Inspection Report Summary
The most recent inspection on November 19, 2025, found the facility in compliance with all regulations and no new deficiencies. Prior inspections showed some recurring issues with fully developing and updating negotiated service agreements, coordinating health care services related to bed rail use, and medication labeling. Earlier complaint investigations included one substantiated case involving medication room security, but most complaints were unsubstantiated. No fines, immediate jeopardy findings, or license actions were listed in the available reports. The facility appears to have addressed prior deficiencies effectively, as indicated by the clean results in the latest inspection.
Deficiencies (last 9 years)
Deficiencies (over 9 years)
2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
67% better than Kansas average
Kansas average: 6 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
24 residents
Based on a October 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Census over time
Inspection Report
Re-Inspection
Deficiencies: 0
Date: Nov 19, 2025
Visit Reason
An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 2025-10-28.
Findings
All deficiencies have been corrected as of the compliance date of 2025-11-19, 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: 24
Deficiencies: 4
Date: Oct 28, 2025
Visit Reason
The inspection was a resurvey of an assisted living facility conducted on 10/27/25 and 10/28/25 to assess compliance with negotiated service agreements and other regulatory requirements.
Findings
The facility failed to fully develop negotiated service agreements for sampled residents based on their functional capacity screenings, service needs, and preferences. Additionally, the facility did not complete required addendums to negotiated service agreements following changes in resident conditions or service status. The licensed nurse also failed to provide or coordinate necessary health care services related to bed rail assessments. Furthermore, over-the-counter medications for seven residents were not labeled with the full name of the resident as required.
Deficiencies (4)
Failure to ensure negotiated service agreements were fully developed based on residents' functional capacity screenings, service needs, and preferences for residents R101, R102, and R103.
Failure to revise negotiated service agreements when requested by residents, legal representatives, or facility staff for residents R101, R102, and R103.
Failure to ensure a licensed nurse provided or coordinated necessary health care services, including assessment and documentation for the use of bed rails for resident R101.
Failure to ensure licensed pharmacist or nurse placed the full name of the resident on original packages of over-the-counter medications for seven residents.
Report Facts
Census: 24
Residents sampled: 3
Residents with unlabeled OTC medications: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Administrative Nurse B | Administrative Nurse | Provided statements confirming deficiencies related to negotiated service agreements, bed rail assessments, and medication labeling |
| Certified Medication Aide C | Certified Medication Aide | Provided observation regarding resident behavior (R102) |
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Oct 27, 2025
Visit Reason
This document represents the findings of a resurvey conducted for an Assisted Living facility on 10/27/25 and 10/28/25.
Findings
The document is a Plan of Correction submitted in response to the resurvey findings for the Assisted Living facility. No specific deficiencies or severity levels are detailed in this document.
Inspection Report
Follow-Up
Deficiencies: 0
Date: May 9, 2024
Visit Reason
An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 2024-04-30.
Findings
All deficiencies have been corrected as of the compliance date of 2024-05-06, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Apr 30, 2024
Visit Reason
This document represents the findings of a resurvey with an attached complaint #184499 at the assisted living facility conducted on 04/30/24.
Complaint Details
Complaint #184499 was attached to the resurvey conducted on 04/30/24.
Findings
The document is a plan of correction submitted in response to the findings from the resurvey and complaint investigation conducted on 04/30/24.
Inspection Report
Re-Inspection
Census: 22
Deficiencies: 1
Date: Apr 30, 2024
Visit Reason
The visit was a resurvey with an attached complaint (#184499) at an assisted living facility.
Complaint Details
The inspection was conducted as a resurvey with attached complaint #184499.
Findings
The facility failed to ensure that only licensed nurses and medication aides had access to medications by leaving the medication room door and medication cart unlocked during a staff meeting.
Deficiencies (1)
Failed to ensure only licensed nurses and medication aides had access to medications by leaving the medication room door and medication cart unlocked.
Report Facts
Census: 22
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Medication Aide (CMA) C | Confirmed the medication room door and medication cart were left unlocked during a staff meeting. |
Inspection Report
Re-Inspection
Deficiencies: 0
Date: Jan 11, 2023
Visit Reason
An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 2022-12-20.
Findings
All deficiencies cited in the previous inspection have been corrected as of the compliance date 2023-01-10, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.
Report Facts
Previous deficiencies cited: Deficiencies cited on 2022-12-20
Inspection Report
Re-Inspection
Census: 30
Deficiencies: 5
Date: Dec 20, 2022
Visit Reason
The inspection was a resurvey and complaint investigation for an assisted living facility conducted on 12/15/22, 12/19/22, and 12/20/22.
Complaint Details
The visit included a complaint investigation identified as complaint number 162591.
Findings
The facility failed to fully develop negotiated service agreements for residents based on their functional capacity screenings, failed to complete medication self-administration assessments, did not identify responsible persons for administration of selected medications in agreements, lacked quarterly reviews of the emergency management plan with staff and residents, and failed to comply with tuberculosis screening guidelines for newly hired staff.
Deficiencies (5)
Negotiated Service Agreements (NSA) were not fully developed to include all items triggered on the Functional Capacity Screen for residents R101 and R102.
Failed to ensure documentation of a completed medication self-administration assessment for resident R103 for Ozempic (diabetes).
Negotiated Service Agreements did not identify the responsible person for administration and management of selected medications for residents R101, R102, and R103.
Failed to ensure quarterly review of the facility's emergency management plan with employees and residents.
Failed to ensure compliance with tuberculosis screening guidelines for newly hired staff, including missing TB symptom screening questionnaires and improperly timed Tuberculosis Skin Tests.
