The facility reported a census of 97 residents. The sample included eight residents who were reviewed for abuse. Based on observation, interview, and record review, the facility failed to ensure Resident (R)1 remained free from staff-to-resident abuse. On 09/17/25, R1, a severely cognitively impaired resident with a history of behaviors and traumatic brain injury (TBI-an injury to the brain caused by external forces), demonstrated escalating combative and aggressive behaviors. At approximately 08:30 PM, Licensed Nurse (LN) G intervened in R1's behavioral event, and as a result, R1 grabbed LN G's genitals and called LN G obscene names. LN G yelled at R1, grabbed his arm, and stated he would beat the resident up, then lock the resident in his room. …
F610 citations in Kansas
Investigating alleged violations · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Kansas cites F610 less often than its own record predicts
0.48 times the national share — cited less often here than elsewhere.
Of every deficiency written in Kansas in 2025, this is the portion that was F610.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Kansas surveyors wrote
F610 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 failed to implement protective measures after injuries of unknown origin and signs of potential sexual abuse were identified to prevent further abuse. On 03/21/22 at around 10:30-11:00 PM Certified (CNA) M and CNA N identified significant bruising on R1's right leg and reported it to Licensed Nurse (LN) G. R1 was unable to state how she obtained the injuries. LN G spoke to the resident's representative, the alleged perpetrator (AP), who confirmed he did not know where the bruising came from but offered a rationale for the injury which LN G accepted without further investigation. Staff left R1 in the room with the AP. Around 04:20 AM on 03/22/26, CNA M reported to LN G that R1 had vaginal bleeding. …
Based on observations, record review, and interviews, the facility failed to conduct a complete investigation to rule out abuse or neglect for a right leg fracture of unknown origin for Resident (R) 1. Findings included:- R1 admitted to the facility on [DATE]. R1's Electronic Medical Record (EMR) documented a diagnosis of anoxic brain damage (brain injury that occurs when the brain is deprived of oxygen for too long). The Annual Minimal Data Set (MDS), dated 04/25/2026, documented R1 was in a persistent vegetative state. R1 had impairment of her bilateral upper and lower extremities. R1 was dependent on staff for bed mobility. The Quarterly MDS, dated 07/26/2026, documented R1 was in a persistent vegetative state. R1 had impairment of her bilateral upper and lower extremities. …
The short window
Recent years
| Year | Share of Kansas citations | vs expected |
|---|---|---|
| 2023 | 1.14% | 0.89× |
| 2024 | 1.09% | 0.76× |
| 2025 | 0.72% | 0.48× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Kansas surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction