Medicalodges Great Bend

F 0600 Level of Harm - Actual harm

weekly for four weeks to check on any psychosocial impact. Due to the corrective action completed before

the onsite survey, the citation was deemed past noncompliant at a G scope and severity to represent Resident R1, Resident R2, Resident R3, Resident R4, Resident R5, and Resident R6's potential psychosocial harm of embarrassment and/or humiliation.

Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

Event ID:

Facility ID:

If continuation sheet

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

12/22/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Medicalodges Great Bend

1401 Cherry Lane Great Bend, KS 67530

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0609 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many

FORM CMS-2567 (02/99) Previous Versions Obsolete

observation revealed Resident R1 sat in a wheelchair, watching other residents in the dining room while waiting for his lunch. Resident R2 sat at an assisted table in the dining room, and people watched. Continued observation revealed Resident R3 sat at a dining room table in his wheelchair, visiting with tablemates. Resident R5 sat in his wheelchair at

the assisted table at lunch time and was assisted with eating by staff. Resident R6 sat in a wheelchair at the assisted resident dining room table, and staff assisted Resident R6 to eat.On 12/22/25 at 01:30 PM, Resident R4 laid in bed after lunch and waved his hands in the air.On 12/22/25 at 12:15 PM, CNA N stated she was just so overwhelmed with everything she witnessed from CNA M and trying to get everyone up for breakfast that when she finally got

a chance to think, she told CMA R what had happened, and CMA R told her to go and tell the administrator.

CNA N stated she was trained on ANE. On 12/22/25 at 12:30 PM, CNA O stated CNA M always seemed aggravated with residents while assisting with cares. CNA O stated she would tell CNA M to stop being rude to residents, but she did not want to start anything with someone she was working with, so she just let

it go. CNA O stated Resident R5 heard everything CNA M was saying about him, but he just let them continue to change him and get him ready for supper. CNA O stated she did not think Resident R5 really understood what CNA M was saying.On 12/22/25 at 12:45 PM, CMA R stated when she saw CNA M trying to force Resident R4 up and out of bed against his will, she did not report it because she thought it was an isolated incident. CNA M stated

she realized she should have reported it. CMA R stated she was trained on ANE and knew she needed to report any suspected abuse.On 12/22/25 at 01:00 PM, LN G stated she did not suspect abuse at the time of the occurrence, but in retrospect, she should have notified someone CNA M was having a bad day. LN G stated she was trained in ANE and knew who to report suspected abuse to.On 12/22/25 at 01:15 PM, Administrative Nurse D stated she expected the staff to report any suspected incident of physical or verbal abuse to the administration when it occurred. Administrative Nurse D stated the good thing, if there was a good thing, was all of the residents this happened to were not alert and oriented, so even if they heard what CNA M said, they probably did not understand it.The facility's Abuse, Neglect, and Exploitation Policy, revised October 2022, documented the resident has the right to be free from verbal, sexual, physical, and mental abuse and involuntary seclusion. It is the policy of the facility to treat each resident with respect, kindness, dignity, and care, to keep them free from abuse and neglect, and to take swift and immediate action to investigate and adjudicate alleged resident abuse and neglect.The facility identified and implemented immediate corrective actions, which were completed on 12/12/25 and included: All nursing staff re-educated on Abuse, Neglect, and Exploitation Policy, an emergency Quality, Assurance, and Performance Improvement (QAPI) meeting was held with the facility's medical director. An emergency resident council meeting was conducted to discuss abuse and neglect. The local police department was contacted, and a report was filed. SSD will meet with each affected resident weekly for four weeks to check

on any psychosocial impact. Due to the corrective actions completed before the onsite survey, the citation was deemed past noncompliance at an F scope and severity to represent Resident R1, Resident R2, Resident R3, Resident R4, Resident R5, and Resident R6's potential psychological harm of embarrassment and/or humiliation.

Event ID:

Facility ID:

If continuation sheet