Based on record review and interviews, the facility failed to update the plan of care for Resident (R) 5 to include nebulizer treatments (a device that changes liquid medication into a mist easily inhaled into the lungs).Findings included:- R5's electronic medical record (EMR) documented the diagnosis of chronic obstructive pulmonary disease (COPD- a progressive and irreversible condition characterized by diminished lung capacity and difficulty or discomfort in breathing).R5's admission Minimum Data Set (MDS), dated [DATE], revealed a Brief Interview for Mental Status (BIMS) score of 14, which indicated intact cognition. …
F657 citations in Kansas
Care plan timing and revision · Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Kansas cites F657 more often than its own record predicts
1.26 times the share F657 takes of citations nationally.
Of every deficiency written in Kansas in 2025, this is the portion that was F657.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Kansas surveyors wrote
F657 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 | 4.46% | 2.08× |
| 2024 | 3.62% | 1.89× |
| 2025 | 2.35% | 1.26× |
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