Pioneer Ridge Retirement Community
PIONEER RIDGE RETIREMENT COMMUNITY in LAWRENCE, KS — inspection on August 20, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
G entered R1's room.
The investigation documented immediate protective actions included LN G did not work during the investigation, and moving forward, LN G would not interact with R1 or handle his medications.R1's EMR revealed a Communication Note on 08/19/25 at 10:27 AM that documented the facility put a call out to R1's representative in regard to a grievance filed.
Staff let R1's representative know of the facility's findings and that the staff member involved would no longer care for R1.On 08/20/25 at 01:12 PM, R1 laid in his bed and watched television. He stated LN G carried his walker in with him on the incident date and jabbed him without saying a word. R1 stated it hurt when LN G jabbed him, and he showed Administrative Nurse D the next morning. He stated he was really scared and wanted LN G kept far away from him.On 08/20/25 at 12:01 PM, Administrative Staff A stated the facility did not turn R1's allegation towards LN G into the SA.
She stated that when staff reported the allegation, she sent the information on to the regional team and immediately started investigating.
Administrative Staff A stated she asked R1 what happened, and he stated LN G jabbed him with his stick at 03:00 AM, and R1's eyes were open.
She stated R1 reported LN G poked his stomach and caused him pain, then stated he did not want LN G in his room.
Administrative Staff A stated she called all of the staff who worked that night, and nobody heard any stories of LN G being abusive.
She stated LN G stated he used a walker, but it was not a stick that could poke. LN G stated he tapped R1 on his knee to give him pain medication.
Administrative Staff A stated she received a recommendation not to report the allegation to the SA because it was not believed R1 was actually harmed.
She stated the facility was required to report all allegations of abuse, and she confirmed R1's report was an allegation. On 08/20/25 at 02:04 PM, LN H stated if she received an allegation of abuse, she reported it to Administrative Nurse D.On 08/20/25 at 02:09 PM, Administrative Nurse D stated R1 reported the allegation to the hospice nurse, and he overheard it while he walked to his office. He stated he notified Administrative Staff A who followed up with LN G and R1.
Administrative Nurse D stated he assessed R1 but did not see any marking or bruising on his abdomen. He stated when an allegation was made, typically they gathered all the information and sent it to the regional consultants who analyzed it and made suggestions.
Administrative Nurse D stated allegations of abuse, neglect, and exploitation were reported to the SA. He stated the facility was required to report within 24 hours or two hours for more serious allegations.The facility's Abuse, Neglect, and Exploitation policy, revised 11/28/17, directed the facility reported all alleged violations involving abuse, neglect, exploitation or mistreatment including injuries of unknown source and misappropriation of resident property to the SA no later than two hours after the allegation was made if the allegation involved abuse or resulted in serious bodily injury or no later than 24 hours if the allegation did not involve abuse and did not result in serious bodily injury.
Facility ID: