LEONARDVILLE NURSING HOME

Nursing Home Inspector

409 W BARTON STREET
LEONARDVILLE, KS 66449
Riley County
Phone: 785-293-5244
Provider Number: 175477
Last Inspection: 02/02/2016

About the Nursing Home

Number of Beds: 59
Number of Residents: 50
Beds Available: 9
Percent Occupancy: 85%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
Ownership: Non profit - Church related
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

 

32

Facility
25

County
29

KS
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

32

2016
20

2014
10

2013

Medicare Ratings

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

 

Details by Inspection Date

2/2/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Dispose of garbage and refuse properly. Widespread : Potential 4 3/1/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 3/1/2016
 
Failed To: Ensure residents maintain acceptable nutritional status. Isolated : Minimal 3 3/1/2016
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Widespread : Minimal 5 3/1/2016
 
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 3/1/2016
 
Failed To: Post nurse staffing information/data on a daily basis. Widespread : Potential 4 3/1/2016
 
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 3/1/2016
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 3/1/2016
 

11/20/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
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 12/19/2014
 
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. Isolated : Minimal 3 12/19/2014
 
Failed To: Ensure residents maintain acceptable nutritional status. Isolated : Minimal 3 12/19/2014
 
Failed To: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Pattern : Minimal 4 12/19/2014
 
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 : Minimal 4 12/19/2014
 
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 12/19/2014
 

8/8/2013 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
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 9/1/2013
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 9/1/2013
 
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 9/1/2013
 

Complaint Investigation Deficiencies

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

No Complaint Deficiencies Reported

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg KS State Avg
Number of Residents 50 75.50 52.13
Registered Nurses 0.59 0.75 0.82
Licensed Practical / Vocational Nurses 0.61 0.84 0.65
Certified Nursing Assistants 3.53 2.91 2.63
Total Staff Hours 4.72 4.51 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 10 4 5
of long-stay residents assessed and appropriately given the pneumococcal vaccine 98 94 93
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96 94 95
of long-stay residents experiencing one or more falls with major injury 4 5 4
of long-stay residents who have depressive symptoms 13 10 6
of long-stay residents who lose too much weight 6 7 7
of long-stay residents who received an antianxiety or hypnotic medication 14 18 24
of long-stay residents who received an antipsychotic medication 15 16 19
of long-stay residents who self-report moderate to severe pain 13 10 8
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 23 18 19
of long-stay residents whose need for help with daily activities has increased 17 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 9 6 5
of low risk long-stay residents who lose control of their bowels or bladder 59 44 39
of short-stay residents assessed and appropriately given the pneumococcal vaccine 57 71 78
of short-stay residents who newly received an antipsychotic medication 0 15 11
of short-stay residents who self-report moderate to severe pain 23 73 70
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 66 1 2
of short-stay residents with pressure ulcers that are new or worsened 0 22 19