Above average — CMS composite of the measures below.
The next survey window likely opens around February 2027
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 Kansas Veterans Home during CMS and state inspections, most recent first.
A CNA performed urinary catheter care for a resident but failed to remove soiled gloves afterward, continuing to pull up the resident's clothing, handle the leg bag, clean the leg bag spout with alcohol wipes, empty urine into the toilet, and adjust the resident's blankets while still wearing the same gloves. This practice did not follow the facility's hand hygiene policy, which requires staff to change gloves and perform hand hygiene when moving from a contaminated body site to a clean body site and to perform hand hygiene after glove removal.
The facility failed to date insulin flex pens for four residents and did not discard an expired bottle of acetaminophen, placing residents at risk for ineffective medications. These deficiencies were confirmed by staff and were against the facility's Medication Administration policy.
The facility failed to ensure that the Consultant Pharmacist identified and reported staff's non-compliance with physician's orders for blood glucose monitoring and insulin administration for a resident with multiple medical conditions. The resident's records showed several instances of high blood glucose levels where prescribed insulin was not administered, and the CP did not document or report these irregularities.
The facility failed to administer insulin as ordered by the physician for a resident with multiple diagnoses, including diabetes mellitus type two. The resident's blood sugar levels were documented as being above 250 ml/dl on several occasions in February, March, and April 2024, but the as-needed Humalog insulin was not administered. This failure was confirmed by both a licensed nurse and an administrative nurse during interviews.
Failure to Change Gloves and Perform Hand Hygiene During Catheter Care
Penalty
Summary
The deficiency involves a failure to follow infection prevention and control practices during urinary catheter care for one resident. During a survey observation, a CNA donned a clean gown and gloves, pulled down the resident's sweatpants, and performed catheter care. After completing the catheter care, the CNA did not remove the soiled gloves. With the same gloves still on, the CNA pulled up the resident's sweatpants, pulled up the right pant leg, opened an alcohol wipe, and cleaned the spout of the leg bag. The CNA then emptied urine from the leg bag, used another alcohol wipe on the spout, dumped the urine in the toilet, pulled down the resident's pant leg over the catheter bag, and adjusted the resident's blankets, only removing the gloves at the end of all these tasks. The facility's hand hygiene policy required staff to comply with CDC hand hygiene guidelines, including performing hand hygiene before donning gloves and after removing gloves, and changing gloves during resident care when moving from a contaminated body site to a clean body site. The policy also stated that all personnel receive training and competency validation on hand hygiene at the time of employment. The CNA later acknowledged that it made sense to remove gloves after catheter care and confirmed that she had forgotten to do so. An administrative nurse confirmed that the CNA should have removed her gloves after catheter care, sanitized her hands, and then put on a clean pair of gloves, consistent with the facility's policy.
Failure to Date Insulin Pens and Discard Expired Medications
Penalty
Summary
The facility failed to date the insulin flex pens for four residents (R10, R13, R180, and R62) with the date opened and discard date. Specifically, observations revealed that the Lantus and Fiasp flex pens for these residents lacked the necessary labeling. Additionally, an expired bottle of acetaminophen was found on the 500 nurse medication cart. These deficiencies were confirmed by Licensed Nurse G and Administrative Nurse D, who acknowledged that the insulin pens should have been dated and expired medications discarded as per facility policy and professional guidelines. The facility's Medication Administration policy, dated 04/22/24, mandates that insulin pens be clearly labeled with the resident's name and the date opened, and that expired medications be removed from the active supply. The failure to adhere to these policies placed the residents at risk for receiving ineffective medications. The observations and interviews conducted on 04/17/24 and 04/21/24 confirmed these lapses in medication management and storage practices.
Failure to Administer Insulin as Ordered and Report Irregularities
Penalty
Summary
The facility failed to ensure that the Consultant Pharmacist (CP) identified and reported that staff did not follow the physician's orders for blood glucose monitoring and insulin administration for a resident with multiple medical conditions, including diabetes mellitus type two, dementia, and hypertension. The resident's medical records showed several instances where blood glucose levels were above 250 ml/dl, but the prescribed Humalog insulin was not administered. This failure was observed in the Treatment Administration Records for February, March, and April 2024, indicating a pattern of non-compliance with the physician's orders. The CP's Medication Regimen Review for February and March 2024 did not document any identification or reporting of these irregularities. Interviews with the Administrative Nurse confirmed that the CP had not notified the facility about the missed insulin administrations. The facility's policy required the CP to perform monthly reviews and report any irregularities to the appropriate departments, but this was not done, placing the resident at risk for physical decline and an ineffective medication regimen.
Failure to Administer Insulin as Ordered
Penalty
Summary
The facility failed to administer medication as ordered by the physician in response to blood glucose monitoring for Resident 62, who received insulin. The resident had multiple diagnoses, including diabetes mellitus type two, dementia with behavioral disturbance, delusional disorder, bipolar disorder, depressive disorder, hypertension, and PTSD. The resident's care plan directed staff to monitor for signs of high and low blood sugars and administer medications as ordered by the physician. However, the Treatment Administration Record documented several instances in February, March, and April 2024 where the resident's blood sugar was above 250 ml/dl, and the as-needed Humalog insulin was not administered as ordered. This failure was confirmed by both a licensed nurse and an administrative nurse during interviews. The facility's Blood Glucose Monitoring Procedure required staff to verify the order for the procedure, document the blood glucose reading, and administer prescribed medications, including injections for the treatment of high or low blood glucose. Despite this procedure, the facility did not follow the physician's orders for administering insulin to Resident 62, placing the resident at risk for physical decline and an ineffective medication regimen. The administrative nurse acknowledged the failure and mentioned contacting the physician to potentially change the order, but this does not address the initial deficiency in care provided to the resident.
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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 Winfield
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Cumbernauld Village | 0.5 mi | ★★★★★ | 2 | 0 |
| Winfield Senior Living Community | 1.7 mi | ★★★★★ | 0 | 0 |
| Winfield Rest Haven Ii, Llc | 2 mi | ★★★★★ | 0 | 0 |
| Anew Healthcare Oxford | 10.8 mi | — | 0 | 0 |
| Medicalodges Arkansas City | 12.9 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.