimal harm or potential for actual harm
06/22/2009	Make sure that the nursing home area is free of dangers that cause accidents.	Pattern	Minimal harm or potential for actual harm
06/22/2009	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
06/22/2009	Store, cook, and give out food in a safe and clean way.	Widespread	Minimal harm or potential for actual harm
06/22/2009	Give or get dental care for each resident.	Isolated	Minimal harm or potential for actual harm
06/22/2009	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
06/22/2009	At least once a month, have a licensed pharmacist check the drugs that each resident takes.	Pattern	Minimal harm or potential for actual harm
06/22/2009	Have a program to keep infection from spreading.	Widespread	Minimal harm or potential for actual harm
06/22/2009	Make sure that the nursing home area is safe, easy to use, clean and comfortable.	Pattern	Minimal harm or potential for actual harm
06/22/2009	Have enough backup water supply for important areas of the nursing home.	Widespread	Minimal harm or potential for actual harm
03/09/2009	approved construction type or materials.	Pattern	Minimal harm or potential for actual harm
03/09/2009	construction that can resist fire for one hour or an approved fire extinguishing system.	Pattern	Minimal harm or potential for actual harm
03/09/2009	emergency lighting that can last at least 1 1/2 hours.	Pattern	Minimal harm or potential for actual harm
03/09/2009	properly located and lighted "Exit" signs.	Widespread	Minimal harm or potential for actual harm
03/09/2009	did not have a written emergency evacuation plan.	Widespread	Minimal harm or potential for actual harm
03/09/2009	record of quarterly fire drills for each shift under varying conditions.	Widespread	Minimal harm or potential for actual harm
03/09/2009	an approved installation, maintenance and testing program for fire alarm systems.	Widespread	Minimal harm or potential for actual harm
03/09/2009	posted "No-smoking" signs in areas where smoking is not permitted or did not provide ashtrays where smoking was allowed.	Widespread	Minimal harm or potential for actual harm
03/09/2009	properly protected cooking facilities.	Pattern	Minimal harm or potential for actual harm
03/09/2009	exits that are free from obstructions and can be used at all times.	Pattern	Minimal harm or potential for actual harm
03/09/2009	restrictions on the use of flammable curtains.	Pattern	Minimal harm or potential for actual harm
03/09/2009	properly sized and located linen or trash receptacles.	Pattern	Minimal harm or potential for actual harm
03/09/2009	proper medical gas storage and administration areas.	Pattern	Minimal harm or potential for actual harm
03/09/2009	properly installed electrical wiring and equipment.	Widespread	Minimal harm or potential for actual harm
05/20/2008	Properly hold, secure and manage each resident's personal money which is deposited with the nursing home.	Pattern	Minimal harm or potential for actual harm
05/20/2008	Keep each resident's personal and medical records private and confidential.	Isolated	Minimal harm or potential for actual harm
05/20/2008	Allow residents to easily see the results of the nursing home's most recent survey.	Widespread	Potential for minimal harm
05/20/2008	Provide services to meet the needs and preferences of each resident.	Isolated	Minimal harm or potential for actual harm
05/20/2008	Provide needed housekeeping and maintenance.	Pattern	Minimal harm or potential for actual harm
05/20/2008	Make a complete assessment that covers all questions for areas that are listed in official regulations.	Isolated	Minimal harm or potential for actual harm
05/20/2008	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	Pattern	Minimal harm or potential for actual harm
05/20/2008	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
05/20/2008	Give professional services that meet a professional standard of quality.	Isolated	Minimal harm or potential for actual harm
05/20/2008	Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene.	Isolated	Minimal harm or potential for actual harm
05/20/2008	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	Isolated	Actual harm
05/20/2008	Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary.	Isolated	Actual harm
05/20/2008	Make sure that the nursing home area is free of dangers that cause accidents.	Isolated	Actual harm
05/20/2008	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
05/20/2008	Give or get dental care for each resident.	Isolated	Minimal harm or potential for actual harm
05/20/2008	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
05/20/2008	At least once a month, have a licensed pharmacist check the drugs that each resident takes.	Pattern	Minimal harm or potential for actual harm
05/20/2008	Make sure that the nursing home area is safe, easy to use, clean and comfortable.	Pattern	Minimal harm or potential for actual harm
01/16/2008	approved construction type or materials.	Pattern	Minimal harm or potential for actual harm
01/16/2008	walls or barriers that prevent smoke from passing through and would resist fire for at least one hour.	Widespread	Minimal harm or potential for actual harm
01/16/2008	construction that can resist fire for one hour or an approved fire extinguishing system.	Pattern	Minimal harm or potential for actual harm
01/16/2008	emergency lighting that can last at least 1 1/2 hours.	Pattern	Minimal harm or potential for actual harm
01/16/2008	properly located and lighted "Exit" signs.	Pattern	Minimal harm or potential for actual harm
01/16/2008	properly protected cooking facilities.	Pattern	Minimal harm or potential for actual harm
01/16/2008	proper medical gas storage and administration areas.	Pattern	Minimal harm or potential for actual harm
01/16/2008	emergency showers.	Isolated	Minimal harm or potential for actual harm
01/16/2008	properly installed electrical wiring and equipment.	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