Below average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
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 Pleasant View Home during CMS and state inspections, most recent first.
A resident with dementia and a history of traumatic events developed a large bruise on her forearm after her husband assisted with undressing and admitted to losing his temper. Multiple staff members reported the resident stated her husband had grabbed her arm, but administrative staff instructed them not to document or report the incident, delaying investigation and failing to implement protective measures. This failure to follow abuse reporting policy and provide adequate supervision placed the resident at risk for potential abuse.
A resident with dementia and a history of cognitive impairment was found with a significant bruise on her forearm after an altercation with her husband, who admitted to losing his temper. Multiple staff members reported the incident as possible abuse, but an administrative staff member instructed them not to document or report the event, did not assess the resident, and failed to notify the State Agency or law enforcement within the required timeframe, contrary to facility policy.
A resident with dementia and a history of bruising was found with a large bruise on her forearm after a visit from her husband, who admitted to losing his temper. Multiple staff reported the incident as possible abuse, but an administrator instructed them not to document or report it, delaying investigation and protective measures. This failure to act left the resident at risk for further mistreatment.
A resident developed a deep tissue injury (DTI) on her left buttock after staff placed a bedpan backward and left it for too long. Additionally, a mechanical lift sling was not removed, causing a reddened area on her right buttock. The resident, with a history of dementia and reduced mobility, was dependent on staff for care. The facility's policies on pressure ulcer management and bedpan use were not followed, leading to these skin injuries.
The facility failed to maintain professional standards for food service safety, placing 78 residents at risk for foodborne illness. Observations revealed scrapes on cupboards, debris on fan blades, a missing door trim, and unclean trash cans and mop boards. The Certified Dietary Manager confirmed these issues, indicating non-compliance with the facility's cleaning schedule.
A survey revealed that a facility failed to dispose of expired medications, including supplements and laxatives, found in a medication cart. Despite a policy requiring regular inspections, expired medications were not removed, posing a risk to residents. A CMA confirmed the expiration dates, and an administrative nurse acknowledged the oversight.
The facility failed to provide complete information on the Notice of Medicare Non-Coverage (NOMNC) forms for two residents, omitting the Quality Improvement Organization (QIO) contact details. This omission prevented residents from making informed decisions about their skilled services and exercising their right to appeal, as required by the facility's policy.
A resident with dementia fell from a wheelchair without footrests, sustaining a head injury, due to staff oversight. Additionally, hazardous chemicals were accessible in an unlocked maintenance room, posing a risk to cognitively impaired residents. The facility's policies on fall prevention and environmental safety were not adequately followed.
A facility failed to ensure proper communication with a hospice provider for a resident receiving hospice services. The resident, with chronic conditions and moderate cognitive impairment, required assistance with daily activities. Despite a physician's order for hospice admission, the care plan lacked guidance on hospice services. The facility did not have a hospice plan of care or service details, risking inadequate end-of-life care.
Failure to Protect Cognitively Impaired Resident from Potential Abuse and Inadequate Incident Reporting
Penalty
Summary
Staff failed to respond appropriately and provide adequate supervision to prevent potential abuse and/or mistreatment of a cognitively impaired resident. The resident, who had diagnoses including dementia, anxiety, and osteoarthritis, was known to have moderate cognitive impairment and required staff assistance with several activities of daily living. The resident's care plan documented a history of bruising and traumatic events, and directed staff to observe for bruising and avoid discussing traumatic events with the resident. On the evening of the incident, the resident's husband visited and assisted with undressing, during which a large, dark bruise was observed on the resident's left forearm after he left. Multiple staff members reported that the resident stated her husband (whom she sometimes referred to as her brother) had gotten mad and grabbed her arm, causing the bruise. Staff also reported that the husband admitted to losing his temper. Despite these reports, the administrative staff member on call instructed staff not to document the incident or complete witness statements, expressing disbelief in the abuse allegation and deferring investigation until the following day. The incident was not reported as an allegation of abuse, and no immediate protective measures were implemented. Subsequent interviews with staff revealed concerns for the resident's safety and fear of retribution for reporting the incident. The facility's own abuse policy required prompt reporting and protection of residents, but this was not followed. The lack of timely response, failure to report, and inadequate supervision placed the resident at risk for potential abuse and/or mistreatment.
