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Ranch House Senior Living LLC

2900 Campus Drive, Garden City, KS 67846 · For profit - Corporation · 60 certified beds · (620) 371-4700 Medicare & Medicaid certified

Call the home — (620) 371-4700 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse/neglect citation on record (F0602) — cited Jun 2024Behavioral-health or dementia-care citation — no harm found (F0758)1 actual-harm citation
Insights

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

In its favor
  • a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
  • no federal fines or payment denials on record
  • a high payroll-based staffing rating (5/5)
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • it has an abuse, neglect, or exploitation citation (F0602), cited Jun 2024
  • it has 1 actual-harm citation
  • a high number of inspection citations overall (23) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its facility-reported quality-measure rating is low (2/5)
  • about 26% 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 4 of 5
StaffingFrom payroll records (PBJ) 5 of 5
Quality measuresSelf-reported by the facility 2 of 5

Location & what’s nearby

Hospital
★★ 2/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
502 College Dr · (620) 275-7248 · Call to confirm hours
Pharmacy
Walgreens1.5 mi
1308 E Kansas Ave · (620) 275-4430 · Call to confirm hours
Grocery
1601 N Fleming St
Park
2406 N Campus Dr · (620) 276-1200 · 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 2 of 5
Long-stay residentspeople who live here 3 of 5
Short-stay residentsrehab / post-hospital 1 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 increased18.3%17.9%15.4%worse
Long-stay residents who lose too much weight3.4%4.9%5.4%better
Long-stay residents with a catheter left in their bladder0.7%1.6%0.9%better
Long-stay residents with a urinary tract infection2.5%2.9%2.0%worse
Long-stay residents with depressive symptoms0.0%6.5%6.5%check this — see note marked star below the table
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 injury0.8%4.3%3.3%better
Long-stay residents whose ability to walk worsened17.1%16.2%16.1%typical
Long-stay residents on antianxiety or hypnotic medication13.7%23.2%18.9%better
Long-stay residents given the seasonal flu vaccine97.7%95.5%95.3%typical
Long-stay residents with pressure ulcers4.8%4.4%4.7%typical
Long-stay residents with worsening bladder/bowel control25.2%22.6%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table13.0%18.1%17.1%better
Short-stay residents who newly got an antipsychotic medication1.0%1.9%1.4%better
Short-stay residents given the seasonal flu vaccine75.0%73.8%79.4%typical
Short-stay residents rehospitalized after admission27.8%22.4%22.6%worse
Short-stay residents with an outpatient ER visit22.7%11.5%12.0%worse
Long-stay hospitalizations per 1,000 resident days2.381.801.67worse
Long-stay outpatient ER visits per 1,000 resident days3.652.131.80worse

* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. Weigh it against the inspection record above.

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

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.

48.8% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 102 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

48.8%U.S. median 51.5%
Got home and stayed home
10.4%U.S. median 10.7%
Went back to hospital
41.2%U.S. median 56.6%
Met the expected recovery
0.17U.S. median 0.31
Therapy hours / resident / day
0.13hours / resident / day
Physical therapy
0.04hours / resident / day
Occupational therapy
<0.01hours / resident / day
Speech therapy

Met the expected recovery: 41.2% 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 51 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 0.17 therapist hours per resident per day in 2026Q1 — more than 15% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 3% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. 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 SNF48.8%CMS range 39.2–60.551.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF10.4%CMS range 7.7–14.110.7%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 discharge41.2%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 discharge31.4%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 discharge17.6%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 setting97.2%100.0%Oct 2024–Sep 2025CMS makes no comparison for this 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 dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality 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 hospitalization8.4%CMS range 4.6–14.97.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.861.02Oct 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

1.28
RN hours/ resident / day
0.25
LPN hours/ resident / day
2.77
Aide hours/ resident / day
4.29
Total nurse hours/ resident / day
1.04
RN hoursweekends
36.0%
Total nursing turnover
25.0%
RN turnover

How full it usually is: this home is certified for 60 beds and averages 37.2 residents a day — about 62% occupied, or roughly 23 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. 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 4.29 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.28 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.77 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.68 hrs/resident/day on weekends vs 4.55 on weekdays — 19% thinner on weekends. RN hours go from 1.38 to 1.04 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 36% is about the same as the national median of 45%.

