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Baldwin Healthcare & Rehab Center, LLC

1223 Orchard Lane, Baldwin City, KS 66006 · For profit - Corporation · 60 certified beds · (785) 594-6492 Medicare & Medicaid certified

Call the home — (785) 594-6492 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Behavioral-health or dementia-care citation — no harm found (F0758)
Insights

On the public record, this home looks stronger than most — but visit before you decide.

In its favor
  • a strong health-inspection score (5/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
  • no federal fines or payment denials on record
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • a high number of inspection citations overall (20) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • about 19% of its spending goes to commonly-owned related companies

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.

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

Location & what’s nearby

Hospital
★★★ 3/5 CMS
Urgent care / clinic
810 High St · (785) 229-3367 · Call to confirm hours
Pharmacy
112 8th St · (785) 594-6867 · Call to confirm hours
Grocery
814 High St · (785) 393-0532 · Call to confirm hours
Park
1698 N 400th Rd · Typically dawn to dusk
Place of worship

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 5 of 5
Long-stay residentspeople who live here 5 of 5
Short-stay residentsrehab / post-hospital 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 improved from 2 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.

Overall rating5★
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 increased5.8%17.9%15.4%better
Long-stay residents who lose too much weight6.8%4.9%5.4%worse
Long-stay residents with a catheter left in their bladder0.5%1.6%0.9%better
Long-stay residents with a urinary tract infection0.6%2.9%2.0%better
Long-stay residents with depressive symptoms3.0%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 injury0.6%4.3%3.3%better
Long-stay residents whose ability to walk worsened9.2%16.2%16.1%better
Long-stay residents on antianxiety or hypnotic medication14.8%23.2%18.9%better
Long-stay residents given the seasonal flu vaccine100.0%95.5%95.3%typical
Long-stay residents with pressure ulcers5.9%4.4%4.7%worse
Long-stay residents with worsening bladder/bowel control31.0%22.6%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table2.0%18.1%17.1%better
Short-stay residents who newly got an antipsychotic medication0.0%1.9%1.4%better
Short-stay residents given the seasonal flu vaccine97.8%73.8%79.4%better
Short-stay residents rehospitalized after admission23.6%22.4%22.6%typical
Short-stay residents with an outpatient ER visit13.1%11.5%12.0%typical
Long-stay hospitalizations per 1,000 resident days1.311.801.67better
Long-stay outpatient ER visits per 1,000 resident days0.582.131.80better

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.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

59.6% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 88 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

59.6%U.S. median 51.5%
Got home and stayed home
9.2%U.S. median 10.7%
Went back to hospital
40.7%U.S. median 56.6%
Met the expected recovery
0.41U.S. median 0.31
Therapy hours / resident / day
0.15hours / resident / day
Physical therapy
0.24hours / resident / day
Occupational therapy
0.02hours / resident / day
Speech therapy

Met the expected recovery: 40.7% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 54 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.41 therapist hours per resident per day in 2026Q1 — more than 71% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 7% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF59.6%CMS range 51.0–69.751.5%Oct 2022–Sep 2024better than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF9.2%CMS range 6.8–13.010.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge40.7%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge33.3%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge37.0%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care settingnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge92.6%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.0%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened2.9%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization6.7%CMS range 4.1–12.47.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.881.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.56
RN hours/ resident / day
0.59
LPN hours/ resident / day
2.28
Aide hours/ resident / day
3.43
Total nurse hours/ resident / day
0.31
RN hoursweekends
46.7%
Total nursing turnover
37.5%
RN turnover

How full it usually is: this home is certified for 60 beds and averages 52.6 residents a day — about 88% occupied, or roughly 7 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 3.43 hrs/resident/day is below 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 2.28 is below 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 3.19 hrs/resident/day on weekends vs 3.53 on weekdays — 10% thinner on weekends. RN hours go from 0.65 to 0.31 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 47% 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

4
deficiencies at the latest standard inspection (2026-04-15)
10
at the previous standard inspection (2024-06-12)

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.

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.

