Kansas Veterans Home

In the surveyor’s words

From the most serious findings on record at Kansas Veterans Home, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF880Aug 5, 2022

  The facility reported a census of 72 residents. Based on observation, interview and record review, the facility failed to ensure staff disinfected the facility's multi resident use glucometer and failed to ensure staff administered an inhaler, insulin and eye drops to a resident in isolation were sanitized in an effective manner before returning them to the medication cart to prevent cross contamination. Findings included: - Observation, on 08/03/22 at 11:19 AM, revealed Licensed Nurse (LN) L, obtained resident (R)18's blood glucose with a multi-use glucometer (a glucometer that staff used for multiple residents.) Upon completion, LN L proceeded to use an alcohol prep pad to wipe the surface of the glucometer. […]

• No harm, potential for more than minimal, patternF761Apr 23, 2024

  The facility had a census of 79 residents. The sample included 19 residents. The facility had four medication carts and four treatment carts. Based on observation, interview, and record review, the facility failed to date Resident (R)10, R13, R180, and R62's insulin (a hormone which allows cells throughout the body to uptake glucose) flex pen when opened and outdated and failed to discard expired stock medications. This deficient practice placed the affected residents at risk for ineffective medications. Findings included: - On 04/17/24 at 09:00 AM, observation of the facility's 500 nurse treatment cart revealed the following: R180's Lantus (long-acting insulin) flex pen lacked an open date and discard date. R10's Lantus flex pen lacked an open and discard date. […]

• No harm, potential for more than minimal, isolatedF880Mar 4, 2026

  The facility had a census of 84 residents. The sample included 18 residents. Based on observation, interview, and record review, the facility failed to ensure staff performed appropriate glove changing and hand hygiene for one resident, Resident (R) 78, when they did not remove their soiled gloves after urinary catheter care and continued to touch other surfaces and resident belongings. Findings included:- On 03/03/26 at 08:35 AM, Certified Nurse Aide (CNA) M donned a clean gown and gloves, and pulled down R78's sweatpants. CNA M informed R78 that she was going to perform catheter care. When CNA M finished, she did not remove her soiled glove and pulled up his sweatpants. CNA M pulled up R78's right pant leg, opened an alcohol wipe, and cleaned the spout of the leg bag. […]

• No harm, potential for more than minimal, isolatedF756Apr 23, 2024

  The facility had a census of 79 residents. The sample included 19 residents, with five reviewed for unnecessary medications. Based on observation, record review, and interview, the facility failed to ensure the Consultant Pharmacist (CP) identified and reported to the facility that staff failed to follow the physician's orders in response to blood glucose monitoring for Resident (R)62, who received insulin (controls the amount of sugar in the blood by moving into the cells). This placed the resident at risk for physical decline and an ineffective medication regimen. […]

• No harm, potential for more than minimal, isolatedF757Apr 23, 2024

  The facility had a census of 79 residents. The sample included 19 residents with five reviewed for unnecessary medications. Based on observation, record review, and interview, the facility failed to administer medication as ordered by the physician in response to blood glucose monitoring for Resident (R) 62, who received insulin (controls the amount of sugar in the blood by moving into the cells). This placed the resident at risk for physical decline and an ineffective medication regimen. […]