Average — CMS composite of the measures below.
A standard survey is most likely before around October 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Good Samaritan Society - Olathe during CMS and state inspections, most recent first.
Food storage and temperature monitoring deficiencies were identified in the kitchen and on a secured unit. Uncovered resident meal plates were placed in a refrigerator, multiple opened food items in dry storage, refrigeration, and freezer areas were left undated or unlabeled, and some food showed visible mold. During lunch temp checks, a Dietary staff member used a dish towel to wipe the thermometer probe, did not perform hand hygiene before wetting the towel, and placed the thermometer on the prep table between checks.
Unsecured disinfecting wipes were found in an open exam room and in a kitchenette cabinet, both with labels warning they were hazardous and should be kept out of reach. A CNA said the wipes were supposed to be in a locked closet, while an LN and an Administrative Nurse stated cleaning products and hazard areas should be locked. The issue involved cognitively impaired, independently mobile residents and conflicted with the facility’s Accidents policy requiring a safe environment.
A resident with moderately impaired cognition and ADL assistance needs was observed being fed yogurt by a CNA who stood over her bedside table while assisting with the meal. Staff interviews stated that caregivers should sit next to residents when feeding them and should not tower over them, and the facility’s dignity policy required care to be provided in a manner that maintains or enhances dignity and respect.
Call Light Left Out of Reach: A resident with severe cognitive impairment, dementia, and multiple care needs had the call light left on the floor between the bed and Broda chair, out of reach. The care plan lacked direction for call light placement, and staff interviews confirmed call lights should be kept within the resident's reach before leaving the room.
Failure to Report Unwitnessed Injury Fall: A resident with severe cognitive impairment, Alzheimer’s disease, and a history of falls had an unwitnessed fall in her room and was found on the floor with head bleeding and a forehead contusion. She was sent out for acute medical treatment and later returned with staples to the top of her head, but the facility did not report the injury of unknown origin to the state investigative agency.
Failure to provide bed-hold and transfer notification: A resident with HTN, Afib, CVA, and dementia was transferred to the hospital, but the facility could not locate documentation showing that she and her representative received the bed-hold policy or written transfer notification. The resident stated she had not received the bed-hold policy before going to the hospital, and staff said the required paperwork should have been completed before transfer and that social services was responsible for notifying the representative.
Failure to provide bathing assistance and document refusals: A resident with impaired cognition, incontinence, and dependence for ADLs had a care plan for bathing assistance, but records showed inconsistent bath documentation and multiple refusals. Staff observed urine odor in the resident’s room, and CNA/LN interviews confirmed the resident was incontinent, sometimes removed soiled briefs, and usually accepted bathing from a preferred CNA.
Failure to Document Weekly Wound Assessments and Measurements: A resident with DM, impaired mobility, and an open right knee wound had treatment orders documented in the MAR/TAR, but the EMR lacked weekly wound assessments and wound measurements for the knee wound across multiple periods. Nursing staff stated wound measurements should have been recorded in the Wound Data Collection UDA, and the facility policy required weekly monitoring and documentation of abrasions and wound-related assessments.
Failure to Offload Heels for Residents With Pressure Injuries: Three residents with pressure ulcer risk or active heel wounds were observed lying in bed with their heels directly on the mattress instead of being offloaded as directed. One resident had an unstageable left heel wound and orders for heel offloading with a pillow, another had a Stage 3 pressure ulcer and heel care orders, and a third had a right heel pressure ulcer with offloading boots found on the floor next to the bed. Staff stated heel floating was a nursing responsibility and was listed on the TAR/Kardex, but the observations showed the interventions were not in place.
Improper Storage of Respiratory Equipment: A resident with sleep apnea and continued O2 use had CPAP equipment and nasal cannula tubing observed stored unsanitarily on the bedside table, oxygen cannister, and bed frame. Staff gave inconsistent descriptions of how the CPAP mask and O2 tubing should be stored, despite orders and policy directing sanitary storage when not in use.
Pharmacist Failed to Report Midodrine Irregularities A resident with orthostatic hypotension, atrial fibrillation, and syncope had a Midodrine order that lacked a diagnosis and included a hold parameter for SBP greater than 120. MAR review showed the medication was given outside the ordered parameter multiple times over several months, but the CP’s monthly DRR did not identify or report the missing diagnosis or the out-of-parameter administrations. Staff stated ordered parameters should be followed and irregularities reported.