20 citations, most serious first. The 10 most serious are shown; the remaining 10 are one tap away and print in full.

  • Potential for harm · E2026-04-15 · tag F0761 — failed to label and store drugs safely — pattern
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, and interviews, the facility failed to appropriately store medications and biologicals when staff set up 11 residents' medication early and placed them in medication cups in the medication cart, labeled with resident's initials but lacking the required information regarding each medication (prescription and dosing information).Findings included:- On 04/13/26 at 07:42 AM, the medication carts were placed outside the dining room. Inspection of the medication carts revealed 11 medication cups marked with initials that contained medications. The medication cups were stored in the top left-hand drawer of the medication cart. The cups did not have names of the medications contained, the dose, or administration instructions.On 04/13/26 at 07:46 AM, Certified Medication Aide (CMA) S stated the facility's policy was to pop medication from bubble packs, right before administration of the medication to the residents. She stated medication should not be popped out of medication cards and placed into medication cups before a resident is ready to take 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
  • Potential for harm · Ecited before2026-04-15 · tag F0880 — failed to prevent and control infections — pattern
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, and interview, the facility failed to ensure Enhanced Barrier Precautions (EBP-infection control interventions designed to reduce transmission of resistant organisms which employ targeted gown and glove use during high contact care) were in place for Resident (R) 7 who had a Stage 3 (full-thickness pressure injury extending through the skin into the tissue below) pressure ulcer (localized injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure, or pressure in combination with shear and/or friction) to the sacral (tailbone) area and failed to ensure staff used the appropriate personal protective equipment (PPE- gowns, face shields and/or eyeglasses/goggles, and gloves) while providing wound care to R7. Findings included:- On 04/15/26 at 08:54 AM, Administrative Nurse E entered R7's room and washed her hands (no EBP sign was noted in the room or on R7's door) but did not wear a gown. Certified Nurse Aide (CNA) M was already in R7's room and had gloved hands but did not wear a gown. R7's bedside table had…

    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 before2026-04-15 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
    Reasonably accommodate the needs and preferences of each resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interviews, observation, and record review the facility failed to ensure Resident (R) 2's needs were met when staff failed to provide R2 with a call light in order to communicate her needs and wants to staff.Findings included:- R2's Electronic Medical Record (EMR) from the Diagnosis tab documented diagnoses of cerebral infarction (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), cognitive communication deficit (an impairment in organization, sequencing, attention, memory, planning, problem-solving, and safety awareness), and dysphagia (swallowing difficulty).The Quarterly Minimum Data Set (MDS) dated 11/25/25 documented a Brief Interview of Mental Status (BIMS) score of 14 which indicated intact cognition. The MDS documented R1 had limited range of motion (ROM- the full movement potential of a joint, usually its range of flexion and extension) to her upper and lower extremities on one side of her body. The MDS documented R2 was dependent on staff assistance with…

    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 before2024-09-24 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility identified a census of 51 residents. The sample included four residents reviewed for dignity and resident rights. Based on record review, observation, and interview the facility failed to maintain an environment that treated Resident (R) 1 with respect and dignity and maintained or enhanced R1's quality of life. This placed R1 at risk for impaired dignity. Findings included: - The Electronic Medical Record (EMR) documented R1 was admitted to the facility on [DATE] following hospitalization for a cerebral vascular accident (CVA-stroke- a medical emergency that occurs when blood flow to the brain is blocked or reduced). The EMR further recorded diagnoses of rhabdomyolysis (a breakdown of skeletal muscle due to direct or indirect muscle injury); bacteremia (presence of bacteria in the blood); urinary tract infection (infection of any part of the urinary system, including kidneys, ureters, bladder, and urethra) and hypertension (elevated blood pressure). The Medicare 5-day 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-06-12 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
    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