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

Inspection trend

5
deficiencies at the latest standard inspection (2025-04-17)
11
at the previous standard inspection (2023-07-31)

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.

23 citations, most serious first. The 11 most serious are shown; the remaining 12 are one tap away and print in full.

  • Actual harm · Gcited before2023-07-31 · 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 50 residents, with 13 residents included in the sample, including two residents reviewed for accidents. Based on observation, interview, and record review the facility failed to prevent a fall with fracture for cognitively impaired Resident (R)35 when staff did not assess for the safe use of an electric lift chair. On 07/15/23, staff found R35 on the floor in front of her fully raised electric lift chair and required transfer to the emergency room where R35 was diagnosed with a fractured (broken) clavicle (collar bone). The facility further failed to implement the immediate fall prevention intervention related to the fall with fracture, for at least 10 days, when staff did not remove the electronic lift chair, leaving the resident at risk for continued falls from the chair. Findings included: - R35's Electronic Medical Record (EMR) revealed the following diagnoses: Alzheimer's disease (progressive mental deterioration characterized by confusion and memory failure), fracture to…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-04-17 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility reported a census of 36 residents. The 12 sampled residents included three dependent residents reviewed for activities of daily living (ADLs). Based on observation, interviews, and record review the facility failed to provide bathing opportunities and grooming of facial hair in accordance with the residents' preferred bathing schedule to ensure necessary services to maintain good personal hygiene for Resident (R)5 and R9. This placed the residents at risk for impaired dignity and poor hygiene. Findings included: - A review of R5's undated Physician Orders, (POS), included diagnoses of Alzheimer's disease (progressive mental deterioration characterized by confusion and memory failure) and major depressive disorder (major mood disorder which causes persistent feelings of sadness). The Annual Minimum Data Set (MDS), dated [DATE], documented a Brief Interview for Mental Status (BIMS) score of eight, indicating moderate cognitive impairment. He exhibited fluctuating behaviors of inattention 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-04-17 · 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 36 residents, with 12 residents sampled, including two residents 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 identify and implement measures consistent with in accordance with professional standards of practice to prevent the development of and promote the healing of pressure ulcers for Resident (R) 34 when staff failed to ensure R34's heels were offloaded and failed to develop a consistent repositioning plan. The facility further failed to ensure R24 received the required interventions including a low air loss mattress to prevent pressure ulcers. This placed the residents at risk for the development of new pressure ulcers, delayed healing, and worsening of existing ulcers. Findings included: - R34's Electronic Health Record (EHR) revealed diagnoses of pneumococcal arthritis of the right and left knees (a condition where…

    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 · Dcited before2025-04-17 · 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

    The facility reported a census of 36 residents with 12 residents in the sample and seven residents reviewed for accidents. Based on observation, interview, and record review, the facility failed to provide an environment free from accident hazards for two residents. The facility failed to complete an investigation to determine causative factors and implement interventions to prevent further falls for Resident (R) 24. This failure placed the affected resident at risk for further falls, accidents, and related injuries. Findings included: - R24's Electronic Health Record (EHR) revealed diagnoses of Alzheimer's disease (progressive mental deterioration characterized by confusion and memory failure), and depression. The 06/28/24 Annual Minimum Data Set (MDS) documented the resident had a Brief Interview for Mental Status (BIMS) score of zero, which indicated severely impaired cognition. R24 required maximal assistance with activities of daily living (ADL) including bed mobility, standing, and transfers. R24 required supervision for ambulation for 10 feet. The MDS documented R24 had one…

