Flint Hills Care and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Flint Hills Care and Rehabilitation Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Feb 16, 2023

  The facility reported a census of 41 residents, that included three residents sampled for accidents. The facility identified 11 residents required a mechanical lift transfer. Based on record review and interview, the facility failed to ensure dependent Resident (R)1 remained free from neglect, when Certified Nurse Aide (CNA) M attempted an unsafe transfer of R1 from the bath chair to her wheelchair, without use of the care planned mechanical lift, on 12/20/22. R1's legs buckled during the transfer and CNA M called for assistance; however, when CNA N entered the room, the two staff continued to transfer R1 to her wheelchair, without use of the care planned mechanical lift. […]

• Immediate jeopardy, isolatedF600Feb 11, 2021

  The facility reported a census of 39 residents, which included three residents reviewed for neglect. Based on interview and record review, the facility failed to provide toileting assistance in a timely manner for Resident (R) 1, who was left on a bedpan for an extensive amount of time (approximately five hours), placing the resident in immediate jeopardy. This deficient practice resulted in a large deep tissue injury (DTI - a pressure-related injury to subcutaneous tissues under intact skin. Initially, these [MEDICAL CONDITION] have the appearance of a deep bruise and may subsequently progress to a stage 3-4 pressure ulcer even with optimal treatment) which measured 26.2 centimeters (cm) x 30.4 cm. […]

• Actual harm, isolatedF697Jul 1, 2025

  The facility reported a census of 44 residents. The sample included 12 residents. Based on observation, interview, and record review the facility failed to administer scheduled pain medication and take action to manage severe pain for Resident (R)32. Additionally, the facility failed to re-order the scheduled pain medication and notify the provider when the pain medication was not available. As a result of the deficient practice, R32 experienced severe pain with ineffective pain relief for two days and had physical symptoms of abrupt withdrawal, including nausea and vomiting, related to the facility not administering the scheduled, physician ordered pain medication. […]

• Actual harm, isolatedF686Feb 27, 2024

  The facility reported a census of 44 residents with nine residents selected for review, including three residents reviewed for skin conditions. Based on record review and interview, the facility failed to provide appropriate treatment services for one Resident (R)7's pressure ulcer (localized injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure, or pressure in combination with shear and/or friction) at a Stage 3 (full thickness pressure injury extending through the skin into the tissue below), present on admission to her coccyx (area at the base of the spine) when they failed to obtain physician ordered treatment until seven days after admission to the facility, failed to assess the wound until three days after admission to the facility,… […]

• No harm, potential for more than minimal, widespreadF812Jun 25, 2024

  The facility reported a census of 45 residents. Based on observation, interview, and record review, the facility failed to ensure staff-maintained food on the steam table at a temperature of at least 135 degrees. Findings included: - Observation, on 06/24/24 at 12:30 PM, revealed Dietary Staff CC, obtained temperature of the food on the steam table as follows: Chicken paprikash had a temperature of 110 degrees Fahrenheit. Buttered egg noodles had a temperature of 120 degrees Fahrenheit. Interview on 06/24/24 at 12:30 PM, Dietary Staff CC reported she kept the food uncovered while she served the food to the residents. […]