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Tri-county Manor Living Center Inc

Details

Type of Ownership Non profit - Corporation
Participates in Medicare? No
Participates in Medicaid? Yes
Certified Beds 50
Continuing Care? No
Resident Council? Yes
Family Council? No
Multi-Home Chain? No
Located in a Hospital? No
Special Focus Facility? No

View:    Health Inspections  |  Quality Measures  |  Staffing  |  Fire Inspections

Health Inspections  

Most Recent Inspection: 01/12/2012

Date of last standard health inspection: 01/12/2012
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 0
Average number of Health Deficiencies in KS: 4
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in KS: 0 - 18

Inspection, 02/07/2009

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Post nurse staffing information/data on a daily basis. 02/07/2009 00/07/2012 1 Many
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. 02/07/2009 02/01/2003 2 Many
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 02/07/2009 00/07/2012 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 02/07/2009 01/04/2003 3 Few
Have a program that investigates, controls and keeps infection from spreading. 02/07/2009 02/01/2003 2 Some
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep each resident free from physical restraints, unless needed for medical treatment. 02/07/2009 00/07/2012 2 Few
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. 02/07/2009 00/07/2012 2 Some
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
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. 02/07/2009 02/01/2003 2 Some
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 02/07/2009 02/01/2003 2 Few
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. 02/07/2009 01/04/2003 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. 02/07/2009 00/07/2012 2 Few
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 02/07/2009 00/07/2012 2 Few
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. 02/07/2009 01/04/2003 2 Some
Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. 02/07/2009 02/01/2003 2 Few
Ensure residents maintain acceptable nutritional status. 02/07/2009 00/07/2012 2 Few
Have enough nurses to care for every resident in a way that maximizes the resident's well being. 02/07/2009 01/04/2003 2 Many
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Conduct initial and periodic assessments of each resident's functional capacity. 02/07/2009 01/04/2003 2 Few
Ensure each resident receives an accurate assessment by a qualified health professional. 02/07/2009 00/07/2012 2 Few
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 02/07/2009 00/07/2012 2 Some
Allow residents the right to participate in the planning or revision of care and treatment. 02/07/2009 02/01/2003 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep residents' personal and medical records private and confidential. 02/07/2009 00/07/2012 2 Few
Allow residents to self-administer drugs if determined safe. 02/07/2009 01/04/2003 2 Few
Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. 02/07/2009 00/07/2012 2 Few

Inspection, 02/04/2009

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 02/04/2009 02/04/2010 3 Few
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep each resident free from physical restraints 02/04/2009 02/04/2010 Few unless needed for medical treatment.
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure residents maintain acceptable nutritional status. 02/04/2009 02/04/2010 3 Few

Inspection, 03/01/2008

Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Hire only people with no legal history of abusing 03/01/2008 02/02/2009 neglect or mistreatment of residents. neglecting or mistreating residents; or 2) report
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
At least once a month 03/01/2008 02/02/2009 Few have a licensed pharmacist review each resident's
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 03/01/2008 02/02/2009 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 03/01/2008 02/02/2009 3 Few

Inspection, 00/03/2008

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 00/03/2008 00/01/2009 2 Few
Ensure that each resident who enters the nursing home without a catheter is not given a catheter 00/03/2008 00/01/2009 and that incontinent patients receive proper servi unless medically necessary
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop a complete care plan that meets all the resident's needs 00/03/2008 00/01/2009 Few with timetables and actions that can be measured.
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep residents' personal and medical records private and confidential. 00/03/2008 00/01/2009 2 Few

Inspection, 02/07/2006

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 02/07/2006 02/07/2007 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that each resident who enters the nursing home without a catheter is not given a catheter 02/07/2006 02/07/2007 and that incontinent patients receive proper servi unless medically necessary
Use a registered nurse at least 8 hours a day 02/07/2006 02/07/2007 Many 7 days a week.

