VICTORIA FALLS

📍 224 E CENTRAL, andover, KS 67002 📞 3167330654 🛏️ 76 beds

Overall Rating

1/5

Health Inspection

1/5

Staffing

⭐⭐⭐
3/5

Quality Measures

⭐⭐⭐⭐
4/5

Inspection History Overview

70
Total Violations
5 years of data
$142,177
Total Fines
10 penalties
0
Inspections
No data available
21
Quality Metrics
Tracked measures

Health Violations by Year

2021 6 violations

Tag 0689 D Sep 9, 2021

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Sep 24, 2021
Tag 0689 D Jun 10, 2021

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Jun 18, 2021
Tag 0689 D May 10, 2021

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Tag 0580 D Feb 24, 2021

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Mar 12, 2021
Tag 0609 E Feb 24, 2021

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Mar 12, 2021
Tag 0610 E Feb 24, 2021

Respond appropriately to all alleged violations.

✓ Corrected: Mar 12, 2021

2020 21 violations

Tag 0880 L Nov 17, 2020

Provide and implement an infection prevention and control program.

Tag 0567 E Aug 6, 2020

Honor the resident's right to manage his or her financial affairs.

✓ Corrected: Sep 10, 2020
Tag 0569 D Aug 6, 2020

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

✓ Corrected: Sep 10, 2020
Tag 0583 D Aug 6, 2020

Keep residents' personal and medical records private and confidential.

✓ Corrected: Sep 10, 2020
Tag 0609 D Aug 6, 2020

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Sep 10, 2020
Tag 0610 D Aug 6, 2020

Respond appropriately to all alleged violations.

✓ Corrected: Sep 10, 2020
Tag 0641 E Aug 6, 2020

Ensure each resident receives an accurate assessment.

✓ Corrected: Sep 10, 2020
Tag 0655 D Aug 6, 2020

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

✓ Corrected: Sep 10, 2020
Tag 0657 E Aug 6, 2020

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Sep 10, 2020
Tag 0661 D Aug 6, 2020

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

✓ Corrected: Sep 10, 2020
Tag 0677 D Aug 6, 2020

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Sep 10, 2020
Tag 0689 D Aug 6, 2020

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Sep 10, 2020
Tag 0690 D Aug 6, 2020

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Sep 10, 2020
Tag 0692 G Aug 6, 2020

Provide enough food/fluids to maintain a resident's health.

✓ Corrected: Sep 10, 2020
Tag 0727 F Aug 6, 2020

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

✓ Corrected: Sep 10, 2020
Tag 0755 D Aug 6, 2020

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Sep 10, 2020
Tag 0756 D Aug 6, 2020

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

✓ Corrected: Sep 10, 2020
Tag 0867 F Aug 6, 2020

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

✓ Corrected: Sep 10, 2020
Tag 0880 F Aug 6, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Sep 10, 2020
Tag 0695 D Jun 23, 2020

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Sep 10, 2020

2019 16 violations

Tag 0686 G Aug 12, 2019

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Sep 25, 2019
Tag 0760 D Aug 12, 2019

Ensure that residents are free from significant medication errors.

✓ Corrected: Sep 3, 2019
Tag 0686 D Jul 17, 2019

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Sep 25, 2019
Tag 0557 D Mar 6, 2019

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

✓ Corrected: Mar 29, 2019
Tag 0585 E Mar 6, 2019

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

✓ Corrected: Mar 29, 2019
Tag 0609 D Mar 6, 2019

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Mar 29, 2019
Tag 0610 D Mar 6, 2019

Respond appropriately to all alleged violations.

✓ Corrected: Mar 29, 2019
Tag 0623 E Mar 6, 2019

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

✓ Corrected: Mar 29, 2019
Tag 0655 D Mar 6, 2019

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

✓ Corrected: Mar 29, 2019
Tag 0661 E Mar 6, 2019

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

✓ Corrected: Mar 29, 2019
Tag 0692 G Mar 6, 2019

Provide enough food/fluids to maintain a resident's health.

✓ Corrected: Mar 29, 2019
Tag 0698 D Mar 6, 2019

Provide safe, appropriate dialysis care/services for a resident who requires such services.

