Facility Name City Deficiencies. Bethel Home Montezuma 0. Moundridge Manor Moundridge 0. Sterling Presbyterian Manor Sterling 0

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NEWS RELEASE Kansas Nursing Homes Good and Poor Performance Trends LAWRENCE, KS February 15, 2018. Kansas Advocates for Better Care (KABC) annually releases information on performance of Kansas nursing facilities. KABC tracks and reports information on quality in long-term care as a public service. The following looks statewide at Kansas nursing facility performance trends good and poor in meeting defined health and care standards for older Kansans. Good Performance Trends: Facilities which achieve consistent compliance with health and safety standards; are cited for zero to five deficient health practices; are not cited for any deficient practice which caused harm or put a person at risk of serious harm; and have maintained this level of performance consistently over the past three annual inspection cycles. Six (6) nursing homes in Kansas were cited with 0 to 5 deficiencies over the look back period of the facility s three most recent annual inspections covering 36 to 60 months. Five (5) of the facilities listed are not-for-profit corporations and one (1) is a for-profit corporation. For the six facilities listed, none of the citations received were for actual harm of a resident, immediate jeopardy of residents, or mistreatment of a resident in the nursing facility. Facility Name City Deficiencies Bethel Home Montezuma 0 Moundridge Manor Moundridge 0 Sterling Presbyterian Manor Sterling 0 Caritas Center, Inc. Wichita 2 Russell Regional Hospital Russell 3 Larksfield Place Wichita 3 State inspections are conducted by specially trained Registered Nurses employed by the Kansas Department for Aging and Disability Services (KDADS) through a contract with the federal government. Inspections are conducted to assure the health and safety of older adults. Inspections are the only objective, external evaluation of a nursing facility, provided by the state. Inspections are key in upholding uniform health standards statewide for all older adults, requiring facilities to correct deficient care practices, and providing protection for older adults harmed by substandard care or abuse. Citations for deficiencies occur when the facility is not in compliance with state or federal health and safety regulations and laws. There are 346 nursing facilities (including nursing facilities for mental health, and long-term care units in hospitals) in Kansas. Nationally, the average number of deficiencies cited during inspection of a nursing facility is 7.2, in Kansas the average is 10.3. Deficiencies may affect one person, a few people, or everyone living in the facility. Deficient practices are scored according to

severity from low to high, severity is determined by the level of harm or risk of harm residents experience. The number of deficiencies cited in a single Kansas nursing home during the most recent inspection period ranges from 0 to 56. By state and federal law, all facilities are to be inspected annually (12 month average is across all nursing facilities). Inspection timeframes for a single facility is within a 9-15 month range. KDADS is not meeting these inspection timeframes. Inspections are greatly delayed in Kansas and growing increasingly more delayed. KDADS has not staffed 22 inspector positions (as of the date of this release). Delayed inspections allow poor care practices to go uncorrected, raising the risk and duration of harm for vulnerable adults. Any resident who wishes to report poor care or abuse, or anyone who suspects abuse, neglect or other mistreatment of a nursing facility resident may call the complaint and abuse hotline. The hotline number is 1+800-842-0078, toll-free in Kansas, it is only staffed during KDADS business hours 8-5 Monday-Friday. Poor Performance Trends: By contrast seventy-eight (78) of the 346 nursing facilities in Kansas were cited for 10 or more health safety deficiencies for each of the last three annual inspections. 57 of these nursing homes are for-profit corporations, 21 are nonprofit corporations. In the past 18 months, 66 facilities on the list were cited for deficiencies that resulted in actual harm to residents or put them in immediate jeopardy of being harmed. In the list below these facilities are identified by shaded background. Woodlawn Rehab & Health Care/Orchards Garden in Wichita was cited for 56 deficiencies -- the most for any long-term care facility in the state. Among the 56 deficiencies cited were mistreatment of resident(s) resulting in immediate jeopardy the most serious level of harm citation; lack of proper treatment to prevent bed sores resulting in actual harm the second most serious level of harm citation; incidents of bladder catheterization/urinary infections resulting in immediate jeopardy; and accident hazards which posed immediate jeopardy to residents. Woodlawn Rehab & Health Care/Orchards Garden Wichita 56 Wichita Care & Rehabilitation Wichita 49 Good Samaritan Society Minneapolis 46 Life Care Center Andover 41 Seville Operator/Rolling Hills Health & Rehab Wichita 35

Meridian Nursing & Rehab Wichita 30 Great Bend Health & Rehab Great Bend 28 Leisure Operations LLC Overland Pk 28 Good Samaritan Society Sherman Co. Goodland 27 Garden Valley Retirement Village Garden City 26 Fort Scott Manor Fort Scott 26 Manorcare Health Services Topeka 25 Manorcare Health Services Wichita 24 Ottawa Retirement Village Ottawa 24 El Dorado Care & Rehabilitation El Dorado 23 Topeka Presbyterian Manor Topeka 22 Legacy at Herington Herington 22 Medicalodges Douglass Douglass 22 Prescott Country View Nursing Home Prescott 22 McPherson Operator, LLC McPherson 21 Mission Village Living Center Horton 21 Wheatland Nursing & Rehab Russell 21 Good Samaritan Society Dodge City 19 Diversicare Haysville 19

