Below 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 Medicalodges Paola during CMS and state inspections, most recent first.
Surveyors identified unsanitary conditions in the kitchen, including dirty hand-washing sinks, food debris in storage areas, unsanitizable cutting boards, and worn refrigerator racks. These findings indicated that food was not being prepared and served under sanitary conditions, as required by facility policy.
A CNA did not complete the required 12 hours of annual education, as confirmed by a review of training records and staff interviews. The facility had an online system and monitoring process in place, but the CNA's file showed no evidence of completed training for the past year.
Surveyors found that several resident rooms were not maintained in a clean or homelike condition, with issues such as black substance build-up around toilets, unrepaired wall damage, separated cove base, and missing paint. Maintenance staff confirmed the need for repairs, and no housekeeping or maintenance policy was provided.
A resident with hypertension had multiple physician orders for antihypertensive medications, including a PRN order for clonidine to be given when systolic blood pressure exceeded 160 mmHg. Despite several documented high blood pressure readings, staff did not administer the PRN medication or document follow-up, and interviews revealed staff were unaware of the PRN order. The facility did not provide a relevant policy.
Staff did not consistently implement Enhanced Barrier Precautions for two residents with open wounds, as required by facility policy. Observations showed a lack of PPE and signage in the residents' rooms, and staff reported using only gloves during wound care, omitting gowns. There was inconsistent understanding among staff regarding when EBP PPE should be used, despite the facility's infection control policy.
The facility did not ensure that daily nurse staffing sheets included all required information, such as staff hours and census, with only first shift data consistently posted and actual hours worked missing. Administrative and nursing staff confirmed incomplete documentation, and no policy on sufficient staffing was provided.
A resident with multiple health conditions was injured during a transfer when staff used an improperly sized gait belt instead of a mechanical lift. Despite the resident's known weakness and need for assistance, staff attempted to stand the resident, resulting in a fall and a fracture. The facility failed to update the care plan and provide necessary equipment, leading to neglect.
A resident with a history of mental health disorders eloped from the facility without staff knowledge, leading to law enforcement involvement. The facility failed to report the incident to the State Agency, placing the resident in immediate jeopardy. The resident was later retrieved by a nurse in her personal vehicle, despite not being an approved driver.
A resident with a history of mental health disorders and falls exited a facility unsupervised, leading to an incident at a gas station where he threatened a clerk. The facility was unaware of his absence until law enforcement intervened. A nurse, not authorized to transport residents, used her personal vehicle to return the resident, who attempted to grab the steering wheel during the drive. This incident revealed lapses in supervision and protocol adherence.
Failure to Maintain Sanitary Food Preparation and Storage Conditions
Penalty
Summary
Surveyors observed multiple sanitation deficiencies in the facility's kitchen during an initial tour. The hand-washing sink had a build-up of dirt and grime, and the adjacent trash can had dried food and fluid residue. Three large plastic containers used for storing dried milk, flour, and sugar were found with dust and a sticky substance on their lids. Four cutting boards had deep grooves, making them unsanitizable, and several drawers containing utensils and hot pads had food debris at the bottom. A corner cabinet used for storing sandwich bags, plastic wrap, and containers also contained food debris, and the fronts of several cabinet doors had dried-on food and liquid. Two preparation tables used for holding clean kitchenware had food debris on their lowest shelves. Further inspection revealed that two reach-in freezers and a three-door reach-in refrigerator had food debris on the bottom shelves, and several wire racks in the refrigerators had worn-off protective coatings, making them unsanitizable. The splashback behind the sink at the preparation counter had a large crack in the vinyl covering. Dietary staff confirmed these areas of concern required correction. The facility's own sanitation policy required daily cleaning of the hand-washing sink, weekly cleaning of trash barrels and drawers, and monthly cleaning of refrigerators, freezers, and food containers, but these standards were not met.
Failure to Ensure Completion of Mandatory CNA Education
Penalty
Summary
The facility failed to ensure that a Certified Nurse Aide (CNA) completed the mandatory 12 hours of education required within a 12-month period. Review of personnel and training records showed that the CNA, hired on 01/20/20, had no documented evidence of completing any of the required education in the last year. Interviews with staff confirmed that the education was expected to be completed online through Relias, and that there was a monitoring system in place to track completion, which was linked to annual staff evaluations. Despite these systems, the CNA's file lacked proof of compliance with the mandatory training requirements.
