Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
F838 in Kansas. Pick another state for the same tag.
Against expectation — 2025
Kansas cites F838 more often than its own record predicts
Versus expected share1.91×
1.91 times the share F838 takes of citations nationally.
Share of Kansas citations0.48%
Of every deficiency written in Kansas in 2025, this is the portion that was F838.
Kansas0.48%
National0.25%
Share of all citations that were F838.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Kansas surveyors wrote
F838 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.
F · No harm, potential for more than minimal, widespreadAugust 12, 2026
Based on record review and interview, the facility failed to ensure the Facility Assessment included the number of staff required for each unit and each shift, including weekends.Findings Included:- The Facility Assessment, dated 11/04/2025, did not identify the specific staffing levels required for each unit and did not identify the number of Registered Nurses (RN), Licensed Nurses (LPN/LVN), Certified Medication Aides (CMA), and Certified Nurse Aides (CNA) required for each unit, patient acuity, and census. The assessment lacked the staffing levels required for each daily shift and on weekends.On 08/12/2026 at 01:11 PM, Administrative Staff A stated she followed the facility's policy as to what was included in the Facility Assessment. …
C · No harm, potential for minimal, widespreadJuly 29, 2026
Based on the record review and interview, the facility failed to conduct a thorough facility-wide assessment to determine the nursing staff resources necessary to care for residents competently during both day-to-day operations and emergencies. Findings Included:- An inspection of the Facility Assessment dated 03/22/2026 provided by the facility revealed the following: The assessment failed to identify the specific staffing levels needed for each unit and identify the number of Registered Nurses (RN), Licensed Nurses (LPN/LVN), Certified Medication Aides (CMA), and Certified Nurse Aides (CNA) needed for each unit, patient acuity, and census. …
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