F0609

E

Failure to Submit Completed Abuse/Neglect Investigations to State Agency Within Required Timeframe

Wichita, Kansas Survey Completed on 02-02-2026

Penalty

No penalty information released

Summary

The deficiency involves the facility’s failure to submit completed abuse/neglect/misappropriation investigation reports to the State Agency (SA) within the required five working days after alleged incidents were reported. The facility had a census of 96 residents, with seven residents reviewed for abuse, neglect, exploitation, and/or misappropriation of resident property. Review of the facility’s notifications to the SA showed multiple incident numbers reported on various dates; however, the corresponding completed investigations were either not submitted within the required timeframe or not submitted at all. For several incidents, the completed investigations were only provided much later during an on-site survey or via e-mail, and for at least one incident, the completed investigation was neither submitted within five working days nor provided to the surveyor during the visit.

During an interview on 02/02/26 at 4:00 PM, Administrative Staff A acknowledged that some of the investigations were incomplete, which contributed to the delay in reporting and/or providing the completed investigation reports to the surveyor. Administrative Staff A stated awareness of the required timeframe for submitting completed investigations to the SA and confirmed that the facility’s expectation was for the administrator to complete and submit investigations to the appropriate agencies within that timeframe. The facility’s Abuse, Prevention and Prohibition Policy, dated 11/2025, documented that the administrator would ensure a thorough investigation of allegations, complete the final report, submit it to the required agencies, and maintain the report in a locked file in the administrator’s office, and that no reports would be screened or withheld from appropriate agencies.