    The facility had a census of 53 residents. The sample included 16 residents with two reviewed for accidents. Based on observation, record review, and interview the facility failed to secure hazardous cleaning chemicals in a safe, locked area, and out of reach of the seven cognitively impaired, independently mobile residents. This placed the affected residents at risk for preventable accidents. Findings Included: - On 06/10/24 at 07:10 AM an inspection of the facility's south hall revealed an unattended shower room with the entry door propped open. An inspection of an unlocked closet inside the shower room revealed a full-gallon bottle of bleach, purple disinfectant wipes, and several cleaning spray cans left on the shelf inside the closet. All the cleaning products identified contained the warning, Keep out of reach of children, hazardous to humans can cause eye irritation, harmful if swallowed. An unsecured closet had a sign with Door should be locked at all times on it. An unidentified staff member secured the closet door at 07:12 AM. On 06/12/24 at 12:04 PM Certified Nurses Aid…

    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 · Ecited before2024-06-12 · tag F0880 — failed to prevent and control infections — pattern
    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 identified a census of 53 residents. The facility identified 11 residents on enhanced barrier precautions (EBP-infection control interventions designed to reduce transmission of resistant organisms which employs targeted gown and glove use during high contact care). Based on record review, observations, and interviews, the facility failed to follow sanitary infection control standards related to enhanced barrier precautions, wound care, disinfection of mechanical lifts, and maintaining oxygen therapy equipment. These deficient practices placed the residents at risk for infectious diseases. Findings Included: - On 06/10/24 at 07:08 AM an inspection of Resident (R) 1's room revealed her supplemental oxygen tubing rested on the back of her wheelchair next to her canister. No clean bag or storage device was in the room to store the oxygen equipment when not in use. On 06/10/24 at 07:08 AM R7's oxygen tubing and nasal cannula lay under her bed. No clean bag or storage device was in the room to store the oxygen therapy equipment when not in use. On 06/10/24 at 07:08 AM R25'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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-06-12 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor 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 identified a census of 53 residents. The sample included 16 residents with one resident reviewed for dignity. Based on observation, interview, and record review, the facility failed to provide a dignified care environment for Resident (R)40, R41, and R256. This deficient practice placed the residents at risk for impaired dignity and quality of life. Findings Included: - On 06/10/24 at 07:52 AM an inspection of the hallway behind the activity room revealed a clear file box attached to the wall. A grievance form completed by Resident (R)256's resident representative was placed in the clear box with the details of the grievance visibly displayed. On 06/10/24 at 12:19 AM R41 sat in his Broda chair (specialized wheelchair with the ability to tilt and recline) in the dining room. R40's indwelling urinary catheter (a tube inserted into the bladder to drain urine into a collection bag) tubing ran down the right side of his chair and hung in the lower back of his chair. R41's urinary collection bag lacked a privacy (dignity) cover. Urine was visible in the collection bag. 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-06-12 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
    Reasonably accommodate the needs and preferences of each resident.
    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 identified a census of 53 residents. The sample included 16 residents. One resident was sampled for reasonable accommodations of resident needs and preferences. Based on observation, record review, and interview, the facility failed to ensure that resident (R)1 had foot pedals on her wheelchair while being pushed. This deficient practice left R1 vulnerable to preventable accidents and injuries due to unmet care needs. Findings included: - R1's Electronic Medical Record (EMR) from the Diagnoses tab documented diagnoses of depressive disorder (a mood disorder that causes a persistent feeling of sadness and loss of interest), pain, hypertension (HTN-elevated blood pressure), functional urinary incontinence, dysphagia (swallowing difficulty), bipolar disorder (major mental illness that caused people to have episodes of severe high and low moods), and congestive heart failure (CHF-a condition with low heart output and the body becomes congested with fluid). The admission 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-06-12 · tag F0655 — isolated
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    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 identified a census of 53 residents. The sample included 16 residents with one resident reviewed for a baseline care plan. Based on observation, record review, and interviews, the facility failed to develop a person-centered baseline care plan for Resident (R) 304 to include his hemodialysis (a procedure where impurities or wastes were removed from the blood) provider, days of the week, and time for dialysis. This deficient practice placed R304 at risk of impaired care related to uncommunicated care needs. Findings included: - R304's Electronic Medical Record (EMR) from the Diagnoses tab documented diagnoses of chronic kidney disease, pulmonary edema (accumulation of extravascular fluid in the lung tissues), and heart failure. R304 was admitted on [DATE] and transferred to the hospital on [DATE]. The admission Minimum Data Set (MDS) dated [DATE] documented a Brief Interview of Mental Status (BIMS) score of 13 which indicated intact cognition. The MDS documented R304 had received dialysis services…

