Southwind At Spearville
SOUTHWIND AT SPEARVILLE in SPEARVILLE, KS — inspection on January 29, 2026.
Found 7 citations. 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
Based on observation, interview, and record review, the facility
code, a legal document or order that means the person does not desire CPR in the event of cardiac arrest) was included in the clinical record.
Findings included:- R17's Electronic Medical Record (EMR) revealed a diagnosis of atrial fibrillation (rapid, irregular heartbeat). R17's admission Minimum Data Set (MDS) documented a Brief Interview for Mental Status (BIMS) score of 12, indicating moderately impaired cognition. R17's Care Plan, dated [DATE], indicated she chose to be a DNR and the DNR order would be part of the medical record and would be reviewed with the care plan review. R17's EMR documented a physician's order for a DNR dated [DATE]. R17's EMR lacked evidence of the signed DNR document.
Observation on [DATE] at 08:10 AM revealed R17 was in the dining room at the table visiting with another resident. On [DATE] at 04:01 PM, Administrative Nurse D said during R17's transfer from the assisted living to the long-term care, her signed DNR did not transfer over into her current chart, Administrative Nurse D stated the facility did not have a process or system in place to monitor or verify changes for advanced directives.
The facilities policy Advance Directives, undated, documented it is the policy of this facility to recognize the right of residents and or representative to make informed decision about medical care, including the right to accept or refuse medical treatment. A signed physician's DNR order indicates the physician has discussed the use of cardiopulmonary resuscitation (CPR- an emergency lifesaving procedure performed when the heart stops beating) with the resident/representative to recognize the residents' decisions to refuse CPR.
The physician DNR order will be accompanied by supporting documentation in the resident clinical record.
175568 01/29/2026
Southwind at Spearville 102 N Pine Street Spearville, KS 67876
Based on observation, record review, and interviews, the facility failed to
was left unlocked.
Findings included:- On 01/27/26 at 10:06 AM observation revealed the door to the beauty shop was unlocked and open with the following items on the counter: two cans of Clippercide spray (liquid disinfectant chemical), shampoo, hair spray, two curling irons, and an electric razor.
Further observation revealed an unlocked cabinet with access to a can of Lysol (spray disinfectant).
There were no staff in the beauty shop at the time of the observations. On 01/28/26 at 02:09 PM, Administrative Staff D stated she expected the beauty shop to be closed and locked if there was no one in there.
The facility policy Control of Hazardous Chemicals undated the facility is committed to eliminating and controlling hazards that could cause injury or illness to our elder.
The facility will meet the requirements of safety standards where there are specific rules about hazards or potential hazards in our facility.
175568 01/29/2026
Southwind at Spearville 102 N Pine Street Spearville, KS 67876
Findings included:- R4's Electronic Medical Records (EMR), documented diagnoses which included colostomy and obstruction of the intestinal tract. R4's 11/13/2025 admission Minimum Data Set (MDS) documented R4 had a Brief Interview for Mental Status (BIMS) of 15, indicating intact cognition. R4 had a colostomy bag. R4's Care Plan, dated 05/19/25, documented R4 had dehydration or a potential fluid deficit related to use of a diuretic and the care plan directed staff to monitor and document bowel sounds and frequency of bowel movements. R4's Progress Notes lacked documentation of monitoring of bowel movements. R4's Tasks documented that continence was not rated due to a colostomy.
The documentation lacked documentation of amount, frequency, or consistency. On 01/28/26 at 01:00 PM, Certified Nurse Aide (CNA) M emptied the colostomy bag into a plastic trash bag, tied the bag, and threw it away. On 01/28/26 at 01:00 PM, Certified Nurse Aide (CNA) M stated the staff do not monitor, frequency of bowel movements, amount, or consistency.
They do not tell the nurse about the bowel movements. CNA M stated that R4 had loose stool. On 01/28/26 at 1:08 PM, Licensed Nurse (LN) G stated the night shift nurse runs a bowel movement report for the residents to check for constipation.
