The facility reported a census of 42 residents. The sample included 15 residents, which included three residents selected for closed record review. Based on interviews and record review the facility failed to provide the necessary care and service needed to manage symptoms when staff failed to promptly identify and react to a change in condition for Resident (R) 29, who had diabetes mellitus. On 05/04/25 R29 refused all his morning medication including his diabetic medications; R29's blood glucose was 388 milligrams (mg) per deciliter (dL) at 05:45 AM that morning. Staff did not notify R29's physician of the medication refusal or the abnormally high blood glucose level. …
F684 citations in Kansas
Quality of care · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Kansas cites F684 less often than its own record predicts
0.42 times the national share — cited less often here than elsewhere.
Of every deficiency written in Kansas in 2025, this is the portion that was F684.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Kansas surveyors wrote
F684 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 record review, observation, and interview, the facility failed to follow the standards of practice for Resident (R) 1 related to weight monitoring and reporting increasing weight and edema with shortness of breath to ensure physician involvement, resulting in an exacerbation of congestive heart failure (CHF-a condition with low heart output in which the body becomes congested with fluid) requiring hospitalization. Findings included: - R1's Electronic Medical Record (EMR) documented diagnoses of CHF, hypertension (high blood pressure), edema (swelling resulting from an excessive accumulation of fluid in the body tissues), interstitial pulmonary disease (inflammation and scarring in the tissue around the tiny air sacs in the lungs), chronic obstructive pulmonary disease (COPD- a… …
Based on observation, interview, and record review, the facility failed to provide appropriate wheelchair positioning for one Resident (R)16. Findings included:- R16's Electronic Medical Record (EMR) documented a diagnosis of dementia (a progressive mental disorder characterized by failing memory and confusion). R16's Annual Minimum Data Set (MDS), dated [DATE], documented a Brief Interview for Mental Status (BIMS) score of zero, indicating severe cognitive impairment. He had functional limitation in range of motion (ROM) on one side of his upper and lower extremities (UE/LE). He was dependent on staff for locomotion in his wheelchair. R16's Activity of Daily Living (ADL) Care Area Assessment (CAA), dated 05/29/2026, did not trigger. …
The short window
Recent years
| Year | Share of Kansas citations | vs expected |
|---|---|---|
| 2023 | 2.92% | 0.81× |
| 2024 | 2.28% | 0.57× |
| 2025 | 1.81% | 0.42× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Kansas surveyors cite →
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