Based on interview, observation, and record review, the facility failed to ensure Resident (R)1's bed was in safe condition.Findings included:- R1's Electronic Medical Record (EMR) revealed a diagnosis of anxiety (mental or emotional reaction characterized by apprehension, uncertainty, and irrational fear).R1's 06/09/2026 Significant Change Minimum Data Set (MDS) documented a Brief Interview for Mental Status (BIMS) score of 13, indicating intact cognition. R1's MDS revealed she required moderate assistance with bed mobility.R1's 06/23/2026 Falls Care Area Assessment (CAA) documented: [NAME] is taking high-risk medications [NAME] had a fall resulting in a fall. …
F909 citations in Kansas
Environmental Deficiencies
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Kansas cites F909 more often than its own record predicts
1.66 times the share F909 takes of citations nationally.
Of every deficiency written in Kansas in 2025, this is the portion that was F909.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Kansas surveyors wrote
F909 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 | 0.06% | 0.40× |
| 2025 | 0.18% | 1.66× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Kansas surveyors cite →
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