F0609

D

Failure to Submit Completed Abuse/Neglect Investigations Within Required Timeframe

Overland Park, Kansas Survey Completed on 02-26-2026

Penalty

No penalty information released

Summary

The deficiency involves the facility’s failure to submit completed abuse/neglect investigations to the State Agency (SA) within the required five working-day timeframe for two residents. For one resident, the facility reported an allegation to the SA that the resident’s representative had emailed the facility stating that, between 2:00 AM and 3:00 AM, the resident activated the call light for urgent medical assistance, staff did not respond in a timely manner, and the resident remained unattended while in acute physical distress. The intake was documented at 3:00 PM the same day, and the facility spoke with the resident, who did not remember what time she vomited. Although the allegation was reported to the SA, the facility did not submit the completed investigation within five working days as required.

For the second resident, the facility reported an allegation to the SA that the resident had a clogged catheter and staff pushed him into the lobby for discharge so a new admission could have his room. The resident’s representative canceled transportation for the discharge, and the resident went to the hospital at the representative’s request. This allegation was also reported to the SA, but the completed investigation was not submitted within five working days. During interviews, an administrative nurse stated she did not submit the completed investigations for either resident to the SA, and an administrative staff member stated he assumed the nurse had submitted one investigation and did not submit the other because he thought she had done so. The facility’s abuse policy required the Administrator or DON to complete a written investigation summary within five working days of the reported occurrence but did not address the timeframe for submitting completed investigations to the SA.