The Kansas Department of Social and Rehabilitation Services (SRS) and the
Kansas Department of Health and Environment (KDHE) have reached an agreement on
a plan of correction for Larned State Hospital (LSH). The plan of correction is
in response to an unannounced inspection of LSH conducted by KDHE April 3rd-5th.
A previous inspection was conducted in November 2006.
KDHE submitted an initial inspection report to LSH on April 17th and a final
report on May 9th. In response, LSH submitted a plan of correction on May 18th,
detailing corrections to be completed or in many cases already made.
Upon receiving the inspection report, LSH officials promptly set about
rectifying the problems noted. Many deficiencies were immediately resolved. For
items related to infrastructure and capital improvements, detailed plans of
correction were developed. All projects are currently on schedule for
completion. (see attached)
A letter from KDHE dated June 8th indicated the plan of correction had been
accepted: “You have provided the Bureau with an acceptable plan of correction
that should resolve citations issued.” The plan of correction was also accepted
by the Centers for Medicaid and Medicare Services (CMS).
Since the first inspection in November, LSH has implemented an aggressive
maintenance plan which includes a monthly safety tour by the Director of Safety
In addition to performing responsive and preventative maintenance, increased
monitoring and documentation are occurring. “Larned State Hospital is dedicated
to maintaining a safe environment for patients,” said Superintendent Mark
Schutter. “Staff have stepped up to implement necessary improvements and