Salina Presbyterian Manor: Expired License Violations - KS
The inspection, completed August 11, 2025, found that the facility's own Kansas Nurse Aide Registry records showed the licenses for two aides, identified in the report as CMA R and CMA S, had both lapsed. CMA R worked six days after her certification expired. CMA S worked two days after hers did. Together, they dispensed medications to residents across those shifts without the active credentials required to do so legally.
The facility serves 53 residents.
Human Resources Staff V told inspectors she shared responsibility for catching exactly this kind of problem. Her job was to send nursing staff license expiration dates to Administrative Nurse D, and the two of them were jointly responsible for reviewing those dates and notifying staff in time to renew. She said CMA R and CMA S had simply "fallen through the cracks," and that neither she nor Administrative Nurse D had caught the expirations.
Nobody had.
Once the lapse was discovered, both aides were suspended and pulled from the schedule until their licenses were reinstated. The facility moved quickly to build a system that had not existed before: a spreadsheet tracking all staff certification expiration dates, with Human Resources Staff V, the facility scheduler, and Administrative Nurse D meeting every Tuesday to review it. Under the new procedure, staff would be notified of an upcoming expiration two months out, then weekly after that. Anyone who let a license lapse would be removed from the schedule until they renewed.
Administrative Nurse D told inspectors she expected all nursing staff to hold current licensure when caring for residents.
That expectation, the inspection record makes clear, was not matched by a system capable of enforcing it.
The violation was cited at the minimal harm level, meaning inspectors determined residents were not found to have suffered direct injury from the lapsed certifications. But the citation covers what inspectors described as inadequate administrative oversight, a failure to monitor whether the people handing out medications to a vulnerable population were actually licensed to do so. Medication administration is among the most consequential tasks performed in a nursing facility. Errors in dosage, timing, or drug interactions can cause serious harm, and the licensing requirements exist in part to ensure the people performing that work have demonstrated basic competency.
The inspection was triggered by a complaint, not a routine survey cycle.
What the record does not show is how long the licenses had been expired before anyone checked, or whether the facility had any system in place before this inspection to catch expiration dates at all. Human Resources Staff V described a shared responsibility between herself and Administrative Nurse D, but neither caught the problem. The new Tuesday morning spreadsheet review exists because inspectors found the gap, not because management identified it internally.
Salina Presbyterian Manor is a long-term care facility operating under the Presbyterian Manors of Mid-America network. Its own nursing service policy, cited in the inspection report, states that nursing care is provided on a 24-hour basis and that the facility is licensed and certified in accordance with state and federal regulations. During the period CMA R and CMA S were working on expired credentials, that standard was not being met.
The facility told inspectors all corrective actions were completed on the date they were identified. Both aides were suspended the same day the lapse was discovered.
What that timeline does not account for is the six days CMA R and the two days CMA S spent passing medications to the facility's 53 residents before anyone in administration thought to check whether their licenses were still valid.
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.
Download the official CMS inspection PDF from Medicare.gov
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
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Last verified: November 3, 2026 · Our methodology
SALINA PRESBYTERIAN MANOR in SALINA, KS was cited for violations during a health inspection on August 11, 2025.
CMA R worked six days after her certification expired.
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.