Inspection, 02/05/2004

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Post nurse staffing information/data on a daily basis. 02/05/2004 02/05/2005 1 Many
Post nurse staffing information/data on a daily basis. 02/05/2004 02/05/2005 1 Many
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 02/05/2004 02/05/2005 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 02/05/2004 02/05/2005 2 Some
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 02/05/2004 02/05/2005 2 Some
Provide housekeeping and maintenance services. 02/05/2004 02/05/2005 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 02/05/2004 02/05/2005 2 Some
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. 02/05/2004 02/05/2005 2 Few
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. 02/05/2004 02/05/2005 1 Many
1) Hire only people with no legal history of abusing 02/05/2004 02/05/2005 neglect or mistreatment of residents. neglecting or mistreating residents; or 2) report
Develop and implement policies for 1) screening and training employees; and the 2) prevention 02/05/2004 02/05/2005 investigation identification
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
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. 02/05/2004 02/05/2005 2 Few
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. 02/05/2004 02/05/2005 2 Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 02/05/2004 02/05/2005 2 Few
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. 02/05/2004 02/05/2005 2 Few
At least once a month 02/05/2004 02/05/2005 Few have a licensed pharmacist review each resident's
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 02/05/2004 02/05/2005 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. 02/05/2004 02/05/2005 2 Few
Use a registered nurse at least 8 hours a day, 7 days a week. 02/05/2004 02/05/2005 2 Many
Ensure that each resident who enters the nursing home without a catheter is not given a catheter 02/05/2004 02/05/2005 and that incontinent patients receive proper servi unless medically necessary
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 02/05/2004 02/05/2005 2 Few
Allow residents the right to participate in the planning or revision of care and treatment. 02/05/2004 02/05/2005 2 Few
Develop a complete care plan that meets all the resident's needs 02/05/2004 02/05/2005 Few with timetables and actions that can be measured.
Allow residents the right to participate in the planning or revision of care and treatment. 02/05/2004 02/05/2005 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 02/05/2004 02/05/2005 2 Few
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 02/05/2004 02/05/2005 2 Few

Inspection, 01/02/2001

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. 01/02/2001 03/00/2003 2 Many
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 01/02/2001 03/00/2003 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/02/2001 03/00/2003 2 Few
Dispose of garbage and refuse properly. 01/02/2001 00/08/2003 1 Many
Have a program that investigates, controls and keeps infection from spreading. 01/02/2001 03/00/2003 2 Few
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/02/2001 01/01/2002 2 Few
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. 01/02/2001 00/08/2003 2 Few
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. 01/02/2001 00/08/2003 2 Some
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
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. 01/02/2001 03/00/2003 2 Some
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. 01/02/2001 00/08/2003 2 Few
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. 01/02/2001 00/08/2003 2 Some
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. 01/02/2001 01/01/2002 2 Some
Keep the rate of medication errors (wrong drug 01/02/2001 01/01/2002 wrong time) to less than 5%. wrong dose
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure services provided by the nursing facility meet professional standards of quality. 01/02/2001 00/08/2003 2 Few
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 01/02/2001 03/00/2003 2 Few
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. 01/02/2001 00/08/2003 2 Few
Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. 01/02/2001 00/08/2003 2 Few
Have enough nurses to care for every resident in a way that maximizes the resident's well being. 01/02/2001 03/00/2003 2 Many
Provide or obtain dental services for each resident. 01/02/2001 00/08/2003 2 Few
Ensure services provided by the nursing facility meet professional standards of quality. 01/02/2001 01/01/2002 2 Few
Assist those residents who need help with eating/drinking 01/02/2001 01/01/2002 Few grooming and personal and oral hygiene.
Ensure that each resident who enters the nursing home without a catheter is not given a catheter 01/02/2001 01/01/2002 and that incontinent patients receive proper servi unless medically necessary
Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. 01/02/2001 01/01/2002 2 Few
Have enough nurses to care for every resident in a way that maximizes the resident's well being. 01/02/2001 01/01/2002 2 Many
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure each resident receives an accurate assessment by a qualified health professional. 01/02/2001 00/08/2003 2 Few
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 01/02/2001 00/08/2003 2 Some
Allow residents the right to participate in the planning or revision of care and treatment. 01/02/2001 03/00/2003 2 Few
Allow residents the right to participate in the planning or revision of care and treatment. 01/02/2001 01/01/2002 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. 01/02/2001 00/08/2003 2 Some
Allow residents to easily view the results of the nursing home's most recent inspection. 01/02/2001 00/08/2003 1 Many
Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. 01/02/2001 00/08/2003 2 Few

Nursing Home Staffing  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

National Average Average in KS Golden Living Center, Asheville
RN Staff Only1 N/A N/A 4 out of 5 stars
Total Number of Residents 86 52 36
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 19 hours 26 minutes 1 hour 19 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 18 hours 49 minutes 33 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 18 hours 48 minutes 46 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 20 hours 45 minutes 2 hours 24 minutes

1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.

