Medicalodges Kinsley

In the surveyor’s words

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

• Immediate jeopardy, isolatedF697Nov 20, 2024

  The facility reported a census of 22 residents with 10 residents sampled and one resident reviewed for pain management and two additional residents reviewed for unnecessary medication use. Based on observation, interview, and record review the facility failed to assess pain and failed to take appropriate action to manage severe pain despite repeated complaints from Resident (R)74. Additionally, the facility lacked effective communication between nurses, doctors, and other healthcare providers regarding R74's pain management. This failure led to R74 reporting waves of severe pain over approximately a month, until her death on [DATE], and placed R74 in immediate jeopardy. […]

• No harm, potential for more than minimal, widespreadF851Nov 20, 2024

  The facility reported a census of 22 resident. Based on interview and record review the facility failed to submit complete and accurate staffing information to the federal regulatory agency through Payroll Based Journaling (PBJ) when the facility failed to submit staffing hour data for all nursing personnel by the required deadline. Findings included: - The PBJ report provided by the Centers for Medicare and Medicaid services (CMS) for Fiscal Year (FY) 2024 Quarter 1, documented the facility failed to have Licensed Nursing Coverage 24 hour/day on 10/01/24, 10/04/24, 11/23/24, and 12/31/24. […]

• No harm, potential for more than minimal, widespreadF727Jan 19, 2023

  The facility reported a census of 20 residents. Based on interview and record review, the facility failed to use the services of a registered nurse for at least 8 hours a day, seven days a week, as required, for five days of the six months reviewed. This had the potential to affect all residents. Findings included: - Review of the nursing schedule and staffing sheets on 03/13/22, 03/26/22, 04/23/22, 05/08/22 and 05/21/22, revealed no Registered Nurse (RN) worked. The documentation revealed Licensed Practical Nurses scheduled. Interview with Administrative Nurse B on 01/19/23 at 11:50 AM, Administrative Nurse B reported the facility attempted to have a Registered Nurse for 8 hours a day and verified the facility lacked the required RN coverage. […]

• No harm, potential for more than minimal, widespreadF812May 12, 2021

  The facility reported a census of 21 residents. The facility had one main kitchen where food was stored and prepared for one dining room. Based on observation, interview, and record review the facility failed to ensure dietary staff who worked in the kitchen wore a hairnet. The facility also failed to properly store food items in a refrigerator and freezers by the failure to ensure all food items were dated after being opened. These failures had the ability to affect all residents in the facility. Findings included: - During the initial environmental tour of the dietary department on 05/06/21 at 08:21 AM the following concerns identified: 1. […]

• No harm, potential for more than minimal, isolatedF600Jul 2, 2025

  The facility reported a census of 24 residents, with four residents reviewed for abuse. Based on observation, interview, and record review, the facility failed to ensure Resident (R) 1 remained free from verbal abuse and mistreatment. This deficient practice placed the resident at risk for fear and decreased quality of life.Findings included:- R1's Electronic Health Record (EHR) documented diagnoses that included unspecified dementia (a progressive mental disorder characterized by failing memory and confusion).R1's 12/13/24 Significant Change Minimum Data Set (MDS) documented a Brief Interview of Mental Status (BIMS) score of seven, which indicated severely impaired cognition. […]