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Kansas Soldiers Home

200 Custer, Unit 98, Fort Dodge, KS 67801 · Government - State · 56 certified beds · (620) 227-2121 Medicare & Medicaid certified

Call the home — (620) 227-2121 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse-prevention, restraint, or reporting citations — no harm found (F0604, F0605) — most recent Aug 2025Behavioral-health or dementia-care citation — no harm found (F0758)1 actual-harm citation
Insights

The public record raises real questions here. Weigh the concerns below carefully.

In its favor
  • no federal fines or payment denials on record
  • a high payroll-based staffing rating (5/5)
  • lower-than-typical staff turnover (28% vs 45% nationally) — better care continuity
Worth asking about
  • it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0604, F0605) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • it has 1 actual-harm citation
  • a high number of inspection citations overall (25) — 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
★★★ 3/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
100 Military Plaza, Ste 218 · (620) 225-5984 · Call to confirm hours
Pharmacy
311 W Spruce St · (620) 227-2222 · Call to confirm hours
Grocery
116 Gunsmoke St · (620) 801-5009 · Call to confirm hours
Park
205 Gunsmoke St · (620) 225-8160 · 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 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 4 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 increased17.0%17.9%15.4%worse
Long-stay residents who lose too much weight5.3%4.9%5.4%typical
Long-stay residents with a catheter left in their bladder1.2%1.6%0.9%worse
Long-stay residents with a urinary tract infection1.1%2.9%2.0%better
Long-stay residents with depressive symptoms7.5%6.5%6.5%worse
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 injury2.7%4.3%3.3%better
Long-stay residents whose ability to walk worsened15.9%16.2%16.1%typical
Long-stay residents on antianxiety or hypnotic medication10.5%23.2%18.9%better
Long-stay residents given the seasonal flu vaccine91.1%95.5%95.3%typical
Long-stay residents with pressure ulcers10.4%4.4%4.7%worse
Long-stay residents with worsening bladder/bowel control22.7%22.6%21.2%typical
Long-stay residents who got an antipsychotic medication — see the note below the table14.3%18.1%17.1%better
Long-stay hospitalizations per 1,000 resident days1.261.801.67better
Long-stay outpatient ER visits per 1,000 resident days1.972.131.80typical

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

1.35
RN hours/ resident / day
0.27
LPN hours/ resident / day
4.96
Aide hours/ resident / day
6.58
Total nurse hours/ resident / day
0.93
RN hoursweekends
27.6%
Total nursing turnover
9.1%
RN turnover

How full it usually is: this home is certified for 56 beds and averages 46.7 residents a day — about 83% occupied, or roughly 9 beds typically open. It usually has some room. 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 6.58 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.35 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 4.96 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 4.99 hrs/resident/day on weekends vs 7.22 on weekdays — 31% thinner on weekends — a notable drop. RN hours go from 1.52 to 0.93 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 28% is below the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

12
deficiencies at the latest standard inspection (2025-08-07)
9
at the previous standard inspection (2023-09-06)

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.

25 citations, most serious first. The 11 most serious are shown; the remaining 14 are one tap away and print in full.

  • Actual harm · G2025-08-07 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    What the surveyor found here — an excerpt from the official record, may be distressing

    The facility identified a census of 51 residents. The sample included 12 residents, including one resident reviewed for pressure ulcers (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). Based on observation, interview, and record review, the facility failed to address and implement measures consistent with professional standards of practice to prevent the development of and promote the healing of pressure ulcers for Resident (R) 32 when staff failed to ensure R32 received pressure reducing interventions, repositioning, and physician involvement at the time the initial changes were identified. The resident developed Stage 3 pressure ulcers and was at risk for the development of new pressure ulcers, delayed healing, and worsening of existing ulcers. Findings included:- R32's Electronic Health Record (EHR) revealed diagnoses of cerebral palsy (a progressive disorder of movement, muscle tone, or posture caused by injury or abnormal development in the immature brain, most…

