Above average — CMS composite of the measures below.
A standard survey is most likely before around August 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Wichita Presbyterian Manor during CMS and state inspections, most recent first.
Surveyors found that medication refrigerator temperatures were not consistently documented, and an unlocked treatment cart contained both scissors and expired or improperly labeled insulin pens. Staff interviews confirmed that these practices did not align with facility policies requiring daily temperature checks, proper dating and disposal of insulin, and locked storage of medications.
Staff did not disinfect a shared mechanical lift between residents and failed to follow proper procedures for cleaning and storing respiratory equipment, such as nebulizers and oxygen tubing. There was also confusion among staff about cleaning responsibilities, and a cart of clothing was left uncovered in common areas, all of which contributed to lapses in infection prevention and control.
A CNA did not receive the required 12 hours of annual in-service training, with records showing only ten and one-half hours completed. The Administrative Nurse confirmed the deficiency and the absence of additional training documentation, despite facility policy mandating appropriate staff training for resident safety.
A resident with severe cognitive impairment and behavioral symptoms was administered psychotropic medications, including lorazepam and Seroquel, without documented evidence that the resident or their representative received education or provided informed consent regarding the risks, benefits, and alternatives of the medications, as required by facility policy. Nursing staff confirmed the lack of documentation, and the administrative nurse acknowledged the omission.
Staff left multiple medications at a resident's bedside without completing a self-administration assessment or documenting care plan authorization. The resident was not observed taking the medications and was unaware of their identity or purpose, contrary to facility policy requiring staff observation during medication administration.
A resident with severe cognitive impairment and behavioral symptoms was prescribed Seroquel, but the facility did not document required AIMS assessments to monitor for abnormal involuntary movements, despite facility policy and staff statements indicating these should be performed at regular intervals.
A resident with severe cognitive impairment and a need for ADL assistance was observed with facial hair and dirty fingernails, despite care plans and staff expectations for regular grooming and hygiene. Staff confirmed that ADL support, including shaving, should be provided, and refusals documented, but records showed only one refusal in the past month. The facility could not provide a policy for ADL care when asked.
A resident with spina bifida who required nebulizer treatments did not receive sanitary respiratory care, as staff failed to clean the nebulizer after each use. Observations showed the device was left with liquid in the chamber and not cleaned between treatments, contrary to facility policy and staff expectations.
A consultant pharmacist did not identify or report missing documentation of pulse monitoring for a resident receiving metoprolol, as required by physician orders. Despite monthly medication regimen reviews, the lack of pulse documentation was not addressed, and staff confirmed that such monitoring should have been flagged and reported.
A resident with multiple diagnoses, including dementia and hypertension, did not have required pulse monitoring documented before administration of antihypertensive medication, as ordered by the physician. Additionally, the resident experienced multiple episodes of constipation while receiving pain medication, but there was no evidence that the facility assessed for complications or initiated the bowel protocol as directed in the care plan. The consultant pharmacist did not identify the lack of monitoring, and the facility lacked policies to address medication administration outside prescribed parameters or to ensure monitoring for side effects.
Medication Storage and Labeling Deficiencies
Penalty
Summary
Surveyors observed multiple failures in the facility's medication management practices. The medication refrigerator lacked temperature documentation for numerous days across several months, specifically missing records for 15 days in January, 17 days in February, 24 days in March, 15 days in April, and 12 days in May. Additionally, an unlocked treatment cart was found containing scissors and insulin, including a Humalog insulin pen that had been opened on 04/23/25 and was still present after its discard date of 05/20/25. A Lantus insulin pen was also found opened but not dated. Interviews with nursing staff and administrative personnel confirmed that the facility's policy required daily documentation of refrigerator temperatures, dating of insulin pens upon opening, and discarding insulin after expiration. Staff also acknowledged that medication and treatment carts should be locked when unattended. The facility's policies further specified that medications requiring refrigeration should be kept within a specific temperature range and that expired medications should be promptly removed and disposed of. These observations and staff statements indicate that the facility did not consistently follow its own medication storage and labeling protocols.
