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ADVENA LIVING OF CHERRYVALE Inspection Report, Violations & Safety Grade (CHERRYVALE, Kansas)

1001 W MAIN STREET, CHERRYVALE, Kansas 67335

Phone: 6203362102

CMS Overall:1/5

Overview & Bed Count

Certified Beds
45
Avg Residents/Day
36
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
County
Montgomery
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall1/5
Health2/5
Staffing3/5
Quality1/5

Nurse Staffing Check

MetricThis FacilityKansas AvgDifference
RN Hours per Resident per Day0.530.73-0.20
Total Nurse Hours per Resident per Day3.074.13-1.06
CMS Staffing Rating3/53.5/5-
Nursing Staff Turnover45.5%48%-

Health Citation History

28 health citations on record

DateCategoryDescriptionSeverity
2025-09-04Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2025-09-04Environmental DeficienciesMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.F – Moderate Harm Potential
2025-09-04Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.E – Moderate Harm Potential
2025-09-04Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.E – Moderate Harm Potential
2025-09-04Environmental DeficienciesPut firmly secured handrails on each side of hallways.E – Moderate Harm Potential
2025-09-04Resident Rights DeficienciesEnsure that residents are fully informed and understand their health status, care and treatments.D – Moderate Harm Potential
2025-09-04Resident Rights DeficienciesAllow resident to participate in the development and implementation of his or her person-centered plan of care.D – Moderate Harm Potential
2025-09-04Freedom from Abuse, Neglect, and Exploitation DeficienciesPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.D – Moderate Harm Potential
2025-09-04Resident Rights DeficienciesProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D – Moderate Harm Potential
2025-09-04Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.D – Moderate Harm Potential
2025-09-04Quality of Life and Care DeficienciesProvide safe, appropriate pain management for a resident who requires such services.D – Moderate Harm Potential
2025-09-04Pharmacy Service DeficienciesEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D – Moderate Harm Potential
2025-09-04Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.D – Moderate Harm Potential
2024-01-04Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D – Moderate Harm Potential
2024-01-04Resident Rights DeficienciesHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.D – Moderate Harm Potential
2024-01-04Resident Rights DeficienciesNotify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.D – Moderate Harm Potential
2024-01-04Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2024-01-04Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D – Moderate Harm Potential
2024-01-04Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.D – Moderate Harm Potential
2024-01-04Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2024-01-04Quality of Life and Care DeficienciesProvide safe, appropriate pain management for a resident who requires such services.D – Moderate Harm Potential
2024-01-04Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.D – Moderate Harm Potential
2024-01-04Quality of Life and Care DeficienciesProvide or get specialized rehabilitative services as required for a resident.D – Moderate Harm Potential
2023-07-12Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D – Moderate Harm Potential
2023-07-12Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2023-07-12Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential
2023-07-12Pharmacy Service DeficienciesEnsure each resident’s drug regimen must be free from unnecessary drugs.D – Moderate Harm Potential
2023-07-12Quality of Life and Care DeficienciesProvide or get specialized rehabilitative services as required for a resident.D – Moderate Harm Potential

Fire Safety Citation History

28 fire safety citations on record

DateCategoryDescriptionSeverity
2025-09-04Smoke DeficienciesProvide properly protected cooking facilities.F – Moderate Harm Potential
2025-09-04Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2025-09-04Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2025-09-04Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.F – Moderate Harm Potential
2025-09-04Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.F – Moderate Harm Potential
2025-09-04Egress DeficienciesInstall emergency lighting that can last at least 1 1/2 hours.E – Moderate Harm Potential
2025-09-04Smoke DeficienciesInstall corridor and hallway doors that block smoke.E – Moderate Harm Potential
2025-09-04Services DeficienciesHave properly installed electrical wiring and gas equipment.E – Moderate Harm Potential
2025-09-04Miscellaneous DeficienciesHave posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.E – Moderate Harm Potential
2025-09-04Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.D – Moderate Harm Potential
2025-09-04Gas, Vacuum, and Electrical Systems DeficienciesHave proper medical gas storage and administration areas.D – Moderate Harm Potential
2024-01-04Emergency Preparedness DeficienciesDevelop and maintain an Emergency Preparedness Program (EP).F – Moderate Harm Potential
2024-01-04Egress DeficienciesInstall emergency lighting that can last at least 1 1/2 hours.F – Moderate Harm Potential
2024-01-04Smoke DeficienciesFollow proper procedures when the fire alarm was out of service for more than 4 hours.F – Moderate Harm Potential
2024-01-04Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2024-01-04Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.F – Moderate Harm Potential
2024-01-04Miscellaneous DeficienciesTo conduct inspection, testing and maintenance of fire doors by qualified individuals.F – Moderate Harm Potential
2024-01-04Gas, Vacuum, and Electrical Systems DeficienciesEnsure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.F – Moderate Harm Potential
2024-01-04Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.D – Moderate Harm Potential
2024-01-04Miscellaneous DeficienciesHave posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.D – Moderate Harm Potential
2024-01-04Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.D – Moderate Harm Potential
2023-07-12Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.F – Moderate Harm Potential
2023-07-12Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.F – Moderate Harm Potential
2023-07-12Services DeficienciesHave properly installed electrical wiring and gas equipment.F – Moderate Harm Potential
2023-07-12Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.F – Moderate Harm Potential
2023-07-12Miscellaneous DeficienciesHave posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.F – Moderate Harm Potential
2023-07-12Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.F – Moderate Harm Potential
2023-07-12Egress DeficienciesAdd doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.E – Moderate Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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