Failure to Timely Report Alleged Abuse to Authorities
Penalty
Summary
A deficiency occurred when facility staff failed to report an allegation of abuse involving a resident with dementia, anxiety, osteoarthritis, and hypertension. The resident, who had a history of cognitive impairment and required moderate to substantial assistance with activities of daily living, was found with a large, dark bruise on her left forearm after a visit from her husband. Multiple staff members documented and reported that the resident stated her husband, whom she sometimes referred to as her brother due to her dementia, had grabbed her arm and caused the bruise during an episode where he admitted to losing his temper. Staff also noted that the resident's husband had previously been involved in incidents that led to her admission to the facility. Despite staff promptly notifying administrative personnel of the incident and expressing concerns of possible abuse, the administrative staff member on call instructed them not to document the event or file incident reports, expressing disbelief in the abuse allegation. The administrative staff member did not assess the resident, did not initiate an investigation at the time, and did not report the incident to the State Agency or law enforcement within the required two-hour window. Staff members reported feeling fearful of job loss or retribution if they did not comply with these instructions. The facility's own policy required immediate reporting of any suspicion of abuse resulting in significant injury to the State Agency and law enforcement. However, the administrative staff member failed to follow this policy, and the event was not reported as required. The lack of timely reporting and investigation left the resident at risk for unidentified and ongoing abuse or mistreatment, as documented by the surveyor's findings and staff witness statements.
Failure to Immediately Investigate and Protect Resident Following Abuse Allegation
Penalty
Summary
A deficiency occurred when facility staff failed to immediately investigate an allegation of abuse involving a resident with dementia, anxiety, osteoarthritis, and hypertension. The resident, who had a history of cognitive impairment and required moderate to substantial assistance with activities of daily living, was found with a large, dark bruise on her left forearm after a visit from her husband. Multiple staff members reported that the resident stated her husband, whom she sometimes referred to as her brother, had gotten mad and grabbed her arm, causing the bruise. Staff also noted that the husband admitted to losing his temper during the visit. Despite these reports, the administrative staff member on duty instructed nursing staff not to document the incident or complete witness statements, expressing disbelief in the abuse allegation and deferring any investigation until the following morning. No immediate protective measures were implemented for the resident, and the incident was not reported as required by facility policy. Staff expressed concerns for the resident's safety and fear of retaliation for reporting the incident, but were told by administration to "drop it" and not pursue further documentation or reporting. The facility's own abuse prevention policy required immediate reporting and investigation of any suspicion of abuse, as well as protective actions for the resident. However, the administrative response delayed both the investigation and the implementation of protective measures, leaving the resident at risk for further potential abuse or mistreatment. The lack of timely action and failure to follow established procedures directly contributed to the identified deficiency.
Failure to Prevent Pressure Ulcers in Resident
Penalty
Summary
The facility failed to prevent a facility-acquired deep tissue injury (DTI) for a resident identified as R15. The deficiency occurred when staff placed a bedpan backward under R15 and left it there for too long, resulting in a DTI on her left buttock. Additionally, the staff failed to remove a mechanical lift sling from under R15, which led to a reddened area on her right buttock. These actions placed the resident at risk for further skin injury and breakdown. R15's medical history included dementia with psychotic disorder, reduced mobility, edema, anxiety, and cerebrovascular disease. She was dependent on staff for toileting, transfers, and lower body dressing, and required partial assistance for mobility. R15 was frequently incontinent of bowel and always continent of bladder, with no prior skin issues documented. Her care plan directed staff to reposition her every two hours and to use a cushioned bedpan for no more than 10 minutes at a time. Observations and interviews revealed that R15 was left on the bedpan for an extended period, and the sling was not removed after transfers, contributing to the skin injuries. The facility's policies on pressure ulcer management and bedpan use were not adhered to, as staff did not ensure the resident's safety and comfort during these procedures. The failure to follow these protocols resulted in the development of a DTI and additional skin injuries for R15.
Food Service Safety Deficiencies in Facility Kitchen
Penalty
Summary
The facility failed to adhere to professional standards for food service safety, which placed 78 residents at risk for foodborne illness. During an observation in the kitchen, several deficiencies were noted, including numerous scrapes on the outer surfaces of wooden cupboards and drawers, grayish debris on fan blades, and a missing piece of trim on a door frame. Additionally, a trash can was observed with brownish streaks on its sides and lid, and the mop board around the kitchen perimeter had areas with a grayish-black substance. The Certified Dietary Manager confirmed these findings and acknowledged the issues with the kitchen cupboards. The facility's Kitchen Cleaning Sheet outlined tasks for dietary staff to complete daily, weekly, and as needed, but these tasks were not adequately performed. The facility's policy on Kitchen Cleaning and Sanitation, revised in 2013, required food service staff to maintain cleanliness and sanitation through a comprehensive cleaning schedule, which was not followed, leading to the identified deficiencies.
