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🔎 Protection Valley Manor

Inspection Results


Inspection Overview

Protection Valley Manor has been cited for a total of 33 deficiencies since we began saving each survey.

In Kansas, the average facility has **45.12 deficiencies** per survey cycle. This profile shows the longer-term view.

Tip: Surveys happen throughout the year. Always check the official Medicare Care Compare site for the most recent data.



Understanding Deficiency Severity (A-L Scale)

The farther along in the alphabet (A through L) the Scope value is, the more severe the deficiency. **A through F means no actual harm has happened.**

Table describing the severity and scope of deficiencies


Detailed Deficiency List (Most Recent First)

Scope/Severity: D

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey Date: 2023-03-16
Correction Date:
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: F

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey Date: 2023-03-16
Correction Date:
Category: Nutrition and Dietary Deficiencies
From Complaint: N

Scope/Severity: D

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey Date: 2023-03-16
Correction Date: 2023-04-14
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: F

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey Date: 2023-03-16
Correction Date: 2023-04-14
Category: Nutrition and Dietary Deficiencies
From Complaint: N

Scope/Severity: D

Notify 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.

Survey Date: 2021-08-30
Correction Date: 2021-10-08
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: D

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Survey Date: 2021-08-30
Correction Date: 2021-10-08
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: D

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey Date: 2021-08-30
Correction Date: 2021-10-08
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey Date: 2021-08-30
Correction Date: 2021-10-08
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: E

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey Date: 2021-08-30
Correction Date: 2021-10-08
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: D

Notify 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.

Survey Date: 2021-08-30
Correction Date: 2021-10-08
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: D

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Survey Date: 2021-08-30
Correction Date: 2021-10-08
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: D

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey Date: 2021-08-30
Correction Date: 2021-10-08
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey Date: 2021-08-30
Correction Date: 2021-10-08
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: E

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey Date: 2021-08-30
Correction Date: 2021-10-08
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: L

Provide and implement an infection prevention and control program.

Survey Date: 2020-06-17
Correction Date: 2020-06-17
Category: Infection Control Deficiencies
From Complaint: N

Scope/Severity: F

Ensure residents have reasonable access to and privacy in their use of communication methods.

Survey Date: 2019-12-05
Correction Date: 2020-01-15
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: D

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey Date: 2019-12-05
Correction Date: 2020-01-15
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: E

Provide activities to meet all resident's needs.

Survey Date: 2019-12-05
Correction Date: 2020-01-15
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: E

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey Date: 2019-12-05
Correction Date: 2020-01-15
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: E

Observe each nurse aide's job performance and give regular training.

Survey Date: 2019-12-05
Correction Date: 2020-01-15
Category: Nursing and Physician Services Deficiencies
From Complaint: N

Scope/Severity: F

Post nurse staffing information every day.

Survey Date: 2019-12-05
Correction Date: 2020-01-15
Category: Nursing and Physician Services Deficiencies
From Complaint: N

Scope/Severity: D

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Survey Date: 2019-12-05
Correction Date: 2020-01-15
Category: Pharmacy Service Deficiencies
From Complaint: N

Scope/Severity: E

Ensure 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.

Survey Date: 2019-12-05
Correction Date: 2020-01-15
Category: Pharmacy Service Deficiencies
From Complaint: N

Scope/Severity: E

Provide and implement an infection prevention and control program.

Survey Date: 2019-12-05
Correction Date: 2020-01-15
Category: Infection Control Deficiencies
From Complaint: N

Scope/Severity: F

Ensure residents have reasonable access to and privacy in their use of communication methods.

Survey Date: 2019-12-05
Correction Date: 2020-01-15
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: D

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey Date: 2019-12-05
Correction Date: 2020-01-15
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: E

Provide activities to meet all resident's needs.

Survey Date: 2019-12-05
Correction Date: 2020-01-15
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: E

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey Date: 2019-12-05
Correction Date: 2020-01-15
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: E

Observe each nurse aide's job performance and give regular training.

Survey Date: 2019-12-05
Correction Date: 2020-01-15
Category: Nursing and Physician Services Deficiencies
From Complaint: N

Scope/Severity: F

Post nurse staffing information every day.

Survey Date: 2019-12-05
Correction Date: 2020-01-15
Category: Nursing and Physician Services Deficiencies
From Complaint: N

Scope/Severity: D

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Survey Date: 2019-12-05
Correction Date: 2020-01-15
Category: Pharmacy Service Deficiencies
From Complaint: N

Scope/Severity: E

Ensure 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.

Survey Date: 2019-12-05
Correction Date: 2020-01-15
Category: Pharmacy Service Deficiencies
From Complaint: N

Scope/Severity: E

Provide and implement an infection prevention and control program.

Survey Date: 2019-12-05
Correction Date: 2020-01-15
Category: Infection Control Deficiencies
From Complaint: N


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All deficiency data is sourced directly from the **Centers for Medicare & Medicaid Services (CMS)**.
Data Aggregation and Review provided by **The Nursing Home Site.**