A resident with orthostatic hypotension, atrial fibrillation, and syncope had a Midodrine order that lacked a diagnosis for use. The MAR showed the medication was given outside the ordered SBP hold parameter on multiple occasions, and an LN and an Administrative Nurse stated that physician-ordered parameters should be followed when administering medications.
Food Served Without Temperature Checks: A CNA microwaved breakfast plates for two residents and served them without checking the food temperature after heating. Staff also placed several breakfast plates in the refrigerator briefly without covers, and the refrigerator contained uncovered dinner plates and food residue. Interviews confirmed staff were expected to cover refrigerated food and use thermometers after microwaving, and facility policy required meals to be served at safe temperatures.
A resident with CAD, CVA, and moderate cognitive impairment was on hospice, but the facility’s care plan did not reflect the hospice-provided baths, medications, DME, or supplies. Staff stated hospice shower days were tracked in the Kardex or hospice book and that the facility care plan should align with the hospice plan of care, but the resident’s plan lacked those details.
A facility failed to notify a resident's representative about significant changes in the resident's care plan and medical condition, including seizure activity, new medication orders, and medical test results. The resident had a history of heart failure, hemiplegia, hemiparesis following a stroke, and seizures. Staff interviews revealed inconsistencies in the notification process, and the facility's records lacked evidence of proper communication, indicating a failure to adhere to their notification policy.
Food Storage and Temperature Monitoring Deficiencies
Penalty
Summary
The facility failed to maintain sanitary dietary standards related to food storage and food temperature checks for a census of 123 residents with one kitchen. During observations, uncovered and labeled food plates from the previous evening were found on the top two shelves of the secured 100 Hall kitchenette refrigerator, and the refrigerator had food residue on the inside walls. In the juice machine area, a cup caked in pink drink mix residue was observed in a drawer directly under the juice fountain. In the dry food storage room, multiple food items on the bread storage cart and elsewhere were observed without dates, including opened hamburger buns, an opened loaf of bread, two open bags of hot dog buns, two opened bags of noodles, and an opened bag of yellow cake mix. One bag of hot dog buns contained six buns, and three had visible mold. In the main kitchen and walk-in refrigeration and freezer units, hard-boiled eggs, unopened bags of French toast and pancakes, opened half-gallons of milk, an opened bag of red grapes, and opened bags of frozen tater tots and onion rings were observed without labels or dates. During lunch food temperature checks, Dietary CC used a dish towel to wipe the thermometer probe between items, did not perform hand hygiene before wetting the towel, placed the thermometer on the prep table where the probe would touch the table, and continued using the towel at the steam table. On the secured 100 Hall, CNA N briefly placed breakfast plates for four residents directly in the refrigerator without covers.
Unsecured disinfecting wipes left accessible to residents
Penalty
Summary
The facility failed to secure chemicals in a safe, locked area and keep them out of reach of twelve cognitively impaired, independently mobile residents. During an initial walkthrough, an unsecured exam room on the 300 Hall contained a container of purple disinfectant wipes on the counter, and the label warned, "Keep out of reach of children, hazardous to humans, can cause eye irritation, harmful if swallowed." Later, an inspection of the secured 100 Hall kitchenette found another container of purple disinfecting wipes in the cabinet underneath the sink with the same warning label. A CNA stated the wipes were supposed to be in a locked closet and moved them to the nurse's station. An LN stated staff were expected to lock up cleaning products and keep them out of residents' reach, and an Administrative Nurse stated cleaning products and areas with potential hazards should always be locked. The facility's Accidents policy stated the facility would ensure a safe environment for all residents and assess each resident's potential risks, including functional abilities, potential falls, assistive devices, and environment, to ensure resident safety.
Dignity Failure During Feeding Assistance
Penalty
Summary
The facility failed to provide services in a dignified manner for R31 when a CNA stood over her bedside table while feeding her a yogurt cup. R31 had diagnoses including hypertension, edema, bradycardia, difficulty walking, and abnormalities of gait and mobility. Her quarterly MDS documented a BIMS score of 12, indicating moderately impaired cognition, and showed she needed set up or cleanup for eating and oral hygiene, substantial to maximal assistance with toileting, and dependent assistance for bathing and personal hygiene. Her CAA documented that she needed assistance with ADLs, and her care plan identified an ADL self-care performance deficit related to dementia and directed staff to assist with bedtime cares, offer a wheelchair if she was weak, toilet her before bed, and ensure she got from the dining room to her room after meals. During observation, R31 was sitting in her wheelchair in her room while the CNA stood over her and fed her yogurt. The CNA stated she had been told to help R31 with her meal because R31 had difficulty eating by herself. Other staff interviewed stated that staff should sit next to a resident when assisting with feeding and should not stand over or tower over a resident while feeding them. The facility's Resident Dignity policy stated that care should be provided in a manner and environment that maintains or enhances each resident's dignity and respect.
