MISSION HEALTH COMMUNITIES
Ownership rollup across 30 nursing homes in 4 states: Kansas, Minnesota, Tennessee, Wisconsin. The "follow the money" view of an operator’s whole portfolio — the pattern a single facility page can’t show.
The chain’s homes average 2.8 of 5 stars on the CMS overall rating — roughly in line with the ~3.1 average of the 4 states it operates in. It has been broadly flat, moving -0.10 stars across the same 30 homes rated throughout between 2025-02 and 2026-06. We benchmark against its own states because CMS ranks the health-inspection star within each state, so a national comparison (national average ~3.0) partly measures where a chain operates rather than how it operates.
Where the rating comes from
The CMS overall star blends three different things. Split apart across the whole portfolio, they say different things about an operator: thin staffing is a budget decision made above the building, while a weak inspection score is what surveyors actually found inside it.
| Component | Chain average | Basis | |
|---|---|---|---|
| Health inspection | 2.9 of 5 | 30 rated homes | state surveyors’ findings, ranked within each state |
| Staffing | 2.9 of 5 | 30 rated homes | from payroll (PBJ) hours |
| Quality measures | 2.9 of 5 | 30 rated homes | largely self-reported clinical data |
Averaged across this chain’s rated homes. Health-inspection stars are assigned within each state’s own distribution, so for a chain spanning several states this component mixes distributions and is best read alongside each home’s actual citations.
Portfolio red flags
How many of this chain’s homes carry the most serious CMS markers. One flagged home can be local; a pattern across the portfolio is an operator-level signal worth researching.
Follow the money — chain finances
Aggregated from each home’s CMS Medicare cost report (HCRIS). Related-party payments are dollars a home sends to landlords or management companies under common ownership — the main channel through which private-equity and REIT owners can pull money out of a home while its own books still show a thin margin.
Only homes with a cost report on file are included, so the related-party total is a floor. Cost reports are self-filed, unaudited, and a year or two behind.
Weighted by each home’s average daily census, across the all 30 homes that report both a usable payer mix and a census. Homes whose cost report fails the same validity check the facility pages apply are left out of this figure entirely rather than counted as zero.
Every home in this chain
Lowest-rated first, so the homes most worth a closer look sit at the top. Each links to its full inspection, staffing, fines, and ownership record.
| Home | CMS rating | Flags |
|---|---|---|
| Colby Operator, LLCColby, KS | 1 of 5 | 1 immediate-jeopardy $40,381 fined |
| Hutchinson Operator, LLCHutchinson, KS | 1 of 5 | 1 immediate-jeopardy $15,918 fined |
| Kaw River Care And RehabEdwardsville, KS | 1 of 5 | — |
| Lincoln Care And RehabWichita, KS | 1 of 5 | 1 immediate-jeopardy $40,104 fined |
| Providence Living CenterTopeka, KS | 1 of 5 | 1 immediate-jeopardy SFF candidate $22,925 fined |
| North Ridge Health And RehabNew Hope, MN | 1 of 5 | 1 immediate-jeopardy SFF candidate $25,480 fined |
| Dickson Health And RehabDickson, TN | 1 of 5 | — |
| Edwardsville Care And RehabEdwardsville, KS | 2 of 5 | 1 immediate-jeopardy Abuse flag $38,753 fined |
| El Dorado Care And RehabEl Dorado, KS | 2 of 5 | $33,505 fined |
| Spring Hill Care And RehabSpring Hill, KS | 2 of 5 | Abuse flag $14,069 fined |
| Columbus Health and RehabColumbus, WI | 2 of 5 | — |
| Chase County Care And RehabCottonwood Falls, KS | 3 of 5 | — |
| Eskridge Care And RehabEskridge, KS | 3 of 5 | $13,397 fined |
| Lansing Care And RehabLansing, KS | 3 of 5 | $23,454 fined |
| McPherson Operator, LLCMcPherson, KS | 3 of 5 | — |
| Neodesha Care And RehabNeodesha, KS | 3 of 5 | $11,911 fined |
| Parkway Operator LLCEdwardsville, KS | 3 of 5 | $14,385 fined |
| Pittsburg Care And RehabPittsburg, KS | 3 of 5 | — |
| Rolling Hills Health And RehabWichita, KS | 3 of 5 | 1 immediate-jeopardy $39,118 fined |
| Wilson Care And RehabWilson, KS | 3 of 5 | — |
| Arma Operator, LLCArma, KS | 4 of 5 | $30,419 fined |
| Onaga Operator, LLCOnaga, KS | 4 of 5 | $42,578 fined |
| Oswego Operator, LLCOswego, KS | 4 of 5 | — |
| Peabody Health And RehabPeabody, KS | 4 of 5 | $22,711 fined |
| Pratt Health And RehabPratt, KS | 4 of 5 | $14,901 fined |
| Smith Center Health And RehabSmith Center, KS | 4 of 5 | $16,153 fined |
| Wakefield Care And RehabWakefield, KS | 4 of 5 | $15,593 fined |
| Botkin Care And RehabWellington, KS | 5 of 5 | — |
| Downs Care And RehabDowns, KS | 5 of 5 | — |
| Wellington Health And RehabWellington, KS | 5 of 5 | — |
Source: CMS Provider Data Catalog (nursing-home ratings, deficiencies, penalties, and ownership) and the CMS Medicare cost report (HCRIS) for finances. Chain membership is as reported to CMS. CMS extracts retrieved 30 August 2026; CMS refreshes them monthly, so counts here are as of that date. Verify with the facility and your state regulator.