Stand By Me. Ombuds Changes. Margaret Farley Honored with National Advocacy Award

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1 KABC celebrated its 40th year in style during its annual Stand By Me fundraising event in October. KABC honored Mrs. Lee Ketzel as one of the Band of Six who, along with Petey Cerf, founded this organization in Other Founders were Harriet Nehring, Jessie Branson, Katie Pyle, and Bryona Wiley. On hand for this celebration were Founder family members: William Dann, Elizabeth Dann Jones & son Colin Wells, Charles Cerf, Pauline Cerf Alexander & her daughter Margaret Farley Honored with National Advocacy Award Stand By Me Liz Resnick, JT & Keely Compton; Teri Wiley & son Dean Manwaring; Eric Ketzel; Earl Nehring & daughter Nancy Nehring. A video previewed with original footage of Petey and Jessie along with recollections from Margaret Farley, Barbara Sabol, and Lee Ketzel. Film student Brandon Clasen produced the excellent retrospective. The Joe Schoonover Trio entertained throughout. We offer our thanks to the Sponsors and guests who made this 40th celebration a special success. Ombuds Changes Three long serving ombudspersons Cynthia Bailey, James Grooms & Phylis Toumberlin retired this year. Two of three staff positions are filled. The National Consumer Voice honored Margaret Farley for leadership with the Toby Edelman Legal Advocacy award. Farley was recognized for the outstanding advocacy she has performed on behalf of elders and better quality care. She was honored at the NCV s conference in Arlington, VA in November. For more than three decades Farley has been a dedicated advocate, providing leadership at the national and state levels and on behalf of individual elders harmed by poor care. Farley pursued better elder care first as a bachelor s level nurse, and as both volunteer and executive director with KABC. She provides leadership nationally on various work groups, and served as President of NCCNHR (now Consumer Voice) in the 1990s. Farley, now a lawyer pursues justice for elders who have suffered harm due to poor care. NEW - Camille Russell is a lifelong advocate committed to the service of her fellow Kansans. She covers Region 7, southeast KS counties. NEW - Sue Schuster, former ombudsperson and long-time advocate, serves Region 2, northeast Kansas counties. Sue is excited to again have the opportunity to work with residents, families, ombuds volunteers, and facility staff. Gina Elliott had served the southeast KS region. She has been transferred to serve residents in Johnson, Wyandotte & Leavenworth counties in Region 3. Visit the Ombud website for details: Page Winter Volume 33, Issue 4 QUESTIONS? Call KABC Toll-Free: Mitzi E. McFatrich, Executive Director

2 Advocating for Quality Long-Term Care Nursing Home Poor Performance Trends The following list represents 64 Kansas nursing homes with 10 or more deficiencies for each of their THREE most recent inspections. The number of deficiencies cited during the most recent inspection survey are indicated here. The range in Kansas is 0 to 34 The average number of deficiencies in Kansas is 8.4, and the national average is 6.8. In addition, those facilities in bold have been cited for actual harm, immediate jeopardy, and/or deficiencies classified by CMS as mistreatment of residents during their most recent inspection survey. Currently, 345 licensed nursing homes (NF/LTCU/NFMH) provide care in Kansas. Data is taken from the deficiency statements on the Kansas Department for Aging & Disability Services (KDADS) website and CMS Medicare.gov website. Data is current to of December 1, If you have questions, or would like additional information, please contact KABC toll-free Tanglewood Nursing & Rehab Topeka 34 Ottawa Retirement Village Ottawa 31 Victoria Falls Andover 30 Hutchinson Health & Rehab Hutchinson 29 Wheatland Nursing & Rehab Russell 25 Peabody Health & Rehab Peabody 24 Arma Care Center LLC Arma 23 Kansas City Presbyterian Manor Kansas City 23 Mission Village Living Center, Inc. Horton 23 Shawnee Gardens Healthcare & Rehab Shawnee 23 The Legacy on 10th Avenue Topeka 22 Flint Hills Care Center Emporia 22 Trego Manor Wakeeney 22 Via Christi Village - Hays, Inc. Hays 22 McPherson Health & Rehabilitation McPherson 21 Manorcare Health Services Topeka 20 Fort Scott Manor Fort Scott 19 Country Care, Inc. Easton 19 Morton County Hospital Elkhart 19 Smoky Hill Rehabilitation Center Salina 19 Good Samaritan Society Dodge City 19 Indian Creek Health Care Center Overland Park 18 Richmond Healthcare and Rehab Richmond 