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Attica Long Term Care Facility

302 N Botkin, Attica, KS 67009 · Government - Hospital district · 48 certified beds · (620) 254-7253 Medicaid only — no Medicare

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Flagged for abuseBehavioral-health or dementia-care citation — no harm found (F0758)1 actual-harm citation1 immediate-jeopardy citation CMS recorded as corrected before the inspection ended (past non-compliance)
Insights

This home has serious findings on its record. Read them closely before you consider it.

In its favor
  • no federal fines or payment denials on record
  • a high payroll-based staffing rating (5/5)
Worth asking about
  • CMS has flagged it for abuse
  • it has an abuse, neglect, or exploitation citation (F0600), cited Nov 2025
  • it has 1 actual-harm citation
  • 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 (18) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its payroll-based staffing score sits well above its independent inspection score
  • its independent health-inspection 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.

3/5
CMS overall
3 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 2 of 5
StaffingFrom payroll records (PBJ) 5 of 5
Quality measuresSelf-reported by the facility 3 of 5

Worth a closer look. This home's staffing rating runs 3 stars above its independent health-inspection score. The inspection is done by state surveyors; the staffing score rests on the facility's own payroll (PBJ) submissions — so a gap this large is worth reading the inspection record for.

Location & what’s nearby

Hospital
Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
301 E Central Ave · (580) 273-1507 · Call to confirm hours
Pharmacy
1404 Maple St · (620) 896-7700 · Call to confirm hours
Grocery
202 N Main St · (620) 915-2158 · Call to confirm hours
Park
Well Rd · (620) 227-8609 · Typically dawn to dusk
Place of worship
302 W Avenue C · (620) 254-7802

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 3 of 5
Long-stay residentspeople who live here 3 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 fell from 5 to 3 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.

Overall rating3★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased13.7%17.9%15.4%better
Long-stay residents who lose too much weight9.1%4.9%5.4%worse
Long-stay residents with a catheter left in their bladder0.0%1.6%0.9%better
Long-stay residents with a urinary tract infection3.1%2.9%2.0%worse
Long-stay residents with depressive symptoms2.9%6.5%6.5%better
Long-stay residents who were physically restrained0.0%0.0%0.1%better than state — see note marked double-dagger below the table
Long-stay residents with falls causing major injury6.9%4.3%3.3%worse
Long-stay residents whose ability to walk worsened9.5%16.2%16.1%better
Long-stay residents on antianxiety or hypnotic medication28.8%23.2%18.9%worse
Long-stay residents given the seasonal flu vaccine100.0%95.5%95.3%typical
Long-stay residents with pressure ulcers3.1%4.4%4.7%better
Long-stay residents with worsening bladder/bowel control21.1%22.6%21.2%typical
Long-stay residents who got an antipsychotic medication — see the note below the table14.9%18.1%17.1%better
Long-stay hospitalizations per 1,000 resident days2.091.801.67worse
Long-stay outpatient ER visits per 1,000 resident days2.612.131.80worse

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

0.53
RN hours/ resident / day
0.37
LPN hours/ resident / day
3.05
Aide hours/ resident / day
3.95
Total nurse hours/ resident / day
0.35
RN hoursweekends
36.2%
Total nursing turnover
0.0%
RN turnover

How full it usually is: this home is certified for 48 beds and averages 43.2 residents a day — about 90% occupied, or roughly 5 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 3.95 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.53 is below the 0.55-hour RN benchmark and nurse-aide staffing of 3.05 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 3.49 hrs/resident/day on weekends vs 4.13 on weekdays — 16% thinner on weekends. RN hours go from 0.61 to 0.35 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 36% is about the same as 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

8
deficiencies at the latest standard inspection (2025-06-11)
7
at the previous standard inspection (2023-08-23)

Deficiencies are more than at the previous inspection — worsening. 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.

ABCDEFGHIJKL

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.

18 citations, most serious first. The 12 most serious are shown; the remaining 6 are one tap away and print in full.