    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 · Dcited before2025-04-17 · tag F0757 — failed to avoid unnecessary drugs — isolated
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility reported a census of 36 residents, with 12 residents selected for review which included six residents reviewed for unnecessary medications. Based on observation, interview, and record review, the facility failed to ensure the residents remained free from unnecessary medications when the facility failed to follow physician orders related to blood pressure monitoring and related parameters for three residents, Resident (R)10, R25, and R9. This placed the resident at risk for adverse medication effects. Findings included: - R10's Electronic Health Records (EHR) recorded an undated Physician Orders (POS) that documented diagnoses which included Alzheimer's disease (progressive mental deterioration characterized by confusion and memory failure) and hypertension (high blood pressure). The admission Minimum Data Set (MDS) dated [DATE], documented a Brief Interview for Mental Status (BIMS) score of nine, indicating moderate cognitive impairment. The Functional Abilities (Self Care Mobility) Care Area…

    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 before2025-04-17 · 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 36 residents with 12 residents selected for review which included six residents reviewed for unnecessary medications. Based on observation, interview, and record review, the facility failed to complete an industry-accepted assessment for abnormal movements related to antipsychotic (class of medications used to treat major mental conditions that cause a break from reality) use for Resident (R) 24 who received Zyprexa (antipsychotic). This deficient practice placed the affected resident at risk for adverse effects associated with the use of psychotropic (alters mood or thoughts) medications. Findings include: - R24's Electronic Health Record (EHR) revealed diagnoses of Alzheimer's disease (progressive mental deterioration characterized by confusion and memory failure), and depression. The 06/28/24 Annual Minimum Data Set (MDS) documented the resident had a Brief Interview for Mental Status (BIMS) score of zero, which indicated severely impaired cognition. R24 required maximal assistance with activities of daily living (ADL) including bed mobility,…

    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 · D2024-06-24 · tag F0602 — failed to protect residents from theft of their belongings — isolated
    Protect each resident from the wrongful use of the resident's belongings or money.
    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 45 residents. The sample included 15 residents reviewed for misappropriation and exploitation. Based on interview and record review, the facility failed to ensure Resident (R)1 remained free from misappropriation of funds, when housekeeping staff I exploited the resident of approximately $100.00. This deficient practice placed R1 at risk for a negative psychosocial impact in safety and security. Findings included: - R1's Electronic Health Record (EHR) revealed diagnoses that included hemiparesis (muscular weakness of one half of the body) and hemiplegia (paralysis of one side of the body) following cerebral infarction (stroke - sudden death of brain cells due to impaired blood flow to the brain by blockage or rupture of an artery), dementia (a progressive mental disorder characterized by failing memory, confusion), depression (an abnormal emotional state characterized by exaggerated feelings of sadness, worthlessness and emptiness), anxiety (a disorder characterized by chronic…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Past Non-Compliance
  • Potential for harm · Fcited before2023-07-31 · 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 census totaled 50 residents with one central kitchen. Based on observation, interview, and record review the facility failed to store, prepare and serve foods safely and in a sanitary manner which included failure to date and reseal open food items in the refrigerator and freezer; failure to clean and disinfect the food thermometer while taking the temperature of food items; and failure to use gloves appropriately when handling/serving of food. This had the potential to affect all 50 residents receiving meals from the kitchen. Findings Included: - On 07/25/23 at 12:30 PM, initial tour of the kitchen revealed the following items: The walk-in refrigerator contained a raw meat patty in a baggie with no identification of what it was or a date; cooked hamburger patties in separate bags undated; an open package of cheese slices undated; a partially sliced onion in an open bag undated; and two separate packages of corn tortillas not dated and with visible mold growing on the tortillas. The freezer contained an open bag of French fries and an open bag of tater tots with no…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2023-07-31 · tag F0868 — widespread
    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
    What the surveyor found here — an excerpt from the official record, may be distressing