18 Iola Nursing & Residential Care Iola 17 Manorcare Health Services Wichita 17 Brandon Woods at Alvamar Lawrence 17 Overland Park Nursing and Rehab Overland Park 17 Gove County Medical Center Quinter 17 Pinnacle Ridge Nursing & Rehab Olathe 16 Caney Nursing Center Caney 16 Meridian Nursing & Rehab Wichita 15 Bonner Springs Nursing & Rehab Bonner Springs 15 Great Bend Health & Rehab Great Bend 15 Life Care Center of Kansas City Kansas City 15 Diversicare of Hutchinson Hutchinson 15 Hilltop Lodge Nursing Home Beloit 14 Alma Manor Alma 14 Good Samaritan Society Minneapolis 14 Rossville Healthcare & Rehab Rossville 14 Rolling Hills Health & Rehab Wichita 14 F.W. Huston Medical Center Winchester 14 Smith Center Health & Rehab Smith Center 14 Wheat State Manor Whitewater 14 The Legacy at Park View Ulysses 14 Manorcare Health Services Overland Park 13 Pratt Health & Rehab Pratt 13 Golden Livingcenter - Kaw River Edwardsville 13 Cherry Village Great Bend 12 Garden Valley Retirement Village Garden City 12 Prairie Sunset Home, Inc. Pretty Prairie 11 Tonganoxie Nursing Center Tonganoxie 11 Park Villa Clyde 11 Medicalodges Leavenworth Leavenworth 11 Villa St. Francis Olathe 11 Hamilton County Hospital Syracuse 11 Pleasant Valley Manor Sedan 10 Life Care Center of Wichita Wichita 10 Decatur County Hospital Oberlin 10 Plaza West Regional Health Topeka 10 Golden Livingcenter Lansing 10 McCrite Plaza Health Center Topeka 10 Providence Place Kansas City 10 Mount Joseph Senior Village Concordia 10 Medicalodges Douglass Douglass 10 Page 2 KABC is the only one-stop source for long-term care facility information or info@kabc.org

3 Making Elder Care Better Since 1975 Nursing Home Positive Performance Trends The following list represents 11 Kansas nursing homes with 5 or fewer inspection deficiencies for each of their THREE most recent inspections. None of these inspection deficiencies cited were for actual harm, immediate jeopardy, or mistreatment. The Caritas Center of Wichita has had FOUR consecutive inspections with zero The number of deficiencies cited on inspections in Kansas range from 0 to 34. The average number of deficiencies in Kansas is 8.4, and the national average is 6.8. Currently, 345 licensed long-term care facilities (NF/LTCU/NFMH) provide care in Kansas. Data was taken from deficiency statements from the Kansas Department for Aging & Disability Services (KDADS) and from the CMS Medicare.gov website, and is current as of December 1, If you have questions, or would like additional information, please contact KABC toll-free Moundridge Manor Moundridge 0 Caritas Center, Inc. Wichita 0 Larksfield Place Wichita 0 Halstead Health & Rehabilitation Halstead 1 Schowalter Villa Hesston 2 Ottawa County Health Center Minneapolis 2 Medicalodges Paola Paola 3 Brookdale Rose Hill Shawnee 3 Salina Presbyterian Manor Salina 3 Bethel Home Montezuma 3 Anderson County Hospital Garnett 5 Honoring Loved Ones Jim Graves Emilee Wells from Andrea Leavitt & Dana Lambert Petey Cerf from Lauren & Vivien Jones Elizabeth Dann Jones In Loving Memory of Jean Edward & Maxine Ruth Solden from Linda Mason Barbara Oden from Margaret Farley Arthur Burgess Maynard Bauleke from Earl Nehring Frances Lincoln Fischer from Marjorie Anne Dozier In Honor of Warren Robinson from his children Bess & Steve Horton Joe & Susan Robinson Page 3 KABC staff personally respond to your inquiries about long-term care. Toll-free: or info@kabc.org

4 Advocating for Quality Long-Term Care Advocacy in Action - December 2015 The ever-growing State budget gap will be Priority One when the legislature returns to Topeka January 11. Options for filling the budget deficit are few: further cuts to State programs vs. raising revenues through changes in the tax structure. Since the governor has said he is not interested in making changes to the tax structure, we can expect further discussion around cuts to service programs serving elders, such as Medicaid. Throughout the process, KABC will advocate for policies that promote improved health outcomes and quality of life for Kansas elders and responsible oversight to assure safe long-term care. KABC legislative priorities for the 2016 session include: 1) Advocate for long term care services which deliver improved health outcomes and quality of life for older adults. Improving nurse staffing levels in nursing homes remains KABC s highest priority. Legislation was introduced during the 2015 session to raise the Kansas nurse staffing minimum to a safe care standard of 4 hours and 26 minutes to avoid injury, illness