Based on observation, record review, and interviews. The facility failed to ensure their Quality Assessment and Assurance (QAA) Committee adequately identified deficient areas of practice to develop and implement appropriate plans of action to correct the deficient practices. Findings included: - The facility failed to provide the Medicare/Medicaid Coverage Liability Notice from 10055, and the form 10123 to the resident and//or representative regarding non-coverage of skilled services. Refer to F582. The facility failed to ensure a stop date for Resident (R)5 who had as-needed antianxiety medication without a 14 day stop date or a definitive stop date. Refer to F605. The facility failed to provide R23 or representatives with a bed hold notification when he was admitted to the hospital. …
F867 citations in Kansas
QAPI improvement activities · Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Kansas cites F867 less often than its own record predicts
0.92 times the national share — cited less often here than elsewhere.
Of every deficiency written in Kansas in 2025, this is the portion that was F867.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Kansas surveyors wrote
F867 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 short window
Recent years
| Year | Share of Kansas citations | vs expected |
|---|---|---|
| 2023 | 0.40% | 0.69× |
| 2024 | 0.30% | 0.66× |
| 2025 | 0.30% | 0.92× |
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