    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 before2024-06-12 · 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 identified a census of 53 residents. The sample included 16 residents. Based on observation, record review, and interview, the facility failed to ensure Resident (R) 51's comprehensive care plan was updated to include staff direction on the collaboration between the dialysis (a procedure where impurities or wastes were removed from the blood) clinic and the facility. The facility failed to ensure the care plan was updated with interventions to direct staff on the days, times, location, and contact numbers of R51's dialysis treatment clinic. This placed R51 at risk for complications related to dialysis due to uncommunicated care needs. Findings included: - The Electronic Medical Record (EMR) for R51 documented diagnosis of end-stage renal disease (ESRD-a terminal disease of the kidneys) and type 2 diabetes mellitus (DM-when the body cannot use glucose, not enough insulin made, or the body cannot respond to the insulin). R51's admission Minimum Data Set (MDS) dated 05/24/24 documented R51 had 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
Show the remaining 10 citations
  • Potential for harm · D2024-06-12 · tag F0698 — failed to provide proper dialysis care — isolated
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    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 identified a census of 53 residents. The sample included 16 residents with two residents reviewed for hemodialysis (a procedure using a machine to remove excess water, solutes, and toxins from the blood in people whose kidneys can no longer perform these functions naturally). Based on observation, record review, and interviews, the facility failed to obtain communication from the dialysis center and assess the pre-dialysis and post-dialysis status for Resident (R) 304. This deficient practice placed R304 at risk of potential adverse outcomes and physical complications related to dialysis. Findings included: - R304's Electronic Medical Record (EMR) from the Diagnoses tab documented diagnoses of chronic kidney disease, pulmonary edema (accumulation of extravascular fluid in the lung tissues), and heart failure. R304 was admitted on [DATE] and transferred to the hospital on [DATE]. The admission Minimum Data Set (MDS) dated [DATE] documented a Brief Interview of Mental Status (BIMS) score of 13 which…

    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 · D2024-06-12 · 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

    The facility reported a census of 53 residents. The sample included 16 residents with five reviewed for unnecessary medications. Based on record review, observations, and interviews, the facility failed to follow orders related to medication monitoring when the facility administered Resident (R)50's anti-hypertensive beta-blocker (class of medication used to treat high blood pressure) medication on multiple occasions outside the physician ordered parameters without physician notification. This deficient practice placed R50 at increased risk for unnecessary medication and side effects. Findings included: - The Medical Diagnosis section within R50's Electronic Medical Records (EMR) included diagnoses of hypertension (high blood pressure), dementia (a progressive mental disorder characterized by failing memory, and confusion), restless leg syndrome, and Parkinson's disease (a slowly progressive neurologic disorder characterized by resting tremor, rolling of the fingers, masklike faces, shuffling gait, muscle rigidity, and weakness). R50's admission Minimum Data Assessment (MDS)…

    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 · D2024-06-12 · 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 had a census of 53 residents. The sample included 16 residents with five reviewed for unnecessary medications. Based on observation, record review, and interview the facility failed to ensure a gradual dose reduction (GDR) was attempted or addressed by the physician for Resident (R) 43's antipsychotic (class of medications used to treat a mental disorder characterized by a gross impairment testing) medication, who had a diagnosis of dementia (a progressive mental disorder characterized by failing memory and confusion). This placed the resident at risk for unnecessary psychotropic (alters perception, mood, consciousness, cognition, or behavior) medications and related complications. Findings included: - R43's Electronic Medical Record (EMR) documented the resident had diagnoses of dementia without behavioral disturbance, anxiety (mental or emotional reaction characterized by apprehension, uncertainty, and irrational fear), major depressive disorder (major depressive disorder (major mood disorder…