  • Immediate jeopardy · J2025-11-18 · tag F0600 — failed to protect residents from abuse and neglect — isolated
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    What the surveyor found here — an excerpt from the official record, may be distressing

    The facility reported a census of 44 residents. The sample included five residents who were reviewed for abuse. Based on observation, interview, and record review, the facility failed to ensure residents remained free from resident-to-resident abuse. On 08/29/25 at approximately 01:10 PM, Resident (R)l, a cognitively impaired resident with a known history of aggression towards staff and other residents, approached her roommate, R2, in the common area, placed her hands around R2's neck, and began choking her. Staff heard the altercation, responded and intervened, though R1 continued to pull R2's hair while staff attempted to separate them. Staff separated the residents and assessed them. R1 had a small cut to her face and R2 had redness around her neck but no other visible injuries. The facility's failure to ensure residents remained free from abuse placed R2 in Immediate Jeopardy. Findings included:- R1's Electronic Health Record (EHR) documented diagnoses that included unspecified dementia (a progressive mental disorder characterized by failing memory and confusion) and Alzheimer's…

    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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Past Non-Compliance
  • Actual harm · G2025-06-11 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
    Provide enough food/fluids to maintain a resident's health.
    What the surveyor found here — an excerpt from the official record, may be distressing

    The facility identified a census of 36 residents. The sample included 13 residents with two residents sampled for nutrition. Based on observation, interview, and record review, the facility failed to provide care and services, which included supplemental nutrition and failed to follow the Registered Dietician (RD) recommendations to maintain acceptable parameters of nutritional status for Resident (R) 19. As a result of the facility failures, R19 had a significant unintended weight loss of 11.48 percent (%) over three months. This deficient practice also placed the resident at risk for malnutrition and further weight loss. Findings included: - R19's Electronic Medical Record (EMR) revealed the following diagnoses: dementia (a progressive mental disorder characterized by failing memory and confusion) with agitation. R19's 03/17/25 admission Minimum Data Set (MDS) documented a Brief Interview for Mental Status (BIMS) score of three, indicating severely impaired cognition. The MDS recorded R19's weight was 136 pounds, and she had no known weight loss. She consumed a regular textured…

    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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2025-06-11 · tag F0880 — failed to prevent and control infections — widespread
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    The facility reported a census of 36 residents. The sample included 13 residents. Based on interviews, record reviews, and observation, the facility staff failed to implement adequate and acceptable infection control practices related to hand hygiene and laundry services. This deficient practice placed the residents at risk for infections. Findings included: - During an observation on 06/09/25 at 03:36 PM, Dietary CC delivered clean laundry to the resident rooms of the 300 hallway and did not sanitize hands before or after delivering clean laundry to each room. During an observation on 06/10/25 at 12:50 PM, Certified Nurse Aide (CNA) M wiped a resident's buttock with gloved hands. Upon completion, CNA M did not change gloves or complete hand hygiene before placing a clean brief on the resident. During an interview on 06/10/25 at 09:08 AM, Administrative Nurse D reported that hand sanitizing should be done whenever staff went in or out of rooms regardless of the situation. During an interview on 06/10/25 at 01:05 PM, CNA M stated that she had dirty gloves on when she placed the clean…

    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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-06-11 · tag F0552 — pattern
    Ensure that residents are fully informed and understand their health status, care and treatments.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY R12's Electronic Medical Record (EMR) included the following diagnoses: post-traumatic stress disorder (PTSD- a mental disorder characterized by an acute emotional response to a traumatic event or situation involving severe environmental stress), anxiety (mental or emotional reaction characterized by apprehension, uncertainty, and irrational fear) and depression (a mood disorder that causes a persistent feeling of sadness and loss of interest). R12's Annual Minimum Data Set (MDS), dated [DATE], documented the staff assessment for cognition revealed moderately impaired cognition. He received antianxiety (a class of medications that calm and relax people) and an antidepressant (a class of medications used to treat mood disorders) during the assessment period. R12's Psychoactive Medications Care Area Assessment (CAA), dated 12/09/24, documented the resident received medications to treat the signs and symptoms of anxiety and depression. R12's Quarterly MDS, dated 03/10/25, documented the staff assessment 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-06-11 · tag F0580 — failed to tell family and doctor about changes — isolated
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    The facility identified a census of 36 residents. The sample included 13 residents with two residents sampled for nutrition. Based on observation, interview, and record review, the facility failed to notify the physician of significant weight changes in Resident (R) 19 who had a significant weight. This deficient practice also had the potential to negatively affect the resident's physical well-being and nutritional status. Findings: - R19's Electronic Medical Record (EMR) revealed the following diagnoses: dementia (a progressive mental disorder characterized by failing memory and confusion) with agitation. R19's 03/17/25 admission Minimum Data Set (MDS) documented a Brief Interview for Mental Status (BIMS) score of three, indicating severely impaired cognition. The MDS recorded R19 ' s weight was 136 pounds, and she had no known weight loss. She consumed a regular textured diet with no eating or swallowing concerns. The 03/17/25 Cognitive Loss / Dementia (CAA) documented R19 admitted to the facility after having a month-long stay at a behavioral health facility to address…