Call Light Left Out of Reach
Penalty
Summary
The facility failed to ensure Resident 38's call light was within reach. Resident 38 had multiple diagnoses including dementia, psychotic disturbance, anxiety, bradycardia, repeated falls, need for assistance with personal care, lack of coordination, neuromuscular dysfunction of the bladder, muscle weakness, dysphagia, pain, and major depressive disorder. The Quarterly MDS documented a BIMS score of zero, indicating severely impaired cognition, and the resident was dependent on staff for toileting, bathing, and dressing, with partial to moderate assistance needed for eating. The Cognitive/Loss Dementia CAA documented that the resident was unable to complete a BIMS, had short-term and long-term memory problems, could not make decisions regarding daily life, and was severely impaired with physical and verbal behaviors toward others. The care plan documented a communication problem related to hearing deficit, dementia, and rarely speaking, and directed staff to encourage the resident to continue stating thoughts and to verbalize frustrations rather than use physical action, but it did not include direction about call light placement. During observation, the resident was seated in a Broda chair in the room while the call light was found on the floor between the bed and the chair, out of reach. Staff interviews confirmed that call lights should always be within the resident's reach, should be in reach before staff leave the room, and should be placed anywhere the resident can reach them. The facility policy also stated that residents should always have a method of calling for assistance and that the call light should be placed within easy reach when leaving the room.
Failure to Report Unwitnessed Injury Fall
Penalty
Summary
The facility failed to report an unwitnessed injury fall involving a resident with severe cognitive impairment to the state investigative agency. The resident had diagnoses including Alzheimer's disease, insomnia, muscle weakness, and abnormal gait/mobility, and her MDS showed a BIMS score of 3, indicating severe cognitive impairment. She required substantial to maximal assistance with several ADLs, was identified as a fall risk with a history of falls, and her care plan addressed fall risk, impaired communication, decreased ADLs, and elopement. On 06/26/25, staff heard the resident yelling in her room and found her on the floor, partially on her back, with a contusion and bleeding on the right side of her forehead. She could not tell staff what happened, and she was sent to an acute medical facility for treatment. An IDT note documented that she received two staples at the top of her head and returned with no new fractures. The facility investigation concluded she probably tried to get out of bed and slipped on the hardwood floor, but the report did not show that the unwitnessed injury fall was reported to the state investigative agency. The administrative nurse stated the facility did not report the incident because she felt it was just a fall, although she acknowledged the facility was required to report injuries of unknown origin.
Failure to Provide Bed-Hold and Transfer Notification
Penalty
Summary
The facility failed to provide Resident 1 and her representative with a written bed-hold policy that included the facility’s per diem rate to hold a bed, and failed to provide a written notification of transfer when she was sent to the hospital. Resident 1’s EMR documented diagnoses of hypertension, atrial fibrillation, cerebrovascular disease, and dementia. Her MDS assessments documented an unplanned discharge to an acute hospital with return anticipated, followed by re-entry to the facility, and later another unplanned discharge to an acute hospital with return anticipated and re-entry. Her significant change MDS documented a BIMS score of 15, partial to substantial assistance with ADLs, dependence for toileting, and use of a walker and wheelchair. Her care plan directed staff that she wished to remain at the facility for long-term care. The record review and interviews showed the facility could not locate the bed-hold and notification of transfer paperwork for the resident’s hospital transfers. The resident stated she had not received the bed-hold policy before she went to the hospital. An administrative staff member stated the paperwork could not be located, and an administrative nurse stated the nurse should complete the bed-hold and notification of transfer paperwork before a resident was sent to the hospital, with social services responsible for notifying the representative and following up on the bed-hold and transfer notification. The facility policies stated written bed-hold information should be provided at admission, transfer, or therapeutic leave, and that the resident or representative should be notified within 24 hours of transfer; the notification of change policy also required immediate notification of the resident and representative when a transfer was necessary for the resident’s welfare.