    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 · F2022-10-05 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure 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 51 residents. The sample included 13 residents. Based on observation, record review, and interview the facility failed to distribute and serve food in accordance with professional standards for food service safety for the 51 residents who resided in the facility and received their food from the facility kitchen, when the facility failed to ensure clean and sanitary food prep and storage areas. This placed the 51 residents at risk for foodborne illness. Findings included: On 10/03/22 at 10:47 AM, observation in the kitchen revealed the following: Loose plaster located in the crack between sheet rock on the ceiling on both sides of the kitchen approximately six feet (ft) long and 2 inches (in) wide. Missing tiles located in the dishwashing area, under the ice machine approximately seven to eight ft long by four ft wide. Missing board on the frame located around the dishwasher entrance window. Missing floor tile, approximately six ft x six ft, located to the right of the dry storage entrance door, underneath the two rolling carts of six pound (lb) canned…

    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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2022-10-05 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
    Reasonably accommodate the needs and preferences of each resident.
    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 51 residents. The sample included 13 residents with five reviewed for Activities of Daily Living (ADLs). Based on observation, record review, and interview, the facility therapy failed to provide reasonable accommodations to Resident (R) 29's to address limitations which inhibited her ability to perform oral cares. This placed the resident at risk for diminished abilities with her ADLs. Findings included: - R29's Electronic Medical Record (EMR) documented the resident admitted [DATE]. R29's EMR documented she had diagnoses of a fractured left arm humerus ((long bone in the arm or forelimb that runs from the shoulder to the elbow), reduced mobility, generalized muscle weakness, and pain in left arm. R29's admission Minimum Data Set (MDS), dated [DATE], documented she had a Brief Interview of Mental Status (BIMS) score of 10, which indicated moderately impaired cognition. The MDS documented the resident requires extensive staff assistance with bed mobility, transfers, toilet use,…

    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 before2022-10-05 · 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 51 residents. The sample included 13 residents, with one reviewed for dental. Based on observation, record review, and interview, the facility failed to develop a comprehensive care plan for dental for one sampled resident, Resident (R) 8, who's teeth were in poor condition which caused difficulty chewing. This placed the resident at risk for weight loss and pain. Findings included: - The Electronic Medical Record (EMR) for R8 documented diagnoses of diabetes mellitus type 2 (when the body cannot use glucose, not enough insulin made or the body cannot respond to the insulin), dysphagia (swallowing difficulty), anxiety (mental or emotional reaction characterized by apprehension, uncertainty, and irrational fear, impulse disorder (the inability to maintain self control), and depression (abnormal emotional state characterized by exaggerated feelings of sadness, worthlessness, and emptiness. The Quarterly Minimum Data Set (MDS), dated [DATE], documented R8 had a Brief Interview 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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-10-05 · tag F0806 — failed to honor food preferences — isolated
    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
    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 51 residents. The sample included 13 residents, with one reviewed for dental. Based on observation, record review, and interview, the facility failed to honor Resident (R) 8's stated food preferences, who requested raisin bran (cereal containing raisins and bran flakes) due to the inability to chew toasted oats cereal (whole grain oats in the shape of a circle) but was served the toasted oat cereal anyway. This placed the resident at risk for weight loss and imparied autonomy. Findings included: - The Electronic Medical Record (EMR) for R8 documented diagnoses of diabetes mellitus type 2 (when the body cannot use glucose, not enough insulin made or the body cannot respond to the insulin), dysphagia (swallowing difficulty), anxiety (mental or emotional reaction characterized by apprehension, uncertainty, and irrational fear, impulse disorder (the inability to maintain self control), and depression (abnormal emotional state characterized by exaggerated feelings of sadness,…