    The facility reported a census of 50 residents. Based on interview and record review, the facility failed to maintain a quality assessment and assurance committee that consisted at the minimum of the director of nursing services, the medical director or his/her designee, at least three other members of the facility's staff, at least one of who must be the administrator, owner, board member or other individual in a leadership role, and the infection preventionist, as required. Findings included: - Review of the facility's Quality Assurance Performance Improvement (QAPI) sign in sheets, revealed a lack of documentation of the Infection Preventionist in attendance from July 2022 until current. In addition, the February 2023 and April 2023 lacked the required members for the QAPI meeting when only the facility's medical director and the facility administrator were the only members in attendance. On 07/31/23 at 01:46 PM, Administrative staff A reported he did not know the Infection Preventionist was to attend the QAPI meetings. The facility's Quality Assurance and Performance improvement…

    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
  • Potential for harm · F2023-07-31 · 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 50 residents with 13 residents sampled. Based on observation, interview and record review, the facility failed to maintain an effective infection control program when they failed to provide safe and sanitary care for one Resident (R) 20, regarding his urinary catheter (insertion of a catheter into the bladder to drain the urine into a collection bag), for R3, in regards to incontinent care, R2 in regards to failure to change gloves from dirty to clean during wound care, and failure to change gloves in the kitchen who served food to all of the residents of the facility. Findings included: - Resident (R)20's Electronic Health Record (EHR) documented the resident had diagnoses that included chronic kidney failure, stage three, frequency of micturition (frequency of bladder), and benign prostatic hyperplasia (non-cancerous enlargement of the prostate which can lead to interference with urine flow, urinary frequency and urinary tract infections. The 06/23/23 Annual Minimum Data Set…

    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 · F2023-07-31 · tag F0947 — failed to train nurse aides adequately — widespread
    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
    What the surveyor found here — an excerpt from the official record, may be distressing

    The facility reported a census of 50 residents. Based on interview and record review, the facility failed to maintain an in-service training program for nurses' aides that was appropriate and effective to ensure the continuing competence of nurse aides. Four of five current certified nurse aide records reviewed for the required annual in-service trainings revealed the lack of dementia management training, resident abuse prevention training, and/or social media training, out of the 12 required in-service trainings, to ensure the continuing competence of nurse aides and appropriate care and services to all the residents of the facility. Findings included: - During the survey, review of five certified nurse aides' in-service records revealed four of the five, lacked all 12 required trainings as follows: 1. Certified Nurse's Aide (CNA) P lacked dementia management training, resident abuse prevention training, and/or social media training. 2. CNA Q lacked dementia management training, resident abuse prevention training, and/or social media training. 3. CNA R lacked dementia management…

    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
Show the remaining 12 citations
  • Potential for harm · E2023-07-31 · tag F0756 — failed to review each resident's drug regimen — pattern
    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 50 with 13 residents in the sample that included six residents reviewed for unnecessary medications. Based on observation, interview, and record review, the consultant pharmacist failed to identify an unnecessary medication for Resident (R)12, related to an antibiotic that the resident was resistant to. In addition, the facility failed to ensure a system to acknowledge and respond to the consultant pharmacist recommendations for R 21, R 38, R 42, and R 2. Findings include: - R12's diagnoses from the Electronic Health Record (EHR) included chronic obstructive pulmonary disease (COPD - a progressive and irreversible condition characterized by diminished lung capacity and difficulty or discomfort in breathing), anemia (a condition without enough healthy red blood cells to carry adequate oxygen to body tissues) and extended-spectrum beta-lactamases (ESBL - enzymes produced by certain microorganisms that allow them to be resistant to the actions of some antibiotics) resistance. The 07/07/23 Annual Minimum Data Set (MDS) documented 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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-07-31 · tag F0625 — isolated
    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility reported a census of 50 residents with 13 residents sampled, including one resident sampled for hospitalization. Based on interview and record review, the facility failed to provide a copy of the facility bed hold policy to Resident (R)38 and/or their representative, with a written notice specifying the duration and cost of the bed hold policy, at the time of the resident's two transfers to the hospital. Findings included: - Review of Resident 38's Electronic Health Record (EHR) documented the resident had diagnoses that included atrial fibrillation (rapid, irregular heartbeat), hypertension (elevated blood pressure), and Alzheimer's disease (progressive mental deterioration characterized by confusion and memory failure. Review of the Discharge Assessment- return anticipated Minimum Data Set (MDS), dated [DATE], revealed the resident had an unplanned discharge to an acute hospital. The Entry tracking record MDS, dated [DATE], revealed the resident returned to the facility on [DATE]. The Discharge…