    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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-06-11 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    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 36 residents with 13 residents sampled, including two residents reviewed for activities of daily living (ADL). Based on observation, interview, and record review, the facility failed to provide nail care for Resident (R)23 which placed the resident at risk for skin issues. Findings included: - R23's Electronic Medical Record (EMR) included the following diagnoses: dementia (a progressive mental disorder characterized by failing memory and confusion) and weakness (lacking strength). R23's Annual Minimum Data Set (MDS), dated [DATE], documented the staff assessment for cognition revealed moderately impaired cognition. She was dependent on staff for personal hygiene. Review of the Functional Abilities Care Area Assessment (CAA), dated 08/19/24, documented the resident required staff assistance with all activities of daily living (ADL). R23's Quarterly MDS, dated 03/17/25, documented the staff assessment for cognition revealed moderately impaired cognition. She was dependent on…

    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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-06-11 · tag F0679 — failed to provide activities — isolated
    Provide activities to meet all resident's needs.
    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 36 residents with 13 residents sampled, including two residents reviewed for activities. Based on observation, interview, and record review the facility failed to implement an ongoing, resident-centered activity program for Resident (R)12, to meet his interests and preferences. This placed the resident at risk of boredom and isolation. Findings included: - R12's Electronic Medical Record (EMR) revealed a diagnosis of dementia (a progressive mental disorder characterized by failing memory and confusion). R12's Annual Minimum Data Set (MDS), dated [DATE], documented the staff assessment for cognition revealed moderately impaired cognition. The MDS recorded it was somewhat important for him to have books, newspapers, and magazines to read, and he enjoyed listening to music he liked and to participate in religious practices. It was very important for him to keep up with the news and to do his favorite activities. He had no impairment in functional range of motion (ROM) and was able…

    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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-06-11 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure 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 - R23's Electronic Medical Record (EMR) included the following diagnoses: dementia (a progressive mental disorder characterized by failing memory and confusion) and weakness (lacking strength). R23's Annual Minimum Data Set (MDS), dated [DATE], documented the staff assessment for cognition revealed moderately impaired cognition. She was dependent on staff for wheelchair mobility. Review of the Functional Abilities Care Area Assessment (CAA), dated 08/19/24, documented the resident required staff assistance with all activities of daily living (ADL). R23's Quarterly MDS, dated 03/17/25, documented the staff assessment for cognition revealed moderately impaired cognition. She was dependent on staff for wheelchair mobility. R23's Care Plan, revised 03/25/25, instructed staff the resident was dependent on staff for wheelchair mobility. On 06/09/25 at 08:13 AM, Certified Nurse Aide (CNA) M propelled the resident in her wheelchair. The resident's right shoed foot was off the foot pedal and skimmed the floor during…

    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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-08-23 · tag F0636 — isolated
    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
    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 37 residents with 12 included in the sample. Based on observation, interview, and record review the facility failed to develop a comprehensive assessment Resident (R) 20 when they failed to include oxygen services (O2) and hospice services on the Quarterly Minimum Data Set (MDS) dated [DATE]. Findings included: - R20's Electronic Medical Record (EMR) revealed a diagnosis of metastatic lung cancer (cancer that has spread to other organs). The Significant Change in Status Minimum Data Set (MDS) dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 15, indicating intact cognition. The resident received extensive assistance with transfers and toileting. The MDS lacked documentation the resident required O2 therapy and received hospice services. The Quarterly MDS dated [DATE] revealed a BIMS of 14, indicating intact cognition. The resident required extensive assistance of one to two staff for cares. The resident received pain medication on schedule. The MDS lacked…

