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EMPORIA PRESBYTERIAN MANOR Inspection Report, Violations & Safety Grade (EMPORIA, Kansas)

2300 INDUSTRIAL ROAD, EMPORIA, Kansas 66801

Phone: 6203432613

CMS Overall:3/5

Overview & Bed Count

Certified Beds
60
Avg Residents/Day
50.4
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
County
Lyon
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall3/5
Health3/5
Staffing4/5
Quality2/5

Nurse Staffing Check

MetricThis FacilityKansas AvgDifference
RN Hours per Resident per Day0.900.73+0.17
Total Nurse Hours per Resident per Day5.234.13+1.10
CMS Staffing Rating4/53.5/5-
Nursing Staff Turnover55.3%48%-

Health Citation History

31 health citations on record

DateCategoryDescriptionSeverity
2026-03-04Nutrition 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
2026-03-04Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D – Moderate Harm Potential
2026-03-04Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.D – Moderate Harm Potential
2026-03-04Resident Rights DeficienciesKeep residents' personal and medical records private and confidential.D – Moderate Harm Potential
2026-03-04Quality 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
2026-03-04Pharmacy 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
2026-03-04Pharmacy Service DeficienciesEnsure each resident’s drug regimen must be free from unnecessary drugs.D – Moderate Harm Potential
2026-03-04Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.D – Moderate Harm Potential
2026-03-04Pharmacy 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
2026-03-04Quality of Life and Care DeficienciesProvide routine and 24-hour emergency dental care for each resident.D – Moderate Harm Potential
2026-03-04Infection Control DeficienciesDevelop and implement policies and procedures for flu and pneumonia vaccinations.D – Moderate Harm Potential
2024-08-20Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D – Moderate Harm Potential
2024-08-20Quality 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
2024-04-15Administration DeficienciesHave the Quality Assessment and Assurance group have the required members and meet at least quarterlyF – Moderate Harm Potential
2024-04-15Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E – Moderate Harm Potential
2024-04-15Resident Rights DeficienciesGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.D – Moderate Harm Potential
2024-04-15Resident 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.D – Moderate Harm Potential
2022-11-22Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.J – Immediate Jeopardy
2022-11-22Resident Rights DeficienciesThe resident has the right to receive notices in a format and a language he or she understands.F – Moderate Harm Potential
2022-11-22Nutrition and Dietary DeficienciesEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.F – Moderate Harm Potential
2022-11-22Resident Rights DeficienciesGive residents a notice of rights, rules, services and charges.E – Moderate Harm Potential
2022-11-22Resident 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.E – Moderate Harm Potential
2022-11-22Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.E – Moderate Harm Potential
2022-11-22Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E – Moderate Harm Potential
2022-11-22Quality of Life and Care DeficienciesProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.D – Moderate Harm Potential
2022-11-22Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D – Moderate Harm Potential
2022-11-22Quality of Life and Care DeficienciesProvide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.D – Moderate Harm Potential
2022-11-22Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D – Moderate Harm Potential
2022-11-22Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.D – Moderate Harm Potential
2022-11-22Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2022-11-22Resident Rights DeficienciesAllow residents to easily view the nursing home's survey results and communicate with advocate agencies.C – Minimal Harm Potential

Fire Safety Citation History

15 fire safety citations on record

DateCategoryDescriptionSeverity
2026-03-04Smoke DeficienciesHave a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.F – Moderate Harm Potential
2026-03-04Miscellaneous DeficienciesTo conduct inspection, testing and maintenance of fire doors by qualified individuals.F – Moderate Harm Potential
2026-03-04Miscellaneous DeficienciesEnsure that smoke control systems are tested and documented in accordance with established engineering principles.F – Moderate Harm Potential
2026-03-04Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.E – Moderate Harm Potential
2026-03-04Smoke DeficienciesInstall corridor and hallway doors that block smoke.E – Moderate Harm Potential
2024-04-15Egress 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.L – Immediate Jeopardy
2024-04-15Emergency Preparedness DeficienciesCreate arrangements with other facilities to receive patients.F – Moderate Harm Potential
2024-04-15Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2024-04-15Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.F – Moderate Harm Potential
2024-04-15Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.E – Moderate Harm Potential
2024-04-15Smoke DeficienciesInstall corridor and hallway doors that block smoke.E – Moderate Harm Potential
2024-04-15Services DeficienciesHave properly installed electrical wiring and gas equipment.D – Moderate Harm Potential
2022-11-22Smoke DeficienciesFollow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.F – Moderate Harm Potential
2022-11-22Electrical DeficienciesEnsure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.F – Moderate Harm Potential
2022-11-22Egress DeficienciesInstall emergency lighting that can last at least 1 1/2 hours.E – Moderate Harm Potential

Total Penalties & Fines

$14,651
Total Fine Amount (CMS)
1
Number of Fines
2
Total Penalties
DateTypeFine AmountPayment Denial
2024-05-15Fine$14,651-
2024-05-15Payment Denial-2 days starting 2024-06-01

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