Alma Manor

234 Manor Circle
Alma, KS 66401
Wabaunsee County
Phone: 785-765-3318
Provider Number: 175346
Last Inspection: 11/30/2015

About the Nursing Home About the Staff

Number of Beds
Number of
Beds
45
Number of Residents
Number of
Residents
28
Number of Beds Available
Beds Available
17
Percent Occupancy
Percent Occupancy
62%
Accepts Insurance
Insurance Accepted
Medicare & Medicaid
Types of Councils
Types of Councils
Resident
Type of Ownership
Type of Ownership
For profit - Partnership
Within a Hospital?
Within Hospital?
NO

State Inspection Deficiencies About State Inspection Deficiencies

Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home. We suggest you use our Nursing Home Checklist to help evaluate the nursing homes you plan to visit.


Deficiency Ratings what is a deficiency rating?
By Region


  • Facility
  • County
  • KS
  • USA
  • 79
  • 50
  • 32
  • 20
Lower Numbers are Better

Deficiency Ratings what is a deficiency rating?
By Year


  • 2015
  • 2014
  • 2013
  • 79
  • 43
  • 49
Lower Numbers are Better

Details by Inspection Date

 

11/30/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. Pattern : Minimal 4 12/23/2015
Failed To: Provide activities to meet the interests and needs of each resident. Isolated : Minimal 3 12/23/2015
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 12/23/2015
Failed To: Conduct initial and periodic assessments of each resident's functional capacity. Isolated : Minimal 3 12/23/2015
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 12/23/2015
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Actual 4 12/23/2015
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated : Minimal 3 12/23/2015
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Actual 4 12/23/2015
Failed To: Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. Isolated : Minimal 3 12/23/2015
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Immediate 5 12/23/2015
Failed To: Give each resident enough fluids to keep them healthy and prevent dehydration. Isolated : Minimal 3 12/23/2015
Failed To: Have enough nurses to care for every resident in a way that maximizes the resident's well being. Widespread : Minimal 5 12/23/2015
Failed To: 1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day. Pattern : Minimal 4 12/23/2015
Failed To: Make sure that doctors visit residents regularly, as required. Isolated : Minimal 3 12/23/2015
Failed To: Give or get specialized rehabilitative services per the patient's assessment or plan of care. Isolated : Minimal 3 12/23/2015
Failed To: Have a program that investigates, controls and keeps infection from spreading. Widespread : Minimal 5 12/23/2015
Failed To: Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Widespread : Minimal 5 12/23/2015
Failed To: Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . Widespread : Minimal 5 12/23/2015
Failed To: 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. Widespread : Potential 4 12/23/2015
Failed To: Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Isolated : Minimal 3 12/23/2015
Failed To: Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Isolated : Minimal 3 12/23/2015
 

8/14/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Widespread : Potential 4 9/12/2014
Failed To: Keep residents' personal and medical records private and confidential. Isolated : Minimal 3 9/12/2014
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 9/12/2014
Failed To: Assess in a timely manner the resident when the resident enters the nursing home. Isolated : Minimal 3 9/12/2014
Failed To: Review or revise the resident's care plan after any major change in physical or mental health. Isolated : Minimal 3 9/12/2014
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Isolated : Minimal 3 9/12/2014
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated : Minimal 3 9/12/2014
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 9/12/2014
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 9/12/2014
Failed To: Ensure residents maintain acceptable nutritional status. Isolated : Minimal 3 9/12/2014
Failed To: Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Isolated : Minimal 3 9/12/2014
Failed To: At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. Isolated : Minimal 3 9/12/2014
Failed To: Make sure that a working call system is available in each resident's room or bathroom and bathing area. Widespread : Minimal 5 9/12/2014
 

4/30/2013 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Actual 4 5/30/2013
Failed To: Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. Isolated : Minimal 3 5/30/2013
Failed To: Provide medically-related social services to help each resident achieve the highest possible quality of life. Isolated : Minimal 3 5/30/2013
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 5/30/2013
Failed To: Conduct initial and periodic assessments of each resident's functional capacity. Isolated : Minimal 3 5/30/2013
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 5/30/2013
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 5/30/2013
Failed To: Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Pattern : Minimal 4 5/30/2013
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 5/30/2013
Failed To: Provide or obtain dental services for each resident. Isolated : Minimal 3 5/30/2013
Failed To: At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. Isolated : Minimal 3 5/30/2013
Failed To: Keep all essential equipment working safely. Pattern : Minimal 4 5/30/2013
Failed To: Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Isolated : Minimal 3 5/30/2013
Failed To: Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Widespread : Minimal 5 5/30/2013


 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

 

4/14/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Permit residents to remain in the facility and not be transferred or discharged without adequate reason. Isolated : Minimal 3 5/14/2015
Failed To: Help and prepare each resident for a safe and easy discharge or transfer from the nursing home. Isolated : Minimal 3 5/14/2015
 

3/5/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Isolated : Minimal 3 4/4/2015
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 4/4/2015
 

12/11/2013 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Assess in a timely manner the resident when the resident enters the nursing home. Isolated : Minimal 3 1/10/2014
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Actual 4 1/10/2014
Failed To: Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. Isolated : Minimal 3 1/10/2014

 

About The Staff About the Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg KS State Avg
Number of Residents 28 43.50 52.64
Registered Nurses 1.33 0.96 0.82
Licensed Practical / Vocational Nurses 0.72 0.57 0.62
Certified Nursing Assistants 3.44 2.29 2.64
Total Staff Hours 5.49 3.81 4.09

About the Residents About the Staff

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% KS State Avg%
High Risk Long Stay Residents With Pressure Ulcers 13 13 5
Long Stay Residents Experiencing One or More Falls with Major Injury 0 3 4
Long Stay Residents Who Have Depressive Symptoms 2 1 7
Long Stay Residents Who Lose Too Much Weight 0 1 7
Long Stay Residents Who Received an Antipsychotic Medication 4 4 19
Long Stay Residents Who Self Report Moderate to Severe Pain 7 5 10
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 0 0 6
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 0 1 3
Long Stay Residents Who Were Physically Restrained 0 0 0
Long Stay Residents Whose Need for Help with ADLs has Increased 25 15 17
Long Stay Residents with a Catheter Inserted and Left in Their Bladder 0 0 3
Long Stay Residents With a Urinary Tract Infection 6 3 6
Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 19 11 40
Short Stay Residents Who Self Report Moderate to Severe Pain 39 Not Available   2
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 9 39 21
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 10 9 22
Short Stay Residents With Pressure Ulcers That Are New or Worsened 0 10 22