    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 · D2023-07-31 · 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 census totaled 50 residents with 13 included in the sample. Based on observation, interview, and record review, the facility failed to develop comprehensive care plans for two of 13 residents reviewed for care plans. Resident (R)3 and R20 regarding urinary catheter use and one resident, R12, related to pressure ulcers/wound care. Findings included: - Resident (R) 3's signed physician orders dated 06/04/23 revealed; CVA (any abnormal condition characterized by dysfunction of the heart and blood vessels), Hemiplegia (paralysis of one side of the body), vascular dementia (progressive mental disorder characterized by failing memory, confusion), neurogenic bladder (dysfunction of the urinary bladder caused by a lesion of the nervous system), diabetes mellitus (when the body cannot use glucose, not enough insulin is made or the body cannot respond to the insulin). The Annual Minimum Data Set (MDS) dated [DATE] revealed the resident was severely cognitively impaired. The resident had rejection of care 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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-07-31 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility reported a census of 50 residents with 13 selected for review including three residents reviewed for wounds. Based on observation, record review, and interview, the facility failed to perform an ongoing assessment and treatment of 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) and implement interventions to prevent further development of pressure areas for one of the three Residents (R)12. Findings include: - Resident (R)12's Electronic Medical Record (EMR) revealed the resident had a diagnosis that included cardiomyopathy (heart disease). The Annual Minimum Data Set (MDS) dated [DATE], revealed a Brief Interview for Mental Status (BIMS) score of six, indicating severe cognitive impairment. The resident required limited assistance of one staff with care and was occasionally incontinent of urine. The resident had an unhealed stage two pressure ulcer. The resident 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-07-31 · 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 50 residents, with 13 residents in the sample that included six residents reviewed for unnecessary medications. Based on interview and record review, the facility failed to ensure Resident (R)12 was free from unnecessary medications, when on two occasions, the facility administered an antibiotic medication that she was resistant (the ability not to be affected by something) to. Findings include: - R12's diagnoses from the Electronic Health Record (EHR) included extended-spectrum beta-lactamases (ESBL - enzymes produced by certain microorganisms that allow them to be resistant to the actions of some antibiotics) resistance. The 07/07/23 Annual Minimum Data Set (MDS) documented a Brief Interview for Mental Status (BIMS) of six, which indicated severely impaired cognition. R12 received an antibiotic four of the seven days in the seven-day look-back period. The 04/07/23 quarterly MDS documented a BIMS of 99, indicating that the BIMS was not completed by the resident and documented a staff assessment of memory problems with moderately 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 · D2023-07-31 · tag F0881 — failed to use antibiotics responsibly — isolated
    Implement a program that monitors antibiotic use.
    What the surveyor found here — an excerpt from the official record, may be distressing

