THE CEDARS

Nursing Home Inspector

1021 CEDARS DRIVE
MCPHERSON, KS 67460
Mcpherson County
Phone: 620-241-0919
Provider Number: 175380
Last Inspection: 03/07/2016

About the Nursing Home

Number of Beds: 167
Number of Residents: 90
Beds Available: 77
Percent Occupancy: 54%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
Ownership: Non profit - Corporation
Within Hospital?: NO

About State Inspection Deficiencies

Nursing Homes that are Medicare and/or Medicaid certified are licensed by the state and are required to comply with rigid standards enforced by regular facility inspections and extensive evaluations.

The state inspection deficiencies provided here are accounts reported by state inspectors of every discrepancy found where the home failed to meet the minimum standards set forth by state and federal regulations. If a home does not show any deficiencies, it has met the minimum standards required.

Please note: 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.


Deficiency Ratings

Our nursing home inspector tool compares the severity of deficiences rather than the number of deficiences. We calculate the severity of each deficiency using the formula:

Severity Rating = Scope + Level of Harm.

Deficiency Rating= Sum of ALL Severity Ratings

Severity Scope Level of Harm
2 1-Isolated 1-Potential for minimal harm
3 2-Pattern 1-Potential for minimal harm
3 1-Isolated 2-Minimal harm or potential for actual harm
4 3-Widespread 1-Potential for minimal harm
4 2-Pattern 2-Minimal harm or potential for actual harm
4 1-Isolated 3-Actual harm
5 3-Widespread 2-Minimal harm or potential for actual harm
5 2-Pattern 3-Actual harm
5 1-Isolated 4-Immediate jeopardy to resident health or safety
6 3-Widespread 3-Actual harm
6 2-Pattern 4-Immediate jeopardy to resident health or safety
7 3-Widespread 4-Immediate jeopardy to resident health or safety

Deficiency Ratings
By Region

Lower Numbers Are Better

 

18

Facility 		18

County 		29

KS 		20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 
18

2016		 26

2015		 10

2013

Medicare Ratings

Overall Rating: Overall Rating
Health Rating: Health Rating
Staff Rating: Staff Rating
Quality Rating: Quality Rating

 

Details by Inspection Date

3/7/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
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 4/6/2016
 
Failed To: Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. Pattern : Minimal 4 4/6/2016
 
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 4/6/2016
 
Failed To: Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Isolated : Minimal 3 4/6/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 4/6/2016
 

2/9/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Actual 4 2/20/2015
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 2/20/2015
 
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 2/20/2015
 
Failed To: Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Isolated : Minimal 3 2/20/2015
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 2/20/2015
 
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 2/20/2015
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 2/20/2015
 

10/28/2013 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. Isolated : Minimal 3 11/25/2013
 
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 11/25/2013
 
Failed To: Make sure that a working call system is available in each resident's room or bathroom and bathing area. Isolated : Minimal 3 11/25/2013
 

Complaint Investigation Deficiencies

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

8/10/2017 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 8/18/2017
 
Failed To: Protect each resident from all abuse, physical punishment, and involuntary separation from others. Isolated : Immediate 5 8/18/2017
 
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. Pattern : Immediate 6 8/18/2017
 
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 : Minimal 5 8/18/2017
 
Failed To: Provide medically-related social services to help each resident achieve the highest possible quality of life. Isolated : Minimal 3 8/18/2017
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 8/18/2017
 
Failed To: 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. Pattern : Minimal 4 8/18/2017
 

6/27/2017 Investigation

 
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 : Minimal 3 7/21/2017
 

12/1/2016 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Protect each resident from all abuse, physical punishment, and involuntary separation from others. Isolated : Minimal 3 12/10/2016
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg KS State Avg
Number of Residents 90 72.00 52.13
Registered Nurses 0.74 0.72 0.82
Licensed Practical / Vocational Nurses 0.86 0.75 0.65
Certified Nursing Assistants 3.42 3.14 2.63
Total Staff Hours 5.01 4.61 4.10

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% KS State Avg%
of high risk long-stay residents with pressure ulcers 3 5 5
of long-stay residents assessed and appropriately given the pneumococcal vaccine 98 97 93
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98 98 95
of long-stay residents experiencing one or more falls with major injury 5 6 4
of long-stay residents who have depressive symptoms 10 9 6
of long-stay residents who lose too much weight 6 5 7
of long-stay residents who received an antianxiety or hypnotic medication 19 20 24
of long-stay residents who received an antipsychotic medication 26 18 19
of long-stay residents who self-report moderate to severe pain 7 10 8
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 19 16 19
of long-stay residents whose need for help with daily activities has increased 14 14 16
of long-stay residents with a catheter inserted and left in their bladder 2 1 2
of long-stay residents with a urinary tract infection 4 4 5
of low risk long-stay residents who lose control of their bowels or bladder 37 29 39
of short-stay residents assessed and appropriately given the pneumococcal vaccine 91 85 78
of short-stay residents who had an outpatient emergency department visit 10 12 11
of short-stay residents who made improvements in function 75 71 70
of short-stay residents who newly received an antipsychotic medication 3 3 2
of short-stay residents who self-report moderate to severe pain 11 17 19
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 90 86 74
of short-stay residents who were rehospitalized after a nursing home admission 16 18 19
of short-stay residents who were successfully discharged to the community 69 63 55
of short-stay residents with pressure ulcers that are new or worsened 0 2 1