Failure to Disinfect Shared Equipment and Maintain Respiratory Infection Control
Penalty
Summary
Staff failed to disinfect a shared sit-to-stand mechanical lift between uses with different residents. Observations showed that after using the lift with one resident, staff moved it directly to another resident's room and used it again without cleaning. Interviews with CNAs and housekeeping staff revealed confusion about responsibility for cleaning the lift, with both groups indicating it was the other's duty. Administrative nursing staff clarified that nursing staff were responsible for cleaning the equipment between residents, but this protocol was not being followed in practice. Additional infection control lapses were observed regarding respiratory equipment. A nebulizer was left attached to tubing with liquid remaining in the chamber overnight, and oxygen tubing was found on the floor with the nasal cannula resting on the ground. Staff interviews indicated that nebulizer cleaning procedures were not consistently followed, and oxygen tubing was not stored in a plastic bag as required by facility policy. Furthermore, a cart of lost and found clothing was left uncovered in common areas, contrary to infection control expectations.
Failure to Provide Required Annual In-Service Training for CNA
Penalty
Summary
The facility failed to ensure that all Certified Nurse Aides (CNAs) received the required annual in-service training of at least 12 hours, as mandated by regulations. Specifically, a review of training records revealed that one CNA had only ten and one-half hours of documented training for the year. This deficiency was confirmed by the Administrative Nurse, who acknowledged that the CNA did not meet the required training hours and that there were no additional records of training for this staff member. The facility's own education policy requires all staff to receive appropriate training to ensure resident safety and well-being.
Failure to Provide Informed Consent for Psychotropic Medication
Penalty
Summary
The facility failed to inform a resident or the resident's representative about the risks, benefits, and alternatives associated with the use of psychotropic medications, specifically lorazepam and Seroquel. The resident in question had a history of Pick's Disease, unspecified dementia with behavioral disturbance, and anxiety disorder, and was noted to have severe cognitive impairment and behavioral symptoms. Documentation in the Electronic Health Record (EHR) showed orders for Seroquel and lorazepam, both scheduled and as needed, but lacked evidence that education or informed consent regarding the use of lorazepam was provided to the resident or their representative. Interviews with nursing staff confirmed that it was their responsibility to provide education and obtain informed consent prior to initiating or changing psychotropic medications, but in this case, no such documentation was present. The administrative nurse acknowledged the absence of informed consent documentation and noted that the provider had refused to provide medication education to the resident's representative. Facility policy required that residents and/or their representatives be informed of the benefits, risks, and alternatives of psychotropic medications prior to initiation or dosage changes, but this was not followed for this resident.
Failure to Assess Resident for Self-Administration of Medications
Penalty
Summary
Facility staff failed to assess a resident for the ability to self-administer medications before leaving multiple medications at the resident's bedside. During an observation, a resident was found with a cup containing various prescription and over-the-counter medications, including Plavix, gabapentin, Miralax, potassium, pramipexole, Eliquis, Lasix, and others, on her bedside table. The resident reported that staff did not observe her taking her medications except at night and was unaware of what medications were in the cup or their purposes. Review of the resident's care plan and medical record revealed no documentation or assessment indicating that it was clinically appropriate for the resident to self-administer medications or to have medications left at her bedside. Interviews with staff confirmed that medications were routinely left in the resident's room without a completed self-administration assessment or care plan authorization. Facility policy required staff to observe residents taking medications to ensure they were swallowed, which was not followed in this case.
Failure to Assess for Antipsychotic Side Effects
Penalty
Summary
The facility failed to perform an assessment for side effects related to ongoing antipsychotic medication use for a resident diagnosed with Pick's Disease, unspecified dementia with behavioral disturbance, and anxiety disorder. The resident was unable to complete cognitive assessments and exhibited physical and verbal behaviors directed toward others, as well as rejection of care. The care plan included monitoring for side effects and changes in cognitive function, and the resident had an active order for Seroquel, an antipsychotic medication. However, the electronic medical record did not contain evidence of any assessment, such as the Abnormal Involuntary Movement Scale (AIMS), to identify abnormal involuntary movements associated with antipsychotic use. Interviews with nursing staff revealed inconsistent understanding of the facility's policy regarding the frequency of AIMS assessments, with some staff stating it should be done quarterly, others at admission and quarterly, and another stating every six months. Facility policy required AIMS assessments on admission, every six months, and as needed for residents on antipsychotic medications. Despite these requirements, there was no documentation that the required AIMS assessments were completed for the resident receiving Seroquel.