and death of elders. The current standard of 2 hours/per resident/day, is inadequate and has not been updated since HB 2201, remains alive for 2016 in the House Children and Seniors Committee. Adequate nurse staffing is central to all indicators of quality nursing home care. Kansas ranks among the states with the highest use of anti-psychotic drugs to chemically restrain residents with dementia related behaviors. The high usage of these drugs is directly related to low staffing, making it an important outcome measure of quality care. Kansas is 47th worst in the U.S. in usage of anti-psychotics drugs on elders. KABC stands for adequate funding of home and community-based long term services and closely monitors the KanCare/Medicaid demonstration program. The State s most recently published Medicaid Assistance reports show that fewer older adults are being served in nursing homes and at-home through KanCare than were served prior to its adoption in And, this at a time when the older adult population is significantly on the rise. 2) Advocate for responsible government oversight of long term care services serving frail elders. Vigorous oversight and enforcement of state and federal laws which govern care in nursing home is another measure of quality. KABC is raising the concern of the continuously increasing lag time between nursing home inspections. The State is required by law to annually inspect every nursing home every 12 months on average. The State s current average is nearly 16 months. Due to the State s tardiness in inspecting facilities, elders in poor performing facilities suffer poor care and the facilities avoid making corrections for an additional four months. This quality indicator, combined with a chronically understaffed inspection unit causes serious concerns around the quality and safety for nursing home residents. KABC is calling for funding to assure adequate staff to inspect nursing homes compliance with federal and state law within the required timeframes. Older residents health and safety are at risk without compliance oversight and enforcement. 3) Advocate for access to dental and mental health services for older adults. KanCare and Medicare provide for limited oral health care for adults but does not address the specific needs of elders such as routine oral care or for gum disease, maintenance or dentures. Serious health conditions may occur due to the lack of care, such as chronic, unchecked, infection resulting in falls, confusion, delusion, dehydration and malnutrition from the inability to chew food. KABC works in coalition with mental health advocates to assure access to affordable mental health services. Page 4 KABC is on Facebook! Like us for information about long-term care in Kansas.

5 Making Elder Care Better Since 1975 Consumer Assistance To report abuse, neglect and exploitation occurring in adult care homes, contact the KDADS hotline: :00 AM to 5:00 PM Monday-Friday by FAX: (fax must be addressed to Carolyn Anderson, Mary Jane Kennedy and Ernie Beery) by Adult Abuse in the community hotline (24/7) (Also for reporting care home abuse/neglect after hours) KanCare customer service hotline KanCare Ombudsman Kerrie Bacon Aging & Disability Resource Centers (ADRC) Kansas Attorney General s Consumer Protection Division For assistance with concerns/problems with adult care homes, call the State Long-Term Care Ombudsman Elder Law Hotline To report suspected Medicare fraud: For info about Medicaid, call: ALF ADC BCH HP IMR LTCU NF NFMH RHCF CMP CMS CO d/b/a IDR LSC NOTC Licensing Categories & Abbreviations Assisted Living Facility Adult Day Care Boarding Care Home Home Plus Intermediate Care Facility for the Mentally Retarded Long-Term Care Unit in a hospital Nursing Facility Nursing Facility for Mental Health Residential Health Care Facility Civil Monetary Penalty (Fines) Centers for Medicare/Medicaid Services Correction Order doing business as Informal Dispute Resolution Life Safety Code Survey No Opportunity To Correct SFF Special Focus Facility - historically noncompliant facility providing substandard quality of care, and is inspected two times per year, per 1998 CMS initiative. For no-cost mediation regarding problems with Medicare Providers, call the Kansas Foundation for Medical Care (KFMC) Centers for Medicare/Medicaid Services (CMS) Website For one-stop long-term care home information Kansas Advocates for Better Care Toll-free: info@kabc.org Website: Follow us on Facebook! KABC Privacy Policy Kansas Advocates for Better Care (KABC) protects your privacy. KABC maintains password-protected computerized data files regarding financial support. We do not sell or share our membership list or member financial information with any other agency, and will not divulge any personal information about any members, contributors or contacts without express written permission. Page 5 KABC is the only one-stop source for long-term care facility information or info@kabc.org