Expired Medications Found in Facility
Penalty
Summary
The facility failed to properly identify and dispose of expired medications, as observed during a survey. On October 7, 2024, a medication cart in the Harvest Household was found to contain several expired medications, including calcium supplements, senior multivitamins, magnesium oxide, vitamin D3, Metamucil, bisacodyl pills, and Preservision. These medications had expiration dates ranging from November 2023 to September 2024. A Certified Medication Aide verified the expiration dates of these medications. The facility's policy, dated March 2024, required that all discontinued, outdated, or contaminated drugs be returned to the provider pharmacy for disposal or destroyed onsite. The policy also mandated weekly inspections by nursing staff and monthly inspections by a consulting pharmacist to remove outdated drugs. However, the facility did not adhere to this policy, as evidenced by the presence of expired medications in the medication cart. Administrative Nurse D acknowledged that staff were responsible for checking expiration dates and removing expired medications, but this was not done, placing residents at risk of receiving ineffective medications.
Incomplete Medicare Non-Coverage Notices
Penalty
Summary
The facility failed to provide complete information on the Notice of Medicare Non-Coverage (NOMNC) Form-10123 for two residents, R25 and R277. The NOMNC is a critical document that informs beneficiaries of their right to an expedited review by a Quality Improvement Organization (QIO) if Medicare may not pay for future skilled therapy services. The forms provided to these residents lacked the QIO name and contact information, which is essential for residents to make informed decisions about their skilled services and to exercise their right to appeal. The facility's policy, dated September 2022, mandates that residents receive written notification with all necessary information to decide on appealing a decision to terminate Medicare care and services at least three days before the planned change in payor status or discharge. This includes the QIO's contact details. During an interview, Administrative Staff A confirmed that staff were responsible for inserting the QIO name and phone number on each NOMNC form when a resident was discharged from Medicare Part A services. The omission of this information placed the residents at risk of making uninformed decisions and being unable to appeal.
Failure to Prevent Accidents and Secure Hazardous Chemicals
Penalty
Summary
The facility failed to prevent an accident involving Resident 5, who was transported in a wheelchair without footrests, resulting in the resident falling forward and hitting her head on the floor. Resident 5, who had diagnoses of dementia, macular degeneration, and pain, was dependent on staff for mobility and transfers. Despite being at risk for falls, as documented in her care plan, staff did not use wheelchair foot pedals during transport, leading to the fall and subsequent injury, including a large hematoma on her forehead. Additionally, the facility did not ensure an environment free from accident hazards, as hazardous chemicals were accessible in an unlocked maintenance room. The chemicals were located on the lower floor, accessible via an elevator and staircases with deactivated door alarms. This posed a risk to two cognitively impaired, independently mobile residents residing on the main floor, as they could potentially access these hazardous materials. The facility's policies on fall prevention and maintaining an environment free from hazards were not adequately followed. The failure to secure wheelchair pedals and hazardous chemicals exposed residents to unnecessary risks, highlighting lapses in supervision and environmental safety measures.
Lack of Communication with Hospice Services
Penalty
Summary
The facility failed to ensure a communication process between the hospice provider and the facility for Resident 29, who was receiving hospice services. The resident had diagnoses of chronic obstructive pulmonary disease, heart failure, and cerebrovascular disease, and was documented to have moderate cognitive impairment. The resident required partial to moderate staff assistance with various activities of daily living. Despite the physician's order to admit the resident to hospice services, the care plan lacked any mention of the hospice admission or guidance for staff regarding hospice services. The Nursing Facility Hospice Services Agreement indicated that hospice would provide a comprehensive set of services coordinated by an interdisciplinary team, but the facility did not have a plan of care from the hospice or a description of the services provided. This included details such as visit frequency, medications, and medical equipment. The absence of this communication process placed the resident at risk of not receiving adequate end-of-life care. An interview with an administrative nurse confirmed the omission in the care plan.
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What surveyors actually found near you
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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 Inman
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Buhler Sunshine Home | 7 mi | ★★★★★ | 0 | 0 |
| The Cedars | 12 mi | ★★★★★ | 9 | 0 |
| Mcpherson Operator, Llc | 12.4 mi | ★★★★★ | 0 | 0 |
| Good Samaritan Society - Hutchinson Village | 12.7 mi | ★★★★★ | 17 | 0 |
| Diversicare Of Hutchinson | 12.9 mi | ★★★★★ | 1 | 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.