Failure to Provide ADL Assistance with Grooming and Hygiene
Penalty
Summary
A resident with diagnoses of dementia and anxiety disorder, and a severely impaired cognitive status as indicated by a BIMS score of seven, was identified as requiring assistance with activities of daily living (ADLs) such as toileting, showering, dressing, and personal hygiene. The resident's care plan directed staff to provide bathing, showering, and grooming, including checking and cleaning nails on bath days and as needed. The resident's electronic medical record showed only one refusal of care in the past 30 days. Despite these documented needs and care directives, observations revealed that the resident had facial hair and dirty fingernails, indicating a lack of assistance with grooming and hygiene. Staff interviews confirmed that ADL assistance, including shaving, was expected during morning care or showers, and refusals were to be documented and reported. The facility was unable to provide a policy for activities of daily living when requested.
Failure to Clean Nebulizer After Use
Penalty
Summary
Staff failed to provide sanitary respiratory care for a resident diagnosed with spina bifida, who required nebulizer treatments as ordered by a physician. Observations revealed that the nebulizer was left attached to the tubing on the bedside table with clear liquid remaining in the chamber after use, and it was not cleaned between treatments. The resident confirmed that the nebulizer had not been cleaned since the previous night’s treatment. The care plan for the resident did not include information regarding the use or care of the nebulizer. Interviews with nursing staff and review of facility policy confirmed that the expected protocol was to separate, rinse, and air dry the nebulizer after each use, and to store it in a bag. The facility’s written policy also required daily washing and disinfection of the nebulizer components. Despite these protocols, the required cleaning procedures were not followed, resulting in unsanitary respiratory care for the resident.
Pharmacist Failed to Identify and Report Medication Monitoring Irregularities
Penalty
Summary
A deficiency occurred when the facility's consultant pharmacist failed to identify and report irregularities in the medication monitoring process for a resident prescribed metoprolol succinate for hypertension. The physician's order required the resident's pulse to be monitored and the medication to be held if the pulse was less than 60 beats per minute, with documentation of the pulse in the medical record. However, a review of the resident's Medication Administration Records (MAR) and Treatment Administration Records (TAR) over several months showed a lack of documentation regarding pulse measurements as ordered by the physician. Despite monthly medication regimen reviews by the consultant pharmacist, there was no evidence that the absence of required pulse documentation was identified or reported to the attending physician, medical director, or director of nursing. Interviews with facility staff confirmed that the MAR should have included a flagged area for documenting pulse and that the pharmacist was expected to review and identify such monitoring issues. The facility did not provide a policy addressing the pharmacist's responsibility to identify and report irregularities in medication monitoring outside of prescribed parameters.
Failure to Monitor Medication Parameters and Side Effects
Penalty
Summary
The facility failed to monitor the effectiveness and side effects of antihypertensive and pain medications as ordered by the physician for a resident with multiple diagnoses, including slow transit constipation, pain, dementia, and hypertension. Physician orders required that the resident's pulse be checked before administering metoprolol, with instructions to hold the medication and notify the nurse if the pulse was below 60 BPM or systolic blood pressure was below 110 mmHg. However, medication administration records and treatment records lacked documentation of the resident's pulse as required by the physician's order. Both a certified medication aide and a licensed nurse confirmed that the resident's record did not include the necessary pulse documentation, and the facility did not provide a policy addressing the administration of medication outside prescribed parameters or monitoring for side effects. Additionally, the resident was prescribed tramadol for pain, which is associated with a black box warning and known to cause constipation. The resident's care plan directed staff to monitor for adverse reactions, including constipation, and to follow a bowel protocol if the resident had not had a bowel movement for three days. Despite this, the resident's records showed multiple periods of three or more days without a documented bowel movement, and there was no evidence that the facility assessed for complications of constipation during these times. Staff interviews revealed that while a bowel protocol existed and reports were generated to flag residents without bowel movements, there was a lack of awareness and follow-through regarding this resident's constipation. The consultant pharmacist's monthly medication regimen reviews did not identify or report the lack of pulse monitoring as required by the physician's order. The facility's standing orders included a protocol for treating constipation, but there was no documentation that this protocol was initiated for the resident during the periods of constipation. The facility did not provide a policy to address the administration of medication outside of prescribed parameters or to ensure monitoring for side effects or adverse effects for residents taking medications.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Wichita
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Lakepoint Wichita, Llc | 0.4 mi | ★★★★★ | 0 | 0 |
| Sandpiper Healthcare & Rehabilitation Center | 0.9 mi | ★★★★★ | 0 | 0 |
| Meridian Rehabilitation And Health Care Center | 1.4 mi | ★★★★★ | 27 | 0 |
| Ascension Living Via Christi Village Mclean | 1.6 mi | ★★★★★ | 14 | 0 |
| Via Christi Village Ridge | 3.2 mi | ★★★★★ | 23 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.