Medicalodges Fort Scott

In the surveyor’s words

From the most serious findings on record at Medicalodges Fort Scott, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689May 31, 2023

  The facility reported a census of 40, with one resident reviewed for accidents. Based on record review and interview, the facility failed to ensure staff safely secured Resident (R)1 in the resident's wheelchair during transport. On 05/23/23 Certified Nurse Aide (CNA) M failed to apply the seatbelt or the full four-point belt system to R1's wheelchair, and when CNA M applied brakes in the facility van during transport, caused R1 to slide out of her wheelchair and onto the floor of the facility van, landing on her bottom. The resident received a 13 centimeter (cm) in length by two cm in width laceration (wound to the skin) to her left knee and required transfer to the Emergency Department (ED) for treatment. The resident received 11 sutures to the laceration to her left knee. […]

• Immediate jeopardy, isolatedF689Apr 14, 2021

  The facility reported a census of 47 residents with seven identified as elopement risks and three included in the sample. Based on observation, record review, and interview the facility failed to provide adequate supervision to prevent cognitively impaired Resident (R) 2, who had a history of exit seeking, from exiting the building through a dining room window without staff knowledge. On 03/21/21 at approximately 09:00 PM, the resident opened a window in the dining room, removed the screen, and exited through the window. At approximately 09:45 PM (45 minutes later), people from the community notified the facility of the resident face down, on the ground next to the building. […]

• Actual harm, isolatedF686Feb 23, 2021

  The facility reported a census of 44 residents with 15 residents sampled, including four residents reviewed for pressure ulcers (PU). Based on observation, interview, and record review, the facility failed to ensure appropriate treatment and services for two of the four residents, which included Resident (R)1 for the failure to reposition the dependent resident timely, failed to monitor and assess the wound for 27 days, and the resident developed a facility acquired a stage III PU (involves full-thickness skin loss). […]

• No harm, potential for more than minimal, widespreadF730Feb 18, 2026

  The facility reported a census of 33 residents. Based on observation, interview, and record review, the facility failed to conduct annual performance reviews for two of the five direct care staff reviewed.Findings included:- Review of five direct care staff's employment records Revealed the following: 1.Certified Nurse Aid (CNA) P, hired 11/01/22, lacked an up-to-date annual performance evaluation. The last evaluation was dated 10/03/24. 2.CNA Q, hired 08/06/03, lacked an up- to-date annual performance evaluation. The last evaluation was dated 10/08/24. On 02/18/2026 at 12:48 PM, Administrative Staff A verified above concerns and reported performance evaluations should be done annually. The facility did not provide a policy related to the completion of annual performance evaluations.

• No harm, potential for more than minimal, widespreadF725Apr 3, 2024

  The facility identified a census of 37 residents. The sample included 12 residents. Based on interview and record review, the facility failed to ensure adequate staffing levels on the weekends to meet the needs of the residents. This placed the residents at risk for impaired mental and physical well-being. Findings included: - A review of the Centers for Medicare and Medicaid Services (CMS) Payroll-Based Journal (PBJ) for Fiscal Year (FY) 2023 Quarter 4 and FY 2024 Quarter 1 revealed the facility triggered for excessively low weekend staffing. On 04/03/24 at 10:15 AM, Resident Council members reported activities rarely occurred on weekends compared to the weekdays. The council reported due to the low staffing in the facility there was no activity person on the weekend. […]