The staff did not document or monitor R4's bowel movements. On 01/28/26 at 02:49 PM, Administrative Nurse D stated she expected staff to document and monitor R4's bowel movements.
The facility's undated Ostomy (Ileostomy, Colostomy) Care policy documented the stool output, consistency, and color were to be documented in the resident's chart every shift.
175568 01/29/2026
Southwind at Spearville 102 N Pine Street Spearville, KS 67876
because the blood pressure was not in the parameters to notify the provider.
The facility's undated
serve food in accordance with professional standards.
reviews, and interviews, the facility failed to prepare and serve food under sanitary conditions to
during the noon meal revealed Dietary Staff CC wore gloves.
She picked up the plates, removed the lid to the roasting pan, and used utensils for the meat, potatoes, and spinach.
Wearing the same gloves, she picked up the roll with her gloved hand.
She touched her face and glasses then, without removing her gloves and washing her hands, she continued the plating process. In an interview on 01/28/26 at 12:15 PM, Dietary Staff CC stated she had been trained to serve that way.
She stated she typically would change her gloves about three times during the process. On 01/29/26 at 08:16 AM Dietary Manager BB said she would re-educate her staff regarding the serving process and not touching their face and glasses without washing their hands and changing gloves.
The facility's policy on Food Preparation and Handling: Hand Hygiene Policy for all food handlers, hands must always be washed in designated hand washing sinks.
Gloves would be worn when serving residents who are on transmission-based precautions but do not need to wear gloves when distributing foods to residents at dining tables or when assisting residents to dine unless they are touching ready to eat food.
Staff will perform hand washing prior to disturbing meals.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
175568 01/29/2026
Southwind at Spearville 102 N Pine Street Spearville, KS 67876
Based on record review and interview, the facility failed to
representatives of their right to rescind the agreement within 30 days of signing and failed to ensure the Arbitration agreement notified the residents or representatives that signing the agreement is not a requirement of admission.
Findings included:- The admission Packet contained Exhibit E Arbitration Provision.
Review of the provision revealed it lacked notification to the residents or representatives of their right to rescind the Abirritation Provision within 30 days of signing.
The provision also lacked notification to the residents or representatives that signing the agreement is not a requirement of admission. On 01/28/26 at 04:13 PM, Administrative Staff B stated the Abirritation Provision provided with the admission Packet was all which was provided about the agreement.
She stated she did explain the agreement to new admits when they signed it. On 01/29/26 at 11:23 AM, Administrative Nurse D stated the previous company which ran the facility wrote the Arbitration Provision.
The current board of directors and the administrator might have changed it a bit.
Administrative Nurse D was not aware of the language required to be in the Arbitration Provision. On 01/29/26 at 11:24 AM, Administrative Staff A stated the facility followed whatever the admission Agreement says about the Abirritation Provision.
Administrative Staff A was not aware of the items which were required to be in the Arbitration Provision and said she would get it corrected immediately.
175568 01/29/2026
Southwind at Spearville 102 N Pine Street Spearville, KS 67876
Review of the provision revealed it lacked notification to the residents or representatives of their right for the selection of a neutral arbitrator agreed on by both parties and for the selection of a venue convenient to both parties. On 01/28/26 at 04:13 PM, Administrative Staff B stated that the Abirritation Provision provided with the admission Packet was all that was provided about the agreement.
She stated she did explain the agreement to new admits when they signed it. On 01/29/26 at 11:23 AM, Administrative Nurse D stated the previous company that ran the facility wrote the Arbitration Provision, and the current board of directors and the administrator might have changed it a bit.
Administrative Nurse D was not aware of the language required to be in the Arbitration Provision. On 01/29/26 at 11:24 AM, Administrative Staff A stated the facility followed whatever the admission Agreement says about the Arbitration Provision.
Administrative Staff A was not aware of the items that were required to be in the Arbitration Provision and said she will get it corrected immediately.
175568 01/29/2026
Southwind at Spearville 102 N Pine Street Spearville, KS 67876