    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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-08-23 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    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 had a census of 37 residents, with 12 residents included in the sample. Based on observation, interview, and record review, the facility failed to develop a comprehensive care plan for three Residents (R)13, R20, and R27, regarding the use of a nebulizer (a device that delivers medication as a mist to the lungs) and oxygen (a treatment that provides extra to breath in). Findings included: - R13's Physician Orders dated 06/15/23, revealed the following diagnoses included congestive heart failure (a condition with low heart output and the body becomes congested with fluid) and chronic obstructive pulmonary disease (COPD is a progressive and irreversible condition characterized by diminished lung capacity and difficulty or discomfort in breathing). The Annual Minimum Data Set dated 07/03/23, revealed a Brief Interview for Mental Status score of 15, indicating intact cognition. The resident had shortness of breath. The resident received oxygen therapy. The Care Plan dated 04/13/23 failed to include…

    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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-08-23 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    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 37 with 12 residents included in the sample. Based on observations, interview and record review the facility failed to provide activities of daily living (ADL) for resident (R)5 regarding nail care. Findings included: - The Physician Order dated 06/08/23, revealed the following diagnosis included cerebrovascular accident (sudden death of brain cells due to lack of oxygen cause by impaired blood flow to the brain by blockage or rupture of an artery to the brain). The admission Minimum Data Set (MDS) dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 99, indicating severely impaired cognition. R5 required extensive assistance of one to two persons with activities of daily living (ADL) that included bed mobility, transfers, dressing and personal hygiene. The ADL Functional /Rehabilitation Potential Care Area Assessment (CAA) dated 08/07/23, revealed R5 had right sided weakness following a stroke. The CAA further revealed R5 fed himself and received Hospice…

    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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-08-23 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when needed.
    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 had a census of 37 residents, with 12 residents included in the sample, that included three residents reviewed for respiratory care. Based on observation, interview, and record review, the facility failed to provide necessary respiratory care consistent with professional standards of practice regarding the use of a nebulizer (a device that delivers medication as a mist to the lungs) and oxygen (a treatment that provides extra to breath in) for Resident (R)13, R20, and R27. Findings included: - R13's Physician Orders, dated 06/15/23 revealed the following diagnoses that included congestive heart failure (a condition with low heart output and the body becomes congested with fluid) and chronic obstructive pulmonary disease (COPD, a progressive and irreversible condition characterized by diminished lung capacity and difficulty or discomfort in breathing). The Annual Minimum Data Set dated 07/03/23, revealed a Brief Interview for Mental Status score of 15, indicating intact cognition. The MDS further…

    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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
Show the remaining 6 citations
  • Potential for harm · Dcited before2023-08-23 · tag F0756 — failed to review each resident's drug regimen — isolated
    Ensure 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility reported a census of 37 residents with 12 residents included in the sample and five residents reviewed for unnecessary medications. Based on observation, interview, and record review the facility failed to ensure the consultant pharmacist identified the range or parameters for blood pressure for Resident (R) 8. Findings included: - The Physician Orders dated 07/01/23 revealed the resident had a diagnosis of hypertension (elevated blood pressure). The Annual Minimum Data Set (MDS) dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 03, indicating severely impaired cognition. Review of the Medication Administration Record (MAR) from 12/01/22 to 08/20/23 revealed the resident had orders for Lisinopril-Hydrochlorothiazide (medication used to lower blood pressure) and Metoprolol (medication uses to lower blood pressure). Review of the resident's blood pressures on the Vitals Sheet from 12/01/22 to 08/20/23 lacked evidence the facility notified the physician when the resident's blood…

    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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-08-23 · tag F0757 — failed to avoid unnecessary drugs — isolated
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    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 37 residents with 12 residents included in the sample and five residents reviewed for unnecessary medications. Based on observation, interview, and record review the facility failed to ensure the efficacy of blood pressure medication for Resident (R) 8, when facility staff did not notify the physician of blood pressure readings out of the professional standards for normal blood pressure range. Findings included: - The Physician Orders dated 07/01/23 revealed the resident had a diagnosis of hypertension (elevated blood pressure). The Annual Minimum Data Set (MDS) dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 03, indicating severely impaired cognition. Review of the Medication Administration Record (MAR) from 12/01/22 to 08/20/23 revealed the resident had orders for Lisinopril-Hydrochlorothiazide (medication used to lower blood pressure) and Metoprolol (medication uses to lower blood pressure). Review of the Vitals Sheet from 12/01/22 to 08/20/23 lacked…