    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 · F2025-08-07 · tag F0730 — widespread
    Observe each nurse aide's job performance and give regular training.
    What the surveyor found here — the official record, unedited, may be distressing

    The facility reported a census of 51 residents. The facility identified five Certified Nurse Aides (CNA) employed for over 12 months during the review period. Based on interviews and record review, the facility failed to complete an annual performance review at least once every 12 months for the five CNAs reviewed, to ensure adequate and appropriate care and services were provided to the residents of the facility. This placed the residents at risk for decreased quality of care. Findings included:- Review of employee files on 08/06/25 at 01:07 PM revealed a lack of performance evaluations signed by management for the five CNAs that had been employed over one year, that included CMA L date of hire 01/29/10, CMA R date of hire 05/08/23, CMA II date of hire 07/12/23, CMA JJ date of hire 05/28/15, and CMA KK date of hire 09/24/06.During an interview on 08/07/25 at 10:10 AM, Administrative Staff A reported he expected 100 percent compliance to have the annual performances evaluations completed annually.The facility did not provide a policy on annual performance evaluations.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2025-08-07 · 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 reported a census of 51 residents, and one main kitchen. Based on observation, record review and interview the facility failed to prepare and serve food under sanitary conditions to prevent the potential for food borne bacteria. This placed the residents at risk for food borne illnesses.Findings included: - During a second tour of the kitchen on 08/5/25 at 10:30 AM, observation revealed three-barrel type trash cans that did not have a lid covering the trash cans. Dietary Staff DD did ask the staff to locate the lids to the trash cans, and all but one was found. On 08/0525 at 10:35 AM, observation revealed Dietary Staff DD washed her hands, then put on gloves, and pureed the food for five residents, which included country fried steak and asparagus. Dietary Staff DD followed the recipe. During the observation, Dietary Staff DD removed her soiled glove at the counter, put them in the trash barrel that did not have a lid, then reapplied new gloves without washing her hands. During the serving of the food on 08/06/25 at 11:00 AM, Dietary Staff CC removed her gloves, washed…

    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 · F2025-08-07 · tag F0814 — failed to dispose of garbage properly — widespread
    Dispose of garbage and refuse properly.
    What the surveyor found here — an excerpt from the official record, may be distressing

    The facility reported a census of 51 residents. Based on observations, interviews and record review, the facility failed to maintain and/or dispose of kitchen garbage and refuse properly. This placed facility residents at risk for insect or rodent infestation.Findings included: - During a second tour of the kitchen on 08/5/25 at 10:30 AM observation revealed three-barrel type trash cans which did not have a lid. Dietary Staff DD did ask the staff to locate the lids to the trash cans and all but one was found.On 08/06/25 at 03:15 PM observation of the outside garbage bins with Certified Dietary Manager (CDM) BB revealed eight trash bins against the fence and two of the bins had lids up. The wind at the time of the observation was calm breeze and there were no strong winds noted.On 08/06/25 at 03:15 PM CDM BB said the bins were usually closed but maybe the wind lifted the lids. CDM BB said he had no idea why the lids were open at that time.The facility's policy Waste Disposal revised on 10/10/24 all garbage will be disposed of daily and in needed throughout the day. Trash will be…

    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 · Fcited before2025-08-07 · 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 51 residents. The sample included 15 residents. Based on interviews, observation and record review, the facility failed to establish and maintain a consistent infection prevention and control program. Additionally the facility failed to utilize 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) when providing direct care to residents with catheters (a flexible tube inserted through a narrow opening into a body cavity, particularly the bladder, for removing fluid), wounds, and/or surgical artificial openings entering the body to prevent the spread of infection. The facility further failed to provide catheter care using aseptic technique and failed to implement measures to prevent the growth of Legionella (a serious type of lung infection caused by inhaling water droplets or mist contaminated with Legionella bacteria) and other opportunistic water borne pathogens in the facility's water systems to prevent the spread…

