Based on interview and record review the facility failed to ensure comprehensive Minimum Data Set (MDS) assessments were completed within the required 14 calendar days for the following five residents: Resident (R)10, R41, R22, R18, and R27 Findings included:- Review of the Minimum Data Set (MDS) assessment information in the Electronic Health Record revealed concerns regarding the lack of completed comprehensive MDS assessments for residents as follows: R10's 04/15/2026 Admission MDS was marked as In Progress (almost 5 months). R41's 05/04/2026 Admission MDS was marked as In Progress (over 4 months). R22's Annual MDS with an Assessment Reference Date (ARD) date of 06/24/2026, completed on 06/29/2026, and locked [to indicate completed] on 08/20/2026 (almost 2 months). …
F636 citations in Kansas
Comprehensive assessments · Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Kansas cites F636 more often than its own record predicts
1.69 times the share F636 takes of citations nationally.
Of every deficiency written in Kansas in 2025, this is the portion that was F636.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Kansas surveyors wrote
F636 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 short window
Recent years
| Year | Share of Kansas citations | vs expected |
|---|---|---|
| 2023 | 0.57% | 1.45× |
| 2024 | 0.50% | 1.69× |
| 2025 | 0.42% | 1.69× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Kansas surveyors cite →
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