Salina Presbyterian Manor
SALINA PRESBYTERIAN MANOR in SALINA, KS — inspection on August 11, 2025.
Found 2 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
Based on record review and interview, the facility failed to ensure
in the facility at risk for not attaining or maintaining the highest practicable physical, mental, and psychosocial well-being.
Findings included:- The Kansas Nurse Aide Registry, printed on [DATE], documented Certified Medication Aide (CMA) R license expired on [DATE] and CMA S license expired on [DATE].The Facility's Working Schedule for the month of [DATE] documented CMA R worked six days in the facility and passed medications to residents after CMA R's license had expired. CMA R was suspended and taken off the schedule until her license was reinstated.The Facility's Working Schedule for the month of [DATE] documented CMA S worked two days in the facility and passed medications to residents after CMA S's license had expired. CMA S was suspended and taken off the schedule until her license was reinstated.On [DATE] at 10:00 AM, Human Resources Staff V stated she was responsible for sending out the dates of the nursing staff's license expiration to Administrative Nurse D, and they were both responsible for reviewing the license expirations to ensure staff were notified in plenty of time to renew their licensure.
Human Resources Staff V stated this time, CMA R and CMA S fell through the cracks, and neither she nor Administrative Nurse D had caught the license expirations for CMA R and CMA S.On [DATE] at 10:15 AM, Administrative Nurse D stated they had devised and new procedure for monitoring staff licensure.
All staff licensure expiration dates were placed on a spreadsheet, and Human Resources Staff V, the facility scheduler, and Administrative Nurse D would meet every Tuesday to go over staff licensure expiration dates, and staff would be notified of their licensure expiration date two months before the expiration and then weekly thereafter. If staff did not renew their license, they would be taken off the schedule until their license was renewed.
Administrative Nurse D stated she expected all nursing staff to have current licensure to take care of residents in the facility.The facility's Nursing Facility Nursing Service Policy, revised [DATE], documented the goal of nursing service is to provide each resident admitted to the health care center with the appropriate level of care to attain his/her optimum level of functioning.
Nursing service is staffed, organized, and equipped to provide nursing care on a 24-hour-a-day basis.
The health care center is licensed and certified in accordance with state and federal regulations governing long-term care.The facility identified the above deficient practices and implemented immediate corrective actions, which were all completed on [DATE] and included: CMA R and CMA S were suspended upon discovery of the expired certification.
The facility implemented a tracking spreadsheet to alert administration staff when certifications were set to expire.
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
175300 08/11/2025
Salina Presbyterian Manor 2601 E Crawford Street Salina, KS 67401
adequate administrative oversight when the facility failed to monitor and ensure all nursing staff
facility with the care they needed to attain or maintain the highest practicable physical, mental, and psychosocial well-being.
This deficient practice placed the residents residing in the facility at risk for a lack of quality nursing care.
Findings included:- The Kansas Nurse Aide Registry, printed on [DATE], documented Certified Medication Aide (CMA) R license expired on [DATE] and CMA S license expired on [DATE].The Facility's Working Schedule for the month of [DATE] documented CMA R worked six days in the facility and passed medications to residents after CMA R's license had expired. CMA R was suspended and taken off the schedule until her license was reinstated.The Facility's Working Schedule for the month of [DATE] documented CMA S worked two days in the facility and passed medications to residents after CMA S's license had expired. CMA S was suspended and taken off the schedule until her license was reinstated.On [DATE] at 10:00 AM, Human Resources Staff V stated she was responsible for sending out the nursing staff's dates of licensure expiration to Administrative Nurse D, and they were both responsible for reviewing the licensure expirations to ensure staff were notified in plenty of time to renew their licensure.
Human Resources Staff V stated this time, CMA R and CMA S fell through the cracks, and neither she nor Administrative Nurse D had caught the license expirations for CMA R and CMA S.On [DATE] at 10:15 AM, Administrative Nurse D stated they had devised and new procedure for monitoring staff licensure.
All staff licensure expiration dates were placed on a spreadsheet, and Human Resources Staff V, the facility scheduler, and Administrative Nurse D would meet every Tuesday to go over staff licensure expiration dates, and staff would be notified of their licensure expiration date two months before the expiration and then weekly thereafter. If staff did not renew their license, they would be taken off the schedule until their license was renewed.
Administrative Nurse D stated she expected all nursing staff to have current licensure to take care of residents in the facility.The facility's Nursing Facility Nursing Service Policy, revised [DATE], documented the goal of nursing service is to provide each resident admitted to the health care center with the appropriate level of care to attain his/her optimum level of functioning.
Nursing service is staffed, organized, and equipped to provide nursing care on a 24-hour-a-day basis.
The health care center is licensed and certified in accordance with state and federal regulations governing long-term care.The facility identified the above deficient practices and implemented immediate corrective actions, which were all completed on [DATE] and included: CMA R and CMA S were suspended upon discovery of the expired certification.
The facility implemented a tracking spreadsheet to alert administration staff when certifications were set to expire.
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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.