Failure to Maintain Clean and Homelike Resident Rooms
Penalty
Summary
Surveyors observed that the facility failed to maintain a clean, comfortable, and homelike environment in four out of 23 resident rooms on the south hall. Specific findings included a build-up of a black substance around the base of toilets in two rooms, unrepaired wall damage beneath a sink, and multiple areas where cove base had separated from the wall, with black substance accumulating in the gaps. Additional deficiencies included unpainted repairs on walls, missing paint on a bathroom door and window base, and confirmation from maintenance staff that these areas required repair. The facility was unable to provide a policy for housekeeping and maintenance of resident rooms. These conditions were directly observed during an environmental tour and confirmed by staff, affecting the living environment for the residents occupying these rooms.
Failure to Administer PRN Antihypertensive Medication per Physician Order
Penalty
Summary
A deficiency occurred when facility staff failed to follow physician orders for blood pressure monitoring and administration of antihypertensive medication for a resident diagnosed with hypertension. The resident had multiple active orders for blood pressure medications, including a PRN order for clonidine to be administered when systolic blood pressure (SBP) exceeded 160 mmHg. Despite several documented instances where the resident's SBP was above this threshold, the clonidine was not administered as ordered, and there were no progress notes addressing these elevated readings. The electronic medication administration record confirmed that clonidine had not been given since the start of the order. Interviews with staff revealed a lack of awareness regarding the resident's PRN blood pressure medication orders. Certified Medication Aides (CMAs) reported only notifying nurses if the SBP was 190 mmHg or higher, contrary to the physician's order. Licensed nursing staff were also unaware of the PRN order for clonidine. Administrative nursing staff acknowledged that blood pressure monitoring was not being conducted as required and verified that the medication was not administered when indicated. The facility did not provide a policy related to this process.
Failure to Implement Enhanced Barrier Precautions for Residents with Open Wounds
Penalty
Summary
Facility staff failed to implement Enhanced Barrier Precautions (EBP) for two residents with open wounds who were receiving wound care. Multiple observations revealed that there was no EBP personal protective equipment (PPE) or signage set up in or around the rooms of these residents on several occasions. Staff members, including licensed nurses, reported that they only used gloves during dressing changes and did not utilize gowns, even when treating open wounds. Staff interviews indicated inconsistent understanding and application of EBP, with some staff believing that gowns were only necessary if there was a risk of exposure to bodily fluids or if the wounds were colonized with multi-drug-resistant organisms. One resident had wounds on the abdominal folds being treated with silver alginate and an ABD pad, while another had two open areas being debrided and treated with Silvadene. Despite the facility's Infection Management Process policy stating that PPE should be available and signage posted to direct staff and visitors, these measures were not observed in practice for the affected residents. Administrative staff provided varying explanations regarding when EBP PPE should be used, further highlighting the lack of consistent implementation of infection control protocols.
Failure to Accurately Post Daily Nurse Staffing Information
Penalty
Summary
The facility failed to ensure that the posted daily nurse staffing sheets included all required and accurate information, such as the daily licensed and unlicensed staff hours and the daily census. Observations on multiple consecutive days revealed that only the first shift staffing information was filled out on the posted sheets, with the second and third shift information missing, as well as the actual hours worked. Review of staffing sheets from several dates showed that they consistently lacked the total number and actual hours worked by staff, as well as the daily census, as required by regulations. Interviews with administrative and nursing staff confirmed that the process for completing the staffing sheets involved multiple individuals, including charge nurses and administrative staff, but the required information was not being fully documented or posted. The facility was unable to provide a policy related to sufficient staffing, and the posted sheets did not meet regulatory requirements for transparency and accuracy in nurse staffing information.