    The facility identified a census of 50 residents. The sample included 13 residents with five reviewed for medications. Based on observation, interview, and record review, the facility failed to implement antibiotic use protocols to avoid unnecessary and/or inappropriate antibiotic use to reduce the risk of adverse events, including antibiotic resistance, when the facility failed to monitor effectiveness and identify inappropriate extended administration of antibiotic administration for Resident (R) 12. This placed the resident at risk for complications related to extended antibiotic use. Findings include: - Review of the facility infection control log from October 2022 thru June 2023 lacked documentation of R12's on-going usage of Sulfamethoxazole-Trimethoprim Tablet 800-160 milligrams (Bactrim DS - an antibiotic). R12's diagnoses from the Electronic Health Record (EHR) included extended-spectrum beta-lactamases (ESBL - enzymes produced by certain microorganisms that allow them to be resistant to the actions of some antibiotics) resistance. The 07/07/23 Annual Minimum Data Set (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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2021-10-28 · 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 42 residents. The facility had one main kitchen where food was stored and prepared serving two dining rooms. Based on observation, interview, and record review the facility failed to properly store food in the main kitchen refrigerator and two nourishment room refrigerators due to the lack of temperature monitoring; failed to discard expired food items; failed to ensure the dishes and cookware were washed under sanitary conditions due to the lack of chemical or temperature monitoring; failed to store clean pots and pans separate from used, soiled pots and pans; failed to use appropriate hand hygiene when handling food; failed to prepared potentially hazardous foods with the potential food-borne pathogens when staff utilized unpasteurized eggs for a residents request for soft or undercooked eggs as opposed to pasteurized eggs (eggs that have been treated in order to reduce the risk of food-borne illness when eaten uncooked or lightly cooked); and failed to serve food in accordance with professional standards for food service safety and ensuring 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2021-10-28 · tag F0625 — isolated
    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility reported a census of 42 residents with 12 sampled including one for hospitalization. Based on observation, interview, and record review the facility failed to provide a copy of the facility bed hold policy to Residents (R) 12 or her representative for her facility-initiated hospitalizations. Findings Include: - Review of R12's Minimum Data Set (MDS) tracking form dated May 2020 documented the resident discharged to the hospital on [DATE] and returned to the facility on [DATE]. Review of R12's Minimum Data Set (MDS) tracking form dated February 2021 documented the resident discharged to the hospital on [DATE] and returned to the facility on [DATE]. Review of R9's Electronic Health Record lacked evidence of written notification of the facility-initiated hospitalization transfers and bed holds to R12 or her representative. Observation on 10/27/21 at 10:27 AM revealed R12 sat in her wheelchair in her room watching television, and she had all needed items within her reach. On 10/28/21 at 08:20 AM Social…

    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 · D2021-10-28 · 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 census totaled 42 residents with 12 residents included in the sample. Based on observation, interview, and record review the facility failed to revise the care plan related to the use of psychotropic medications (Haldol/Haloperidol/Remeron) for Resident (R)40. Findings included: - R40's Order Summary Report signed by the physician on 10/04/21 revealed a diagnosis of vascular dementia with behavioral disturbance (a progressive mental disorder characterized by failing memory and confusion caused by a decreased blood flow to the brain.) The Quarterly Minimum Data Set (MDS) dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 00, indicating a BIMS score could not be determined, and noted R40 received an antipsychotic medication for three days and an anti-depressant medication two days during the seven-day lookback period. The Annual MDS dated 10/08/21 revealed a BIMS score of 00, indicating a BIMS score could not be determined and R40 received an antipsychotic medication daily 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2021-10-28 · 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 42 residents with 12 residents in the sample and two residents reviewed for accidents. Resident 13, and Resident 30. Based on observations, interview, and record review the facility failed to implement care planned fall prevention measures to include the use of a floor mat at night to prevent falls for Resident (R) 13 and failed to ensure staff monitoring the wander guard bracelet for R30 every shift to prevent a potential elopement. Findings include: - The Physician Orders dated 09/29/21 for R30 revealed the following diagnosis: schizoaffective disorder bipolar type (psychotic disorder characterized by gross distortion of reality, disturbances of language and communication and fragmentation of thought). The Annual Minimal Data Set (MDS) dated [DATE] revealed a Brief Interview Mental Status (BIMS) score of 10, indicated moderate cognitive impairment. and noted R30 as independent with Activities of Daily Living (ADL), with no behaviors noted. The Quarterly Minimal Data Set (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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2021-10-28 · tag F0757 — failed to avoid unnecessary drugs — isolated
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility census totaled 42 residents with five residents reviewed for unnecessary medications. Based on observation, interview, and record review the facility failed to ensure the physician was notified when parameters for blood sugars were exceeded for Resident (R)3 and R40. Finding included: - R3's signed Order Summary Report dated 09/23/21 revealed a diagnosis of diabetes mellitus (when the body cannot use glucose, not enough insulin was made, or the body cannot respond to the insulin.) The Annual Minimum Data Set (MDS) dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 15 indicating intact cognition and received insulin daily. The Quarterly MDS dated 07/23/21 revealed a BIMS score of 15 indicating intact cognition and received insulin daily. The Care Plan dated 07/09/19 revealed staff were to check R40's blood sugar levels as the doctor ordered and let them know if the levels were outside the range the physician set. A review of the Physician Orders included the following: Order…

