The facility identified a census of 29 residents. The sample included 12 residents. Based on observation, record review, and interviews, the facility failed to develop and implement the core elements of antibiotic stewardship to ensure an effective infection prevention and control program including antibiotic stewardship for the residents of the facility.Findings included:- Review of the Infection Control Log for tracking and trending infections from March 2025 through February 2026, lacked evidence of organism identification, duration of prescribed antibiotics, and the infections treated. The facility was unable to provide this upon request. On 03/10/26 at 10:39 AM, Administrative Nurse D confirmed she was also the facility's Infection Preventionist. …
F881 citations in Kansas
Antibiotic stewardship · Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Kansas cites F881 more often than its own record predicts
1.63 times the share F881 takes of citations nationally.
Of every deficiency written in Kansas in 2025, this is the portion that was F881.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Kansas surveyors wrote
F881 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 | 0.23% | 0.49× |
| 2024 | 0.59% | 1.33× |
| 2025 | 0.78% | 1.63× |
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