Leisure Homestead At Stafford
LEISURE HOMESTEAD AT STAFFORD in STAFFORD, KS — inspection on August 20, 2025.
Found 8 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
Federal health inspectors cited LEISURE HOMESTEAD AT STAFFORD in STAFFORD, KS for a deficiency under regulatory tag F-F0552 during a standard health inspection conducted on 2025-08-20.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Ensure that residents are fully informed and understand their health status, care and treatments.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 8 deficiencies cited during this inspection of LEISURE HOMESTEAD AT STAFFORD.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-27.
Based on interview and record review, the facility failed to provide Resident (R) 38 and/or their representative with a written notice specifying the duration and cost of the bed hold policy, at the time of the resident's transfer to the hospital and failed to provide a written notification to the resident and/or his representative for the reason of the resident's transfer to the hospital in a language easy to understand.
This placed the resident at risk of not understanding bed hold policy or the reason of the transfer.
Findings included:- R38's Electronic Medical Record (EMR) revealed a diagnosis of diabetes mellitus (DM-when the body cannot use glucose, not enough insulin is made, or the body cannot respond to the insulin). R38's EMR documented a Progress Note which noted R38 transferred to the hospital on [DATE].R38's EMR lacked documentation of a bed hold and lacked documentation of written notification to the resident and/or his representative, which explained the reason for the transfer to the hospital.On 08/20/25 at 12:07 PM, Administrative Nurse D stated it was the expectation of the staff to have a bed hold signed when a resident transferred to the hospital.
Administrative Nurse D confirmed that staff had not notified the resident and/or his representative in writing of the reason for transfer to the hospital.The facility policy for Discharge/Transfer, revised 02/22/23, included: Before the facility transfers or discharges a resident, the facility shall notify the resident and the resident's representative of the transfer or discharge in writing and in a language and manner they understand.
The policy also included: Before transferring a resident to a hospital, the facility shall provide written information to the resident or resident representative, which specifies the duration of the state bed-hold policy.
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.
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Federal health inspectors cited LEISURE HOMESTEAD AT STAFFORD in STAFFORD, KS for a deficiency under regulatory tag F-F0686 during a standard health inspection conducted on 2025-08-20.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 8 deficiencies cited during this inspection of LEISURE HOMESTEAD AT STAFFORD.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-27.
Federal health inspectors cited LEISURE HOMESTEAD AT STAFFORD in STAFFORD, KS for a deficiency under regulatory tag F-F0689 during a standard health inspection conducted on 2025-08-20.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 8 deficiencies cited during this inspection of LEISURE HOMESTEAD AT STAFFORD.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-27.
Federal health inspectors cited LEISURE HOMESTEAD AT STAFFORD in STAFFORD, KS for a deficiency under regulatory tag F-F0732 during a standard health inspection conducted on 2025-08-20.
Category: Nursing and Physician Services Deficiencies
The facility was found deficient in the following area: Post nurse staffing information every day.
Scope/Severity Level C: pattern, no actual harm with potential for minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 8 deficiencies cited during this inspection of LEISURE HOMESTEAD AT STAFFORD.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-27.
Federal health inspectors cited LEISURE HOMESTEAD AT STAFFORD in STAFFORD, KS for a deficiency under regulatory tag F-F0812 during a standard health inspection conducted on 2025-08-20.
Category: Nutrition and Dietary Deficiencies
The facility was found deficient in the following area: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 8 deficiencies cited during this inspection of LEISURE HOMESTEAD AT STAFFORD.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-27.
Federal health inspectors cited LEISURE HOMESTEAD AT STAFFORD in STAFFORD, KS for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2025-08-20.
Category: Infection Control Deficiencies
The facility was found deficient in the following area: Provide and implement an infection prevention and control program.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 8 deficiencies cited during this inspection of LEISURE HOMESTEAD AT STAFFORD.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-27.
Federal health inspectors cited LEISURE HOMESTEAD AT STAFFORD in STAFFORD, KS for a deficiency under regulatory tag F-F0908 during a standard health inspection conducted on 2025-08-20.
Category: Environmental Deficiencies
The facility was found deficient in the following area: Keep all essential equipment working safely.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 8 deficiencies cited during this inspection of LEISURE HOMESTEAD AT STAFFORD.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-27.