Failure to Provide Bathing Assistance and Document Refusals
Penalty
Summary
The facility failed to ensure that R52, a resident with diagnoses including muscle weakness, need for assistance with personal care, abnormalities of mobility, and endometrial cancer, received bathing assistance as needed. Her MDS documented moderately impaired cognition and substantial to maximum staff assistance with bathing, transfers, bed mobility, and personal hygiene. Her care plan stated that she required assistance with bathing and that staff would offer to assist her with shaving. Review of the EMR bathing record for 05/01/25 through 07/21/25 showed several documented baths, sponge baths, whirlpool baths, and refusals, but the facility also provided a separate bath log and task report that showed additional refusals and bathing entries not reflected in the EMR. During observations, R52 was seen in her room with urine odor noted on 07/21/25 and again on 07/22/25 near her bed and wheelchair. On 07/23/25, CNA P stated that R52 did not usually refuse baths/showers, was incontinent of bladder, and sometimes removed her soiled brief and placed it on the floor, leading to urine odor in the room from the carpet and mattress. LN H stated that R52 was incontinent of bladder, sometimes removed her brief and placed it on the floor, and seldom refused bathing. LN H also stated that CNA P was usually the staff member R52 wanted to provide her bathing activity. Administrative Nurse D stated that each resident had an assigned bath day, that staff should offer a bath several times if refused, notify the charge nurse of a refusal, and document the refusal in the EMR.
Failure to Document Weekly Wound Assessments and Measurements
Penalty
Summary
The facility failed to complete weekly wound assessments, including wound measurements, for a resident with an open right knee wound. The resident had diagnoses including muscle weakness, need for assistance with personal care, diabetes mellitus, and an open wound on the right knee. Her MDS assessments documented intact cognition, substantial to maximum assistance needs for dressing and mobility, dependence for transfers, toileting, and lower body dressing, and risk for pressure-related injuries. The resident also had care plan entries for impaired skin integrity and potential for pressure ulcer development related to decreased mobility. Review of the resident’s EMR showed wound-related documentation for coccyx assessments in December 2024 and January 2025, but no wound RN assessments or wound data collection assessments after those entries. Skin observation assessments in May 2025 documented either no skin conditions or a superficial abrasion on the left foot, but they did not document the resident’s right knee wound. The MAR and TAR showed treatment orders for the right knee, including skin prep in June 2025 and cleansing with NS, applying medihoney, and covering with bordered foam in July 2025, with documentation that the treatments were done on scheduled shifts. However, the EMR lacked evidence of wound assessments or wound measurements for the right knee wound during the June hospitalization period and after the resident returned to the facility in July. A provider note later described the right knee wound as chronic, stable, and present for greater than one year, and stated the abrasion had not healed. That note did not include wound measurements. A hospital document later provided measurements for the right knee wound, showing length, width, and depth. During interviews, nursing staff stated that wound measurements should have been documented in the wound data collection assessments and that weekly wound assessments and measurements were supposed to be completed even if the wound doctor was not following the wound directly. The facility policy stated that abrasions and similar skin injuries should be monitored weekly and documented on the Skin Observation UDA and care plan, and that wound-related assessments and documentation should include the Braden Scale, Positioning Assessment and Evaluation, Skin Observation, Wound Data Collection, and Wound RN Assessment UDAs.
Failure to Offload Heels for Residents With Pressure Injuries
Penalty
Summary
The facility failed to effectively implement interventions to reduce the risk of pressure injuries and to promote healing for three residents. R74 had diagnoses including Alzheimer’s disease, dementia, Parkinson’s disease, urge incontinence, and a history of falls, and her MDS identified her as at risk for pressure ulcers. Her care plan and physician orders directed heel offloading in bed with a pillow and no heel boots or protectors due to fall risk, along with weekly wound monitoring for an unstageable left heel pressure injury. However, on two separate observations, R74 was lying in bed on her back with both heels directly on the mattress. R31 had diagnoses including hypertension, edema, bradycardia, difficulty walking, and gait abnormalities, and her MDS identified her as at risk for pressure ulcer/injury. Her care plan documented a Stage 3 pressure ulcer, a history of an open area on the left heel, and orders for left heel skin care with a bordered foam dressing. The care plan also documented heel protectors as tolerated and that she preferred pillows for offloading her heels in bed. Despite this, R31 was observed lying in bed with both heels directly on the mattress. R3 had diagnoses including diabetes mellitus, muscle weakness, and a pressure ulcer on the right heel. His MDS documented that he required substantial to maximum assistance with personal hygiene and transfers, partial to moderate assistance with bed mobility, and that he was at risk for pressure-related injuries. His care plan called for a low-air-loss mattress, a wheelchair cushion, and offloading boots as tolerated. During observation, R3 was lying in bed with his right heel resting directly on the mattress, and a pressure-reducing boot was found on the floor next to the bed. Staff interviews stated that heel floating was a nursing responsibility and was listed on the TAR and Kardex, but the observations showed the heels were not offloaded as directed.
