3 state agencies are responsible for taking and investigating allegations of abuse, neglect, and exploitation. Those agencies are the Department for Aging and Disability Services (KDADS), the Department of Health and Environment (KDHE), and the Department of Children and Families (DCF). These agencies may refer alleged perpetrators to 3 state licensure boards: the Board of Healing Arts, the Board of Nursing, and the Behavioral Sciences Regulatory Board. The state's process for investigating allegations and identifying perpetrators is complicated and fragmented. State law is also unclear about agencies' responsibilities. We found KDADS and DCF keep registries of perpetrators, but KDHE does not. KDHE doesn't investigate allegations of ANE because KDHE officials believe they lack the authority to do so. We also identified issues with how agencies refer allegations to each other. These issues suggest not all suspected perpetrators get investigated and that agencies' registries may be incomplete.