The facility reported a census of 40 residents, with 15 residents included in the sample. Based on observation, interview, and record review the facility failed to further assess R21 for his safety concerning self-administration of insulin (hormone used to regulate blood sugar) medication. R21 displayed unsafe practices in self-administration and medication management when he drew up too much insulin, administered too much insulin, refused to tell staff his blood sugar level, had multiple episodes of severely low blood sugars which required emergency medical interventions and treatment. Findings included: - Review of R21's diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . …
F554 citations in Kansas
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Kansas cites F554 less often than its own record predicts
0.74 times the national share — cited less often here than elsewhere.
Of every deficiency written in Kansas in 2025, this is the portion that was F554.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Kansas surveyors wrote
F554 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 observation, record review, and interviews, the facility failed to ensure safe and appropriate self-administration of medication for Resident (R) 23, R37, and R45, which placed these residents at risk for unnecessary medication side effects and self-administration errors.Findings included:1. R23's Electronic Medical Record (EMR) from the admission Minimum Data Set (MDS), dated 05/28/2026, documented a Brief Interview of Mental Status (BIMS) score of 15 which indicated intact cognition.Review of R23's EMR physician orders under the Orders tab lacked an order for self-administration of medications.Review of R23's EMR under the Assessment tab lacked an assessment for safe self-medication administration.On 06/22/2026 at 08:11 AM, R23 laid on her bed with the bedside table next to the… …
The short window
Recent years
| Year | Share of Kansas citations | vs expected |
|---|---|---|
| 2023 | 0.34% | 0.62× |
| 2024 | 0.10% | 0.18× |
| 2025 | 0.42% | 0.74× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Kansas surveyors cite →
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