Failure to Use Appropriate Transfer Equipment Leads to Resident Injury
Penalty
Summary
The facility failed to prevent the neglect of a resident, identified as R1, when staff did not utilize appropriate transfer equipment to safely meet the resident's needs. R1, who had a history of chronic obstructive pulmonary disease, congestive heart failure, osteoarthritis, morbid obesity, anxiety, and mood disorder, was admitted to the facility and required assistance with activities of daily living due to impaired balance and mobility. Despite these needs, staff attempted to transfer R1 using a gait belt that was not the appropriate size, leading to an incident where R1's legs became weak, and the staff had to lower the resident to the floor, resulting in a fracture. On the day of the incident, R1 was assisted by a licensed nurse, two certified nurse aides, and a certified medication aide. The staff attempted to stand R1 using a gait belt that was too small, and during the process, R1's legs became weak. As the staff lowered R1 to the floor, the resident's left leg buckled and rotated outward, causing a popping noise. This resulted in R1 being transported to the emergency department, where an obliquely oriented fracture through the femoral diaphysis was diagnosed. Interviews with the staff involved revealed that they were aware of R1's weakness and the need for more assistance than usual. However, they proceeded with the transfer without the appropriate equipment, such as a mechanical lift, which was later determined to be necessary for R1's safe transfer. The facility's failure to update R1's care plan and provide the necessary equipment and training contributed to the neglect and subsequent injury of the resident.
Failure to Report Resident Elopement
Penalty
Summary
The facility failed to report the elopement of a resident, identified as R2, to the State Agency as required. On the evening of 08/27/24, R2, who had a history of schizoaffective disorder, bipolar type, and other mental health issues, left the facility without staff knowledge or supervision. R2 was later found by law enforcement walking on a highway and entering a gas station approximately 0.9 miles from the facility, where he exhibited threatening behavior. The facility was notified by law enforcement, but the incident was not reported to the State Agency, placing R2 in immediate jeopardy. R2's medical records indicated a history of mental health disorders and a moderate risk for falls, but a low risk for elopement. Despite this, R2 managed to leave the facility through the smoking door without triggering any alarms. The facility's policy required that door alarms be activated at specific times, but it appears these protocols were not followed. Additionally, R2 did not have sign-out privileges, which were only granted after the incident. The facility's response to the elopement was inadequate. A licensed nurse, LN H, drove to the gas station in her personal vehicle to retrieve R2, despite not being an approved driver for the facility. During the transport back, R2 attempted to grab the steering wheel, further highlighting the risk involved. The facility's elopement policy lacked clear guidelines on reporting such incidents to the State Agency, contributing to the failure to report the elopement as required.
Resident Elopement and Inadequate Supervision
Penalty
Summary
The facility failed to protect a resident, identified as R2, from potential harm when he exited the facility unsupervised and without staff knowledge. On the evening of 08/27/24, R2 left the facility through the smoking door from the dining room at 08:48 PM. The facility was unaware of his absence until approximately 10:41 PM when law enforcement contacted them. R2 was found walking on the highway and had entered a gas station, where he threatened a store clerk and attempted to purchase cigarettes with postage stamps. This incident placed the resident in immediate jeopardy. R2's medical history included diagnoses such as schizoaffective disorder, bipolar type, communication deficit, extrapyramidal and movement disorder, anxiety disorder, and drug-induced subacute dyskinesia. Despite having a Brief Interview of Mental Status (BIMS) score of 15, indicating intact cognition, R2 exhibited disorganized thinking and verbal behaviors. He was independent in his activities of daily living but had a history of falls. The facility's records showed that R2 had a low risk for elopement and a moderate risk for falls, and his care plan did not include sign-out privileges. The facility's policy required that an approved driver transport residents in the facility van in the event of an elopement. However, a licensed nurse, LN H, drove her personal vehicle to retrieve R2 from the gas station, despite not being an approved driver. During the transport back to the facility, R2 attempted to grab the steering wheel, further endangering both himself and LN H. The facility's failure to monitor R2's whereabouts and the inappropriate response to his elopement highlighted significant lapses in supervision and adherence to established protocols.
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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 Paola
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| North Point Skilled Nursing Center | 1.2 mi | ★★★★★ | 0 | 0 |
| Louisburg Healthcare And Rehabilitation Center | 10.1 mi | ★★★★★ | 16 | 0 |
| Spring Hill Care And Rehab | 12.5 mi | ★★★★★ | 1 | 1 |
| Wellsville Manor | 15.9 mi | ★★★★★ | 23 | 0 |
| Meadowbrook Rehabilitation Hospital | 17.3 mi | ★★★★★ | 21 | 1 |
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