The facility identified a census of 34 residents with three residents reviewed for pressure ulcers. The facility failed to identify and provide appropriate interventions consistent with the standards of care to prevent pressure ulcers from developing and worsening for Resident (R) 1. On 03/11/24, R1 developed two facility-acquired Stage 2 (partial-thickness skin loss into but no deeper than the dermis including intact or ruptured blisters) pressure ulcers (localized injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure, or pressure in combination with shear and/or friction) to her bilateral buttocks. …
F686 citations in Kansas
Pressure ulcers · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Kansas cites F686 more often than its own record predicts
1.26 times the share F686 takes of citations nationally.
Of every deficiency written in Kansas in 2025, this is the portion that was F686.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Kansas surveyors wrote
F686 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 observation, interviews, and record review, the facility failed to implement the treatment plan, including an antibiotic, for Resident (R) 1's Stage 3 pressure ulcer (localized tissue damage that results in full-thickness loss of skin). The pressure ulcer deteriorated, and the resident admitted to the hospital for treatment.Findings included:- R1's Electronic Medical Record (EMR) documented diagnoses of dementia (a progressive mental disorder characterized by failing memory and confusion), polyneuropathy (damage to many nerves outside your brain and spinal cord at the same time), and pressure ulcer of the right heel Stage 3.The Quarterly Minimum Data Set (MDS) dated [DATE] documented R1 had a Brief Interview for Mental Status (BIMS) score of 12, which indicated moderate cognitive… …
Based on observations, record review, and interviews, the facility failed to ensure pressure-reducing measures were implemented for Resident (R)12 when staff failed to float her heels per her orders and plan of care.Findings included:- R12's Electronic Medical Record (EMR) from the Diagnosis tab documented diagnoses of hypertension (HTN-elevated blood pressure), chronic pain, and depression (a mood disorder that causes a persistent feeling of sadness and loss of interest).The Modification of Significant Change Minimum Data Set (MDS) for R12, dated 05/12/2026, recorded a Brief Interview for Mental Status (BIMS) score of five, which indicated severely impaired cognition. The MDS documented R12 was dependent on staff for toileting and bathing. …
The short window
Recent years
| Year | Share of Kansas citations | vs expected |
|---|---|---|
| 2023 | 2.40% | 1.17× |
| 2024 | 2.77% | 1.33× |
| 2025 | 2.47% | 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