Inspection Report Summary
The most recent inspection on September 9, 2025, found no deficiencies and confirmed the facility was in compliance with all regulations. Earlier inspections identified deficiencies primarily related to food safety practices, including food temperature documentation, food storage labeling, and dishwasher sanitation, as well as prior issues with medication labeling, emergency preparedness, and tuberculosis screening compliance. Complaint investigations resulted in substantiated findings regarding medication labeling and emergency preparedness, but no enforcement actions or fines were listed in the available reports. Prior deficiencies also involved resident care documentation and emergency plan reviews, which were corrected in follow-up surveys. The facility appears to have addressed previous concerns effectively, showing improvement in recent inspections.
Deficiencies (last 9 years)
Deficiencies (over 9 years)
2.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
62% better than Kansas average
Kansas average: 6 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
42 residents
Based on a August 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Follow-Up
Deficiencies: 0
Date: Sep 9, 2025
Visit Reason
An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 2025-08-14.
Findings
All deficiencies cited in the prior inspection have been corrected as of the compliance date 2025-08-15, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.
Report Facts
Previous deficiencies cited: 1
Inspection Report
Re-Inspection
Census: 42
Deficiencies: 3
Date: Aug 14, 2025
Visit Reason
The resurvey was conducted as a follow-up to review facility report #196749 at the assisted living facility Vintage Park at Holton to verify correction of previous deficiencies.
Findings
The facility was found deficient in food preparation, food storage, and infection control practices. Dietary staff failed to document food temperatures for approximately 345 days, stored food items without proper labeling, and did not maintain dishwasher temperature and chemical testing logs, compromising food safety and sanitary conditions.
Deficiencies (3)
Failure to ensure dietary staff served food at the proper temperature and document food temperatures.
Failure to store food under safe and sanitary conditions, including unlabeled opened food containers.
Failure to provide sanitary conditions for food service by not maintaining dishwasher temperature and chemical testing records.
Report Facts
Census: 42
Days without food temperature documentation: 345
Meals without food temperature documentation: 1035
Days without dishwasher temperature logs: 21
Meals without dishwasher temperature documentation: 63
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Aug 12, 2025
Visit Reason
The document is a Plan of Correction submitted following a resurvey conducted on 08/12/2025, 08/13/2025, and 08/14/2025 at an assisted living facility.
Findings
The resurvey resulted in findings of citations at the facility, which are addressed in the Plan of Correction.
Inspection Report
Re-Inspection
Deficiencies: 0
Date: Feb 29, 2024
Visit Reason
An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 2024-02-06.
Findings
All deficiencies have been corrected as of the compliance date of 2024-02-14, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.
Report Facts
Previous deficiencies cited: 1
Inspection Report
Complaint Investigation
Census: 36
Deficiencies: 3
Date: Feb 6, 2024
Visit Reason
The inspection was a resurvey conducted with a complaint #173358 at the assisted living facility Vintage Park at Holton on 02/06/2024.
Complaint Details
The visit was a resurvey with complaint #173358. The complaint investigation found deficiencies in medication labeling, emergency preparedness, and tuberculosis screening compliance.
Findings
The facility was found deficient in medication labeling, disaster and emergency preparedness, and compliance with tuberculosis screening guidelines. Specifically, prescription medications were not properly labeled, quarterly emergency management plan reviews were incomplete or undocumented, and newly hired staff did not have timely tuberculosis symptom screenings and tests.
Deficiencies (3)
Failed to ensure each prescription medication container had a label provided by a dispensing pharmacist affixed to the container.
Failed to ensure disaster and emergency preparedness by ensuring quarterly review of the facility's emergency management plan with employees and residents.
Failed to ensure compliance with the department's tuberculosis guidelines for adult care homes, including missing or late TB symptom screening questionnaires and two-step TB skin tests for newly hired staff.
Report Facts
Census: 36
Number of deficiencies cited: 3
Late TB skin test: 2
Number of newly hired staff records reviewed: 5
Inspection Report
Plan of Correction
Deficiencies: 1
Date: Feb 6, 2024
Visit Reason
The document is a plan of correction related to a resurvey conducted with a complaint #173358 at the assisted living facility on 02/06/2024.
Complaint Details
The visit was complaint-related, associated with complaint #173358.
Findings
The plan of correction addresses citations found during the resurvey related to the complaint investigation conducted on 02/06/2024.
Deficiencies (1)
Findings of a resurvey with a complaint #173358 at the assisted living facility.
Inspection Report
Re-Inspection
Deficiencies: 0
Date: Aug 1, 2022
Visit Reason
An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 2022-07-18.
Findings
All deficiencies have been corrected as of the compliance date of 2022-07-27 and no new noncompliance was found. The facility is in compliance with all regulations surveyed.
Report Facts
Previous deficiencies cited: 0
Inspection Report
Renewal
Census: 38
Deficiencies: 2
Date: Jul 18, 2022
Visit Reason
The inspection was a licensure resurvey for the assisted living facility Vintage Park at Holton conducted on 07/18/22.
Findings
The facility failed to ensure disaster and emergency preparedness by not performing quarterly reviews of the emergency management plan with staff. Additionally, the facility did not comply with tuberculosis screening guidelines for newly hired employees, lacking evidence of TB testing and questionnaires upon hire for five staff members.
Deficiencies (2)
Failure to ensure quarterly review of the facility's entire Emergency Management Plan with staff.
Failure to comply with State Agency's tuberculosis guidelines; lack of TB testing and TB questionnaire completion upon hire for five employees.