6 Advocating for Quality Long-Term Care S u r v e y Re sult s - Recomme n ded Remedie s The Kansas Department for Aging & Disability Services (KDADS) is responsible for regulating most licensed adult care homes. The following information is reproduced from KDADS records, and is the most current made available to KABC as of Oct. 30, Notations such as payment denial, or terminate provider agreement are recommended remedies made by KDADS to Center for Medicare/Medicaid Services (CMS) and does not mean it is imposed or provider agreement s are terminated. CMS may impose the stated remedy if a nursing facility doesn t substantially comply by the date noted (KABC does not receive notice of compliance). If CMS decides a remedy is warranted, a nursing facility receives formal notification. An abbreviated survey is an investigation resulting from a complaint. Nursing facilities may appeal these actions, until a final settlement agreement is reached with KDADS. Nursing facilities listed here are having problems with regulatory compliance, and should be scrutinized carefully before making placement decisions. If you d like further clarification call KABC toll-free, Questions regarding the accuracy of this information or compliance status should be directed to KDADS, Andover Victoria Falls - NF 8/25/15: Abbreviated survey. No Arma Arma Health & Rehab - NF 8/10/15: Abbreviated survey. No 9/29/15: Abbreviated survey. No Bel Aire Catholic Care Center - NF/ALF/RHCF 7/31/15: Abbreviated survey, immediate jeopardy cited, history of noncompliance, NOTC. Payment 8/24. Medicare program 1/31/16. CMS will Care. 2 complaints, 3 deficiencies including 1 immediate jeopardy & 1 ANE. Belleville Belleville Health Care Center - NF 7/7/15: Health survey, actual harm admissions effective 10/7. Medicare program 1/7/16. Pressure ulcer noncompliance. 9/8/15: First revisit of 7/7 health survey & 2 complaints investigated. Remedies continue. Pressure ulcer noncompliance. 10/8/15: Second revisit & 1 complaint investigated. (no remedy letter available). Bonner Springs Bonner Spgs Nursing & Rehab - NF 9/3/15: Health survey & 1 complaint investigated, actual harm cited. effective 12/3. Recommend termination from Medicare program 3/3/16. Pressure ulcer noncompliance. Caney Caney Nursing Center - NF 9/21/15: First revisit of 7/28 health survey. Payment denial for new admissions effective 10/28. Termination of provider agreement 1/28/16. 9 uncorrected deficiencies including 1 ANE. 10/27/15: Second revisit. 1 uncorrected (no remedy letter.) Chanute Diversicare of Chanute - NF 8/5/15: Abbreviated survey. 4 Complaints investigated, 8 deficiencies including 1 actual harm - no remedy letter. 9/22/15: First revisit of 8/5 abbreviated survey & complaint investigation. effective 11/5. Recommend termination from Medicare program 2/5/16. 6 complaints, 1 Clyde Park Villa - NF 9/16/15: Abbreviated survey, actual harm admissions effective 12/16. Medicare program 3/16/16. 1 complaint, 1 actual harm Coffeyville Medicalodges Coffeyville - NF 8/27/15: Abbreviated survey. No 2 Colby Colby Health & Rehab - NF 10/9/15: Abbreviated survey. No KDADS onsite revisit. 1 complaint, 2 Concordia Sunset Home - NF/ALF/RHCF 7/30/15: Abbreviated survey, immediate jeopardy cited. Payment 8/20. Medicare program 1/30/16. CMS will Care. 1 complaint, 5 deficiencies including 1 immediate jeopardy & 1 ANE. Conway Springs Spring View Manor - NF 9/9/15: Health survey, actual harm admissions effective 12/9. Medicare program 3/9/16. Pressure ulcer noncompliance. Dodge City Good Samaritan Society - NF 6/11/15: First revisit of 4/7 health survey. Payment denial for new admissions effective 4/26. Recommend terminate provider agreement 10/7. 9 uncorrected Edwardsville Golden Livingcenter TRS - NFMH 7/6/15: Health survey & 2 complaints investigated, actual harm cited. Page 6 KABC staff personally respond to your inquiries about long-term care. Toll-free: or info@kabc.org