Quality Measures  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

Long-Term Residents

Short-Term Residents

Fire Safety Inspections

Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.

Most Recent Inspection: 07/12/2011

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 07/12/2011
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Fire Safety Deficiencies for this nursing home: 0
Average number of Fire Safety Deficiencies in KS: 2
Average number of Fire Safety Deficiencies in US: 2
Range of Fire Safety Deficiencies in KS: 0 - 2

Inspection, 00/09/2010

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly working alarms on sprinkler valves. 00/09/2010 00/08/2011 2 Many
Automatic sprinkler systems that have been maintained in working order. 00/09/2010 00/08/2011 2 Some
Building Construction Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Approved construction type or materials. 00/09/2010 00/08/2011 2 Many
Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly protected cooking facilities. 00/09/2010 00/08/2011 2 Many
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridors that are separated from use areas by walls constructed to limit the passage of smoke. 00/09/2010 00/08/2011 2 Many
Corridor and hallway doors that block smoke. 00/09/2010 00/08/2011 2 Some
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Weekly inspections and monthly testing of generators. 00/09/2010 00/08/2011 2 Many
A separate and independent backup electrical power source. 00/09/2010 00/08/2011 4 Many
Emergency Plans and Fire Drills Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
A written emergency evacuation plan. 00/09/2010 00/08/2011 2 Some
Record of quarterly fire drills for each shift under varying conditions. 00/09/2010 00/08/2011 2 Many
Furnishings and Decorations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are free from obstructions and can be used at all times. 00/09/2010 00/08/2011 2 Some
Restrictions on the use of highly flammable decorations. 00/09/2010 00/08/2011 2 Few
Restrictions on the use of flammable curtains. 00/09/2010 00/08/2011 2 Many
Properly sized and located linen or trash receptacles. 00/09/2010 00/08/2011 2 Some
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 00/09/2010 00/08/2011 2 Some
Illumination and Emergency Power Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper backup exit lighting. 00/09/2010 00/08/2011 2 Few
Emergency lighting that can last at least 1 1/2 hours. 00/09/2010 00/08/2011 2 Some
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Smoke barrier doors that can resist smoke for at least 20 minutes. 00/09/2010 00/08/2011 2 Many
Smoking Regulations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Posted No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed." 00/09/2010 00/08/2011 2 Few

Inspection, 01/02/2007

Emergency Plans and Fire Drills Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Record of quarterly fire drills for each shift under varying conditions. 01/02/2007 01/05/2008 2 Many
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 01/02/2007 01/02/2008 2 Few
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
A fire alarm system that can be heard throughout the facility. 01/02/2007 01/01/2009 2 Many
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 01/02/2007 01/02/2008 2 Some
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Walls that prevent smoke from passing through and would resist fire for at least one hour. 01/02/2007 01/01/2008 2 Some
Smoking Regulations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Posted No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed." 01/02/2007 01/02/2008 2 Some

Inspection, 00/09/2006

Building Construction Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Approved construction type or materials. 00/09/2006 00/07/2007 2 Few
Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. 00/09/2006 00/07/2007 2 Few
Properly protected cooking facilities. 00/09/2006 00/07/2007 2 Many
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridors that are separated from use areas by walls constructed to limit the passage of smoke. 00/09/2006 00/07/2007 2 Many
Corridor and hallway doors that block smoke. 00/09/2006 00/07/2007 2 Few
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 00/09/2006 00/07/2007 2 Some
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 00/09/2006 00/07/2007 2 Some
Illumination and Emergency Power Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Emergency lighting that can last at least 1 1/2 hours. 00/09/2006 00/07/2007 2 Many
 

1890 Euclid Ave
Horton, KS 66439

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