Improper Storage of Respiratory Equipment
Penalty
Summary
The facility failed to ensure Resident 45’s CPAP mask and nasal oxygen tubing were stored in a sanitary manner. Resident 45 had diagnoses including sleep apnea, obesity, hypertension, muscle weakness, abnormalities of gait and mobility, diabetes mellitus, hallucination, and metabolic encephalopathy. The admission MDS documented a BIMS score of 13, indicating intact cognition, and noted that the resident used a CPAP and continued oxygen use. The care plan documented that staff were to monitor for signs of poor oxygen absorption and report any difficulties with CPAP use. The physician orders directed staff to wash the CPAP tubing and mask in warm, soapy water, rinse and dry them, place them in a large baggie after drying, assist with putting on the CPAP at midnight, and ensure the oxygen tubing was stored in a bag when not in use. During observations, the CPAP was seen on the bedside table and the nasal oxygen tubing was placed on the oxygen cannister handle, then later the CPAP mask was on the bedside table and the nasal oxygen tubing was behind the bed on the bed frame. Staff interviews showed differing understanding of storage practices, with a CNA stating she was not sure where the CPAP should be stored and that oxygen tubing should be placed in a bag, while nursing staff stated the CPAP mask should be covered and placed in a sanitary bag when dry and that unused oxygen tubing should be placed in a bag. The administrative nurse stated all respiratory equipment should be placed in a mesh bag when not in use.
Pharmacist Failed to Report Midodrine Irregularities
Penalty
Summary
The facility failed to ensure the Consultant Pharmacist completed and reported an effective monthly drug regimen review for a resident receiving Midodrine. Resident 54 had documented diagnoses of orthostatic hypotension, atrial fibrillation, and syncope, with an annual MDS showing a BIMS score of 13 and need for setup to supervision assistance. Her care plan directed staff to have her rise slowly, use compression stockings as ordered, and monitor, document, and report signs and symptoms of hypotension. The physician’s order for Midodrine hydrochloride 2.5 mg, two tablets by mouth three times daily, with instructions to hold if systolic blood pressure was greater than 120, did not include a diagnosis for use. Review of the MAR showed Midodrine was administered outside the ordered parameter on 10 of 93 opportunities in May 2025, 3 of 90 opportunities in June 2025, and 9 of 63 opportunities in July 2025. The Consultant Pharmacist’s monthly medication reviews from May 2025 through July 2025 did not identify or report that the Midodrine order lacked a diagnosis for use, and did not identify or report the administrations given when the resident’s systolic blood pressure was greater than 120. Staff interviews confirmed that ordered parameters should be followed when administering medications and that the pharmacist was expected to identify and report irregularities.
Unnecessary Medication Administration and Missing Diagnosis for Midodrine
Penalty
Summary
The facility failed to ensure Resident 54’s Midodrine order included a diagnosis for use. Resident 54’s EMR documented diagnoses of orthostatic hypotension, atrial fibrillation, and syncope. Her annual MDS dated 01/22/25 documented a BIMS score of 13, indicating intact cognition, and she required setup to supervision assistance from staff. Her care plan directed staff to encourage her to get up slowly, sit on the side of the bed before standing, apply compression stockings as ordered, and monitor, document, and report signs and symptoms of hypotension as needed. Resident 54’s order summary report documented a physician’s order dated 04/24/25 for Midodrine HCl 2.5 mg, two tablets by mouth three times a day, with instructions to hold if SBP was greater than 120, but the order lacked a diagnosis for use. Review of the MAR showed Midodrine was administered outside the physician’s ordered parameter on 10 of 93 opportunities in May 2025, 3 of 90 opportunities in June 2025, and 9 of 63 opportunities in July 2025. On 07/23/25, an LN stated the parameters should be followed when administering medications, and an Administrative Nurse stated the physician-ordered parameters should be followed when administering medications.