7 Making Elder Care Better Since 1975 effective 10/6. Recommend termination from Medicare program 1/6/16. Pressure ulcer noncompliance. 8/27/15: Revisit letter indicates facility is in compliance. No payment denial. El Dorado Golden Livingcenter - NF 7/22/15: Abbreviated survey. No 1 Ellis Good Samaritan Society - NF 10/19/15: Abbreviated survey. No KDADS onsite revisit. 5 complaints, 5 Emporia Emporia Presbyterian Manor-NF/ALF 8/11/15: Abbreviated survey. No KDADS onsite revisit. 1 complaint, 2 Fort Scott Fort Scott Manor - NF 9/22/15: Abbreviated survey. No KDADS onsite revisit. 4 complaints, 3 Fowler Fowler Residential Care - NF 8/26/15: Abbreviated survey. No 1 Frontenac Medicalodges Frontenac - NF 10/7/15: Abbreviated survey. No 2 10/30/15: Abbreviated survey. No KDADS onsite revisit. 3 complaints, 2 Gardner Meadowbrook Rehab Hospital LTCU 8/10/15: Abbreviated survey, immediate jeopardy cited. Payment 9/1. Medicare program 2/10/16. CMS will Care. Girard Medicalodges Girard - NF 9/9/15: Abbreviated survey. No Goessel Bethesda Home - NF/ALF 8/25/15: Abbreviated & partial extended survey, immediate jeopardy admissions effective 9/15. Medicare program 2/25/16. CMS will Substandard Quality of Care. 4 complaints, 2 deficiencies including 1 immediate jeopardy. Goodland Good Samaritan Sherman Co. - NF 7/15/15: Abbreviated survey, actual harm admissions effective 10/15. Medicare program 1/15/16. 4 complaints, 2 deficiencies including 1 actual harm. Great Bend Cherry Village - NF/RHCF 7/30/15: Abbreviated survey. No Great Bend Health & Rehab - NF 10/29/15: First revisit of 9/9 health survey. No KDADS onsite revisit. 1 complaint, 7 Haviland Haviland Health & Rehab - NFMH 7/24/15: Abbreviated & partial extended survey, immediate jeopardy cited, history of noncompliance, NOTC. $10,000 CMP, payment denial for new admissions effective 8/17. Recommend terminate provider agreement 1/24/16. Substandard Quality of Care. 1 complaint, 4 deficiencies including 2 immediate jeopardy & 1 ANE. Hays Via Christi Village - NF/Alf 7/28/15: Abbreviated survey. No 9/8/15: Abbreviated survey. No KDADS onsite revisit. Pressure ulcer noncompliance. 1 complaint, 1 Haysville Diversicare of Haysville - NF/RHCF 10/2/15: Abbreviated survey. No KDADS onsite revisit. 4 complaints, 8 Hillsboro Salem Home - NF 9/23/15: Abbreviated survey. No KDADS onsite revisit. 1 complaint, 2 Hutchinson Ray E. Dillon Living Center-NF/ALF 8/26/15: Health survey, immediate jeopardy cited, history of noncompliance, NOTC. Payment 9/23. Medicare program 2/26/16. CMS will remedies. 1 complaint, 4 deficiencies including 1 immediate jeopardy. Hutchinson Health & Rehab - NF 7/29/15: Abbreviated & partial extended survey. Payment denial for new admissions effective 10/29. Medicare program 1/29/16.1 complaint, 2 8/27/15: Abbreviated survey. No KDADS onsite revisit. 1 complaint, 2 Iola Windsor Place at Iola LLC - NF 7/9/15: Health survey, actual harm admissions effective 10/9. Medicare program 1/9/ deficiencies including 1 actual harm. 10/8/15: Abbreviated survey. No ANE Jetmore Hodgeman Co. Health Center LTCU 10/6/15: Abbreviated survey. No 3 Page 7 Finding what you want to know about long-term care facilities? If not, Call Us Toll-free: or info@kabc.org

8 Making Elder Care Better Since 1975 Kansas City Kansas City Transitional Care - NF 7/30/15: Abbreviated survey. No 2 9/3/15: Abbreviated survey. No KDADS onsite revisit. 3 complaints, 2 Life Care Center - NF 7/24/15: Abbreviated survey, immediate jeopardy cited. Payment 8/16. Medicare program 1/24/16. CMS will Care. 3 complaints, 1 immediate jeopardy Medicalodges Post Acute Center - NF 7/23/15: Abbreviated survey, actual harm admissions effective 10/23. Medicare program 1/23/16. 1 complaint, 2 deficiencies including 1 actual harm. Providence Place - NF 7/29/15: Abbreviated survey. No 7/30/15: Abbreviated survey. No ANE LaCrosse Locust Grove Village - NF/ALF 9/10/15: Abbreviated survey. No 3 deficiencies including 1 ANE. Lakin Kearny County Hospital LTCU 7/23/15: Abbreviated survey, actual harm admissions effective 10/23. Recommend terminate provider agreement 1/23/16. 2 complaints, 6 deficiencies including 2 actual harm. Lansing Golden Livingcenter - NF 7/8/15: Abbreviated survey. No 1 Lawrence Brandon Woods at Alvamar - NF/ALF/RHCF 8/20/15: MDS/Staffing Focus survey, actual harm cited. Payment denial for new admissions effective 11/20. Medicare program 2/20/16. 