    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 · F2025-08-07 · tag F0881 — failed to use antibiotics responsibly — widespread
    Implement a program that monitors antibiotic use.
    What the surveyor found here — an excerpt from the official record, may be distressing

    The facility reported a census of 51 residents; the sample included 15 residents. Based on interview and record review, the facility failed to establish and infection prevention and control program which included an antibiotic stewardship program with antibiotic use protocols and a system to monitor antibiotic use. This placed the residents at risk for infectious diseases.Findings included: - The facility Matrix, dated 08/05/25, noted seven residents who received antibiotics. Review of the infection control surveillance log dated 07/01/25 through 08/06/25 revealed the facility lacked documentation of tracking and trending of Resident (R) 33, with a diagnosis of recurrent urinary tract infection (UTI), who received gentamycin (antibiotic) bladder irrigations for prevention of urinary tract infection. The log lacked documentation of tracking and trending of R4, with diagnosis of UTI, for receiving amoxicillin (antibiotic), ordered 7/31/25, for seven days.On 08/06/25 at 01:24 PM, Administrative Nurse F confirmed the above findings. She stated R33 and R4 received antibiotics, which she…

    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 · E2025-08-07 · tag F0658 — failed to meet professional standards of care — pattern
    Ensure services provided by the nursing facility meet professional standards of quality.
    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 12 residents. Based on observations, interviews, and record review, the facility failed to provide services to meet professional standards of care related to medication administration. This placed the residents at risk for medication-related complications and ineffective medication regimes. Findings included:- During an observation on 08/05/25 at 08:45 AM, Certified Medication Aide (CMA) R was at the medication cart on the third floor. Observation revealed CMA R reviewed the computer screen with several residents' names highlighted in pink, indicating overdue medications. CMA R prepared medications without using the electronic Medication Administration Record (MAR) to verify the medication orders. CMA R stated she had prepared Resident (R)8's medications. Upon inquiry about the 14 residents that were highlighted pink and the preparation of the medications without looking at the MAR, CMA R shrugged her shoulders and walked away. During an observation and interview on 08/05/25 at 08:50 AM, Licensed Nurse (LN) H accessed…

    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 · E2025-08-07 · tag F0759 — failed to keep medication error rate low — pattern
    Ensure medication error rates are not 5 percent or greater.
    What the surveyor found here — an excerpt from the official record, may be distressing

    The facility reported a census of 51 residents. The sample included 15 residents. Based on observation, interview and record review the facility failed to ensure a medication error rate of less that five percent. 35 medication administration opportunities were observed, and 22 errors identified resulting in a medication error rate of 52.94 percent. This placed the residents at risk for medication related complications and ineffective medication regimes.Finding included:- Resident (R) 2's July Medication Administration Record/Treatment Administration Record (MAR/TAR) documented 18 oral medications scheduled at 07:30 AM, two nasal spray medications were scheduled at 07:30 AM, as well as one inhaled medication. On 08/06/25 at 09:52 AM, observation revealed Certified Medication Aide T administered the 07:30 AM scheduled medications to R2, outside of the one hour before or after protocol. R2 received 18 late oral medications and one late inhaled medication. R2 declined the nasal spray. On 08/06/25 at 09:52 AM, CMA T stated he was trained by another certified medication aide and was told…

    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 · D2025-08-07 · tag F0552 — isolated
    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 The facility reported a census of 51 residents. The sample included 15 residents with five reviewed for unnecessary medications. Based on observations, interview and record review the facility failed to obtain a consent form for a psychotropic 9alters mood or thoughts) medication for Resident (R) 3. This placed the residents at risk for adverse side effects of the medications and uninformed decisions.Findings included: - R3's Physician Orders dated 07/18/25 revealed the following diagnosis: major depressive disorder (major mood disorder, which causes persistent feelings of sadness). R3's Annual Minimum Data Set(MDS) dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 15, indicating intact cognition. The MDS indicated R3 received antidepressant medication (class of medications used to treat mood disorders).R3's Quarterly MDS dated [DATE] recorded a BIMS score of 14, which indicated intact cognition. The MDS documented R3 had no behaviors. The MDS noted R3 received an antidepressant…

