The facility identified a census of 16 residents. Based on record review, observation, and interview, the facility failed to provide sufficient nurse staffing with the appropriate competencies and skill sets to assure residents safety and attain or maintain the highest practicable physical, mental, and psychosocial wellbeing for Resident (R)1 which resulted in R1 falling and breaking her left hip. On 07/26/23 at 02:15 AM, Certified Medication Aide (CMA) R sat at the nurse's station and heard someone yelling. CMA R went down the hallway and found R1 in her room by her bed. R1 stated, I fell , and I can't get up and R1 stated she was trying to reach her call light, which was noted to be at the end of her bed. …
F725 citations in Kansas
Sufficient nursing staff · Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Kansas cites F725 less often than its own record predicts
0.70 times the national share — cited less often here than elsewhere.
Of every deficiency written in Kansas in 2025, this is the portion that was F725.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Kansas surveyors wrote
F725 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, record review, and interview, the facility failed to ensure there was sufficient nursing staff to the facility failed to ensure there was a sufficient number of staff as outlined in the Facility Assessment, when the full-time Director of Nursing (DON) also served as the facility's required part-time Infection Preventionist as well performing Minimum Data Set (MDS) duties. Findings included:- The Facility Assessment Tool, last updated on 12/02/2025, documented the facility was licensed to provide care for 51 residents. The current census was 46. The Assessment Tool's staffing plan documented staffing was based on the resident population and their needs for care and support and the general approach to staffing to meet the needs of the residents. …
The short window
Recent years
| Year | Share of Kansas citations | vs expected |
|---|---|---|
| 2023 | 0.46% | 0.57× |
| 2024 | 0.15% | 0.19× |
| 2025 | 0.54% | 0.70× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Kansas surveyors cite →
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