Above average — CMS composite of the measures below.
A standard survey is most likely before around September 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 Medicalodges Independence during CMS and state inspections, most recent first.
Surveyors found unsanitary conditions in the kitchen and kitchenette, including dirty hand-washing sinks, food debris in freezers and refrigerators, rusted and dirty food carts, unsanitizable cookware, and multiple opened and unlabeled food items. Required cleaning schedules were not followed, and dietary staff confirmed these issues.
The facility did not ensure that DNR orders were properly verified and legally executed for multiple residents. For example, a resident with several serious health conditions had a DNR directive in their record that was not signed by a physician, making it invalid. Staff interviews confirmed that both the resident's and physician's signatures were required, but this was not consistently done, despite facility policy requiring complete and regularly reviewed advance directives.
Staff entered resident rooms without proper announcement or waiting for acknowledgment, including while residents were resting or using the phone. Some staff admitted to entering rooms if residents were asleep or on the phone, and administrative staff confirmed that the facility lacked a specific policy on resident rights and privacy.
A resident with multiple cardiac conditions was transferred to the ER for evaluation of chest pain and shortness of breath, but the facility did not provide written notification of the transfer to the resident, her representative, or the LTCO. Staff confirmed that only verbal notification was given and that there was no policy for written notification or LTCO notification for short-term transfers.
A resident with end-stage renal disease, diabetes, and chronic wounds was not properly monitored for antibiotic effectiveness or side effects, and staff failed to hold a cholesterol-lowering medication as ordered during antibiotic therapy. Nursing staff did not document required monitoring, and the facility did not follow its own medication management policy.
A resident with severe cognitive impairment, chronic renal failure, and high risk for pressure injuries did not consistently receive ordered Skin-prep and border foam dressings to the feet and buttocks, as well as heel protector boots. Observations and staff interviews confirmed that required treatments were frequently missed, despite physician orders and facility policy, resulting in the development and lack of proper management of pressure ulcers.
Two residents received medications outside of physician-ordered parameters, including insulin given when blood glucose was below the hold threshold and antihypertensive drugs administered when blood pressure readings were too low. Despite care plans and policies requiring monitoring and adherence to medication parameters, these errors were documented by pharmacy review and medication records, and not all staff received appropriate education on following medication parameters.
Failure to Maintain Sanitary Food Storage and Preparation Conditions
Penalty
Summary
Surveyors observed multiple failures in the facility's kitchen and kitchenette regarding the sanitary preparation and storage of food. In the kitchen, the hand-washing sink contained visible dirt and debris, and the adjacent trash can had dried food debris on its exterior. A three-tiered metal cart used for transporting resident snacks was found with rust and a build-up of food on its wheels. The three-doored freezer and refrigerator both had significant food debris on their shelves, and the refrigerator's front vent had dried-on liquid and a long hair stuck to the inside of one door. The rubber seal on one refrigerator door was hanging loosely and all seals had a thick build-up of food debris. Two skillets hanging by the stove were scratched to the point of being unsanitizable, and two plastic trash cans in the kitchen had dried-on food and liquid. In the kitchenette refrigerator outside the kitchen, several food items were found opened, unlabeled, and undated, including a gallon of vanilla ice cream, a frozen shake, cottage cheese, a premade salad, butter, and an open box of pizza rolls in the freezer. The facility's Cleaning Rotation guide required daily cleaning of hand-washing sinks and food carts, weekly cleaning of trash barrels, and monthly cleaning of refrigerators and freezers, but these standards were not met as evidenced by the observations. Dietary staff confirmed the concerns during the survey.
Failure to Verify and Legalize Advance Directives for DNR Orders
Penalty
Summary
The facility failed to ensure that advance directives, specifically Do Not Resuscitate (DNR) orders, were properly verified and legally executed for several residents. For one resident with multiple significant medical conditions, including morbid obesity, chronic kidney disease, atrial fibrillation, hyperkalemia, heart failure, and hypertension, the electronic health record and care plan indicated a DNR status. However, the scanned DNR directive in the resident's record was not signed by a physician, rendering it not legally valid. Interviews with nursing and administrative staff confirmed that a valid DNR requires both the resident's (or legal representative's) and physician's signatures, and that the current document did not meet these requirements. Facility policy required that advance directives be complete, maintained in the clinical record, and reviewed quarterly or upon significant change. Despite these policies, the resident's DNR directive lacked the necessary physician signature, and staff acknowledged this deficiency. The failure to ensure the DNR directive was properly executed and legally valid was identified through observation, record review, and staff interviews, and was not limited to a single resident.
Failure to Ensure Resident Privacy During Room Entry and Telephone Use
Penalty
Summary
Staff failed to protect and promote resident privacy during routine activities, as evidenced by multiple observations and interviews. Housekeeping staff entered a resident's room without knocking or announcing their presence while the resident was resting. In another instance, maintenance staff knocked once but did not wait for a response before entering a resident's room, where the resident was also resting. Additionally, a resident reported that staff would enter and remain in her room while she was on the phone, compromising her privacy during personal calls. Interviews with staff revealed inconsistent practices regarding privacy, with some staff stating they would knock and wait for acknowledgment, while others admitted to entering rooms if residents were asleep or on the phone. Administrative staff confirmed that the expectation was for staff to knock, announce themselves, and await a response before entering, and to avoid entering if a resident was on the phone or sleeping unless previously approved. The facility did not provide a specific policy related to resident rights and privacy, stating only that they followed regulations.
