Anthony Community Care Center
212 N 5th Ave, Anthony, KS 67003 · Non profit - Corporation · 30 certified beds · (620) 842-5187 Medicaid only — no Medicare
This home’s record is mixed — some reassuring signs, some worth asking about.
- a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
- no federal fines or payment denials on record
- a high payroll-based staffing rating (5/5)
- lower-than-typical staff turnover (29% vs 45% nationally) — better care continuity
- fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
- inspectors recorded 1 serious finding as past non-compliance — the problem was found, fixed, and verified before the survey closed, so it is history rather than a current condition, but it is still worth asking what changed
- a high number of inspection citations overall (19) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- its facility-reported quality-measure rating is low (2/5)
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 4 of 5 |
| StaffingFrom payroll records (PBJ) | 5 of 5 |
| Quality measuresSelf-reported by the facility | 2 of 5 |
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| Overall quality measures | 2 of 5 |
| Long-stay residentspeople who live here | 2 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating improved from 4 to 5 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 14.6% | 17.9% | 15.4% | typical |
| Long-stay residents who lose too much weight | 2.2% | 4.9% | 5.4% | better |
| Long-stay residents with a catheter left in their bladder | 4.2% | 1.6% | 0.9% | worse |
| Long-stay residents with a urinary tract infection | 2.8% | 2.9% | 2.0% | worse |
| Long-stay residents with depressive symptoms | 0.0% | 6.5% | 6.5% | check this* — see note marked star below the table |
| Long-stay residents who were physically restrained | 0.0% | 0.0% | 0.1% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with falls causing major injury | 11.1% | 4.3% | 3.3% | worse |
| Long-stay residents whose ability to walk worsened | 14.9% | 16.2% | 16.1% | typical |
| Long-stay residents on antianxiety or hypnotic medication | 22.6% | 23.2% | 18.9% | worse |
| Long-stay residents given the seasonal flu vaccine | 92.0% | 95.5% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 3.8% | 4.4% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 22.6% | 22.6% | 21.2% | typical |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 16.1% | 18.1% | 17.1% | typical |
| Long-stay hospitalizations per 1,000 resident days | 2.48 | 1.80 | 1.67 | worse |
| Long-stay outpatient ER visits per 1,000 resident days | 3.38 | 2.13 | 1.80 | worse |
* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. Weigh it against the inspection record above.
‡ On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.
§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.
CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.
Staffing
How full it usually is: this home is certified for 30 beds and averages 27.7 residents a day — about 92% occupied, or roughly 2 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.
Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.76 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.56 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.82 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.
Weekend coverage: total nurse staffing is 3.65 hrs/resident/day on weekends vs 3.81 on weekdays — 4% thinner on weekends. RN hours go from 0.53 to 0.62 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 29% is below the national median of 45%.
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.
19 citations, most serious first. The 11 most serious are shown; the remaining 8 are one tap away and print in full.
- Immediate jeopardy · Jcited before2024-07-08 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility census totaled 25 residents with three residents sampled for accidents. Based on observation, interview, and record review, the facility failed to provide a safe environment when the facility staff allowed three residents to hold lit fireworks in their hands during an Independence Day Celebration. On 07/03/24, the facility staff allowed three residents to hold lit [NAME] Candle (cardboard tube filled with pyrotechnic fireworks to include exploding shells/stars) fireworks, including cognitively impaired Resident (R)1. R1 sustained a burn injury and bruising to her right hand, between her thumb and forefinger, after the last exploding shell/star from the [NAME] Candle firework misfired and the tube blew up in R1's right hand as she held the lit firework with the assistance of staff. This deficient practice placed the three residents who held the fireworks in immediate jeopardy and at risk for personal injury. (R1, R2, and R3) Findings included: - R1's electronic medical record (EMR) included the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · F2025-04-10 · tag F0947 — failed to train nurse aides adequately — widespreadEnsure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
What the surveyor found here — an excerpt from the official record, may be distressing
The facility reported a census of 23 residents. Five Certified Nurse Aide (CNA) staff, CNA G, CNA O, CNA P, CNA Q, and Social Services Designee (SSD)/CNA K, who worked in the facility for over a year, were reviewed for required annual in-service training. Based on interview and record review, the facility failed to develop, implement, and permanently maintain an in-service training program for CNAs with the required topics and no less than 12 hours per year. Five CNAs lacked the required training topics, and five CNAs lacked the required 12 hours per year of in-service training. This placed the residents at risk for decreased qulaity of care. Findings included: - On 04/08/25 at 03:32 PM, a review of training records for five CNAs employed by the facility for more than one year revealed all five CNAs had less than 12 hours of documented in-service training for the previous 12 months. The records that were reviewed were from the year 2024. Additionally, on 04/09/24, Social Services Designee (SSD)/CNA K had Abuse, Neglect, and Exploitation training was the only record located for…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · F2023-08-24 · tag F0730 — widespreadObserve each nurse aide's job performance and give regular training.