    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 · D2025-08-07 · tag F0604 — failed to not use physical restraints improperly — isolated
    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    The facility reported a census of 51 residents; the sample included 15 residents. Based on observation, interviews, and record review, the facility failed to ensure an environment free from physical restraints (any manual method or physical or mechanical device, material or equipment attached or adjacent to the resident's body that the individual cannot remove easily which restricts freedom of movement or normal access to one's body) when staff failed to assess and ensure safety regarding Resident (R) 28's use of a seatbelt on his motorized wheelchair. This deficient practice placed R28 at risk for complications related to restraints and impaired safety.Findings included:- Review of the Electronic Health Record (EHR) documented R28 had diagnoses which included chronic obstructive pulmonary disease (COPD- a progressive and irreversible condition characterized by diminished lung capacity and difficulty or discomfort in breathing), and atrial fibrillation (rapid, irregular heartbeat).R28's 03/18/25 Annual Minimum Data Set (MDS) documented a Brief Interview of Mental Status (BIMS) of…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-08-07 · tag F0605 — failed to not use drugs as a restraint — isolated
    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
    What the surveyor found here — an excerpt from the official record, may be distressing

    The facility reported a census of 51 residents; the sample included 15 residents. Five residents were reviewed for unnecessary medications. Based on observation, interview, and record review, the facility failed to ensure an appropriate indication, or a documented physician rationale which included the multiple unsuccessful attempts for nonpharmacological symptom management and risk versus benefits for the continued use of an antipsychotic (class of medications used to treat mental disorder characterized by a gross impairment in reality testing) for Resident (R) 1. This deficient practice placed R1 at risk for adverse effects associated with the use of psychotropic (alters mood or thoughts) medications.Findings included:- R1 's Electronic Health Record (EHR) revealed diagnoses of depression (a mood disorder that causes a persistent feeling of sadness and loss of interest) and anxiety (mental or emotional reaction characterized by apprehension, uncertainty, and irrational fear).R1's 10/22/24 Annual Minimum Data Set (MDS) documented the resident had a Brief Interview for Mental Status…

    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 · Deficient, Provider has date of correction
Show the remaining 14 citations
  • Potential for harm · Dcited before2025-08-07 · 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

    The facility reported a census of 51 residents. The sample included 12 residents with five residents reviewed for unnecessary medications. Based on observation, interview, and record review, the facility failed to act upon the pharmacist's monthly medication review (MRR) or document the rationale for Resident (R) 1. The deficient practice had the potential to lead to the residents receiving unnecessary medications.Findings included:- R1's Electronic Health Record (EHR) revealed diagnoses of depression (a mood disorder that causes a persistent feeling of sadness and loss of interest), anxiety (mental or emotional reaction characterized by apprehension, uncertainty, and irrational fear), and pain.R1's 10/22/24 Annual Minimum Data Set (MDS) documented the resident had a Brief Interview for Mental Status (BIMS) score of nine, which indicated moderately impaired cognition. R1 required supervision for bathing and was independent for all other activities of daily living (ADL). The MDS documented R1 had no behaviors. The MDS recorded R1 received antipsychotic and antidepressant (class of…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2023-09-06 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility reported a census of 51 residents with 14 residents sampled which included one resident reviewed for catheters, and three residents reviewed for respiratory care and services related to respiratory equipment. Based on observation, interview, and record review, the facility failed to provide necessary treatment and services regarding catheter care for R 49 and respiratory care and services for R 2, R 11, and R21 to prevent cross contamination and infection. Findings included: - Review of Resident (R)49's Physician Orders, (POS) dated 08/02/23, documentation included diagnosis of stage five chronic kidney disease and obstructive and reflux uropathy ( a disorder of the urinary tract that occurs due to obstructed urinary flow causing the back-up of urine into the kidneys). The admission Minimum Data Set (MDS), dated [DATE], documented the resident entered the facility on 07/27/23,with a Brief Interview for Mental Status score of 12, indicating moderate cognitive impairment. He required staff limited…