Failure to Provide Required Written Notification for Resident Transfer
Penalty
Summary
The facility failed to provide written notification of transfer to a resident and/or her representative, as well as to the Office of the Long Term Care Ombudsman (LTCO), following the resident's transfer to the emergency room for evaluation of chest pain and shortness of breath. The resident, who had diagnoses including congestive heart failure, paroxysmal atrial fibrillation, atrioventricular block, and a cardiac pacemaker, was documented as having intact memory and was at risk for complications related to her cardiac conditions. The electronic health record and facility documentation did not contain evidence that written notification was given to the resident or her representative regarding the transfer, nor was there evidence of notification to the LTCO. Interviews with administrative staff confirmed that the facility's practice was to provide verbal notification and send transfer packets with the resident, but written notifications were not provided or documented. Staff also stated that the LTCO was not notified for short-term transfers and that there was no facility policy related to written notification of resident transfers or discharges to residents and the LTCO. The lack of written notification and failure to notify the LTCO constituted a deficiency in meeting regulatory requirements for resident rights during transfers.
Failure to Monitor Antibiotic Therapy and Adhere to Medication Orders
Penalty
Summary
The facility failed to provide appropriate care and monitoring for a resident with end-stage renal disease, diabetes mellitus, and multiple chronic wounds who was prescribed antibiotics for wound infection. The resident's care plan directed staff to administer antibiotics as ordered and to monitor for adverse reactions and continued signs and symptoms of infection, as well as for dehydration. However, review of the clinical record and medication administration documentation revealed that staff did not consistently monitor or document the effectiveness and side effects of the antibiotics. Additionally, the resident continued to receive atorvastatin, a cholesterol-lowering medication, despite physician instructions to hold this medication while the resident was taking ciprofloxacin, an antibiotic with potential for adverse interactions. Interviews with nursing staff confirmed that monitoring for antibiotic effectiveness and adverse reactions was not performed or documented as required. Staff were also unaware of the order to hold atorvastatin during antibiotic therapy, and the medication was administered concurrently with ciprofloxacin. The facility's medication management policy required ongoing monitoring for safe and effective medication use, but this was not followed in the resident's case, as evidenced by the lack of documentation and failure to adhere to physician orders.
Failure to Provide Ordered Pressure Ulcer Treatments
Penalty
Summary
The facility failed to provide ordered treatments to prevent pressure ulcers and promote healing for a resident with significant risk factors. The resident had a history of chronic renal failure, significant cognitive decline, and was dependent on staff for mobility and hygiene. Despite being identified as high risk for pressure injuries, with a Braden score indicating severe risk and documented weight loss, the resident developed two facility-acquired pressure injuries on the right foot and a Stage 1 pressure ulcer, as well as a deep tissue injury. Physician orders and the care plan directed staff to apply Skin-prep and border foam dressings to the resident's right foot and buttocks on specific days, and to use heel protector boots every shift. However, multiple observations revealed that these treatments were not consistently provided. On several occasions, the resident was found without the required dressings on both the feet and buttocks. Staff interviews confirmed that the dressings were sometimes not applied as ordered, and one CNA stated that the resident had not had a dressing on the buttock for a long time. Administrative staff acknowledged that the dressings should have been in place and that staff were expected to follow treatment orders to prevent further decline. The facility's own wound prevention and management policy emphasized the importance of identifying residents at risk and implementing interventions to decrease pressure areas and promote healing, but these protocols were not followed for this resident.
Failure to Administer Medications Within Ordered Parameters
Penalty
Summary
The facility failed to ensure that medications were administered within physician-ordered parameters for two residents, resulting in a deficiency related to unnecessary drug use. One resident with diabetes mellitus, who was cognitively intact and on a therapeutic diet, had a physician's order for fast-acting insulin to be held if blood sugar was less than 100 mg/dL. Despite this, the resident received insulin on multiple occasions when blood sugar readings were below the ordered threshold, as documented by both the consultant pharmacist and the Medication Administration Record. There was also a lack of documentation on one occasion regarding whether the medication was administered or if blood sugar was checked. Another resident with a history of stroke, hypertension, and sleep apnea had physician's orders for antihypertensive medications (amlodipine and metoprolol) with specific parameters to hold the medications if blood pressure or heart rate fell below certain levels. The resident received these medications on several occasions when blood pressure readings were below the ordered parameters, as identified in both the consultant pharmacist's review and the Medication Administration Record. The care plan for this resident included monitoring for medications with Black Box Warnings and reporting concerns to the physician, but the administration of medications outside of parameters still occurred. Staff interviews confirmed that nurses were expected to follow medication parameters before administration, and that some staff had received training after errors were identified. However, the education was only provided to staff who had been found to administer medications incorrectly, rather than all staff. The facility's Medication Management policy required ongoing monitoring to ensure drug regimens were free from unnecessary drugs and that medications were administered safely and effectively, but this was not consistently followed for the residents involved.
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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 Independence
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Montgomery Place Nursing Center | 2.1 mi | ★★★★★ | 0 | 0 |
| Advena Living Of Cherryvale | 8.3 mi | ★★★★★ | 24 | 0 |
| Neodesha Care And Rehab | 13.1 mi | ★★★★★ | 21 | 0 |
| Medicalodges Coffeyville On Midland | 14.4 mi | ★★★★★ | 10 | 0 |
| Parsons Presbyterian Manor | 24.4 mi | ★★★★★ | 4 | 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.