Report Facts
Census: 30
Residents sampled: 3
Dates of inspection: Inspection conducted on 12/15/22, 12/19/22, and 12/20/22.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Administrative Nurse B | Administrative Nurse | Confirmed deficiencies related to negotiated service agreements and medication self-administration assessments. |
| Certified Medication Aide H | Certified Medication Aide | Provided information on medication administration practices for residents. |
| Administrative Staff A | Administrative Staff | Provided information regarding emergency management plan reviews. |
| Certified Nurse Aide C | Certified Nurse Aide | Mentioned in tuberculosis screening deficiencies. |
| Certified Nurse Aide D | Certified Nurse Aide | Mentioned in tuberculosis screening deficiencies. |
| Certified Nurse Aide E | Certified Nurse Aide | Mentioned in tuberculosis screening deficiencies. |
| Certified Nurse Aide F | Certified Nurse Aide | Mentioned in tuberculosis screening deficiencies. |
| Certified Medication Aide G | Certified Medication Aide | Mentioned in tuberculosis screening deficiencies. |
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Dec 15, 2022
Visit Reason
The document represents a plan of correction responding to findings from a resurvey and complaint investigation conducted on 12/15/22, 12/19/22, and 12/20/22 at an assisted living facility.
Complaint Details
The visit was related to complaint number 162591 and a resurvey conducted on 12/15/22, 12/19/22, and 12/20/22.
Findings
The plan of correction addresses findings from a resurvey and complaint number 162591 related to the assisted living facility.
Inspection Report
Re-Inspection
Census: 25
Deficiencies: 1
Date: Mar 15, 2021
Visit Reason
The inspection was conducted for re-licensure with attached complaints #55670, #54685, and #51142 on 3/11/2021 and 3/15/2021 at the assisted living facility.
Complaint Details
The visit included attached complaints #55670, #54685, and #51142.
Findings
Licensed nurses and medication aides failed to ensure tuberculosis (TB) solution was stored according to manufacturer's recommendations and discarded 30 days after opening, as evidenced by a vial opened on 10/26/2020 still in use on 03/11/2021.
Deficiencies (1)
Failure to ensure tuberculosis (TB) solution was stored and discarded according to manufacturer's recommendations (discard 30 days after opening).
Report Facts
Census: 25
Sample Residents: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nurse #A | Confirmed vial opened date and last documented date of TB solution administration. |
Inspection Report
Routine
Deficiencies: 0
Date: Jul 22, 2020
Visit Reason
The special infection control survey for COVID-19 was conducted at the facility on 07/22/2020.
Findings
The survey resulted in findings of no deficiency citations.
Inspection Report
Renewal
Deficiencies: 0
Date: May 8, 2018
Visit Reason
The licensure resurvey of the assisted living facility Vintage Park at Osage City LLC was conducted on May 7-8, 2018 as part of the renewal process.
Findings
The inspection resulted in findings of no deficiency citations.
Inspection Report
Follow-Up
Deficiencies: 3
Date: May 31, 2016
Visit Reason
This revisit inspection was conducted to verify that previously reported deficiencies have been corrected and to document the date such corrective actions were accomplished.
Findings
All previously cited deficiencies identified by regulation or LSC provision numbers were corrected as of the revisit date.
Deficiencies (3)
Deficiency related to regulation 26-41-207 (a) (b)
Deficiency related to regulation 28-39-254
Deficiency related to regulation 28-39-255
Report Facts
Deficiencies corrected: 3
Follow-up survey completion date: May 5, 2016
Inspection Report
Re-Inspection
Census: 25
Deficiencies: 4
Date: May 5, 2016
Visit Reason
Licensure re-survey with complaint at the assisted living facility conducted on 5/3/16, 5/4/16, and 5/5/16.
Complaint Details
The visit was a licensure re-survey with complaint conducted over three days (5/3/16 to 5/5/16). The complaint involved concerns about health care services coordination, environmental safety, and facility security.
Findings
The facility failed to ensure licensed nurse coordination of necessary health care services related to bedrail use for three residents. The facility also failed to maintain a safe and sanitary environment by not ensuring current vaccinations and flea/tick prevention for the facility cat, lacked monitoring of exterior entry and exit doors for security, and failed to provide locked storage for chemicals in the laundry.
Deficiencies (4)
Failure to ensure licensed nurse provides or coordinates necessary health care services related to the use of bedrails for residents #503, #504, and #505.
Failure to ensure provision of a safe, sanitary, and comfortable environment by not maintaining current vaccination and flea/tick prevention for the facility cat.
Failure to ensure the facility had a means of monitoring each exterior entry and exit for security purposes.
Failure to provide a locked cabinet for storage of chemicals and supplies in the facility laundry.
Report Facts
Census: 25
Residents sampled: 3
Dates of inspection: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed staff #Z | Confirmed lack of assessments and maintenance program for bedrails | |
| Certified staff #Y | Reported exit alarms go on after 8pm and alarm locations | |
| Kitchen staff #X | Described alarm reset procedures and observed alarm response |
Inspection Report
Renewal
Deficiencies: 0
Date: May 21, 2015
Visit Reason
The inspection was a Licensure Resurvey at the Assisted Living Facility in Osage City, Kansas, conducted on 5/20/15 and 5/21/15, which also included investigation of Complaint #77394.
Complaint Details
Complaint #77394 was investigated during the resurvey; no deficiencies were cited.
Findings
The resurvey resulted in no deficiency citations.
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