    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 · D2023-09-06 · 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 reported a census of 51 residents with 14 selected for review. Based on interview, observation, and record review, the facility failed to protect the privacy and dignity of Resident (R)21 and R11. This occurred with R21 when certified nurse aide (CNA) L entered R21's room without knocking, and R11 through the failure of the staff to place R11's call light within reach and R11's use of an air horn to alert staff to his need for assistance. Findings included: - On 08/28/23 at 02:29 PM, during interview with R21, CNA L opened the door and entered the resident's room without knocking or announcing himself and began rearranging items. R21 asked CNA L what he was doing, but no response was given by staff. When CNA L became aware of the presence of a surveyor in the room, he promptly left. R21 stated that CNA L would frequently enter his room unannounced and move items in his room despite protests from R21. R21 confirmed this would upset him. On 08/28/23 at 02:32 PM, CNA L confirmed that he entered R21's room without knocking or announcing himself. Further confirmed that he…

    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 · D2023-09-06 · 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

    The facility reported a census of 51 residents which included 14 selected for review. Based on interview and record review, the facility failed to fully complete comprehensive Minimum Data Set (MDS) assessment O-special treatments and programs and failed to complete Section V, Care Area Assessment Summary (CAA) for Resident (R)11 to include an analysis and rationale for care planned decisions. This placed the resident at risk for not accurately reflecting the resident's status and needs to develop an individualized comprehensive plan of care. Findings include: - R11's pertinent diagnoses from the Electronic Health Record (EHR) documented chronic obstructive pulmonary disease (COPD - a progressive and irreversible condition characterized by diminished lung capacity and difficulty or discomfort in breathing), shortness of breath and OSA (obstructive sleep apnea - a condition in which the person cannot maintain an open airway while asleep). The 01/10/23 Annual Minimum Data Set (MDS) documented a Brief Interview for Mental Status (BIMS) score of 15, which indicated intact cognition. 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-09-06 · tag F0657 — failed to keep the care plan current — isolated
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility reported a census of 51 residents with a sample of 14 residents. Based on observation, interview, and record review, the facility failed to review and revise the care plan for Resident (R1) and R42, related to fall interventions. Findings included: - Review Resident (R)1's Physician order Sheet, dated 08/02/23, documentation included diagnoses of lack of coordination, need for assistance with personal care, Alzheimer's disease (progressive mental deterioration characterized by confusion and memory failure) with late onset, behavioral disturbances, and hypertension (high blood pressure). The Significant Change in Status Minimum Data Set, (MDS) dated [DATE], documentation revealed the resident with a Brief Interview for Mental Status, score of two, indicating severe cognitive impairment. He required extensive assistance from staff with bed mobility, transfer, locomotion, dressing, toilet use. The resident did not ambulate during the assessment. His balance during transition was not steady. He was only…