What the surveyor found here — an excerpt from the official record, may be distressing
The facility reported a census of 20 residents. Based on interview and record review, the facility failed to complete an annual performance review at least once every 12 months for five of the five Certified Nurse Aides (CNA) reviewed, CNA MM, Q, P, O and M, to ensure adequate appropriate cares and services provided to the residents of the facility. Findings included: - Review of five employee personnel files, employed by the facility for greater than one year, revealed the following concerns: Review of Certified Nurse Aide (CNA) P, hired 08/30/20, lacked an annual performance review in her personnel file. Review of Certified Nurse Aide (CNA) O, hired 07/21/22, lacked an annual performance review in her personnel file. Review of Certified Nurse Aide (CNA) M, hired 06/24/22, lacked an annual performance review in her personnel file. Review of Certified Nurse Aide (CNA) Q, hired 12/02/17, lacked an annual performance review in her personnel file. Review of Certified Nurse Aide (CNA) MM, hired 06/18/20, lacked an annual performance review in her personnel file. On 08/23/23 at 03:42 PM,…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Fcited before2023-08-24 · tag F0812 — failed to store, cook, and serve food safely — widespreadProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
The facility reported a census of 20 residents. Based on observation, interview, and record review, the facility failed to properly store, prepare and distribute food under sanitary conditions to ensure proper sanitation and food handling practices to prevent the outbreak of foodborne illnesses for the residents of the facility. Findings included: - During the initial tour of the kitchen on 08/22/23 at 08:29 AM, the following areas of concern were noted: 1. A large can opener had a heavy build-up of a sticky substance including on the tip which comes into contact with the food. 2. The shelves below the food preparation table contained dried food debris. 3. The shelf, which contained the multiple containers of spices, contained dried food debris. 4. The enclosed dry storage bin contained dried food debris. The inside and outside of the doors to the dry storage bin had a dried-on sticky liquid substance. 5. The sugar and flour bins had debris on the bin covers and around the bins, including a container next to the sugar bin which held clean pot lids. 6. Two drawers which held cooking…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · F2023-08-24 · tag F0921 — failed to keep a safe, functional, sanitary building — widespreadMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
What the surveyor found here — the official record, unedited, may be distressing
The resident reported a census of 20 residents. Based on observation, interview, and record review, the facility failed to provide a safe, functional, sanitary, and comfortable environment for residents and staff. Findings included: - During the initial tour of the kitchen on 08/22/23 at 08:29 AM, the following area of concern was noted: The floor throughout the kitchen had areas which contained a dried, liquid, sticky substance. The parameter of the floor had a heavy build-up of dirt and grime. On 08/23/23 at 03:45 PM, Dietary Staff BB confirmed the floors of the kitchen needed to be kept clean at all times. The facility policy for Dietary Cleaning Procedures, dated 02/24/16, included: Staff members who prepare food in the kitchen will wipe any spills on the floor immediately and keep the kitchen floor free of debris. The facility failed to provide a safe, functional, sanitary and comfortable environment for residents and staff.
