Mennonite Friendship Communities Inc
MENNONITE FRIENDSHIP COMMUNITIES INC in SOUTH HUTCHINSON, KS — inspection on August 26, 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
Findings included:- R1's Electronic Health Record (EHR) documented diagnoses that included respiratory failure (severely impaired lung function) with hypoxia (inadequate supply of oxygen), hypothyroidism (a condition characterized by decreased activity of the thyroid gland), weakness, and a need for assistance with personal careR1's Discharge - Return Not Anticipated Minimum Data Set (MDS) dated [DATE] documented R1 had a planned discharge from the facility to another long-term care facility on 06/27/25.R1's EHR under the Physician Orders did not contain an order to discharge from the facility.R1's EHR Resident Documents contained a scanned order, dated 06/26/25, to discharge R1 to a different long-term care facility on 06/27/25, signed by the provider on 06/25/25.Review of an untitled document dated 05/22/25, provided by Administrative Nurse D on 08/26/25 at 11:18 AM, revealed a letter sent to R1's representative, which informed R1's representative of a pending discharge on [DATE] for non-payment of services.
The letter informed R1's representative she would need to find alternative living arrangements for R1 before 07/21/25 and offered assistance from facility staff.
The letter contained contact information for the long-term care ombudsman (LTCO- an official appointed to investigate an individual's complaints).
The letter contained a list of long-term care facilities in the area with telephone numbers.
The letter did not contain the location to which R1 would be discharged , a statement of appeal rights (including name, address, and telephone number of the entity which receives such requests), nor information on how to initiate and/or submit an appeal or contact information for the SA.
The letter was signed by Administrative Staff A.
During an interview on 08/26/25 at 11:58 AM, Administrative Nurse D confirmed R1 was discharged for non-payment of services and provided supporting documentation that indicated R1 had been denied Medicaid services due to failure to submit required paperworkAdministrative Staff A was unavailable for interview on 08/26/25.The facility's Resident Rights policy, dated 01/30/12, did not address the discharge process.The facility's Admission, Transfer, and Discharge Policy policy, dated 11/2024, documented the facility would follow the regulations and policies regarding appropriate notification of discharge, including the right to appeal. If the facility staff mandated a transfer or discharge from the facility, documentation would be made in the clinical record (EHR) of the reason(s) for and conditions under which the transfer/discharge was mandated.
This would include methods for transitioning care and responsibility from one clinician, organization, program, or service to another.
The policy did not address providing a written discharge summary, recapitulation of stay, or medication reconciliation to the resident or the resident's representative.
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
175379 08/26/2025
Mennonite Friendship Communities Inc 600 W Blanchard Avenue South Hutchinson, KS 67505
medication reconciliation provided to R1 or R1's representative.
Additionally, Administrative Nurse D
summary recapitulation of stay and medication reconciliation.
Administrative Nurse D stated at the
used, and the nurse should have documented a discharge summary, recapitulation of stay, and medication reconciliation in the Progress Notes tab of R1's EHR.
Administrative Nurse D confirmed R1's Progress Notes did not contain evidence a discharge summary, recapitulation of stay, or medication reconciliation was performed.
During an interview on 08/26/25 at 11:58 AM, Administrative Nurse D confirmed R1 was discharged for non-payment of services and provided supporting documentation that indicated R1 had been denied Medicaid services due to failure to submit required paperworkThe facility's Resident Rights policy, dated 01/30/12, did not address the discharge process.The facility's Admission, Transfer, and Discharge Policy policy, dated 11/2024, documented the facility would follow the regulations and policies regarding appropriate notification of discharge, including the right to appeal. If the facility staff mandated a transfer or discharge from the facility, documentation would be made in the clinical record (EHR) of the reason(s) for and conditions under which the transfer/discharge was mandated.
This would include methods for transitioning care and responsibility from one clinician, organization, program, or service to another.
The policy did not address providing a written discharge summary, recapitulation of stay, or medication reconciliation to the resident or the resident's representative.
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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.