    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 · D2023-09-06 · 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 The facility reported a census of 51 residents with a sample of 14 residents, which included two residents reviewed for accidents. Based on observation, interview, and record review, the facility failed to thoroughly investigate falls to determine contributing factors and causes of falls to implement appropriate immediate interventions to prevent further falls for resident (R)1 and R 42 with multiple falls. Findings included: - Review Resident (R)1's Physician order Sheet, dated 08/02/23, documentation included diagnoses of lack of coordination, need for assistance with personal care, Alzheimer's disease (progressive mental deterioration characterized by confusion and memory failure) with late onset, behavioral disturbances, and hypertension (high blood pressure). The Significant Change in Status Minimum Data Set, (MDS) dated [DATE], documentation revealed the resident with a Brief Interview for Mental Status, score of two, indicating severe cognitive impairment. He required extensive assistance from staff 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-09-06 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility reported a census of 51 residents with 14 residents sampled which included one resident reviewed for urinary catheters. Based on observation, interview, and record review, the facility failed to provide necessary treatment and services regarding catheter care for one Resident (R)49, This deficient practiced placed R49 at risk for catheter related complications. Findings included: - Review of Resident (R)49's Physician Orders, (POS) dated 08/02/23, documentation included diagnosis of stage five chronic kidney disease and obstructive and reflux uropathy ( a disorder of the urinary tract that occurs due to obstructed urinary flow causing the back-up of urine into the kidneys). The admission Minimum Data Set (MDS), dated [DATE], documented the resident entered the facility on 07/27/23,with a Brief Interview for Mental Status score of 12, indicating moderate cognitive impairment. He required staff limited assistance for toilet use. The resident had an indwelling urinary catheter (insertion of a catheter…

    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 · D2023-09-06 · 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

    The facility reported a census of 51 residents with 14 residents sampled, including three residents reviewed for respiratory care. Based on observations, record reviews, and interviews, the facility failed to properly store the nebulizer (a device for administering inhaled medications) and to correctly store distilled water used for oxygen humidification for to Resident (R)2, R11 and R21 in accordance with the standards of care. In addition, the facility failed to disassemble and clean the CPAP (continuous positive airway pressure - a machine used to provide continuous airway pressure in people diagnosed with obstructive sleep apnea [a condition in which a person cannot maintain an open airway while sleeping]) for R11. Findings included: - R2's pertinent diagnoses from the Electronic Health Record (EHR) documented chronic obstructive pulmonary disease (COPD - a progressive and irreversible condition characterized by diminished lung capacity and difficulty or discomfort in breathing). The 08/06/23 Annual Minimum Data Set (MDS) documented a Brief Interview for Mental Status (BIMS)…

    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 · D2023-09-06 · tag F0917 — isolated
    Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space.
    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 51 residents, with 14 residents sampled. Based on observation, interview and record review, the facility failed to provide Resident (R2) a bed of appropriate size for the safety and convenience of the resident. Findings included: - Resident (R)2's diagnosis included 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 (MDS) dated [DATE], documented the resident had a Brief Interview for Mental Status score of eight, indicating moderately impaired cognition. The resident required extensive assistance for ADL's, other than eating. The resident was 73 inches tall. On 08/30/23 at 11:04 AM, the resident was in his bed, his legs in a bullfrog position. He was able to lower the bed to a flat position, and his body noted to hang off the top and bottom of the mattress with approximately three inches of combined clearance between his head and…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2021-12-16 · tag F0640 — isolated
    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    The facility census totaled 31 residents with 12 included in the sample. Based on interview and record review the facility failed to complete and transmit a Discharge Minimum Data Set (MDS) assessments to the Centers for Medicare & Medicaid Services (CMS) in a timely manner for Resident (R)1. Findings included: - Record review on 12/14/21 at 07:30 AM revealed R1 discharged from the facility on 08/28/21. The resident record lacked evidence of a completed or transmitted Discharge Minimum Data Set (MDS) to the Centers for Medicare & Medicaid Services (CMS). On 12/14/21 at 07:36 AM Administrative Nurse B stated she was responsible for ensuring assessments were completed and confirmed there was not a discharge MDS completed and/or transmitted for R1. The facility's policy for MDS Process dated October 2019 revealed the facility would follow the 3.0 RAI [Resident Assessment Instrument] Manual for completion and submission of the MDS for each resident. The facility failed to complete and transmit a Discharge Minimum Data Set (MDS) assessment to the Centers for Medicare & Medicaid 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 before2021-12-16 · 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

