Alma Manor

234 Manor Circle
Alma, KS 66401
Wabaunsee County
Phone: 785-765-3318
Provider Number: 175346
Last Inspection: 08/14/2014

About the Nursing Home About the Staff

Number of Beds
Number of
Beds
45
Number of Residents
Number of
Residents
35
Number of Beds Available
Beds Available
10
Percent Occupancy
Percent Occupancy
78%
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
  • 43
  • 27
  • 34
  • 20
Lower Numbers are Better

Deficiency Ratings what is a deficiency rating?
By Year


  • 2014
  • 2013
  • 2012
  • 43
  • 49
  • 45
Lower Numbers are Better

Details by Inspection Date

 

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
 

2/14/2012 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Give residents a notice of rights, rules, services and charges. Isolated : Minimal 3 3/14/2012
Failed To: Upon the death of a resident, convey the resident’s personal funds and an accounting of those funds to the appropriate party. Isolated : Minimal 3 3/14/2012
Failed To: 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. Isolated : Minimal 3 3/14/2012
Failed To: Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. Widespread : Potential 4 3/14/2012
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 3/14/2012
Failed To: Conduct initial and periodic assessments of each resident's functional capacity. Isolated : Minimal 3 3/14/2012
Failed To: Assess in a timely manner the resident when the resident enters the nursing home. Isolated : Minimal 3 3/14/2012
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 3/14/2012
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 3/14/2012
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 3/14/2012
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 3/14/2012
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 3/14/2012
Failed To: Make sure that a working call system is available in each resident's room or bathroom and bathing area. Pattern : Minimal 4 3/14/2012


 

Complaint Investigation Deficiencies

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

 

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 35 46.50 53.35
Registered Nurses 1.27 0.84 0.79
Licensed Practical / Vocational Nurses 0.61 0.64 0.61
Certified Nursing Assistants 3.00 2.13 2.60
Total Staff Hours 4.88 3.61 4.00

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 2 2 5
Long Stay Residents Experiencing One or More Falls with Major Injury 5 3 4
Long Stay Residents Who Have Depressive Symptoms 7 3 7
Long Stay Residents Who Lose Too Much Weight 4 4 7
Long Stay Residents Who Received an Antipsychotic Medication 29 29 22
Long Stay Residents Who Self Report Moderate to Severe Pain 13 6 10
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 7 4 5
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 0 0 4
Long Stay Residents Who Were Physically Restrained 0 0 0
Long Stay Residents Whose Need for Help with ADLs has Increased 23 13 16
Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3 1 2
Long Stay Residents With a Urinary Tract Infection 8 4 7
Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 24 14 38
Short Stay Residents Who Self Report Moderate to Severe Pain 31 Not Available   3
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 30 31 23
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 22 30 22
Short Stay Residents With Pressure Ulcers That Are New or Worsened 0 22 17