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 The Village At Mission during CMS and state inspections, most recent first.
A resident with multiple cardiac and chronic conditions, who was cognitively intact and clearly documented as Full Code in the EMR, care plan, and physician orders, experienced a rapid decline while on hospice services. After the family alerted an RN that the resident might have passed, the RN assessed the resident as pulseless and not breathing but did not verify code status or initiate CPR, apparently assuming DNR due to hospice enrollment. For approximately an hour, staff communicated with hospice and administrative nurses, and only after administrative and consultant nurses confirmed the resident’s Full Code status did the involved nurses begin CPR, shortly before EMS arrival. This delay in providing basic life support to a Full Code resident was cited as an Immediate Jeopardy deficiency.
Failure to Initiate Timely CPR for a Full Code Resident on Hospice
Penalty
Summary
The deficiency involves the facility’s failure to provide timely CPR to a resident who had clearly documented Full Code status. The resident was admitted with multiple diagnoses including atherosclerotic heart disease, generalized anxiety disorder, atrial fibrillation, and chronic kidney disease, and had intact cognition per a recent MDS. The resident’s care plan, EMR profile sheet, physician orders, and a recent physician progress note all documented the resident as Full Code, and the care plan directed staff to ensure the resident’s wishes regarding advanced directives were honored and reviewed at least quarterly and with any change in condition. On the day of the incident, the resident was on hospice services and had been declining since around midnight, with hospice and family present much of the day. Shortly before the event, the resident exhibited Cheyne-Stokes respirations and cool skin, and received a dose of morphine from a hospice nurse. At approximately 5:10 p.m., a family member informed a nurse that the resident may have passed. The nurse assessed the resident and documented no audible heart sounds or respirations, but did not check the resident’s code status at that time and did not initiate CPR, despite the resident’s documented Full Code status. Over the next 45–66 minutes, multiple staff interactions occurred without CPR being started. The nurse contacted a consultant nurse, and hospice was notified and en route. Administrative and consultant nurses later questioned and confirmed the resident’s code status as Full Code in the EMR. Only after being prompted by the hospice nurse and another nurse, and after confirmation of Full Code status by administrative staff, did the involved nurses return to the room and initiate CPR, at approximately 6:10–6:16 p.m. EMS arrived shortly thereafter and pronounced the resident deceased. The lapse between the initial notification of the resident’s presumed death and the initiation of CPR constituted the failure to provide basic life support to a Full Code resident, which surveyors determined placed the resident and all Full Code residents in immediate jeopardy.
Removal Plan
- Suspended the two nurses involved (LN I and LN G) pending investigation (LN G later terminated).
- Completed training for all licensed staff on the advanced directive policy and how to identify a resident's code status in the EMR (signature sheets on file).
- Required all licensed staff to complete the training before working.
- Conducted interviews of nurses by the DON or designee regarding procedures when a resident is found unresponsive and how to identify code status.
- Scheduled mock reviews/audits of checking resident code status (audits on file).
- Reported patterns or trends to the Quality Assurance committee for recommendations and follow-up.
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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 Prairie Village
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Claridge Court | 1.3 mi | ★★★★★ | 10 | 0 |
| Aspen Health And Wellness | 1.7 mi | ★★★★★ | 4 | 0 |
| Armour Oaks Senior Living Community | 2.3 mi | ★★★★★ | 19 | 1 |
| Hope Care Center | 2.7 mi | ★★★★★ | 14 | 0 |
| Highland Rehabilitation & Health Care Center | 2.9 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.