Sumner Operator, LLC Wellington 19 Westy Community Care Home Westmoreland 18 Flint Hills Care Center Emporia 18 The Centennial Homestead Washington 18 Shawnee Gardens Healthcare & Rehab Shawnee 17 Prairie Sunset Home, Inc. Pretty Prairie 17 Kaw River Care & Rehab Center, LLC. Edwardsville 17 Morton County Senior Living Community Elkhart 17 Peabody Operator, LLC Peabody 17 Tonganoxie Nursing Center Tonganoxie 16 Legacy at College Hill Wichita 16 Catholic Care Center, Inc. Belaire 16 Indian Creek Health Care Center Overland Pk 15 Arma Operator Arma 15 Trego Manor Wakeeney 15 Pittsburg Care & Rehab Pittsburg 15 Delmar Gardens Overland Pk 15 Medicalodges Leavenworth Leavenworth 15 FW Huston Medical Center Winchester 15 Mennonite Friendship Communities, Inc. So. Hutchinson 15 Big Blue Healthcare/ Riverbend Post Acute Rehab Kansas City 15 Hutchinson Operator, LLC Hutchinson 15

Stevens County Hosp LTCU/Pioneer Manor Hugoton 15 Cherry Village Great Bend 15 Via Christi Village Hays 15 Good Samaritan Society Hays 15 Plaza West Regional Health Center Topeka 14 Salina Windsor SNF OPCO, LLC/ Legacy at Salina Salina 14 Pinnacle Ridge Nursing & Rehab Olathe 14 The Legacy on 10th Avenue Topeka 14 Diversicare of Sedgwick Sedgwick 14 Hilltop Lodge Nursing Home Beloit 14 Park Villa Clyde 14 Overland Park Nursing & Rehab Overland Park 13 Pleasant Valley Manor Sedan 13 Life Care Center Wichita 13 Kiowa Hospital District Manor Kiowa 13 Kansas Masonic Home Wichita 12 Providence Living Center Topeka 12 Rooks Co. Senior Services/Redbud Village Plainville 12 Wheat State Manor Whitewater 12 Alma Manor Alma 12 Rossville Healthcare & Rehab Rossville 11 Victoria Falls Andover 11

Villa St. Joseph Overland Pk 11 Brighton Gardens Prairie Village 11 Villa St. Francis Olathe 11 Village Villa Nortonville 11 St. Luke Living Center Marion 11 Mount Joseph Senior Village, LLC Concordia 11 Smith Center Operator Smith Center 11 Country Care, Inc. Easton 11 Good Samaritan Society Liberal 11 Villa Maria Mulvane 10 Deficiencies noted are based on data gathered from Kansas Department for Aging and Disability Services (KDADS) survey/inspection reports and is current as of December 14, 2017. A deficiency means that a facility was found to be out of compliance with a regulation intended to ensure a standard for resident health and safety. A number of Kansas facilities are cited with 10 or more deficiencies during one inspection cycle (by law 12 months, currently about delayed at 15-24 months), however a facility being cited with 10 deficiencies for three consecutive inspection cycles, constitutes a red flag, said KABC Executive Director Mitzi McFatrich. Inspections are an important source of information about the quality of care elders receive in a given facility. KABC encourages individuals to look at a number of factors when evaluating a nursing facility as a place to live and receive care. Annual inspection survey results are one of those factors. To learn more about these and other quality measures and how they affect older adults receiving long-term care in Kansas, contact Kansas Advocates for Better Care. Kansas Advocates for Better Care (KABC) is a 501 (c) 3 non-profit organization that provides free education, information and guidance to any interested person about good quality long-term care. Our mission since 1975 is Advocating for Quality Long-Term Care for older adults and adults with disabilities. KABC can provide individuals with information and assistance regarding long-term care needs in nursing facilities, residential living facilities with assistance, and at-home care and services. For 43 years KABC has served Kansas citizens by:

Advocating with and on behalf of citizens for increased quality in long-term care such as nursing homes, assisted living, home plus, residential health care facilities, boarding care homes, and in-home care provided through home and community-based services (HCBS), Providing guidance, education and advocacy for individuals seeking long-term care placement and services, and Providing education or training to family caregivers and long-term care providers. KABC supports a minimum nursing staffing requirement in Kansas nursing homes which prevents avoidable illness, injury and death for older adults. Kansas current minimum nursing staffing is 2 hours of nursing care for each resident daily. KABC supports the well-documented 4 hours and 26 minutes of daily nursing care. To learn more call KABC or visit our website. If you, your family or a friend is in need of information about long-term care choices, please call for assistance, toll-free (outside of Lawrence): 800-525-1782, or 842-3088 (in Lawrence), email us at info@kabc.org or visit www.kabc.org KABC on Facebook and Twitter. There is no fee for KABC s help. - FOR IMMEDIATE RELEASE -