Parsons Presbyterian Manor
PARSONS PRESBYTERIAN MANOR in PARSONS, KS — inspection on June 3, 2026.
Found 4 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Findings included:- R2's Electronic Medical Record (EMR) documented a diagnosis of anxiety (mental or emotional reaction characterized by apprehension, uncertainty, and irrational fear). R2's Significant Change Minimum Data Set (MDS), dated [DATE], documented R2 had a Brief Interview for Mental Status (BIMS) score of 14, indicating intact cognition.
She received antianxiety medication (a class of medications that calm and relax people) during the assessment period. R2's Psychotropic Drug Use Care Area Assessment (CAA), dated 03/02/2026, documented she had a diagnosis of anxiety and took antianxiety medication. R2's Quarterly MDS, dated [DATE], documented she had a BIMS score of 14, indicating intact cognition.
She received antianxiety medication during the assessment period. R2's Care Plan, revised 03/15/2026, instructed staff to monitor the resident for side effects of her antianxiety medication. R2's EMR under the Orders tab, revealed the following physician's order: Lorazepam 0.5 milligrams, by mouth, every four hours, PRN, for a diagnosis of anxiety, ordered 04/08/2026.
The order lacked a stop date. On 06/03/2026 at 08:30 AM, Administrative Nurse D confirmed R2's order for PRN lorazepam lacked a stop date, as required.
The facility policy for Psychoactive Psychopharmacological Medications, revised 04/15/2025, included: PRN psychotropic medications shall be limited to no more than 14 days, unless the attending physician or prescribing practitioner believes it is appropriate to extend the order beyond the 14 days.
The medical record should include documentation from the physician or prescriber for the rationale for the extended time period and indicate a specific duration. - R5's EMR documented a diagnosis of anxiety. R5's Significant Change MDS, dated [DATE], documented she had a BIMS score of six, indicating severe cognitive impairment.
She did not receive antianxiety medication (a class of medications that calm and relax people) during the assessment period. R5's Psychotropic Drug Use Care Area Assessment (CAA), dated 04/16/2026, documented she took psychotropic medications. R5's Quarterly MDS, dated [DATE], documented she had a BIMS score of 11, indicating moderately impaired cognition.
She did not receive antianxiety medication during the assessment period. R5's Care Plan, revised 04/26/2026, instructed staff to monitor the resident for side effects of her antianxiety medication. R5's EMR under the Orders tab, revealed the following physician's order: Lorazepam 0.5 milligrams, by mouth, every four hours, PRN, for a diagnosis of anxiety, ordered 10/19/2025.
The order lacked a stop date. On 06/03/2026 at 08:30 AM, Administrative Nurse D confirmed R2 and R5's order for PRN lorazepam lacked a stop date, as required.
The facility policy for Psychoactive Psychopharmacological Medications, revised 04/15/2025, included: PRN psychotropic medications shall be limited to no more than 14 days, unless the attending physician or prescribing practitioner believes it is appropriate to extend the order beyond the 14 days.
The medical record should include documentation from the physician or prescriber for the rationale for the extended time period and indicate a specific duration.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
175303 06/03/2026
Parsons Presbyterian Manor 3501 Dirr Avenue Parsons, KS 67357
Findings included:- R31's Electronic Medical Record (EMR) revealed a diagnosis of left femur fracture and cerebrovascular accident (CVA-stroke- sudden death of brain cells due to lack of oxygen caused by impaired blood flow to the brain by blockage or rupture of an artery to the brain). R31's admission Minimum Data Set (MDS), dated [DATE], documented R31 had a BIMS of 15, indicating intact cognition. R31's Discharge MDS, dated 03/18/2026, documented R31 had an unplanned discharge on [DATE]. R31's Health Status Note, dated 03/17/2026 at 04:07 PM, documented R31's daughter requested to have R31's medications and laundry ready to discharge the next day. R31's Health Status Note, dated 03/18/2026 at 01:17 PM, documented R31's family took R31 home with her medications and belongings. R31's EMR lacked documentation of a written notification to the residents and/or the representative, which explained the reason for the transfer to the hospital, or that the ombudsman was notified of the transfer.
During an interview on 06/02/2026 at 12:51 PM, Administrative Staff A did not find where the letter to the family was for R31's discharge on [DATE] or the ombudsman notification was for this discharge.
Another staff member was supposed to take over the ombudsman notifications for March and April and that staff member did not do it.
