Advocacy in Action (June 2025): One Investigator, 70 cases, APS is Stretched Too Thin

May 29, 2025

In a recent article published by The Beacon, reporter Blaise Mesa spotlights a heartbreaking case that exemplifies both the critical importance and serious strain facing Kansas Adult Protective Services (APS). The article, “One elder abuse investigator has 70 cases. Kansas doesn’t say how swamped other caseworkers are,” tells the story of Shirley Crow, an 85-year-old woman with Alzheimer’s whose family trusted a caretaker to manage her daily medications and appointments. That trust was broken.


Despite filing a report with APS, Shirley’s family received few updates. Weeks after their report, Shirley passed away. Her case remains open—one of 10,000 APS investigations initiated in Kansas each year. The assigned APS caseworker? She has 70 other cases.


This is not a story about blame. As Shirley’s daughter-in-law, Stacy Crow, told The Beacon, “We got an investigator that I truly believe has a heart… I understand they have an overwhelming demand… I don’t fault them. I just want things to change.”


And so do we.


Systemic Overload and the Urgent Need for Reform


The Kansas Department for Children and Families (DCF), which oversees APS, has not publicly disclosed average caseloads. While DCF clarified post-publication that they do track this information, they choose not to release it, citing confidentiality. The lack of transparency and standardization prevents meaningful accountability and reform.


National standards suggest 20–25 cases per worker is a manageable caseload. Kansas APS staff, in some cases, are handling double or triple that amount. With cases increasing year over year— 18,056 in fiscal year 2025 alone—the risk of delayed intervention or missed warning signs only grows.


This Is a Wake-Up Call.


At KABC, we continue to push for better protections for older adults, more robust support for APS investigators, and greater transparency and accountability from state agencies.


In our recent blog post, “What Happens When You Report to Adult Protective Services?” we outline the crucial role APS plays in protecting vulnerable adults and how reporting suspected abuse can quite literally save lives.


To report suspected abuse, neglect, or exploitation of a vulnerable adult in Kansas:


For older adults living at home in the community or in facilities licensed by the Kansas Department of Aging and Disability Services when the perpetrator is not a resident of or staff of the facility, report to the following:

  • Adult Protective Services (APS): 1-800-922-5330
  • If an emergency, call your local law enforcement agency or 911


Reporting initiates a multi-step process involving a prompt in-person visit, interviews, and, when needed, development of a service or prevention plan. The goal of APS is to protect, not to punish- to connect individuals to medical care, housing, legal services, or safety planning.


But APS cannot fulfill that mission if it's underfunded, overwhelmed, and operating in the dark.



What Needs to Change:

  • Transparency: Kansas must publicly release average caseload data and investigation timelines.
  • Support for APS Workers: State leaders must prioritize hiring and retaining qualified APS staff and ensure manageable caseloads. 
  • Federal Investment: Continued and expanded federal funding for APS is essential—not optional.
  • Public Awareness: Communities need to understand when and how to report suspected abuse, and how they can be part of the safety net.


The APS system should be a lifeline, not a last resort.

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July 31, 2025
Inside Kansas Nursing Homes: A Special Series Returns in Honor of KABC’s 50th Anniversary In celebration of Kansas Advocates for Better Care’s 50th anniversary, we are proud to reintroduce a powerful special series from our early days as Kansans for Improvement of Nursing Homes. Originally launched in the mid-1980s, Inside Kansas Nursing Homes: Through the Eyes of the Experts offered an unflinching look at nursing home care across Kansas, as observed by those who know it best: the relatives, friends, residents, and caregivers of residents. Now, nearly four decades later, we are bringing this vital series back, with the same grassroots spirit and commitment to truth. This first issue of Volume One marks the beginning of our updated report on the current state of nursing home care in Kansas, informed by the honest voices of frequent visitors who witness daily life inside these facilities. Since April 2025, we have been gathering recorded and transcribed conversations with individuals who care deeply about their loved ones in long-term care. These candid reflections are edited to preserve confidentiality—identifying details are removed, names are changed, and nursing homes are referred to by assigned numbers and regions. Mentions of facilities in passing are designated with alphabetical letters (e.g., Nursing Home A). Over the next year, we aim to gather insights on at least 40 to 50 percent of Kansas’s 305 nursing homes. Volume One of this series, covering roughly 40 homes, will be released in serial form over the coming weeks. Through these voices, we invite readers to reflect, question, and advocate, just as we did in the 1980s. Because meaningful change begins when we listen.