Salina Presbyterian Manor
SALINA PRESBYTERIAN MANOR in SALINA, KS — inspection on May 27, 2026.
Found 3 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
inserted central catheter (PICC-a thin, flexible tube that is inserted into a vein in the upper arm and
care of 1one-quarter percent Dakin's solution to gauze to wound bed, calmoseptine or zinc to
The Health Status Note, dated 04/30/26, documented a nurse from the hospital called, and the MRI showed osteomyelitis in the right foot.
The hospital had administered two grams of cefepime (antibiotic) and 800 mg of daptomycin (antibiotic) through the port on R3's chest port. A PICC line is not needed.
New orders were received for the facility to infuse IV antibiotics.
The Medication Discrepancy IDT Review Note, dated 05/05/26, documented on 04/29/26 at 04:30 PM, a nurse from the wound care clinic called and reported R3 was being transferred to the ER. At 08:23 PM, the wound care clinic called the facility to report R3 had Aquacel AG placed in her wound bed.
The Aquacel AG had clogged the wound vac, and the right foot wound had deteriorated. On 04/30/26 at 01:05 AM, the hospital called to say R3 was ready to return to the facility; the hospital was waiting for the scan results. A wound culture had been obtained, and a wet-to-dry dressing had been applied.
The note documented that the identified nurse, LN G, may not perform wound dressing changes independently and will complete wound care competency validation prior to resuming independent wound care responsibilities.
All facility nurses complete wound vac competencies prior to changing wound vac dressings. R3 was unavailable for observation or interview. On 05/27/26 at 12:30 PM, LN G stated there were two different orders, one on the TAR and one on the 24-hour shift sheet.
The order on the 24-hour sheet said to take moistened Aquacel AG and place it on the wound bed.
She did not double-check with anyone on the correctness of the 24-hour shift sheet. LN H started crying and stated she had been a nurse for 29 years and had never had anything like this happen, and she could not stop thinking about it. On 05/27/26 at 03:00 PM, Administrative Nurse D stated she expected nurses to follow the orders in the TAR and, if there were discrepancies, to double-check the order and clarify.
The facility's Negative Pressure Wound Therapy Checklist Policy, dated 02/26/26, documented nurses would review the medical order for the application of the wound vac therapy, including the ordered pressure settings for the device.
The facility identified and implemented immediate corrective actions which included: LN G, may not perform wound dressing changes independently and will complete wound care competency validation prior to resuming independent wound care responsibilities.
All facility nurses completed wound vac competencies prior to changing wound vac dressings.
All corrective actions were completed prior to the onsite survey therefore the deficient practice was deemed past noncompliance at the scope and severity of a G (actual harm, isolated).
175300 05/27/2026
Salina Presbyterian Manor 2601 E Crawford Street Salina, KS 67401
Integrity Pressure Ulcer/Injury Prevention Policy, revised 03/20/26, documented all residents are
skin integrity, implement preventative measures as indicated, and treat skin breakdown.
The primary
treatment guidelines.
Dressing changes are performed by a licensed nurse.
175300 05/27/2026
Salina Presbyterian Manor 2601 E Crawford Street Salina, KS 67401
Review of the fall prevention reference sheet for ideas to implement and document in the care
Immediate Jeopardy [IJ] Template and were notified the facility's failure to provide adequate supervision and assistance for R1 placed R1 in immediate jeopardy.
The facility implemented education and retraining to staff regarding providing the appropriate level of staff assistance and supervision.
The corrections were completed on [DATE], prior to the onsite survey therefore, the deficient practice was deemed past non noncompliance and remained at a scope and severity J (immediacy, isolated).
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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.