    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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2022-10-05 · 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 had a census of 51 residents. The sample included 13 residents with two reviewed for urinary catheter or Urinary Tract Infection (UTI -Infection of any part of the urinary system). Based on observation, record review, and interview the facility failed to follow standards of infection control when staff failed to use appropriate hand hygiene while providing care to Resident (R) 36, who had history of urinary tract infections. This placed the resident at increased risk for UTI and other infectious disease. Findings included: - R36's Electronic Medical Record (EMR) documented R36 had diagnoses of urinary incontinence. R36's Medicare Five Day Minimum Data Set, (MDS), dated [DATE], documented R36 required extensive staff assistance with activities of daily living (ADLs) except supervision with eating. R36's MDS documented the resident was frequently incontinent of urine and always incontinent of bowel. R36's ADL Care Plan, revised 09/04/22, documented R36 required limited staff assist with personal…

    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
  • No harm found · C2026-04-15 · tag F0851 — widespread
    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview, the facility failed to submit complete and accurate staffing information to the federal regulatory agency through Payroll Based Journaling (PBJ).Findings included:- The PBJ Staffing Data Report CASPER Report 1705D provided by the Centers for Medicaid and Medicare (CMS) for Fiscal Year (FY) 2026 triggered during Quarter (Q) 1 for excessively low weekend staffing.On review of the facility's actual working schedule sheets from 10/01/25 to 01/01/26 revealed the facility maintained and had the same number of staff scheduled and worked as during the week: Two nurses for day and evening shift, and one nurse for night shift; four to five nurse aides both day and evening shift, three nurse aides on nights, and two medication aides on day and evening shiftsThe facility's Facility Assessment, revised on 11/11/25, documented the staffing needs and assignments were determined to promote continuity of care for residents within and across their assignments. Staffing needs and assignments vary based on the census and acuity level of the resident in 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.

    Administration Deficiencies · Deficient, Provider has date of correction
  • No harm found · C2024-06-12 · tag F0732 — widespread
    Post nurse staffing information every day.
    What the surveyor found here — an excerpt from the official record, may be distressing

    The facility identified a census of 53 residents. The sample included 16 residents. Based on observation, record review, and interview, the facility failed to ensure nurse staffing data was posted daily. Findings included: - On 06/11/24 at approximately 07:15 AM, an initial tour of the facility revealed the posted daily nurse staffing hour data was dated 06/07/24. On 06/12/24 at 12:26 PM Administrative Nurse D stated that the staffing coordinator was responsible for posting the nurse staffing data daily and the charge nurse was responsible for posting on the weekends. Administrative Nurse D stated that the weekend staffing sheets were behind the sheet from 06/07/24. The facility policy Nurse Staffing Posting Information implemented on 12/01/19 documented it was the policy of this facility to make staffing information readily available in a readable format to residents and visitors at any given time. The facility would post the nurse staffing data at the beginning of each shift. The information would be posted in a clear and readable format and in a prominent place readily accessible…

    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.

    Nursing and Physician Services 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.

Part of a chain

This home belongs to RECOVER-CARE HEALTHCARE — 27 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 5 of 52.4+2.6 vs chain
Health inspection 5 of 52.5+2.5 vs chain
Staffing 3 of 52.4+0.6 vs chain
Quality measures 5 of 53.1+1.9 vs chain
The other 26 homes this chain runs (chain average 2.4★, per CMS)
1 of 5Kenwood View Healthcare And Rehabilitation CenterSalina, KS 1 of 5Meadowbrook Rehabilitation HospitalGardner, KS 1 of 5Parkview Health And Rehabilitation CenterOsborne, KS 1 of 5Plaza West Healthcare And RehabTopeka, KS 1 of 5Richmond Healthcare & Rehab CenterRichmond, KS 1 of 5Rossville Healthcare And Rehabilitation CenterRossville, KS 1 of 5Shawnee Gardens Healthcare & Rehab CenterShawnee, KS 1 of 5The Gardens At AldersgateTopeka, KS 1 of 5Via Christi Village Hays Ks LLCHays, KS 2 of 5Belleville Healthcare And Rehabilitation CenterBelleville, KS 2 of 5Brighton Place WestTopeka, KS 2 of 5Cambridge PlaceMarysville, KS 2 of 5Hilltop Lodge Health And Rehabilitation CenterBeloit, KS 2 of 5Hope Springs Care CenterMontrose, CO 2 of 5Merriam Gardens Healthcare & Rehabilitation CenterMerriam, KS 3 of 5Gem City Healthcare And Rehabilitation CenterDayton, OH 3 of 5Heritage Gardens Health And Rehabilitation CenterOskaloosa, KS 3 of 5Louisburg Healthcare And Rehabilitation CenterLouisburg, KS 3 of 5Spring View Manor Healthcare And RehabilitationConway Springs, KS 3 of 5Via Christi Village PittsburgPittsburg, KS 3 of 5Wathena Healthcare & Rehabilitation CenterWathena, KS 4 of 5Flint Hills Care And Rehabilitation CenterEmporia, KS 4 of 5Parkview Heights Nursing And Rehabilitation CenterGarnett, KS 4 of 5Sandpiper Healthcare & Rehabilitation CenterWichita, KS 5 of 5Minneapolis Healthcare And Rehabilitation CenterMinneapolis, KS 5 of 5Pinnacle Park Nursing & Rehab CenterSalina, KS