4 deficiencies including 1 actual harm. Pioneer Ridge Retirement Community - NF/ALF 9/15/15: Health survey, actual harm cited, history of noncompliance, NOTC. Payment denial for new admissions effective 10/7. Medicare program 3/15/16. CMS will remedies. Pressure ulcer noncompliance. Substandard Quality of Care. 3 deficiencies including 1 actual harm. Leavenworth Medicalodges Leavenworth - NF 8/24/15: Abbreviated survey. No 1 Leoti Wichita County Health Center LTCU 7/20/15: Health survey, actual harm admissions effective 10/20. Medicare program 1/20/ deficiencies including 1 actual harm & 1 ANE. Little River Sandstone Heights - NF/ALF 9/24/15: Abbreviated survey. No 3 McPherson McPherson Health & Rehab - NF 8/26/15: Abbreviated & partial extended survey, immediate jeopardy cited. Payment denial for new admissions effective 9/20. Medicare program 2/26/16. CMS will remedies. Pressure ulcer noncompliance. Substandard Quality of Care. 3 complaints, 6 deficiencies including 1 actual harm & 1 immediate jeopardy. Merriam Trinity Nursing & Rehab - NF 7/30/15: Abbreviated survey. No Minneapolis Good Samaritan Society - NF 9/1/15: Abbreviated survey, actual harm admissions effective 12/1. Medicare program 3/1/16. 5 deficiencies including 1 actual harm. Mulvane Villa Maria - NF 8/3/15: Health survey, actual harm admissions effective 11/3. Medicare program 2/3/16. 1 complaint, 9 deficiencies including 1 actual harm. 9/28/15: First revisit of 8/3 health survey. No KDADS onsite revisit. 2 uncorrected Neodesha Golden Livingcenter - NF 6/25/15: Health & extended survey, immediate jeopardy & actual harm admissions effective 7/16. Recommend terminate provider agreement 12/25. CMS will notify facility of any additional remedies. Substandard Quality of Care. 2 complaints, 19 deficiencies including 2 actual harm, 1 immediate jeopardy & 2 ANE. Newton Asbury Park - NF/ALF 5/20/15: Abbreviated survey. No KDADS onsite revisit. 1 complaint, 2 Kansas Christian Home - NF 6/24/15: Abbreviated survey, immediate jeopardy cited, history of noncompliance, NOTC. Payment Page 8 KABC staff personally respond to your inquiries about long-term care. Toll-free: or info@kabc.org

9 Advocating for Quality Long-Term Care 7/15. Medicare program 12/24. CMS will Care. 1 complaint, 3 deficiencies including 1 immediate jeopardy & 1 ANE. Oakley Logan County Manor LTCU 8/13/15: Abbreviated survey. No KDADS onsite revisit. 1 complaint, 6 9/28/15: Abbreviated survey. No 5 Olathe Nottingham Health & Rehab - NF 7/31/15: Health survey & 10 complaints investigated, actual harm admissions effective 10/31. Medicare program 1/31/ deficiencies including 1 actual harm & 1 ANE. 8/21/15: Abbreviated survey. No 2 9/23/15:Abbreviated survey. No 1 Royal Terrace Nursing & Rehab-NF 9/11/15: Abbreviated survey. No Osage City Osage Nursing & Rehab - NF 8/3/15: Abbreviated survey. No KDADS onsite revisit. 3 complaints, 5 Ottawa Ottawa Retirement Village - NF 8/19/15: Abbreviated survey. No KDADS onsite revisit. 3 complaints, 1 Overbrook Brookside Retirement Community-NF 8/19/15: Abbreviated survey. No Overland Park Brookdale Overland Park - NF/ALF 7/30/15: Abbreviated survey. No 8/11/15: Abbreviated survey. (no remedy letter) 4 complaints, 3 8/20/15: Health survey, actual harm cited, history of noncompliance, NOTC. Payment denial for new admissions effective 9/10. Medicare program 1/30/16. CMS will remedies. Pressure ulcer noncompliance. 1 complaint, 18 deficiencies including 2 actual harm. 10/7/15: Abbreviated survey. No ANE Indian Creek Healthcare Center - NF 6/24/15: Health survey, actual harm cited, history of noncompliance, NOTC. Payment denial for new admissions effective 7/16. Medicare program 12/24. CMS will remedies. 18 deficiencies including 1 actual harm. Promise Skilled Nursing Facility - NF 9/9/15: Abbreviated survey. No 4 Villa St. Joseph - NF 7/23/15: Abbreviated survey, actual harm admissions effective 10/23. Medicare program 1/23/16. 1 complaint, 2 deficiencies including 1 actual harm. Parsons Elmhaven East - NF 7/20/15: First revisit of 5/12 health survey. Payment denial for new admissions effective 8/12. Recommend terminate provider agreement 11/12. CMS will notify facility of any additional remedies. 5 deficiencies including 1 ANE. Elmhaven West - NF 8/14/15: Health survey, actual harm cited, history of noncompliance, NOTC. effective 9/6. Recommend termination from Medicare program 2/14/16. CMS will remedies. 1 complaint, 6 deficiencies including 1 actual harm. Peabody Peabody Health & Rehab - NF/RHCF 8/27/15: Abbreviated & partial extended survey, immediate jeopardy cited. effective 9/21. Recommend termination from Medicare program 2/27/16. CMS will Care. 1 complaint, 3 deficiencies including 1 immediate jeopardy. 10/9/15: First revisit of 8/27 abbreviated survey. Remedies continue. Westview Manor of Peabody - NF 7/20/15: Abbreviated survey. No KDADS onsite revisit. 