The facility identified a census of 49 residents. The sample included 1 resident (#1) for medication review. Based on observation, record review, and interview, the facility failed to ensure [MEDICAL CONDITION] medications (a chemical substance that changes brain function and results in alterations in perception, mood, consciousness, cognition, or behavior) were given to treat a specific condition documented in the resident's clinical record. On [DATE], licensed Nurse H gave resident #1 his/her evening and night time medications at the same time (5:52 P.M.) which included [MEDICAL CONDITION] medications. Nurse H also administered, without a physician's orders [REDACTED]. The resident required hospital intervention to correct the misuse of medications. …
F758 citations in Kansas
Psychotropic drugs · Pharmacy Service Deficiencies
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Kansas cites F758 more often than its own record predicts
2.58 times the share F758 takes of citations nationally.
Of every deficiency written in Kansas in 2025, this is the portion that was F758.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Kansas surveyors wrote
F758 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 had a census of 65 residents. The sample included 13 residents. Based on observation, interview, and record review, the facility failed to obtain an appropriate indication or the required physician documentation for the continued use of antipsychotic (a class of medications used to treat major mental conditions that cause a break from reality) medication for R42. This placed the resident at risk for unnecessary psychotropic (alters mood or thought) medications and potential adverse effects. …
The short window
Recent years
| Year | Share of Kansas citations | vs expected |
|---|---|---|
| 2023 | 3.95% | 2.39× |
| 2024 | 3.47% | 2.33× |
| 2025 | 1.63% | 2.58× |
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