- Potential for harm · Ecited before2023-08-24 · tag F0880 — failed to prevent and control infections — patternProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility reported a census of 20 residents with seven residents identified that used the facility glucometer for obtaining blood glucose (the amount of sugar in the blood) to determine insulin (a medication used to control blood sugar levels) needed to maintain a normal level of blood sugar. Based on observation, interview, and record review, the facility failed to ensure staff sanitized the multi- resident use glucometer and failed to ensure staff provided catheter care for one Resident (R)15 in a sanitary manner to prevent the spread of infection. Findings included: - Observation, on 08/23/23 at 11:04 AM, revealed Certified Medication Aide (CMA) R, obtained a blood glucose level with the facility glucometer from Resident (R) 2. CMA R then used an alcohol wipe to sanitize the glucometer. Interview, at that time with CMA R, revealed she used the glucometer for several other residents to obtain their blood glucose level, and sanitized them with an alcohol wipe. CMA R thought this was the proper procedure.…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2023-08-24 · tag F0887 — patternEducate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility reported a census of 20 residents. Based on interview and record review, the facility failed to ensure residents/responsible parties acknowledged receipt of the benefit verses risk information for COVID-19 to make informed declination decisions and failed to offer/arrange for COVID-19 vaccinations for newly admitted residents as required for five Residents (R)4, R10, R15, R16, and R8. - Review of the medical records for Residents (R) 4, R10, R15, R16, and R8 revealed lack of COVID-19 vaccination declinations. Review of R 19's medical record revealed the resident admitted to the facility on [DATE]. The resident historically received three doses of COVID-19 vaccine, with the last vaccine received on 10/21/21. Furthermore, the record lacked a COVID-19 vaccine acceptance/declination form. Review of R 17's medical record revealed the resident admitted to the facility on [DATE]. The resident historically received COVID-19 vaccinations with the last dose on 10/21/21. Interview, on 08/24/23 at 09:48 AM,…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2023-08-24 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility reported a census of 20 residents with 12 residents sampled, including six residents reviewed for accidents. Based on observation, interview, and record review, the facility failed to provide appropriate, safe transfers for one Resident (R)17. Findings included: - Review of Resident (R)17's electronic medical record (EMR) revealed a diagnosis of dementia (progressive mental disorder characterized by failing memory, confusion). The Significant Change Minimum Data Set (MDS), dated [DATE], documented the resident had a Brief Interview for Mental Status (BIMS) score of nine, indicating moderately impaired cognition. He required extensive assistance of one staff for transfers. The resident used a walker. The Activities of Daily Living (ADL) Functional/Rehabilitation Potential Care Area Assessment (CAA), dated 05/09/23, documented the resident had moderately impaired cognition and required extensive assistance with transfers. The Quarterly MDS, dated 08/08/23, documented the resident had a BIMS score of…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2021-12-29 · tag F0802 — failed to prepare enough nourishing food — patternProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
What the surveyor found here — an excerpt from the official record, may be distressing
The facility had a census of 23 residents with 22 residents who received meals from the main kitchen. Based on observation and interview the facility failed to have adequate staff to carry out all functions of the dietary service and in a sanitary manner. Findings included: - Observation of the noon meal revealed only one staff (Dietary Staff (DS) L) performed all dietary functions for the meal. The plates were located on a preparation counter located approximately 20 feet behind the steam table. While serving the meal DSL walked to the plates and brought them to the steam table, one at a time, served the food onto the plate, then walked the plate over to the counter by the serving window. DS L then served a piece of cake (still in the pan and not prepped prior to the meal) and handled hot rolls by the same gloved hand that previously handled utensils and other items in the kitchen. When prompted to use tongs and not gloved hands DS L used tongs and held onto the roll with gloved hands. While serving chicken he picked it up out of the pan with his gloved hand and placed it on the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2021-12-29 · tag F0812 — failed to store, cook, and serve food safely — patternProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
The facility had a census of 23 residents with 22 residents receiving meals from one main kitchen. Based on observation, interview, and record review the facility failed to prepare, store and handle food in a sanitary manner for residents who received meals from the kitchen. Findings included: - Observation of the kitchen on 12/28/21 at 11:00 AM revealed Dietary Staff (DS) L served the noon meal. While serving the meal, DS L handled hot rolls with his gloved hand, which he already used to handle utensils and other items in the kitchen. When prompted to use tongs to serve food and not his hands he used tongs and held onto the roll with a gloved hand. The rolls were stuck in the pan, so DS L leaned over the pan and the front of his shirt touched the rolls. While serving baked chicken DS L picked it up out of the pan with his gloved hand, placed the chicken piece on the counter top, held it down with his gloved hand, cut up the chicken, picked it up, and placed on the plate. He repeated this numerous times throughout the serving of the meal. He then handled plates with his contaminated…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2021-12-29 · tag F0550 — failed to protect resident dignity and rights — isolatedHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
