Salina Presbyterian Manor: Unlicensed Staff Gave Meds - KS
The Kansas facility's 53 residents received care from unlicensed staff because human resources and nursing administrators failed to track certification dates. One aide worked six days with an expired license. Another worked two days.
Both staff members were suspended only after the facility discovered the violations during the state inspection in August.
Human Resources Staff V told inspectors she was responsible for sending license expiration dates to Administrative Nurse D. Both were supposed to review the dates and notify staff well before renewals were due.
"This time, CMA R and CMA S fell through the cracks," Human Resources Staff V said during the inspection. Neither she nor Administrative Nurse D had caught the expired certifications.
The Kansas Nurse Aide Registry showed both aides' licenses had lapsed before they continued working. CMA R's certification expired first, but the aide kept passing medications to residents for six more shifts. CMA S worked two additional days after that license expired.
The facility's working schedules documented both aides remained on duty and continued their medication responsibilities despite the expired certifications. Residents received medications from staff who were not legally authorized to administer them.
Administrative Nurse D acknowledged the oversight during the inspection. She told investigators the facility had developed new procedures to prevent similar lapses.
The new system includes a spreadsheet tracking all staff license expiration dates. Human Resources Staff V, the facility scheduler, and Administrative Nurse D now meet every Tuesday to review upcoming expirations. Staff receive notification two months before their licenses expire, then weekly reminders until renewal.
"If staff did not renew their license, they would be taken off the schedule until their license was renewed," Administrative Nurse D told inspectors. She said she expected all nursing staff to maintain current licenses to care for residents.
The facility's own nursing policy requires appropriate staffing to provide 24-hour care and compliance with state and federal regulations governing long-term care. The policy states the goal is providing each resident with care needed to reach their optimum functioning level.
State inspectors determined the administrative failure placed residents at risk for inadequate nursing care. The violation affected many residents, according to the inspection report.
Certified medication aides undergo specific training to safely administer medications in nursing homes. Their certifications ensure they understand proper dosing, drug interactions, and monitoring requirements for elderly residents who often take multiple medications.
The facility implemented corrective actions immediately after inspectors identified the violations. Both aides were suspended upon discovery of their expired certifications. The tracking spreadsheet was created to alert administrators when certifications approach expiration.
But the damage was already done. For eight combined shifts, residents received medications from staff whose legal authority to administer them had expired. The facility's admission that both aides "fell through the cracks" suggests the oversight system had fundamental gaps.
The inspection found the facility failed to use its resources effectively and efficiently, as required by federal regulations. Administrators had not ensured adequate oversight of nursing staff qualifications.
Presbyterian Manor operates as part of a larger network of senior living communities. The Salina facility serves residents who depend on properly credentialed staff for their daily medication needs, many of whom require multiple prescriptions for chronic conditions.
The state classified the violation as causing minimal harm or potential for actual harm. But residents and their families had no way of knowing their medications were being administered by unlicensed staff during those eight shifts in question.
The facility's corrective measures include the weekly administrative meetings and earlier notification timelines. Whether these changes will prevent similar oversights remains to be tested as staff certifications come up for renewal in the future.
For residents who received medications during those days in August, the question lingers about what other administrative oversights might have gone unnoticed without a state inspection to reveal them.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Salina Presbyterian Manor from 2025-08-11 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 20, 2026 · Our methodology
SALINA PRESBYTERIAN MANOR in SALINA, KS was cited for violations during a health inspection on August 11, 2025.
The Kansas facility's 53 residents received care from unlicensed staff because human resources and nursing administrators failed to track certification dates.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.