Advanced Health Care of Overland Park

In the surveyor’s words

From the most serious findings on record at Advanced Health Care of Overland Park, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Dec 13, 2023

  The facility identified a census of 38 residents. The sample included three residents reviewed for accidents. Based on record review, interview, and observations, the facility failed to identify hazards and implement adequate supervision and care to ensure safe smoking for Resident (R) 1. R1 admitted to the facility on [DATE] at approximately 01:00 PM. R1 was alert and oriented to person place time and situation and received oxygen via nasal cannula at six liters per minute (LPM). At 05:15 PM on 12/08/23, Certified Nurse Aide (CNA) M took R1 outside for a cigarette break while R1 wore his oxygen. CNA M locked R1's wheelchair brakes and went back inside. Between 05:26 PM and 05:29 PM, R1 lit his cigarette. Around 05:34 PM R1's nasal cannula ignited. […]

• Immediate jeopardy, isolatedF600Feb 16, 2022

  The facility identified a census of 36 residents. The sample included three residents reviewed for abuse. Based on record review and interviews, the facility failed to ensure Resident (R)1 remained free from abuse and neglect when the facility failed to prevent an episode of staff to resident verbal abuse, mistreatment and neglect. On 02/06/22 at approximately 04:30 AM, Certified Nurse Aide (CNA) M entered R1's room while R1 pleaded for help. CNA M called R1 a liar, stated R1 was talking nasty and told R1 you're the devil. CNA M told R1 nobody wanted to hear her. CNA M mocked R1 as R1 cried for assistance, when R1 repeatedly stated she could not hear. CNA M dressed R1, placed her in the wheelchair, but neglected to ensure the call light was within reach for R1 to summon staff assistance. […]

• Immediate jeopardy, isolatedF609Feb 16, 2022

  The facility identified a census of 36 residents. The sample included three residents reviewed for abuse. Based on record review and interviews, the facility failed to ensure staff identified a situation of verbal abuse, neglect, and mistreatment as an alleged violation. The facility further failed to ensure staff immediately reported the alleged violation to the facility administrator. Once reported, the facility administrator failed to acknowledge the allegation as abuse and failed to alert the appropriate state agencies as required. On 02/06/22 at approximately 04:30 AM, Certified Nurse Aide (CNA) M entered R1's room while R1 pleaded for help. CNA M called R1 a liar, stated R1 was talking nasty and told R1 you're the devil. CNA M told R1 nobody wanted to hear her. […]

• Actual harm, isolatedF602Jan 31, 2024

  The facility identified a census of 37 residents. The sample included three residents reviewed for misappropriation of property. Based on observations, record review, and interviews, the facility failed to ensure Resident (R) 1 remained free from misappropriation of property when his checks were stolen from his room and then cashed. This deficient practice caused R1 to feel anger and frustration as he blamed himself for the misappropriation of his funds while he was a resident in the facility. […]

• No harm, potential for more than minimal, widespreadF812Sep 25, 2024

  The facility identified a census of 35 residents with one kitchen. Based on observation, record review, and interviews, the facility failed to maintain sanitary dietary standards related to food storage. This deficient practice placed the residents who received food from the facility kitchen at risk related to food-borne illnesses and food safety concerns. Findings included: - On 09/23/24 at 07:27 AM, an observation in the kitchen's dry food storage room revealed one container of pistachios. The container was not labeled and lacked a date. On 09/23/24 at 07:31 AM, an observation in the kitchen's dry food storage room revealed one opened box of puree pasta mix. The box had an opened bag inside that contained the pasta mix. The box and bag lacked a date. […]