Tallgrass Healthcare Campus

In the surveyor’s words

From the most serious findings on record at Tallgrass Healthcare Campus, in the surveyor’s own words.

• Immediate jeopardy, patternF600Nov 13, 2025

  The facility identified a census of 66 residents, with three residents reviewed for abuse and neglect. Based on record review, observation, and interview, the facility failed to protect Resident (R) 2, a cognitively impaired female, from sexual abuse. On 11/12/25 at 01:40 PM, staff found R2, who had severe cognitive impairment, was unable to consent to sexual relations, and had a history of wandering, in R1's room on his bed. R1, who had a Brief Interview for Mental Status (BIMS) score of 15 (cognitively intact) and a history of sexual behaviors, performed oral sex on R2. Staff separated the residents and placed R2 on one-to-one observation. […]

• No harm, potential for more than minimal, widespreadF880Nov 20, 2023

  The facility had a census of 63 residents. Based on observation, record review, and interview, the facility failed to implement a water management program for Legionella disease (Legionella is a bacterium spread through mist, such as air-conditioning units in large buildings. Adults over the age of 50 and people with weak immune systems, chronic lung disease or heavy tobacco use are most at risk of developing a pneumonia caused by Legionella). This deficient practice placed the residents at increased risk of infectious disease. Findings included: - On 11/20/23 at 12:51 PM Maintenance Staff U stated he was not aware of the need for a water management system for the prevention of Legionella. […]

• No harm, potential for more than minimal, widespreadF812May 4, 2022

  The facility had a census of 61 residents. The sample included 16 residents. Based on observation, record review, and interview the facility failed to distribute and serve food in accordance with professional standards for food service safety for the 61 residents who resided in the facility and received their food from the facility kitchen, when the facility failed to ensure clean and sanitary food prep areas, and failed to dispose of expired food items. This placed the 61 residents at risk for foodborne illness. Findings included: - On [DATE] at 09:02 AM, observation in the kitchen revealed the following: The kitchen ceiling had three areas of peeling paint, one approximately 12 inches (jn) x 12 in and two with approximately 8 in diameter, above the three-compartment sink. […]

• No harm, potential for more than minimal, patternF761Aug 6, 2025

  The facility identified a census of 62 residents. The facility had two medication rooms and three medication carts. Based on observation, record review, and interview, the facility failed to ensure staff locked and secured medications while away from the medication cart on the Sunshine Hall. This placed residents at risk for accidental ingestion of medication and adverse reactions.Findings included:- On 08/04/25 at 09:04 AM, on Sunshine Hall, the nurse's medication cart located beside the nurse's desk was found unattended and unlocked. At 09:05 AM, Administrative Nurse E walked down the hall to the medication cart and noticed it was unlocked. […]

• No harm, potential for more than minimal, patternF812Nov 20, 2023

  The facility had a census of 63 residents. Based on observation, interview, and record review, the facility failed to serve food in one of two dining rooms in a sanitary manner. This deficient practice placed residents at risk for food borne illness. Findings included: - On 11/13/23 at 11:58 AM, observation in the facility's main dining room revealed Dietary Staff (DS) CC dropped the lid from a soda bottle, picked it up from the floor, and did not wash her hands before obtaining and placing an unwrapped straw in a resident's glass. Observation at 12:16 PM revealed DS CC touched a resident on the shoulder, cut up his food, then handled another resident's silverware, to cut up his food, without washing or sanitizing her hands. […]