Atchison Senior Village Rehabilitation and Nursing

In the surveyor’s words

From the most serious findings on record at Atchison Senior Village Rehabilitation and Nursing, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Oct 21, 2024

  The facility identified a census of 41 residents. The sample included three residents reviewed for elopement (when a cognitively impaired resident with little or poor safety awareness exits the facility without staff knowledge). Based on observation, record review, and interview, the facility failed to provide adequate supervision to prevent an elopement for Resident (R) 1, who was cognitively impaired, at high risk for elopement, and had a recent history of exit-seeking. The facility placed a WanderGuard (a bracelet that helps monitor residents who are at risk of wandering) on R1 on 10/04/24 due to R1's exit-seeking behaviors and setting off door alarms. R1 wandered the halls and into other residents' rooms almost daily from 10/06/24 through, and including, 10/11/24. […]

• No harm, potential for more than minimal, widespreadF727Feb 12, 2026

  The facility had a census of 45 residents. Based on observation, interview, and record review, the facility failed to provide Registered Nurse (RN) coverage eight hours a day, seven days a week. Findings included:- The Payroll Based Journal (PBJ-a required detail of staffing information submitted by nursing homes to the Centers of Medicare and Medicaid Services [CMS]) lacked RN eight-hour coverage for September 27, 2025, September 28, 2025, and December 20, 2025. On 02/12/26 at 08:58 AM, Administrative Nurse D verified that the two days in September and one day in December lacked eight consecutive RN hours. The facility's Consistent RN Coverage policy, dated 03/2025, documented it was the policy of the facility to ensure adequate RN coverage. […]

• No harm, potential for more than minimal, widespreadF812Feb 12, 2026

  The facility had a census of 45 residents. The sample included 12 residents. Based on observation, record review, and interview, the facility failed to store, distribute, and serve food by professional standards for food service safety in the facility's kitchen. Findings included:- On 02/10/26 at 07:17 AM, observation in the nutrition center two-door refrigerator/freezer had the following: An unlabeled, undated crab salad sandwich wrapped in aluminum foil. An unlabeled, undated plastic bag with 6 cookie dough batters. An 40 ounce (oz) unlabeled, undated, plastic bag of onion rings, approximately a quarter full. An unlabeled, undated, and uncovered cup of ice cream, with the top uncovered and open to the air. […]

• No harm, potential for more than minimal, widespreadF727Apr 17, 2024

  The facility identified a census of 32 residents. The sample included 13 residents. Based on record review and interview, the facility failed to provide a Registered Nurse (RN) for at least eight consecutive hours a day seven days a week. This placed the residents at risk of decreased quality of care. Findings included: - The Payroll Based Journaling (PBJ) report provided by the Centers for Medicare & Medicaid Services (CMS) for Fiscal year (FY) 2023 Quarters 3 and 4 indicated 139 days the facility did not have an RN for eight consecutive hours each 24-hour period. […]

• No harm, potential for more than minimal, widespreadF730Apr 17, 2024

  The facility identified a census of 32 residents. The sample included 13 residents. Four Certified Nurse Aides (CNA) and one Certified Medication [NAME] (CMA) were sampled for performance reviews. Based on record review and interview, the facility failed to complete the required nurse aide performance review at least once every 12 months. This placed the residents at risk for inadequate care. Findings included: - CNA N had a hire date of 01/19/17. The facility lacked evidence a performance review was completed in the last 12 months upon request. CNA O had a hired date of 08/27/17. The facility lacked evidence a performance review was completed in the last 12 months upon request. CNA P had a hire date of 04/19/12. […]