The facility reported a census of 22 residents with 10 residents sampled and one resident reviewed for pain management and two additional residents reviewed for unnecessary medication use. Based on observation, interview, and record review the facility failed to assess pain and failed to take appropriate action to manage severe pain despite repeated complaints from Resident (R)74. Additionally, the facility lacked effective communication between nurses, doctors, and other healthcare providers regarding R74's pain management. This failure led to R74 reporting waves of severe pain over approximately a month, until her death on [DATE], and placed R74 in immediate jeopardy. …
F697 citations in Kansas
Pain management · Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Kansas cites F697 less often than its own record predicts
0.62 times the national share — cited less often here than elsewhere.
Of every deficiency written in Kansas in 2025, this is the portion that was F697.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Kansas surveyors wrote
F697 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 census totaled 34 with 14 in the sample. Based on observation, interview, and record review the facility failed to address Resident (R) 16's complaints of pain in her hip. On 07/19/25 the resident voiced pain in the hip after a self-reported fall. After lidocaine (pain medication) patches and Tylenol (pain) were not effective managing the resident's pain the facility placed an order for hydrocodone-acetaminophen (narcotic pain medication) 5-325 milligrams (mg) on the resident's record on 08/12/25, however failed to obtain the medication until 08/25/25. The resident reported pain almost daily at a 1 to 8 on a pain scale where 0 is no pain and 10 is the worst pain imaginable from 08/12/25 until 08/21/25. …
Based on interviews, observation, and record review, the facility failed to ensure staff provided effective pain management as ordered for Resident (R) 1, who received a as needed opioid (a class of medication used to treat pain). Findings included:- R1's Electronic Medical Record (EMR) from the Diagnosis tab documented diagnoses of nerve pain and herpes zoster (shingles- infection characterized by painful skin eruptions following the route of a nerve).The admission Minimum Data Set (MDS) dated 05/12/2026 documented a Brief Interview of Mental Status (BIMS) score of 14, which indicated intact cognition. The MDS documented R1 had received opioid medication during the observation period. …
The short window
Recent years
| Year | Share of Kansas citations | vs expected |
|---|---|---|
| 2023 | 0.40% | 0.55× |
| 2024 | 0.50% | 0.68× |
| 2025 | 0.48% | 0.62× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Kansas surveyors cite →
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