Based on observation, record review, and interviews, the facility failed to ensure a functional call light system for Resident (R)28 to convey his needs to staff. Findings included: R28's Electronic Medical Record (EMR) showed a diagnosis of muscle weakness, repeated falls, encephalopathy (a broad term for any brain disease that alters brain function or structure), syncope (fainting or passing out) and collapse, weakness and cognitive impairment (an impairment in organization, sequencing, attention, memory, planning, problem-solving, and safety awareness), and a need for assistance with personal care. The admission Minimum Data Set (MDS), dated 7/23/2026, documented a Brief Interview for Mental Status (BIMS) of 14, which indicated he was cognitively intact. …
F919 citations in Kansas
Call system · Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Kansas cites F919 less often than its own record predicts
0.27 times the national share — cited less often here than elsewhere.
Of every deficiency written in Kansas in 2025, this is the portion that was F919.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Kansas surveyors wrote
F919 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 | 0.17% | 0.39× |
| 2024 | 0.05% | 0.11× |
| 2025 | 0.12% | 0.27× |
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