The Healthcare Resort of Olathe

In the surveyor’s words

From the most serious findings on record at The Healthcare Resort of Olathe, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Jan 23, 2025

  The facility identified a census of 59 residents. The sample included three residents. Based on observation, record review, and interviews, the facility failed to ensure Resident (R) 1 remained free from neglect. On 01/15/25 between 08:00 PM and 09:00 PM, R1 propelled himself in his wheelchair to the bathroom. He reached for the grab bar beside the toilet and the momentum of that action caused him to slip from his wheelchair and fall to the right, into the walk-in shower. R1 laid on the floor, unable to move or reach the call light beside the toilet. […]

• Immediate jeopardy, isolatedF689Sep 17, 2024

  The facility identified a census of 62 residents. The sample included three residents. Based on observation, record review, and interview, the facility failed to provide adequate staff response to door alarms to prevent cognitively impaired and independently mobile Resident (R)1 from eloping from the facility. On 09/11/24 at 07:26 AM R1 pressed the release bar on the northwest emergency exit door for 15 seconds, opened the door, and exited the facility. The door alarm sounded but no staff responded, therefore, staff were unaware R1 exited the facility. R1 wheeled herself down the sidewalk of the rear parking lot. Therapy Consultant GG arrived for work around 07:32 AM and observed R1 outside near the facility dumpsters on the northwest side of the building and alerted facility staff. […]

• Immediate jeopardy, isolatedF600Aug 19, 2024

  The facility identified a census of 69 residents. The sample included three residents. Based on observation, record review, and interview, the facility failed to ensure Resident (R) 1 remained free from neglect. On 07/22/24, R1, who was cognitively intact but diabetic (individual with a chronic disease that results in too much glucose in the blood), legally blind, and had bilateral lower extremity amputations (surgical removal of a limb), wheeled himself outside around 08:00 PM without letting staff know and without his cell phone. R1 tipped over in his wheelchair and was unable to get up or contact staff for assistance. R1 laid on the ground and called out for staff to assist him though no one came to help. […]

• Immediate jeopardy, isolatedF760Jun 26, 2023

  The facility identified a census of 53 residents. The sample included three residents. Based on record review and interviews, the facility failed to ensure Resident (R) 1 remained free of significant medication errors. On [DATE] at approximately 09:00 AM, Licensed Nurse (LN) G administered R2's medications to R1, which included three antihypertensive (medication used to treat hypertension [high blood pressure]) medications, one antianxiety (medication used to treat anxiety [mental or emotional reaction characterized by apprehension, uncertainty and irrational fear]) medication, one antidepressant (medication used to treat depression [major mood disorder]) medication, one narcotic (medication used to treat pain) medication, and eight other medications. […]

• Actual harm, isolatedF689Oct 17, 2023

  The facility identified a census of 69 residents. The sample included three residents reviewed for falls. Based on observations, record review, and interviews, the facility failed to follow fall interventions to prevent a fall with major injury for Resident (R) 1. On 09/16/23, Certified Nurse Aide (CNA) M forgot to place the fall mat on the floor, next to R1's bed. R1 was subsequently found on the floor with a hematoma (collection of blood trapped in the tissues of the skin or in an organ, resulting from trauma), skin tear, and a right thumb fracture. […]