Food Served Without Temperature Checks
Penalty
Summary
Meals were not consistently served at a palatable, safe, and appetizing temperature for two residents, R80 and R104. During a walkthrough of the secured 100 Hall kitchenette, the microwave had signage instructing staff to use thermometers when heating foods to ensure food reached 165 degrees, and a thermometer with disposable covers was available in the cabinet. The refrigerator contained uncovered and labeled food plates from the previous evening’s dinner on the top two shelves, and there was food residue on the inside walls of the refrigerator. During breakfast service, CNA N received R80’s plate from the portable serving station, microwaved it for one minute, added syrup, and served it without checking the temperature after heating. Later that morning, CNA N placed breakfast plates for R2, R71, R102, and R104 directly into the refrigerator briefly without covers, then obtained dome covers within five minutes. When R104 arrived to the dining area, CNA N retrieved her breakfast plate from the refrigerator, microwaved it for one minute and thirty seconds, and served it without checking the temperature after heating. Staff interviews indicated food placed in the refrigerator should be covered and that temperatures were expected to be checked after microwaving, and the facility policy stated meals should be nourishing, attractive, palatable, and maintained at safe serving temperatures.
Hospice Services Not Reflected in Resident Care Plan
Penalty
Summary
The facility failed to update Resident 49’s plan of care to reflect the hospice services, medications, equipment, and supplies being provided by hospice. Resident 49 had diagnoses of atherosclerotic heart disease and cerebral infarction, and the admission MDS documented a BIMS score of 9, indicating moderate cognitive impairment. The resident’s CAA documented hemiplegia and hemiparesis following cerebral infarction and noted that the resident received hospice services. The care plan dated 06/19/25 documented that the resident had a terminal prognosis and was being followed by hospice, with interventions addressing hospice involvement, advance care planning, emotional support, ADL assistance, and restlessness. It also documented that the resident required one CNA for bathing, shaving, and nail care as needed, and that hospice also assisted with bathing. However, the care plan did not document which days hospice provided baths and did not include any medications, medical equipment, or supplies provided by hospice. The hospice plan of care listed DME and supplies including a shower chair, walker, wheelchair, wheelchair cushion, barrier cream, bed pads, briefs, gloves, underwear, urinal, wash basin, and wipes. Staff interviews indicated that hospice shower days and services were tracked in the Kardex or hospice book, and that facility showers were provided on opposite days from hospice. LN G and Administrative Nurse D stated that the facility care plan should align with the hospice care plan and reflect the services and equipment provided, but the resident’s facility care plan did not contain that information.
Failure to Notify Resident's Representative of Care Plan Changes
Penalty
Summary
The facility failed to notify the representative of a resident, identified as R1, about significant changes in the resident's care plan and medical condition. R1 had a history of heart failure, hemiplegia, hemiparesis following a stroke, and seizures. The resident's electronic medical record documented several instances where the facility did not inform R1's representative about changes, including seizure activity, new medication orders, and results of medical tests such as chest x-rays. The report highlights specific instances where the facility did not communicate with R1's representative. On multiple occasions, the facility failed to notify the representative about R1's seizure activity and the initiation of a new seizure medication. Additionally, the facility did not inform the representative about a chest x-ray ordered due to respiratory symptoms, nor did they communicate the results of the x-ray. Furthermore, the facility did not notify the representative about an open area on R1's sacrum, weight loss, and the change to a new wheelchair. Interviews with facility staff revealed inconsistencies in the notification process. Licensed Nurse G stated that she notified families of medication changes and significant physical changes but did not notify R1's representative after each seizure unless there were multiple seizures in a day. Administrative Nurse D expected staff to notify representatives of any changes as soon as possible and document these notifications in the progress notes. However, the facility's records lacked evidence of such notifications, indicating a failure to adhere to their policy of informing residents, their physicians, and representatives of significant changes in the resident's status.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Olathe
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Hoeger House | 0.2 mi | ★★★★★ | 0 | 0 |
| The Healthcare Resort Of Olathe | 0.4 mi | ★★★★★ | 0 | 0 |
| Azria Health Olathe | 0.9 mi | ★★★★★ | 28 | 1 |
| Evergreen Community Of Johnson County | 3.2 mi | ★★★★★ | 2 | 0 |
| Villa St Francis Catholic Care Center Inc | 4 mi | ★★★★★ | 0 | 0 |
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