Stakeholders met with KDADS last week to discuss updates related to survey trends, the proposed minimum staffing rule, and the HCBS Final Settings Rule. KDADS is still working on solidifying their survey process for HCBS facilities related to the Final Settings Rule and there will be an HCBS Stakeholder meeting on Monday, November 6th to discuss that process more. There was no stance the state department took on the minimum staffing rule other than highlighting the concern around LPNs being omitted from the rule. See survey trends below.

Licensure Changes

  • CHOW Q3 – 2
  • Opened Q3 – 5
  • Closed Q3 – 1
  • IDR Requested Q3 – 7
  • # of deficiencies disputed Q3 – 19
  • IDR Upheld Q3 – 18
  • IDR Lowered Q3 – 1
  • DPNAs Effectuated Q3 – 1 
  • NF Per Instance CMP Issued Q3 – 22, average amount $13,707.16
  • NF Per Day CMP Issued Q3 – 48, average amount $9,548.68
  • Correction Orders Issued (SLO) Q3 – 75
  • CMPs Issued (SLO) Q3 – 9 

Q3 Survey Trends

  • 49 surveys completed
    • 0 zero-deficient surveys
  • 8 G+ surveys
    • 15 G+ deficiencies
  • 530 deficiencies
  • Top tags G+: 0689 Free of Accident Hazards/Supervision/Devices, 0686 Treatment/Svcs to Prevent/Health Pressure Ulcer, 0684 Quality of care, 0692 Nutrition/Hydration Status Maintenance, 0678 Cardio-Pulmonary Resuscitation (CPR), 0740 Behavioral Health Services, 0742 Treatment/Srvcs Mental/Psychosocial Concerns

Q1-Q3 Survey Trends

  • 153 surveys completed
    • 6 zero-deficient surveys
  • 32 G+ surveys
    • 50 G+ deficiencies
  • 1,388 deficiencies
  • Top tags: 0689 Free of Accident Hazards/Supervision/Devices, 0657 Care Plan Timing and Revision, 0812 Food Procurement Store/Prepare/Serve-Sanitary, 0880 Infection Prevention & Control, 0758 Free from Unnec Psychotropic Meds/PRN Use, 0756 Drug Regimen Review, Report Irregular Act On, 0550 Resident Rights/Exercise of Rights, 0757 Drug Regiment is Free from Unnecessary Drugs, 0690 Bowel/Bladder Incontinence, Catheter, UTI, 0677 ADL Care Provided for Dependent Residents

ALF/RHCF/HP Q1-Q3 Trends

  • 258 surveys completed
    • 78 zero-deficient surveys
  • 26 G+ surveys
    • 28 G+ deficiencies
  • 880 deficiencies
  • Top G+ tags: 3026 Staff treatment of residents ANE, 5026 staff treatment of residents ANE
  • Top Tags: 3310 Infection Control Policies, 3085 Negotiated Service Agreement, 3211 Over the Counter Drugs, 3280 Disaster and Emergency Preparedness, 5105 Negotiated Service Agreement, 3261 Resident Record Documentation of Incidents, 3092 Negotiated Service Agreement Revisions, 3299 Facility Food Storage, 3171 Health Care Services Standards of Practice, 3248 Staff Qualifications Employee Records.

See ACH Historical Survey Trends here.

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Kylee Childs
Kylee Childs, MSW, is the Director of Government Affairs.Since joining the association in 2023, she continues to be a fierce and resourceful advocate for aging services in Kansas. Her professional focus has always been service to others through advocacy. Kylee has a master’s degree in social work from the University of Missouri-Columbia, a bachelor's degree in criminology with a minor in Conflict Analysis and Trauma studies from Kansas State University, and a certificate in Grant Proposal Writing from Fort Hays State University. With a professional background in law enforcement and child welfare, and a successful 2023 legislative practicum with the Children's Alliance of Kansas, she brings rich professional experience to her role as Director of Government Affairs, and a front-line perspective on the needs of health and human services providers in our state. When not working, she's spending time with her two daughters. You can reach Kylee directly at 785.670.8051.

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