    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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-08-23 · tag F0880 — failed to prevent and control infections — isolated
    Provide 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 census totaled 37 residents with 12 residents included in the sample. Based on observation, interview, and record review the facility failed to provide a sanitary environment by the failure to keep R20's oxygen cannula in a clean bag and off the floor and clean the nebulizer equipment between uses for R20, R27, and R13. Findings included: - R20's Electronic Medical Record (EMR) revealed the resident had a diagnosis of metastatic lung cancer (cancer that has spread to other organs). The Significant Change in Status Minimum Data Set (MDS) dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 15, indicating intact cognition. The resident received extensive assistance with transfers and toileting. The MDS lacked documentation the resident required oxygen (O2) therapy and received hospice services. The Quarterly MDS dated 07/31/23 revealed a BIMS of 14, indicating intact cognition. The resident required extensive assistance of one to two staff for cares. The resident received pain…

    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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2021-11-16 · tag F0756 — failed to review each resident's drug regimen — isolated
    Ensure 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility census totaled 40 residents with five residents reviewed for unnecessary medications. Based on observation, interview, and record review the facility failed to ensure the pharmacist identified and reported the use of as needed (PRN) Lorazepam (psychotropic antianxiety medication) longer than 14 days without a renewed physician order or rationale by the physician for the continued administration of the psychotropic medication on a PRN basis for Resident (R)38. Findings included: - The Electronic Health Record (EHR) under the Diagnosis and Problems tab documented diagnoses for R38 which included dementia (a progressive mental disorder characterized by failing memory, confusion), depressive disorder (an abnormal emotional state characterized by exaggerated feelings of sadness, worthlessness, emptiness and hopelessness), pain, restlessness and agitation (a feeling of aggravation or restlessness brought on by a provocation or a medical condition). The Significant Change Minimum Data Set (MDS) dated…

    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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2021-11-16 · tag F0758 — failed to limit and justify psychotropic drugs — isolated
    Implement 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility census totaled 40 residents with five residents reviewed for unnecessary medications. Based on observation, interview, and record review the facility failed to ensure one of five residents did not received unnecessary medications when the facility administered Resident (R)38's as needed (PRN) Lorazepam (psychotropic antianxiety medication) longer than 14 days, without a renewed physician order or rationale by the physician for the continued administration of the psychotropic medication on a PRN basis. Findings included: - The Electronic Health Record (EHR) under the Diagnosis and Problems tab documented diagnoses for R38 which included dementia (a progressive mental disorder characterized by failing memory, confusion), depressive disorder (an abnormal emotional state characterized by exaggerated feelings of sadness, worthlessness, emptiness and hopelessness), pain, restlessness and agitation (a feeling of aggravation or restlessness brought on by a provocation or a medical condition). 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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • No harm found · C2025-06-11 · tag F0921 — failed to keep a safe, functional, sanitary building — widespread
    Make 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 — an excerpt from the official record, may be distressing

    The facility reported a census of 36 residents. The sample included 13 residents. Based on interviews, record reviews, and observation, the facility failed to ensure a safe environment in all areas of the facility including the laundry area. This deficient practice created the risk of an unsanitary environment. Findings included: - During an observation on 06/10/25 at 01:50 PM the clean clothes folding counter in the laundry washing and folding area had a patched hole three feet long and six inches wide that was patched with a piece of plain plywood. The observation also revealed several chipped areas in the folding counter. During an observation on 06/10/25 at 02:07 PM the clean linen storage closet had several ceiling tiles with broken areas that created large gaps and there was a large hole in one that had a plastic cover that did not entirely cover the hole, leaving gaps. During an interview on 06/11/25 at 08:23 AM, Housekeeping/Maintenance V reported that there was a repair request system that allowed staff to submit repair requests. Maintenance V also stated that he maintained…

    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.

    Environmental Deficiencies · Deficient, Provider has date of correction

“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.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • 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.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

Owner / managerTypeRoleSince
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

Paying with Medicaid

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.

Typical monthly cost in Kansas
$8,669/mo
Nursing home (semi-private)
$9,064/mo
Nursing home (private)
$5,975/mo
Assisted living

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 17E534. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-06-11, 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.

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