    The facility reported a census of 31 residents with 12 sampled including five for unnecessary medications. Based on observation, interview, and record review the facility failed to ensure the pharmacist identified the lack of Abnormal Involuntary Movement Scale (AIMS) assessments completed per current standards of practice regarding potential side effects such as tardive dyskinesia (abnormal condition characterized by involuntary repetitive movements of the muscles of the face, limbs and trunk) in the administration of antipsychotic medications for Resident (R)19. Findings Include: - R19's pertinent diagnoses from the Physician's Orders in the Electronic Health Record (EHR) dated 11/12/21 documented major depressive disorder (major mood disorder), dementia (progressive mental disorder characterized by failing memory, confusion), and anxiety (mental or emotional reaction characterized by apprehension, uncertainty and irrational fear). The 07/16/21 Annual Minimum Data Set (MDS) documented a Brief Interview for Mental Status (BIMS) score of four, indicating severely impaired cognition.…

    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 · D2021-12-16 · 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

    The facility reported a census of 31 residents with 12 sampled including five for unnecessary medications. Based on observation, interview, and record review the facility failed to ensure the Abnormal Involuntary Movement Scale (AIMS, a periodically used clinical scale to aid in monitoring the potential side effects of antipsychotic medications) assessments were completed per current standards of practice regarding antipsychotic (medication which affects brain activities with mental processes and behavior) medications administered for Resident (R)19. Findings Include: - R19's pertinent diagnoses from the Physician's Orders in the Electronic Health Record (EHR) dated 11/12/21 documented major depressive disorder (major mood disorder), dementia (progressive mental disorder characterized by failing memory, confusion), and anxiety (mental or emotional reaction characterized by apprehension, uncertainty and irrational fear). The 07/16/21 Annual Minimum Data Set (MDS) documented a Brief Interview for Mental Status (BIMS) score of four, indicating severely impaired cognition. R19 received…

    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 before2021-12-16 · tag F0812 — failed to store, cook, and serve food safely — isolated
    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 reported a census of 31 residents, with one main kitchen. Based on observation, interview, and record review the facility failed to store foods in a safe and sanitary manner when dietary staff failed to date and reseal opened food items and failed to discard expired food items. Findings included: - The initial kitchen tour on 12/13/21 at 10:45 AM revealed a large open bag of sausage crumbles and a bag of French fries were in the freezer and open to air with no date. Inspection of the refrigerator revealed cartons of thickened water, thickened orange juice, and a carton of Almond Milk which were all expired. Dietary Staff E removed and discarded these items. On 12/13/21 at 10:30 AM Dietary Staff E reported all dietary staff knew food items were to be dated when opened and put back into the refrigerator and freezer. DS E said she did not know if staff knew to look at the use by date (expiration date) on the liquid items, after they opened them. Review of the facility policy Food Storage dated 05/08/19 revealed left over food is stored in covered containers or wrapped…

    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
  • No harm found · C2023-09-06 · tag F0582 — widespread
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    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. Based on record review and interview, the facility failed to provide the resident (or their representative), the correct Skilled Nursing facility Advanced Beneficiary Notices (SNFABN) Centers for Medicare Services (CMS) form 10055 to three of three residents reviewed, Resident (R)153, R9 and R12. Findings included: - The Medicare ABN CMS 10055 informs the beneficiary that Medicare may not pay for future skilled therapy services and provides a cost estimate for continued services. The form includes an option 1 for the beneficiary to receive specific services listed, and bill Medicare for an official decision on payment, but can make an appeal to Medicare, option 2 receive therapy listed, but do not bill Medicare, I am responsible for payment for services, option 3, I do not want the listed services. The Advanced Beneficiary Notice of Noncoverage (ABN) CMS -R-131 form is utilized for Part B services with option 1 I want the D-- listed (for types of therapy not under…

    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

“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
BEMISS, AMBERIndividualW-2 MANAGING EMPLOYEEsince 07/08/2015
BURDEN, GREGGIndividualW-2 MANAGING EMPLOYEEsince 07/08/2015

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

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 175513. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-08-07, 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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