The facility identified a census of 38 residents with three residents reviewed for resident's rights. Based on record review, observation, and interview, the facility failed to promote Resident (R) 1's right to choose, failed to respect R1's wishes, and failed to treat R1 with dignity and respect. On 12/05/24 at approximately 09:30 PM, R1 sat in his room in his wheelchair. Certified Nurse Aide (CNA) O heard another CNA say R1 did not want to go to bed. CNA M and CNA N went into R1's room and made R1 go to bed despite his protest. R1 became resistant to the transfer from his wheelchair to the bed and started hitting and kicking out at CNA M and CNA N. R1 yelled, No, no, no, no, and Get out of here. …
F550 citations in Kansas
Resident rights and dignity · Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Kansas cites F550 more often than its own record predicts
1.19 times the share F550 takes of citations nationally.
Of every deficiency written in Kansas in 2025, this is the portion that was F550.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Kansas surveyors wrote
F550 findings written in Kansas, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
Based on record review, interview, and observation, the facility failed to provide care for Resident (R) 4 and R1 in a manner that protected and promoted their dignity. Findings included:- On 08/04/2026 at 07:32 AM, observation in the commons area revealed Licensed Nurse (LN) G pulled R4's shirt up on his left arm and cleansed the area with an alcohol wipe and administered an insulin injection subcutaneous (applied under the skin), in his right upper arm, with two surveyors, multiple facility employees and numerous other residents in full view of the procedure from the four halls and dining room area. …
The short window
Recent years
| Year | Share of Kansas citations | vs expected |
|---|---|---|
| 2023 | 3.03% | 1.47× |
| 2024 | 2.72% | 1.24× |
| 2025 | 2.53% | 1.19× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Kansas surveyors cite →
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