Brookdale Overland Park

In the surveyor’s words

From the most serious findings on record at Brookdale Overland Park, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Jun 15, 2023

  The facility reported a census of 77 residents. The sample included three residents identified at risk for falls. Based on record review and interviews, the facility failed to ensure staff provided Resident (R) 1 with adequate supervision and assistance to prevent accidents. R1 was cognitively impaired and required assistance of two staff for transfers and toileting. R1 was at high risk for falls with a previous fall in the facility resulting in a major injury on [DATE] and R1 received anticoagulants (blood thinners) daily. On [DATE] Certified Nurse Aid (CNA) M and CNA N assisted R1 to the bathroom. CNA M left the room and CNA N stepped out of the bathroom per R1's request. CNA N then heard a call for help from outside R1's room and left R1's room, leaving R1 unattended in the bathroom. […]

• No harm, potential for more than minimal, patternF689Jan 22, 2026

  The facility had a census of 77 residents. The sample included 18 residents, with two reviewed for accidents. Based on observation, record review, and interview, the facility failed to secure a blanket warming equipment and pressurized supplemental oxygen tanks in a safe, locked area and out of reach of the eight cognitively impaired, independently mobile residents. Findings Included:- On 01/19/26 at 07:04 AM, a walkthrough of the facility revealed an unsecured storage closet next to the nurse's station on the 400 hallway. An inspection of the unsecured closet revealed 25 (full size) and six (small) fully pressurized cylindrical oxygen containers in the oxygen racks. An inspection of the unsecured closet also revealed an Enthermics EC2060 blanket warming unit. […]

• No harm, potential for more than minimal, patternF880Mar 6, 2024

  The facility identified a census of 78 residents. The sample included 23 residents. Based on record review, observations, and interviews, the facility failed to ensure adequate infection control standards were followed during Resident (R)189's enteral meal (provision of nutrients through the gastrointestinal tract when the resident cannot ingest, chew, or swallow food) administration and storage of R290's oxygen therapy equipment. The facility additionally failed to ensure clean linen storage. This deficient practice placed the residents at risk for infectious diseases. Findings Included: - On 03/04/24 at 07:17 AM an inspection of the 400 Hall clean linen storage closet revealed a dusty, visibly soiled vacuum cleaner stored in the closet next to uncovered clean linen. […]

• No harm, potential for more than minimal, patternF883Mar 6, 2024

  The facility identified a census of 78 residents. The sample included 23 residents with 10 reviewed for pneumococcal (type of bacterial infection) immunizations. Based on record review and interviews, the facility failed to ensure the resident and/or resident's representatives were informed and educated on the pneumococcal vaccination options and provided the current Vaccination Information Statements (VIS) for Residents (R) 30, R48, R50, R66, and R76. This deficient practice placed the residents at risk for complications related to infectious diseases. Findings Included: - On 03/06/24 at 08:00 AM a review of pneumococcal immunizations was completed for R13, R20, R30, R32, R33, R48, R50, R59, R66, and R76. […]

• No harm, potential for more than minimal, patternF756Sep 8, 2022

  The facility identified a census of 80 residents. The sample included 18 residents with seven reviewed for medication regimen review. Based of observations, record review, and interviews, the facility failed to ensure that the Consulting Pharmacist (CP) identified Resident (R)27's blood pressure medication given outside of physician ordered parameters. The CP also did not identify and report an inappropriate diagnoses for R11, R31, and R64's antipsychotic medications (class of medications used to treat [CONDITION(S)] and other mental emotional conditions). This placed the residents at risk for unnecessary medication and adverse side effects. […]