Stanton County Health Care: Transfer Notice Failures - KS
That finding sits at the center of a complaint inspection completed August 28, 2025, at Stanton County Health Care Facility, a long-term care unit at 404 N. Chestnut in Johnson, Kansas.
The resident, identified in inspection records as Resident 20, was a woman living with disorientation, diabetes, heart failure, depression, and a history of urinary tract infections. On August 9, a provider called in a telephone order to transfer her to the hospital for sepsis traced to a urinary tract infection. She returned to the facility two days later, on August 11, arriving by wheelchair.
Inspectors caught up with her on August 26, seated in her wheelchair, dressed and groomed for the day. The next morning, they asked Administrative Nurse F to walk them through what happens when a resident is transferred to the hospital.
The nurse's answer was straightforward: staff call report to the hospital about the resident's condition, send a face sheet, and send a Continuity of Care Document. The resident's representative gets a phone call, or a conversation in person if they happen to be at the facility when the transfer happens.
No written form, the nurse confirmed, goes to the resident or the resident's representative explaining the reason for the transfer.
That gap is what inspectors cited. The written notice requirement exists so that residents and families know not just that a transfer is happening, but why, when, where the person is going, and how to appeal if they disagree. A phone call to a family member covers none of that in any documented, reviewable way. There is no record the family can hold onto, no written explanation of appeal rights, no confirmation that the information was complete.
The facility's own emergency transfer policy, dated January 22, 2025, laid out a procedure for urgent hospital transfers: prepare the resident, send a transfer form with them, notify the durable power of attorney or other family member, and handle other steps as appropriate. Written notice to the resident or representative about the reason for transfer, their right to appeal, or the contact information for the state long-term care ombudsman does not appear in that procedure.
Inspectors rated the violation at the lower end of the severity scale, noting minimal harm or potential for actual harm, with few residents affected. The complaint survey covered a single day.
What the record shows is a facility whose written policy for emergency transfers does not include the written notice step, and whose nursing staff, when asked directly, described a process that skips it entirely. The gap is not a matter of one employee forgetting a form on a busy night. It is built into how the facility says it handles these situations.
For Resident 20, the practical consequence is harder to measure. She was transferred, hospitalized, treated for sepsis, and returned. Her family was called. She came back in a wheelchair eleven days after she left. Whether anyone along the way told her in writing that she had the right to appeal the transfer, or gave her family a number to call if they had questions about where she was going and why, the inspection record does not show that they did.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Stanton County Health Care Facility Ltcu from 2025-08-28 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: August 6, 2026 · Our methodology
STANTON COUNTY HEALTH CARE FACILITY LTCU in JOHNSON, KS was cited for violations during a health inspection on August 28, 2025.
That finding sits at the center of a complaint inspection completed August 28, 2025, at Stanton County Health Care Facility, a long-term care unit at 404 N.
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.