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Autoregressive large language model (LLM) serving is increasingly limited by key-value (KV) cache movement rather than dense matrix multiplication. Modern paged-attention systems reduce KV-cache fragmentation and mature kernels such as FlashInfer provide highly optimized native-paged decode attention. However, the best single-kernel implementation is not always the best serving schedule: low-active long-context decode can under-utilize commodity GPUs, while mixed sequence lengths introduce a tension between many exact-length launches and coarse padded batches. We present PersistentKV, a native block-table decode attention engine and page-aware scheduling study for grouped-query attention (GQA). PersistentKV maps work by KV-head group, is designed to reuse K,V tiles across grouped query heads, supports native page tables, and adds a compact workqueue schedule that executes only non-empty row-KV-head-sequence-split tasks. On an RTX 3060 with FP16, page size 16, Hq=32, Hkv=8, d=128, and identical correctness tolerance against FlashInfer, a calibrated adaptive policy selects FlashInfer for small active batches, PersistentKV sequence splitting for B1 long-context steps, and PersistentKV workqueue scheduling for B8 long-context steps. With thresholds and split counts fixed on calibration traces, one held-out trace seed improves synchronized wall throughput by 1.063-1.265x on B8 bimodal, uniform, and Zipf-like workloads and by 1.399x on a B1 bucketed trace. On the B4 bimodal boundary case, the policy avoids the PersistentKV regression by selecting FlashInfer. These results identify a concrete systems niche for adaptive page-aware decode scheduling and show that work assignment, not only attention math, is a decisive serving-system variable.