Kaw River Care and Rehab

In the surveyor’s words

From the most serious findings on record at Kaw River Care and Rehab, in the surveyor’s own words.

• Actual harm, isolatedF600Jun 25, 2025

  The facility had a census of 36 residents. The sample included three residents reviewed for abuse. Based on observation, record review, and interview, the facility failed to ensure that cognitively impaired Resident (R) 1 remained free from injuries of unknown origin. On 06/07/25, R1 sustained a second-degree burn (potentially painful burn which affects the first and second layer of the skin) of unknown origin to his left arm and shoulder. This deficient practice also placed R1 at risk for further injuries, pain, abuse, neglect, and/or mistreatment. […]

• Actual harm, isolatedF689May 7, 2025

  The facility identified a census of 37 residents. The sample included 12 residents, with five residents reviewed for accidents. Based on observation, record review, and interview, the facility failed to ensure a safe environment free from accident hazards for Resident (R) 32 when staff transferred R32 with the assistance of one staff instead of two, and failed to use a gait belt (belt used to help transfer or stabilize during activity). This deficient practice resulted in a fall that caused a fracture (broken bone). The facility also failed to implement new fall interventions for R11. […]

• No harm, potential for more than minimal, widespreadF727Aug 24, 2023

  The facility identified a census of 33 residents. The sample included 12 residents. Based on observation, record review and interview, the facility failed to ensure that there was a registered nurse (RN) on staff for at least eight consecutive hours, seven days a week. This deficiency had the potential for poor quality of care and negative outcomes for the residents. Findings included: - Review of the facility daily staffing sheets and actual working schedule from 04/01/22 to 12/31/22 and 04/01/23 to 08/24/23 revealed the facility did not provide proof of having eight consecutive hours of RN coverage on 48 days during that period. […]

• No harm, potential for more than minimal, widespreadF812Aug 24, 2023

  The facility identified a census of 32 residents with one kitchen. Based on observation, record review, and interviews, the facility failed to maintain sanitary dietary standards related to storage of food and kitchenware. This deficient practice placed the residents at risk related to food borne illnesses and food safety concerns. Findings included: - On 08/22/23 at 07:21 AM an observation in the kitchen's dry food storage area revealed one opened bag of wheat bread. The bag was undated. On 08/22/23 at 07:22 AM an observation in the kitchen's dry food storage area revealed one opened bag of hamburger buns. The bag had a large hole torn in it exposing the hamburger buns to air and the bag was undated. […]

• No harm, potential for more than minimal, widespreadF812Jan 19, 2022

  The facility had a census of 40 residents. The sample included 12 residents. Based on observation, record review, and interview, the facility failed to obtain food temperatures at meal times, placing the residents at risk for food borne illness. Findings included: - On 01/18/22 at 10:35 AM, during meal services, record review revealed the January temperature logs lacked documentation staff were obtaining food temperatures at meal times for the following days: 01/01/22-temperature log not provided 01/02/22-no temperatures taken of all three meals 01/03/22-no temperatures taken of all three meals 01/04/22-the supper meal temperature was not taken 01/05/22-no temperatures taken of all three meals 01/07/22-the supper meal temperature was not taken 01/08/22-the supper meal temperature was not… […]