SAGEGROVE AT TIFFANY SPRINGS.

“Standards for Designated Separated Areas. (D) The facility may provide a designated, separated area where residents, who are mentally incapable of negotiating a pathway to safety, reside and receive services and which is secured by limited access if the following conditions are met: 3. If locking devices are used on exit doors egressing the facility or on doors accessing the designated, separated area, delayed egress magnetic locks shall be used. These delayed egress devices shall comply with the following: A. The lock must unlock when the fire alarm is activated; B. The lock must unlock when the power fails; C. The lock must unlock within thirty (30) seconds after the release device has been pushed for at least three (3) seconds, and an alarm must sound adjacent to the door; D. The lock must be manually reset and cannot automatically reset; and E. A sign shall be posted on the door that reads: PUSH UNTIL ALARM SOUNDS, DOOR CAN BE OPENED IN 30 SECONDS. I/II”

This is the rule that was cited, not the inspector’s specific finding. The detailed Statement of Deficiencies is in the official report below.

“Protective oversight shall be provided twenty-four (24) hours a day. For residents departing the premises on voluntary leave, the facility shall have, at a minimum, a procedure to inquire of the resident or resident ' s guardian of the resident ' s departure, of the resident ' s estimated length of absence from the facility, and of the resident ' s whereabouts while on voluntary leave. I/II”

This is the rule that was cited, not the inspector’s specific finding. The detailed Statement of Deficiencies is in the official report below.

“Injections shall be administered only by a physician or licensed nurse, except that insulin injections may also be administered by a certified medication technician or level I medication aide who has successfully completed the state-approved course for insulin administration, taught by a department-approved instructor. Anyone trained prior to December 31, 1990, who completed the state-approved insulin administration course taught by an approved instructor shall be considered qualified to administer insulin in an assisted living facility. A resident who requires insulin, may administer his or her own insulin if approved in writing by the resident ' s physician and trained to do so by a licensed nurse or physician. The facility shall monitor the resident ' s condition and ability to continue self-administration. I/II”

This is the rule that was cited, not the inspector’s specific finding. The detailed Statement of Deficiencies is in the official report below.

“The administrator shall develop and implement a safe and effective system of medication control and use, which assures that all residents ' medications are administered by personnel at least eighteen (18) years of age, in accordance with physicians ' instructions using acceptable nursing techniques. The facility shall employ a licensed nurse eight (8) hours per week for every thirty (30) residents to monitor each resident ' s condition and medication. Administration of medication shall mean delivering to a resident his or her prescription medication either in the original pharmacy container, or for internal medication, removing an individual dose from the pharmacy container and placing it in a small cup container or liquid medium for the resident to remove from the container and self-administer. External prescription medication may be applied by facility personnel if the resident is unable to do so and the resident ' s physician so authorizes. All individuals who administer medication shall be trained in medication administration and, if not a physician or a licensed nurse, shall be a certified medication technician or level I medication aide. I/II”

This is the rule that was cited, not the inspector’s specific finding. The detailed Statement of Deficiencies is in the official report below.

“At all times, including while being stored, prepared, displayed, served or transported to or from the facility, food shall be protected from potential contamination, including dust, insects, rodents, unclean equipment and utensils, unnecessary handling, coughs and sneezes, flooding, drainage and overhead leakage or overhead drippage from condensation. The temperature of potentially hazardous food shall be forty-five degrees Fahrenheit (45��F) or below or one hundred forty degrees Fahrenheit (140��F) or above at all times, except as otherwise provided in this section. In the event of a fire, flood, power outage or similar event that might result in the contamination of food, or that might prevent potentially hazardous food from being held at required temperatures, the person in charge shall immediately contact the Department of Health and Senior Services (the department). Upon receiving notice of this occurrence, the department shall take whatever action that it deems necessary to protect the residents. II/III”

This is the rule that was cited, not the inspector’s specific finding. The detailed Statement of Deficiencies is in the official report below.

“Only activities necessary to the administration of the facility shall be contained in any building used as a long-term care facility except as follows: (A) Related activities may be conducted in buildings subject to prior written approval of these activities by the Department of Health and Senior Services (hereinafter-the department). Examples of these activities are Home Health Agencies, physician ' s office, pharmacy, ambulance service, child day care and food service for the elderly in the community; II/III”

This is the rule that was cited, not the inspector’s specific finding. The detailed Statement of Deficiencies is in the official report below.

“When hot water is used for sanitizing, as allowed by section (72) of this rule, the following facilities shall be provided and used: an integral heating device or fixture installed in, on or under the sanitizing compartment of the sink capable of maintaining the water at a temperature of at least one hundred seventy degrees Fahrenheit (170��F); and a numerically scaled indicating thermometer, accurate to plus or minus three degrees Fahrenheit (��3��F), convenient to the sink for frequent checks of water temperature; and dish baskets of such size and design to permit complete immersion of the tableware, kitchenware and equipment in the hot water. II/III”

This is the rule that was cited, not the inspector’s specific finding. The detailed Statement of Deficiencies is in the official report below.

“Based on record review and interview on 1/11/24 this facility failed to provide documentation a request was made for consultation and assistance annually from a local fire unit. The facility census was 55. This potentially affected 55 of 55 residents. Record review on 1/11/24 at 2:44 P.M. showed no documentation asking for and/or receiving consultation and assistance annually from a local fire unit. During an interview on 1/11/24 at 2:44 P.M. the maintenance director said he/she would make a request from the KCFD on line request form for assistance with a fire drill.”

“Based on observation and interview on 1/11/24 this facility failed to insure all the wastebaskets were the approved types allowed. The facility census was 55. This potentially affected 55 of 55 residents. Observations during the fire safety portion of the licensure inspection on 1/11/24 showed the following rooms with the wrong type of wastebaskets; Room 314 had one. Room 313 had one, Room 311 had one, Room 306 had one, Room 225 had one, Room 224 had one, Room 215 had two, and Room 204 had one. During an interview on 1/11/24 at 1:11 P.M. the maintenance director said he/she would get the proper wastebaskets.”

“Based on record review and an interview on 1/11/24 this facility failed to show documentation the electrical wiring had been inspected within the last two years by a qualified electrician. The facility census was 55. This potentially affected 55 of 55 residents. Record review on 1/11/24 at 2:44 P.M. showed the last bi-annual electrical inspection had expired last month. During an interview on 1/11/24 at 2:44 P.M. the maintenance director said he/she thought it had been done but he/she didn ' t assign or know who the company was that came out. 6899 O6B711 COMPLETED 01/11/2024 5901 NW 88TH STREET PROVIDER'S PLAN OF CORRECTION (X5) (EACH CORRECTIVE ACTION SHOULD BE COMPLETE”