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

Owner / managerTypeRoleSince
MIDWEST RECOVER-CARE LLCOrganizationDIRECT OWNERSHIP INTERESTsince 02/28/2025
MRCMM LLCOrganizationDIRECT OWNERSHIP INTERESTsince 02/28/2025
BHNV 2 LLCOrganizationINDIRECT OWNERSHIP INTERESTsince 02/28/2025
KANSAS SNF HOLDINGS LLCOrganizationINDIRECT OWNERSHIP INTEREST; ADP OF THE SNFsince 02/28/2025
MAD FAMILY HOLDINGS LLCOrganizationINDIRECT OWNERSHIP INTEREST; ADP OF THE SNFsince 02/28/2025
NATR TRUSTOrganizationINDIRECT OWNERSHIP INTEREST; ADP OF THE SNFsince 02/28/2025
RARMNA HOLDINGS LLCOrganizationINDIRECT OWNERSHIP INTEREST; ADP OF THE SNFsince 02/28/2025
RATR TRUSTOrganizationINDIRECT OWNERSHIP INTEREST; ADP OF THE SNFsince 02/28/2025
RECOVER-CARE HEALTHCARE LLCOrganizationINDIRECT OWNERSHIP INTERESTsince 02/28/2025
RNR HOLDINGS LLCOrganizationINDIRECT OWNERSHIP INTEREST; ADP OF THE SNFsince 02/28/2025
WETR TRUSTOrganizationINDIRECT OWNERSHIP INTEREST; ADP OF THE SNFsince 02/28/2025
GOLDSTEIN, AVROHOMIndividualINDIRECT OWNERSHIP INTERESTsince 02/28/2025
MARGULIES, ZISHAIndividualINDIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROLsince 02/28/2025
MRC SNF MANAGEMENT LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/30/2025
AKKULUGARI, SHYAMIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 02/28/2025
BELVEAL, MEGANIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/15/2025
EDWARDS, AMANDAIndividualOPERATIONAL/MANAGERIAL CONTROLsince 02/28/2025
BALDWIN CITY SNF REALTY LLCOrganizationADP OF THE SNFsince 09/19/2025
BHNV PROPERTY HOLDINGS 2 LLCOrganizationADP OF THE SNFsince 02/28/2025
BK 5 HUD FACILITIES LLCOrganizationADP OF THE SNFsince 09/19/2025
RECOVER CARE HEALTHCARE PROPERTY 2 LLCOrganizationADP OF THE SNFsince 02/28/2025

CMS files one row per role, so the 32 rows in the source record cover these 21 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

16 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

$5.7M
Net patient revenuemost recent cost report
+5.1%
Operating marginrevenue minus expenses
$1.0M
Related-party expense19% of expenses
Who pays — share of resident-days
Medicaid 38%Medicare 15%Other / private 47%

This home reported $1.0M paid to related parties — landlords or management companies under common ownership — equal to about 19% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

$294per resident / day
operating cost
$8,941per month
≈ monthly operating cost
$310per day
avg. revenue, all payers

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in KS

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. 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 175338. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-04-15, 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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