What the surveyor found here — an excerpt from the official record, may be distressing
The facility had a census of 23 residents with 12 residents included in the sample. Based on observation, interview and record review the facility failed to ensure the dignity of one resident who used a urinary catheter (tube inserted into the bladder to drain urine into a collection bag) by failing to place the urinary drainage bag in a dignity cover for Resident (R)173. Findings included: - R173's Electronic Health Record (EHR) revealed diagnoses of chronic kidney disease and benign prostatic hyperplasia (non-cancerous enlargement of the prostate which can lead to interference with urine flow, urinary frequency and urinary tract infections). The admission Minimum Data Set (MDS) was incomplete as R173 admitted five days prior to the survey. The Baseline Care Plan dated 12/22/21 revealed R173 used a urinary catheter. The Physician Orders included an order dated 12/23/21 for an indwelling urinary catheter. Observation on 12/27/21 at 10:06 AM revealed R173 sat in his room in a wheelchair and ate breakfast and watched television. A catheter bag attached underneath his wheelchair had no…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
Show the remaining 8 citations
- Potential for harm · D2021-12-29 · tag F0623 — isolatedProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility census totaled 23 residents with 12 included in the sample. Based on observation, interview, and record review the facility failed to provide written notice of hospitalization to the State Ombudsman for Resident (R)19's hospitalization on 12/22/21 and R 174's hospitalization on 12/06/21. Findings included: - Resident (R) 19's signed Physician Orders dated 11/25/20 revealed the following diagnoses: dysphagia (difficulty swallowing), chronic obstructive pulmonary disease (COPD- progressive and irreversible condition characterized by diminished lung capacity and difficulty or discomfort in breathing), type 2 diabetes mellitus (when the body cannot use glucose, not enough insulin is made or the body cannot respond to the insulin), CVA- (Cerebral Vascular Accident, commonly known as a stroke, sudden death of brain cells due to lack of oxygen caused by impaired blood flow to the brain by blockage or rupture of an artery to the brain) and dementia (progressive mental disorder characterized by failing…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2021-12-29 · tag F0625 — isolatedNotify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility census totaled 23 residents with 12 included in the sample. Based on observation, interview, and record review the facility failed to provide the resident or the resident's represetative a Bed Hold Policy upon the hospitalization transfer on 12/22/21 of R19 and for the hospitalitzaiton transfer of R174 on 12/06/21. Findings included: - Resident (R) 19's signed Physician Orders dated 11/25/20 revealed the following diagnoses: dysphagia (difficulty swallowing), chronic obstructive pulmonary disease (COPD, progressive and irreversible condition characterized by diminished lung capacity and difficulty or discomfort in breathing), type 2 diabetes mellitus (when the body cannot use glucose, not enough insulin is made or the body cannot respond to the insulin), CVA (cerebral vascular accident/stroke, sudden death of brain cells due to lack of oxygen caused by impaired blood flow to the brain by blockage or rupture of an artery to the brain). The Annual Minimum Data Set (MDS) dated [DATE] revealed a Brief…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2021-12-29 · tag F0657 — failed to keep the care plan current — isolatedDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility census totaled 23 residents with 12 included in the sample. Based on observation, interview and record review the facility failed to revise the care plan to include coordination of the nursing care provided by the facility with the care provided by hospice. Resident (R) 13. Findings Included: - Resident (R)13's signed Physician Orders dated 12/15/21 revealed the following diagnoses: dementia (progressive mental disorder characterized by failing memory, confusion), Alzheimer's disease (progressive mental deterioration characterized by confusion and memory failure), dysphagia (difficulty swallowing) due to CVA (Cerebral Vascular Accident commonly known as a stroke, sudden death of brain cells due to lack of oxygen caused by impaired blood flow to the brain by blockage or rupture of an artery to the brain ). Review of the Significant Change in Status Minimum Data Set (MDS) dated [DATE] revealed the resident had severely impaired cognition. The resident was totally dependent on two staff for all care.…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2021-12-29 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility census totaled 23 residents with 12 included in the sample. Based on observation, interview, and record review the facility failed to coordinate nursing care provided by the facility with the care provided by hospice for Resident (R) 13. Findings included: - R 13's signed Physician Orders dated 12/15/21 revealed the following diagnoses: dementia (progressive mental disorder characterized by failing memory, confusion), Alzheimer's disease (progressive mental deterioration characterized by confusion and memory failure), dysphagia (difficulty swallowing) due to CVA (Cerebral Vascular Accident commonly known as a stroke, sudden death of brain cells due to lack of oxygen caused by impaired blood flow to the brain by blockage or rupture of an artery to the brain ). Review of the Significant Change in Status Minimum Data Set (MDS) dated [DATE] revealed the resident had severely impaired cognition. The resident was totally dependent on two staff for all care. The resident received all nutrition and…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2021-12-29 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolatedProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