    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 before2021-10-28 · tag F0758 — failed to limit and justify psychotropic drugs — isolated
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility census totaled 42 residents with five residents reviewed for unnecessary medications. Based on observation, interview, and record review the facility failed to ensure an appropriate diagnosis for the use of antipsychotic medications (Haldol/Haloperidol) for R40 and failed to ensure the staff did not administer as needed (PRN) longer than 14 days without a renewed physicians order or reason provided by the physician for the continued administration of Haldol on a PRN basis. Findings included: - R40's Order Summary Report signed by the physician on 10/04/21 revealed a diagnosis of vascular dementia with behavioral disturbance (a progressive mental disorder characterized by failing memory and confusion caused by a decreased blood flow to the brain.) The Quarterly Minimum Data Set (MDS) dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 00, indicating a BIMS score could not be determined, and noted R40 received an antipsychotic medication for three days during the seven-day…

    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

“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 MIDWEST HEALTH — 11 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 53.9+1.1 vs chain
Health inspection 4 of 53.4+0.6 vs chain
Staffing 5 of 54.1+0.9 vs chain
Quality measures 2 of 53.5-1.5 vs chain
The other 10 homes this chain runs (chain average 3.9★, per CMS)

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 / managerTypeRoleShareSince
RANCH HOUSE NURSING FACILITY OPERATIONS LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF100%since 01/11/2011
FLOYD C EATON III TRUST 2012Organization5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNFNO PERCENTAGE PROVIDEDsince 09/01/2017
JAMES BRETT KLAUSMAN TRUST 2012Organization5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNFNO PERCENTAGE PROVIDEDsince 09/01/2017
JAMIE N EATON TRUST 2012Organization5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNFNO PERCENTAGE PROVIDEDsince 09/01/2017
KLATON ENTERPRISES, LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNFNO PERCENTAGE PROVIDEDsince 01/11/2011
MICHAEL GRAHAM KLAUSMAN TRUST 2012Organization5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNFNO PERCENTAGE PROVIDEDsince 09/01/2017
EATON, FLOYDIndividualINDIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROLsince 09/01/2017
KLAUSMAN, JAMESIndividualINDIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROLsince 09/01/2017
MIDWEST HEALTH, INC. 06122001OrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 05/01/2018

CMS files one row per role, so the 19 rows in the source record cover these 9 parties — each is shown once here with every role it holds. Nothing is omitted.

7 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.

$5.0M
Net patient revenuemost recent cost report
-9.3%
Operating marginrevenue minus expenses
$1.4M
Related-party expense26% of expenses
Who pays — share of resident-days
Medicaid 0%Medicare 9%Other / private 91%

This home reported $1.4M paid to related parties — landlords or management companies under common ownership — equal to about 26% 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. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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

$309per resident / day
operating cost
$9,390per month
≈ monthly operating cost
$283per 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 175562. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-04-17, 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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