Report Facts
Residents present: 38
Employees reviewed: 5
Residents sampled: 3
Focused record review residents: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Operator A | Named in findings related to failure to ensure disaster preparedness and tuberculosis screening compliance | |
| Licensed Nurse B | Licensed Nurse | Employee lacking TB testing and questionnaire upon hire |
| Certified Medication Aide C | Certified Medication Aide | Employee lacking TB testing and questionnaire upon hire |
| Certified Nurse Aide D | Certified Nurse Aide | Employee lacking TB testing and questionnaire upon hire |
| Certified Nurse Aide E | Certified Nurse Aide | Employee lacking TB testing and questionnaire upon hire |
| Non-Certified staff F | Employee lacking TB testing and questionnaire upon hire |
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Jul 18, 2022
Visit Reason
The document is a plan of correction submitted in response to findings from the licensure resurvey of the assisted living facility conducted on 07/18/22.
Findings
The plan of correction addresses citations identified during the licensure resurvey conducted on 07/18/22 for the assisted living facility.
Inspection Report
Renewal
Deficiencies: 0
Date: May 11, 2021
Visit Reason
A survey for re-licensure with attached complaints was conducted on 5/6/21, 5/10/21, and 5/11/21 at the assisted living facility in Holton, KS.
Findings
The survey resulted in a finding of no deficiency citations.
Inspection Report
Routine
Deficiencies: 0
Date: Jul 20, 2020
Visit Reason
The special infection control survey for COVID-19 was conducted at the facility on 7/20/20.
Findings
The survey resulted in findings of no deficiency citations.
Inspection Report
Re-Inspection
Deficiencies: 3
Date: Feb 11, 2019
Visit Reason
This report documents a revisit inspection to verify that previously reported deficiencies have been corrected and to record the date such corrective actions were accomplished.
Findings
The revisit inspection confirmed that all previously cited deficiencies identified by regulation numbers 26-41-201 (a)(b), 26-41-202 (c), and 26-41-204 (b) were corrected as of 02/11/2019.
Deficiencies (3)
Deficiency related to regulation 26-41-201 (a)(b)
Deficiency related to regulation 26-41-202 (c)
Deficiency related to regulation 26-41-204 (b)
Inspection Report
Renewal
Census: 37
Deficiencies: 3
Date: Jan 14, 2019
Visit Reason
The inspection was conducted as a survey for re-licensure of the assisted living facility.
Findings
The facility failed to ensure that designated staff conducted functional capacity screenings on or before admission for two residents. Additionally, the facility did not develop initial negotiated service agreements or health care service plans for residents in need of health care services, as required.
Deficiencies (3)
Failure to conduct functional capacity screening on or before admission for residents #112 and #113.
Failure to develop an initial negotiated service agreement at admission for residents #112 and #113.
Failure to develop a health care service plan for residents in need of health care services for residents #112 and #113.
Report Facts
Residents in census: 37
Medications administered: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| operator/licensed nurse #A | Confirmed lack of functional capacity screenings, negotiated service agreements, and health care service plans for residents #112 and #113. |
Inspection Report
Re-Inspection
Census: 33
Deficiencies: 5
Date: Mar 8, 2017
Visit Reason
The inspection was a licensure re-survey with an attached complaint at an assisted living facility conducted on 3/6/17, 3/7/17, and 3/8/17.
Complaint Details
The inspection included an attached complaint investigation as part of the licensure re-survey.
Findings
The facility was found deficient in accurately reflecting residents' functional capacity on screening forms, completing negotiated service agreements properly, administering medications according to physician orders, documenting incidents and resident conditions, and conducting quarterly emergency preparedness reviews with staff and residents.
Deficiencies (5)
Failure to ensure each resident's functional capacity at the time of screening is accurately reflected on screening forms for residents #306 and #307.
Failure to ensure negotiated service agreements for residents #307 and #308 were completed in collaboration with residents or representatives and contained required service and payment information.
Failure to ensure all medications and treatments were administered in accordance with medical orders and professional standards for residents #307, #308, and #309, resulting in repeat hospitalization of resident #308.
Failure to document all incidents, symptoms, and indications of illness or injury including date, time, action taken, and results for resident #308.
Failure to ensure quarterly review of the facility's emergency management plan with employees and residents.
Report Facts
Census: 33
Resident weight gain: 11.6
Medication dosage: 40
Dates of inspection: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Nurse #A | Interviewed multiple times confirming medication errors, functional capacity screening inaccuracies, and lack of documentation. | |
| Facility Maintenance Staff #B | Interviewed regarding emergency preparedness reviews. |
Inspection Report
Renewal
Deficiencies: 0
Date: Mar 22, 2016
Visit Reason
The licensure resurvey was conducted as a renewal inspection of the assisted living facility.
Findings
The inspection resulted in no deficiency citations on 3/21/16 and 3/22/16.
Inspection Report
Renewal
Census: 40
Deficiencies: 1
Date: Apr 3, 2014
Visit Reason
Licensure Resurvey at an Assisted Living Facility to assess compliance with regulatory requirements.
Findings
The facility failed to monitor and advocate for therapy services ordered for a resident (#185), resulting in no evidence of therapy services being provided as required.
Deficiencies (1)
Designated facility staff failed to monitor the services provided by outside resources and act as an advocate when services did not meet professional standards of practice for resident #185.
Report Facts
Census: 40
Residents sampled: 3
Resident with outside provider services: 2
Inspection Report
Plan of Correction
Deficiencies: 2
Date: N043004 POC M0LX11
Visit Reason
This document is a Plan of Correction submitted by the facility in response to deficiencies cited in a prior inspection report.
Findings
The Plan of Correction indicates that no corrective action was required for the deficiencies listed (S0000 and S3105-D), both marked as completed on 04/03/2014.
Deficiencies (2)
No POC required for S0000
No POC required for S3105-D
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