The facility reported a census of 39 residents with five residents selected for review for dietary services. Based on interview and record review, the facility failed to provide Resident (R)1, who had a history of aspiration (when food, liquid, or other material enters a person's airway and eventually the lungs by accident) and dysphagia (difficulty swallowing), her physician ordered mechanical soft diet with ground meat on [DATE]. On [DATE] R1 displayed symptoms of choking and required Emergency Medical Services (EMS) transport for treatment. …
F808 citations in Kansas
Nutrition and Dietary Deficiencies
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Kansas cites F808 less often than its own record predicts
0.83 times the national share — cited less often here than elsewhere.
Of every deficiency written in Kansas in 2025, this is the portion that was F808.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Kansas surveyors wrote
F808 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 identified a census of 64 residents. The sample included 16 residents, with three reviewed for specialized diets. Based on observation, record review, and interviews, the facility failed to follow Resident (R) 19's physician's order to provide Ensure supplementation 30 minutes after her meals. This deficient practice placed R19 at risk for potential risk related to impaired nutrition and weight loss. Findings Included: The Medical Diagnosis section within R19's Electronic Medical Record (EMR) included diagnoses of Alzheimer's disease (progressive mental deterioration characterized by confusion and memory failure), insomnia (difficulty sleeping), anxiety (cognitive or emotional reaction characterized by apprehension, uncertainty, and irrational fear), and speech/language… …
The short window
Recent years
| Year | Share of Kansas citations | vs expected |
|---|---|---|
| 2023 | 0.11% | 0.57× |
| 2025 | 0.12% | 0.83× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Kansas surveyors cite →
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