What the surveyor found here — an excerpt from the official record, may be distressing
The facility reported a census of 23 residents with 12 included in the sample. Based on observation, interview, and record review the facility failed to provide necessary services to decrease the risk of a urinary tract infection when the staff failed to ensure Resident (R)173's urinary catheter drainage bag did not come in direct contact with the floor. Findings included: - R173's Electronic Health Record (EHR) revealed diagnoses of chronic kidney disease and benign prostatic hyperplasia (non-cancerous enlargement of the prostate which can lead to interference with urine flow, urinary frequency and urinary tract infections). The admission Minimum Data Set (MDS) was incomplete as R173 admitted five days prior to the survey. The Baseline Care Plan dated 12/22/21 revealed R173 used a urinary catheter. The Physician Orders included an order dated 12/23/21 for an indwelling urinary catheter. Observation on 12/27/21 at 10:06 AM revealed R173 sat in his room in a wheelchair and ate breakfast and watched television. A catheter bag attached underneath his wheelchair with the tubing looped…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2021-12-29 · tag F0756 — failed to review each resident's drug regimen — isolatedEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
What the surveyor found here — an excerpt from the official record, may be distressing
The facility had a census of 23 residents, with 12 residents sampled, and five reviewed for unnecessary medications. Based on observation, interview and record review the facility failed to ensure the Consulting Pharmacist identified the lack of an end date for as needed (PRN) psychotropic (relating to or denoting drugs that affect a person's mental state) medications administered past 14 days for Resident (R) 9. Findings included: - R9's signed Physician Orders dated 11/30/21 revealed the following diagnoses: atherosclerotic heart disease (when the arteries become narrowed and hardened due to buildup of plaque or fat in the artery wall), complete traumatic amputation (Removal of a body part) of left great toe, amputation at level between knee and ankle left lower leg. The admission Minimal Data Set (MDS) dated 12/29/20 revealed a brief interview for mental status (BIMS) score of 15 indicating intact cognition. The resident required extensive assistance of one staff with daily cares. Medications included insulin, antidepressants, antibiotic, diuretic, and opioid medications seven…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2021-12-29 · tag F0758 — failed to limit and justify psychotropic drugs — isolatedImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
What the surveyor found here — an excerpt from the official record, may be distressing
The facility had a census of 23 residents with 5 residents reviewed for unnecessary medications. Based on observation, interview, and record review the facility failed to ensure Resident (R)9's as needed (PRN) psychotropic medication had the appropriate end date. Findings included: R9's signed Physician Orders dated 11/30/21 revealed the following diagnoses: atherosclerotic heart disease (when the arteries become narrowed and hardened due to buildup of plaque or fat in the artery wall), complete traumatic amputation (removal of a body part) of left great toe, amputation at level between knee and ankle left lower leg. The admission Minimal Data Set (MDS) dated 12/29/20 revealed a brief interview for mental status (BIMS) score of 15 indicating intact cognition. The resident required extensive assistance of one staff with daily cares. Medications included insulin, antidepressants, antibiotic, diuretic, and opioid medications seven days of the observation period. The Quarterly MDS dated 10/15/21 revealed a BIMS score of 15 indicating intact cognition. The resident required extensive…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- No harm found · Ccited before2025-04-10 · tag F0880 — failed to prevent and control infections — widespreadProvide and implement an infection prevention and control program.
What the surveyor found here — the official record, unedited, may be distressing
The facility reported a census of 23 residents. The sample included 12 residents. Based on observation, interview, and record review, the facility failed to develop and implement, including an annual review, of the facility's infection control policy. Findings included: - During an interview on 04/10/25 at 12:19 PM, Administrative Nurse B reported that the facility lacked an annual review of the infection control policy that was last reviewed on 11/22/20. Additionally, she expected staff to remove the PPE correctly to prevent cross-contamination. The facility's policy Infection Control dated 11/22/2020 documented the facility would facilitate safe care for all elders and staff with known or suspected communicable diseases by establishing and maintaining an infection prevention and control program. The program would follow the accepted national standards.
“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
No federal fines in the current CMS record.
Who owns this facility
| Owner / manager | Type | Role | Since |
|---|---|---|---|
| Ownership Data Not Available |
The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.
What families pay in KS
CMS lists this home as Medicaid-certified only — it can accept Medicaid for long-term care, but it is not Medicare-certified, so Medicare will not pay for a short rehabilitation (“skilled nursing”) stay here. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Kansas Medicaid page.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 17E630. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-04-10, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →
Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →
Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.