Lee's Summit Place

In the surveyor’s words

From the most serious findings on record at Lee's Summit Place, in the surveyor’s own words.

• Actual harm, isolatedF686Apr 7, 2025

  Based on observation, interview and record review, the facility failed to follow the facility's policies; failed to ensure prevention and treatment of pressure injuries (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); failed to identify individuals at risk for developing pressure injuries; failed to assess, monitor, and measure the wounds at least weekly and document the findings; failed to observe for changes in the pressure injury that could indicate a change in the treatment; failed to implement the interventions on the residents plan of care; and failed to follow physician's orders for the treatment of pressure injuries for two sampled residents (Resident #26 and #307)… […]

• Actual harm, isolatedF689Jan 7, 2021

  Based on observation, interview, and record review the facility failed to ensure one sampled resident (Resident #8) was transferred with a two person staff assist and a hoyer lift which resulted in a displaced segmental fracture of the humerus shaft of the left arm (a spiral fracture (occurs due to a rotational, or twisting, force) of the upper arm), failed to complete a thorough investigation and put in interventions in place to ensure an incident would not recur out of eighteen sampled residents. The facility census was eight residents. […]

• No harm, potential for more than minimal, widespreadF812Sep 8, 2023

  Based on observation, interview, and record review, the facility failed to keep the kitchen and Dry Storage (DS) room floors clean; to maintain sanitary utensils and food preparation equipment; to safeguard against foreign material possibly getting into food; and to maintain plastic cutting boards in good condition to avoid food safety hazards (cross-contamination), in accordance with professional standards for food service safety. These deficient practices had the potential to affect all residents, visitors, volunteers, and staff who ate food from the kitchen. The facility's census was 13 residents with a licensed capacity for 60 residents at the time of the survey. 1. Review of the meal times provided by the Dietary Manager (DM) on 9/5/23 at 8:48 A.M. […]

• No harm, potential for more than minimal, widespreadF835May 3, 2023

  Based on interview and record review, the facility management company failed to ensure payments were issued or issued in a timely manner, to Vendor B and Vendor C who provided necessary services to the residents and Vendor C who maintained the lawn care and snow removal services. The facility census was 18 residents. 1. Record review of the Vendor B door disconnect notice dated 4/13/23 showed a balance of $3964.95 for the skilled portion of the building. Record review of Vendor C disconnect notice dated 4/21/23 showed a balance of $10,573 was past due and payment was due upon receipt and before 5/9/23. During an interview on 5/2/23 at 10:15 A.M., the Administrator said: -He/she had received a shut off notice for the the facility gas utility and a late notice of the facility electric. […]

• No harm, potential for more than minimal, widespreadF732May 5, 2022

  Based on observation, interview, and record review, facility staff failed to post required nurse staffing information, which included the total and actual hours worked by both licensed and unlicensed staff directly responsible for resident care, per shift on a daily basis and visible for residents, visitors, and staff to view. The facility census was 14 residents. Record review of the facility policy Nurse Staffing Posting Information revised 5/1/22 showed: -The daily staffing sheet would be posted on a daily basis and contain the following information: --The facility name. --The current date. […]