2 complaints, 2 Pittsburg Golden Livingcenter - NF 9/9/15: Abbreviated survey, actual harm admissions effective 12/9. Recommend termination from Medicare program 3/9/16. 1 complaint, 1 actual harm Via Christi Village - NF/ALF 6/23/15: Abbreviated & partial extended survey, immediate jeopardy cited. effective 7/15. Recommend termination from Medicare program 12/19. CMS will remedies. Substandard Quality of Care. 2 complaints, 3 deficiencies including 2 cited as immediate jeopardy and ANE. Prescott Prescott Country View - NF 10/1/15: Health & Extended survey, actual harm cited. Payment denial for new admissions effective 1/1/16. Medicare program 4/1/16. Pressure ulcer Page 9 Finding what you want to know about long-term care facilities? If not, Call Us Toll-free: or info@kabc.org

10 Making Elder Care Better Since 1975 noncompliance. Substandard Quality of Care. 3 complaints, 25 deficiencies including 1 actual harm & 2 ANE. Russell Wheatland Nursing & Rehab - NF 9/28/15: Abbreviated survey. No Sabetha Sabetha Manor - NF 7/31/15: Health survey, immediate jeopardy cited. Payment denial for new admissions effective 8/26. Medicare program 1/31/16. CMS will remedies. 7 deficiencies including 1 actual harm & 1 immediate jeopardy. Salina Holiday Resort - NF 8/12/15: Health & extended survey, immediate jeopardy cited, history of noncompliance, NOTC. Payment 9/3. Medicare program 2/12/16. CMS will Care. 1 immediate jeopardy Smoky Hill Rehab Center - NF 8/19/15: Abbreviated survey. No KDADS onsite revisit. 3 complaints, 1 Sedgwick Diversicare of Sedgwick - NF 8/18/15: Abbreviated survey. No 3 deficiencies including 1 ANE. Smith Center Smith Center Health & Rehab - NF 10/8/15: Abbreviated survey. No 4 St. Francis Good Samaritan Society Cheyenne County - NF 8/27/15: Abbreviated & partial extended survey, immediate jeopardy admissions effective 9/20. Medicare program 2/27/16. CMS will Care. 1 complaint, 4 deficiencies including 2 immediate jeopardy. 10/7/15: First revisit of 8/27 abbreviated survey. Remedies continue. 1 complaint, 3 deficiencies including 1 actual harm. St. Mary s Community Hospital Onaga LTCU 9/14/15: Abbreviated survey, actual harm admissions effective 12/14. Medicare program 3/14/16. 1 complaint, 1 actual harm Topeka McCrite Plaza Health Center - NF 8/19/15:Abbreviated survey. No KDADS onsite revisit. 3 complaints, 2 Providence Living Center - NFMH 9/30/15: Abbreviated survey. No 2 ANE Tanglewood Nursing & Rehab - NF 6/15/15: Abbreviated survey, actual harm cited, history of noncompliance, NOTC. Payment denial for new admissions effective 7/8. Recommend termination from Medicare program 12/15. CMS will notify facility of any additional remedies. Pressure ulcer noncompliance. 4 complaints, 6 deficiencies including 2 actual harm & 1 ANE. The Legacy on 10th Ave. - NF 9/9/15: Revised health & extended survey, immediate jeopardy cited, history of noncompliance, NOTC. effective 9/30. Recommend termination from Medicare program 3/9/16. CMS will Care. 2 complaints, 22 deficiencies including 1 immediate jeopardy & 1 ANE. Wichita Golden Livingcenter - NF 10/28/15: Abbreviated survey. No 4 Manorcare Health Services - NF 9/15/15: Abbreviated survey. No 5 Meridian Rehab & Health Care - NF 6/22/15: Abbreviated survey. No KDADS onsite revisit. 4 deficiencies including 1 ANE. Wilson Golden Livingcenter - NF 7/30/15: Health survey, actual harm cited, history of noncompliance, NOTC. Payment denial for new admissions effective 8/27. Medicare program 1/30/16. CMS will remedies. 1 complaint, 27 deficiencies including 2 actual harm & 1 ANE. 9/2/15: First revisit of 7/30 health survey. Remedies continue. 2 complaints, 13 deficiencies including 1 actual harm. Winfield Kansas Veterans Home - NF/ALF 6/29/15: Abbreviated survey. No 1 Winfield Senior Living - NF/ALF 8/19/15: Abbreviated survey, actual harm admissions effective 11/19. Medicare program 2/19/16. Pressure ulcer noncompliance. 1 complaint, 2 deficiencies including 1 actual harm. Page 10 KABC is the only one-stop source for long-term care facility information or info@kabc.org