The facility's policy Discharge Policy documented the facility shall notify the resident or representative of the transfer or discharge in writing and must send that notification to the ombudsman.
175303 06/03/2026
Parsons Presbyterian Manor 3501 Dirr Avenue Parsons, KS 67357
Review of Electronic Medical Record (EMR) Bathing Tasks dated 05/01/2026 through 06/02/2026 and Bath Sheets revealed they lacked evidence that the staff offered or provided shaves with bathing and/or grooming on scheduled bath/shower days or as needed. On 06/01/2026 at 11:33 AM, R3 sat in lobby in a chair.
She had chin hair approximately one-quarter inch present. On inquiry, R3 stated she would like staff assistance with removal of her facial hair.
She inquired if the facial hair was visible. On 06/02/2026 at 11:18 AM, R3 sat in common area/lobby.
Certified Nurse Aide (CNA ) N applied a gait belt and positioned R3's walker then ambulated with R3 down the length of hall to her room. CNA N confirmed R3 had chin hair and needed shaving. CNA N stated the residents should be offered assistance with shaving as part of their bath and as needed.
She reported that the resident refused her bath sometimes, but the staff should offer help with shaving when needed. CNA N asked the resident if she wanted her to shave her chin hair, R3 said Yes. On 06/03/2026 at 08:49 AM, Administrative Nurse D reported that when residents were observed with chin hair, staff should offer to shave the residents when needed and when bathed as a part of grooming.
She verified the lack of evidence that the resident had been offered an opportunity to have staff assist her with shaving.
Administrative Nurse D reported the facility lacked a policy to address shaving as a part of ADL care.
The facility did not provide a policy to address shaving as part of ADL care.
175303 06/03/2026
Parsons Presbyterian Manor 3501 Dirr Avenue Parsons, KS 67357
Findings included: - R6's Electronic Medical Record (EMR) documented a diagnosis of hemiparesis/hemiplegia (weakness and paralysis on one side of the body). R6's Annual Minimum Data Set (MDS), dated [DATE], documented she had a Brief Interview for Mental Status (BIMS) score of 12, indicating moderately impaired cognition.
She had a limitation in range of motion (ROM) on one side of her upper and lower extremities. R6 did not receive restorative nursing care (care provided to maintain a person's highest level of physical, mental, and psychosocial function in order to prevent declines that impact quality of life) during the assessment period. R6's Activities of Daily Living (ADL) Care Area Assessment (CAA), dated 04/14/2026, documented the resident required staff assistance with ADLs due to left sided hemiplegia and limited mobility. R6's Quarterly MDS, dated [DATE], documented she had a BIMS score of 10, indicating moderately impaired cognition.
She had limited ROM one side of her upper and lower extremities. R6 did not receive restorative nursing care during the assessment period. R6's Care Plan, revised 04/14/2026, instructed staff to perform passive ROM (PROM-when staff manipulate the joint rather than the resident) restorative care to R6's left upper extremity daily; staff instructed to open and close R6's left hand, perform elbow extension (the straightening of a limb), and assist with shoulder raises for 15 minutes, up to seven days per week. R6's EMR from 05/04/2026 through 06/01/2026 (30 days), lacked documentation of PROM taking place with R6. On 06/01/2026 at 09:09 AM, R6 sat at the dining room table feeding herself breakfast with her right hand. R6's left hand rested in her lap with her fingers curled inward into a fist. On 06/03/2026 at 09:45 AM, Certified Nurse Aides (CNA) O and CNA P transferred R6 from her wheelchair to her bed with the use of a full body lift. R6's left hand remained with her fingers curled inward into a fist. On 06/02/2026 at 08:57 AM, CNA O stated she would open the resident's left hand enough to clean her fingers and palm but R6 was not able to fully open her hand and move her fingers.
CNA O stated she was unsure if R6 received restorative care. On 06/02/2026 at 01:27 PM, CNA M stated she did restorative care with the residents. CNA M stated R6 did not receive restorative care.
On 06/02/2026 at 01:30 PM, Administrative Nurse E confirmed R6 should receive PROM to her left hand but had not been receiving the care.
Administrative Nurse E was unsure why R6 was not receiving restorative care, as care planned, for her left-hand contracture. On 06/03/2026 at 08:30 AM, Administrative Nurse D confirmed R6 had not received restorative nursing cares, as care planned.
The facility policy for Nursing Restorative Care Program, revised 02/03/2025, included: The facility shall provide restorative nursing care to residents in order to maintain their optimal physical function and to prevent further impairment.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.