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F0725
F

Failure to Maintain Adequate Weekend Nursing Staff

Holton, Kansas Survey Completed on 08-26-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to ensure adequate nursing staff was available every day to meet the needs of all residents, specifically on weekends. A review of the CMS Payroll-Based Journal (PBJ) data for two fiscal quarters showed the facility triggered for excessively low weekend staffing. During interviews, administrative staff confirmed that the facility experienced low staffing levels on weekends during the identified period and acknowledged ongoing struggles with staffing. Additionally, the facility was unable to provide a policy addressing low weekend staffing. These findings were based on a census of 34 residents, with a sample of 12 residents reviewed.

See complete original report
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