The facility reported a census of 43 residents, with six residents sampled and one resident reviewed for the right to be free from physical restraints. Based on interview and record review, the facility failed to ensure Resident (R) 3, who had a history of self-harm and physically and verbally aggressive behaviors, remained free of physical or chemical restraints when on 09/18/24, 09/19/24, and 09/20/24 the resident attempted to injure himself and became combative with staff and the facility staff chemically and physically restrained the resident. The facility failed to identify the resident's medical/behavioral symptoms that warranted the use of chemical restraint, physical restraint of five to six staff, and the use of a bedsheet to further restrain the resident. …
F604 citations in Kansas
Restraints · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Kansas cites F604 less often than its own record predicts
0.32 times the national share — cited less often here than elsewhere.
Of every deficiency written in Kansas in 2025, this is the portion that was F604.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Kansas surveyors wrote
F604 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.
The facility census totaled 35 residents with three residents included in the sample for restraint use. Based on observation, interview, and record review the facility failed to ensure Resident (R)1 remained free from the utilization of a restraint for the convenience of staff resulting in increased agitation requiring the use of an anti-psychotic (class of medications used to treat [MEDICAL CONDITION] and other mental emotional conditions) medication and bruising to R1's left hand. Findings included: - Review of R1's 11/11/19 signed Physician order [REDACTED]. Review of the 11/19/19 Admission Minimum Data Set (MDS) included a [DIAGNOSES REDACTED]. R1 had a brief interview for mental status (BIMS) score of two, indicating severe cognitive impairment. …
Based on interview and record review the facility failed to ensure Resident (R) 1 remained free from physical restraint when Certified Nurse Aide (CNA) M placed her hand over Resident (R) 1's mouth to keep her quiet. Findings include:- R1's Electronic Medical Record (EMR) revealed a diagnosis of a wedge compression fracture of the second and third lumbar vertebra (spine bones). R1's Significant Change Minimum Data Set (MDS), dated [DATE], recorded a Brief Interview for Mental Status (BIMS) score of 14, indicating intact cognition; R1 was dependent upon staff for activities of daily living (ADL) including toileting, showers and mobility with a wheelchair. R1's Quarterly MDS, dated 04/21/2026, revealed a BIMS score of 13 indicating intact cognition. …
The short window
Recent years
| Year | Share of Kansas citations | vs expected |
|---|---|---|
| 2023 | 0.17% | 0.45× |
| 2024 | 0.10% | 0.27× |
| 2025 | 0.12% | 0.32× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Kansas surveyors cite →
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