Access Mental Health
Inspection Findings
F-Tag F0584
Federal health inspectors cited ACCESS MENTAL HEALTH in PEABODY, KS for a deficiency under regulatory tag F-F0584 during a standard health inspection conducted on 2025-12-10.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 7 deficiencies cited during this inspection of ACCESS MENTAL HEALTH.
Correction Status: Deficient, Provider has no plan of correction.
F-Tag F0641
Federal health inspectors cited ACCESS MENTAL HEALTH in PEABODY, KS for a deficiency under regulatory tag F-F0641 during a standard health inspection conducted on 2025-12-10.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Ensure each resident receives an accurate assessment.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 7 deficiencies cited during this inspection of ACCESS MENTAL HEALTH.
Correction Status: Deficient, Provider has no plan of correction.
F-Tag F0656
Federal health inspectors cited ACCESS MENTAL HEALTH in PEABODY, KS for a deficiency under regulatory tag F-F0656 during a standard health inspection conducted on 2025-12-10.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 7 deficiencies cited during this inspection of ACCESS MENTAL HEALTH.
Correction Status: Deficient, Provider has no plan of correction.
F-Tag F0658
Federal health inspectors cited ACCESS MENTAL HEALTH in PEABODY, KS for a deficiency under regulatory tag F-F0658 during a standard health inspection conducted on 2025-12-10.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Ensure services provided by the nursing facility meet professional standards of quality.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 7 deficiencies cited during this inspection of ACCESS MENTAL HEALTH.
Correction Status: Deficient, Provider has no plan of correction.
F-Tag F0690
Federal health inspectors cited ACCESS MENTAL HEALTH in PEABODY, KS for a deficiency under regulatory tag F-F0690 during a standard health inspection conducted on 2025-12-10.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 7 deficiencies cited during this inspection of ACCESS MENTAL HEALTH.
Correction Status: Deficient, Provider has no plan of correction.
F-Tag F0740
Federal health inspectors cited ACCESS MENTAL HEALTH in PEABODY, KS for a deficiency under regulatory tag F-F0740 during a standard health inspection conducted on 2025-12-10.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Scope/Severity Level J: isolated, immediate jeopardy to resident health or safety.
This represents an immediate jeopardy situation, the most serious level of deficiency.
This was one of 7 deficiencies cited during this inspection of ACCESS MENTAL HEALTH.
Correction Status: Past Non-Compliance.
F-Tag F0880
Federal health inspectors cited ACCESS MENTAL HEALTH in PEABODY, KS for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2025-12-10.
Category: Infection Control Deficiencies
The facility was found deficient in the following area: Provide and implement an infection prevention and control program.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 7 deficiencies cited during this inspection of ACCESS MENTAL HEALTH.
Correction Status: Deficient, Provider has no plan of correction.