✓ Corrected: Mar 29, 2019
Tag 0756 E Mar 6, 2019

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

✓ Corrected: Mar 29, 2019
Tag 0758 D Mar 6, 2019

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

✓ Corrected: Mar 29, 2019
Tag 0761 E Mar 6, 2019

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

✓ Corrected: Mar 29, 2019
Tag 0919 E Mar 6, 2019

Make sure that a working call system is available in each resident's bathroom and bathing area.

✓ Corrected: Mar 29, 2019

2018 19 violations

Tag 0641 D Mar 21, 2018

Ensure each resident receives an accurate assessment.

✓ Corrected: Apr 25, 2018
Tag 0655 D Mar 21, 2018

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

✓ Corrected: Apr 25, 2018
Tag 0656 D Mar 21, 2018

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Apr 25, 2018
Tag 0657 D Mar 21, 2018

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Apr 25, 2018
Tag 0677 D Mar 21, 2018

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Apr 25, 2018
Tag 0686 G Mar 21, 2018

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Apr 25, 2018
Tag 0689 D Mar 21, 2018

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Apr 25, 2018
Tag 0690 D Mar 21, 2018

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Apr 25, 2018
Tag 0693 D Mar 21, 2018

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

✓ Corrected: Apr 25, 2018
Tag 0697 D Mar 21, 2018

Provide safe, appropriate pain management for a resident who requires such services.

✓ Corrected: Apr 25, 2018
Tag 0698 D Mar 21, 2018

Provide safe, appropriate dialysis care/services for a resident who requires such services.

✓ Corrected: Apr 25, 2018
Tag 0725 F Mar 21, 2018

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

✓ Corrected: Apr 25, 2018
Tag 0756 D Mar 21, 2018

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

✓ Corrected: Apr 25, 2018
Tag 0760 G Mar 21, 2018

Ensure that residents are free from significant medication errors.

✓ Corrected: Apr 25, 2018
Tag 0761 D Mar 21, 2018

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

✓ Corrected: Apr 25, 2018
Tag 0867 F Mar 21, 2018

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

✓ Corrected: Apr 25, 2018
Tag 0880 D Mar 21, 2018

Provide and implement an infection prevention and control program.

✓ Corrected: Apr 25, 2018
Tag 0881 F Mar 21, 2018

Implement a program that monitors antibiotic use.

✓ Corrected: Apr 25, 2018
Tag 0755 G Feb 7, 2018

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Feb 20, 2018

2016 8 violations

Tag 0248 D Jun 10, 2016

Provide activities to meet the interests and needs of each resident.

✓ Corrected: Jun 24, 2016
Tag 0279 D Jun 10, 2016

Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Jun 24, 2016
Tag 0280 D Jun 10, 2016

Allow residents the right to participate in the planning or revision of care and treatment.

✓ Corrected: Jun 24, 2016
Tag 0328 D Jun 10, 2016

Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.

✓ Corrected: Jun 24, 2016
Tag 0329 D Jun 10, 2016

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.

✓ Corrected: Jun 24, 2016
Tag 0428 D Jun 10, 2016

At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.

✓ Corrected: Jun 24, 2016
Tag 0441 D Jun 10, 2016

Have a program that investigates, controls and keeps infection from spreading.

✓ Corrected: Jun 24, 2016
Tag 0463 E Jun 10, 2016

Make sure that a working call system is available in each resident's room or bathroom and bathing area.

✓ Corrected: Jun 24, 2016

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2021 3 penalties totaling $2,933

$1,300
Fine
June 28, 2021
$983
Fine
June 21, 2021
$650
Fine
February 1, 2021
Average: $978 | Range: $650 - $1,300

2020 3 penalties totaling $100,927

$26,452
Fine
November 17, 2020
$74,475
Fine
June 23, 2020
$0
Payment Denial
June 23, 2020
Average: $33,642 | Range: $0 - $74,475

2019 3 penalties totaling $38,317

$11,612
Fine
July 17, 2019
$0
Payment Denial
July 17, 2019
$26,705
Fine
March 6, 2019
Average: $12,772 | Range: $0 - $26,705

2018 1 penalties totaling $0

$0
Payment Denial
February 7, 2018
Average: $0 | Range: $0 - $0

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

No survey data available for this facility.

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Ownership Information

For profit - Partnership
Independent (Not part of a chain)
175520
175520
3167330654
Butler