11 Enforcement Actions Advocating for Quality Long-Term Care The Kansas Department for Aging & Disability Services (KDADS) is responsible for regulating most licensed adult care homes. The federal government does not regulate licensed adult care homes. The following information is reproduced from KDADS records. This listing represents civil monetary penalties/cmp (fines), bans on admission, license revocation actions, orders of correction/co and other enforcement proceedings by KDADS against licensed adult care homes other than nursing facilities, and for nursing homes that are private pay (no Medicare/Medicaid). All facilities may appeal any of these actions until they have reached a final settlement agreement with KDADS. This information is the most current available to KABC as of Dec. 8, Comments regarding the accuracy of this information should be directed to Kansas Department for Aging and Disability Services (KDADS), Cheney Cheney Golden Age Home Plus - HP 8/12/15: Cs #15-SCCC-69: CO - *Functional capacity screen/ reassessment; *Delegation of duties; *Healthcare services/ standards of practice; *Disaster & emergency preparedness; *Disaster & emergency preparedness/education; *Sample & indigent medication program meds. El Dorado Vintage Place of El Dorado - RHCF 8/31/15: Cs #15-SCCC-74: CO - *Delegation of duties; *Medication storage; *Disposition of medications; *Food preparation. Hutchinson Brookdale Hutchinson - ALF 9/9/15: Cs #15-SCCC-65: $1,000 CMP: *Facility administration of medications. Lenexa Sunrise Assisted Living of Lenexa - ALF/RHCF 8/31/15: Cs #15-SCCC-70: $1,000 CMP - *Staff treatment of residents/ane (immediate jeopardy.) Manhattan Stoneybrook Retirement Community - ALF 11/18/15: Cs #15-SCCC-84: $1,000 CMP: *Staff treatment of residents/ane (immediate jeopardy.) 11/24/15: Cs #15-SCCC-86: CO - *Mechanical requirements. Ottawa Ottawa Retirement Plaza - ALF 9/17/15: Cs #15-SCCC-75: CO - *Staff treatment of residents/ ANE (actual harm); *Healthcare services; *Food preparation. Topeka Legend at Capital Ridge - ALF/RHCF 9/21/15: Cs #15-SCCC-79: CO - *Food preparation; *Facility food storage. Lexington Park Assisted Living - ALF 9/9/15: Cs #15-SCCC-73: $8,000 CMP: *Staff treatment of residents/ane (immediate jeopardy.) Oakley Place #1 - HP 8/18/15: Cs #15-SCCC-71: CO - *Food preparation; *Construction. Wellington Cherished Friends - RHCF 8/31/15: Cs #15-SCCC-76: CO - *Healthcare services/standards of practice; *Self administration of medications. Wichita Carrington at Cherry Creek - ALF 9/28/15: Cs #15-SCCC-80: CO - *Exercise of resident rights; *Resident rights/telephone; *Community governance. Comfort Care Homes #509 - HP 10/6/15: Cs #15-SCCC-82: CO - *Facility administration of medications. Compassionate Care West - HP 8/11/15: Cs #15-SCCCB-10: Ban on new admissions (lifted 8/19) 8/11/15: Cs #15-SCCC-67: $10,000 CMP - *Disaster & emergency preparedness (immediate jeopardy.) 9/9/15: Cs #15-SCCC-66: $2,500 CMP: *Healthcare services (actual harm); * Resident record/documentation of incidents. Cypress Springs Wichita - RHCF 9/17/15: Cs #15-SCCC-78: CO - *Staff treatment of residents/ ANE; *Admissions negotiated service agreement; *Healthcare services; *Medication storage ; *Medication regimen review; *Disaster & emergency preparedness. Larksfield Place Assisted Living - ALF/RHCF 12/8/15: Cs #15-SCCC-87: CO - *Facility administration of medications. Marjorie s Home, LLC - HP 10/9/15: Cs #15-SCCC-81: CO - *Construction. Meadowlark Adult Care Home - HP 9/17/15: Cs. #15-SCCC-77: CO - *Plumbing & piping systems. Regent Park Assisted Living & Memory Care - ALF/RHCF 11/9/15: Cs #15-SCCC-85: CO - *Health care services (actual harm); *Infection control. Reflections Residential Care - HP 8/12/15: Cs. #15-SCCC-68: CO - *Functional capacity screen. The Homestead of Wichita - ALF 7/29/15: Cs #15-SCCCB-8: Ban on new admissions lifted. Via Christi Village Ridge - ALF 8/31/15: Cs #15-SCCC-72: $3,500 CMP: *Staff treatment of residents/ ANE (immediate jeopardy.) Page 11 (*Indicates regulation violated )

12 Nonprofit Org. U.S. Postage PAID Topeka, KS Permit No Tennessee, Suite 2 Lawrence, KS RETURN SERVICE REQUESTED SPECIAL THANKS! Steve & Kelly Wildeman, American Presort of Topeka, for handling the newsletter mailing. Logo design by The Write Design N e ws l e t t e r P r o d u c e d b y: M i t zi E. McFatrich, Executive Director. Lenette Hamm, Office Manager. Please choose how you would like to invest in the future of quality long-term care. **Gift in Honor/Memory of a loved-one (to assist in our outreach efforts) General contribution (speaking out on important elder concerns) Harriet Nehring Education Fund (to provide education & resources for caregivers across Kansas) KABC Endowment Fund (to ensure our future ability to help you when you need us) My gift to KABC is enclosed: $50 $100 $200 $ 500 Other amount $ Name Address City, State & Zip Phone (if applicable) ** In Honor/Memory of: Make checks payable to Kansas Advocates for Better Care and return to: Page Tennessee, Suite 2 Lawrence KS 66044