Stevens County Hospital Ltcu DBA Pioneer Manor

Location & what’s nearby

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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

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.

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.

Therapy staffing: this home’s payroll records show 0.24 therapist hours per resident per day in 2026Q1 — more than 31% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 0% 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.

Staffing

How full it usually is: this home is certified for 77 beds and averages 72.0 residents a day — about 94% occupied, or roughly 5 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.68 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.75 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.66 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 4.11 hrs/resident/day on weekends vs 4.91 on weekdays — 16% thinner on weekends. RN hours go from 0.83 to 0.53 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 37% 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

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.

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 13 most serious are shown; the remaining 10 are one tap away and print in full.

• Actual harm · G2024-12-12 · 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 had a census of 73 residents, with 18 sampled, and four reviewed for activities of daily living (ADL). Based on observation, record review, and interview, the facility failed to provide necessary services to maintain good personal hygiene for Resident (R)20, which placed R20 at risk for poor personal hygiene and related complications. The facility also failed to assist R72 to the dining area for meals or provide assistance with meals in her room, to help prevent the 10.75% weight loss over four months. Findings included: - Resident (R) 20's Electronic Health Record (EHR) included the following diagnoses: idiopathic peripheral neuropathy (weakness, numbness and pain from nerve damage, usually in the hands and feet, caused by an unknown cause), pressure ulcer (any localized injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure, or pressure in combination with shear and/or friction) to right plantar (walking surface) foot, venous hypertension (high blood…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2024-12-12 · 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 identified a census of 73 residents, with 18 residents sampled, and four 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 observations, interviews, and record review, the facility failed to prevent the development of pressure ulcers and failed to provide treatment to promote healing for two residents, Resident (R) 24 and R14, who both developed pressure ulcers while a resident at the facility. Findings included: - Resident (R) 24 's Electronic Health Record (EHR) revealed diagnoses of fractures (broken bones) to both upper arms, depression, Mantle cell lymphoma (a rare, aggressive type of blood cancer that affects the lymphatic system), abnormal weight loss, schizophrenia (mental disorder characterized by gross distortion of reality, disturbances of language and communication and fragmentation of thought) spectrum disorder, 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
• Actual harm · G2024-12-12 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
  Provide enough food/fluids to maintain a resident's health.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility identified a census of 73 residents with 18 sampled. Based on observation, interview, and record review, the facility failed to initiate weight loss interventions for cognitively impaired Resident (R) 72, who had an identified weight loss of 10.75% in four months. This deficient practice had the potential to negatively affect the resident's physical well-being. Findings include: - Review of R72's diagnoses from the Electronic Health Record (EHR) included dementia (progressive mental disorder characterized by failing memory, confusion) and vitamin deficiency (is the condition of a long-term lack of a vitamin). The Annual Minimum Data Set (MDS) dated [DATE], documented R72 had moderately impaired cognition. The resident had a total mood severity score of 00, which indicated no depression. R72 displayed no behaviors and the resident required maximum assistance with activities of daily living (ADLs), to include eating, oral care, toileting, dressing, footwear, and personal hygiene. The MDS indicated R72…

  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 · E2026-02-04 · tag F0607 — failed to have anti-abuse policies — pattern
  Develop and implement policies and procedures to prevent abuse, neglect, and theft.
  What the surveyor found here — an excerpt from the official record, may be distressing

  The facility identified a census of 73 residents. The sample included five residents and two staff reviewed for background checks. Based on interview and record review, the facility failed to develop and implement a process that prohibited and prevented the facility from employing or engaging staff with criminal backgrounds when the facility failed to conduct a background check as required for two employees. Findings included: - Employee review of Certified Nurse Aide (CMA) M revealed a hire date of 11/01/23. The facility was unable to provide evidence that a pre-employment criminal background check had been completed by the facility for CMA M upon request. Employee review of CNA N revealed a hire date of 05/16/24. The facility was unable to provide evidence that a pre-employment criminal background check had been completed by the facility for CNA N upon request. On 02/04/26 at 02:00 PM, Administrative Staff A said that the facility was unable to locate the criminal background checks for CNA M or CNA N, but the facility staff would continue to search records for proof that 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2024-12-12 · 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 73 residents. Based on observation, interview, and record review, the facility failed to maintain an infection prevention and control program (IPCP) to provide a safe and sanitary environment for all residents through the following: The facility failed to ensure an effective infection control surveillance program regarding the tracking of infections of Resident (R)12 and R48. The facility failed to ensure staff performed hand hygiene prior to and during care for R20, R27, and R14. The facility failed to ensure the implementation of enhanced barrier precautions (EBP - a set of infection control measures that use gowns and gloves to reduce the spread of multidrug-resistant organisms [MDROs] in nursing homes) when providing wound care for Resident (R) 24, R14, R27, and R20. These deficient practices had the potential to affect all residents in the facility. Findings included: - During an observation on 12/10/24 at 08:46 AM, Certified Nurse Aide (CNA) S mixed medicated creams in her gloved hand after Licensed Nurse (LN) T told her those were the creams…

  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 · F2024-12-12 · 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 73 residents. Based on interview and record review the facility failed to implement an effective antibiotic stewardship program that included antibiotic use protocols, an effective system to monitor antibiotic use, and/or an effective system to track and trend infections in the building for the facility's Infection Prevention and Control Program (IPCP). This failure had the potential to affect all 73 residents. Findings included: - During an interview on 12/12/24 at 10:50 AM, Administrative Staff B revealed the facility did not have an effective infection control program, which included an Antibiotic Stewardship Program. The staff that completed the Infection Control Surveillance Logs were not trained in infection control or Antibiotic Stewardship. Administrative Staff B stated she was the Infection Preventionist, but the floor nurses were completing the Infection Control Surveillance Logs. Administrative Nurse B acknowledged the logs lacked a causative organism, site of infection, some documented a culture but lacked further documentation 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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2024-12-12 · tag F0882 — widespread
  Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
  What the surveyor found here — an excerpt from the official record, may be distressing

  The facility reported a census of 73 residents. Based on interview and record review the facility failed to ensure the Infection Preventionist (IP) assessed, implemented, and monitored the facility Infection Prevention and Control Program (IPCP). This failure has the potential to affect all 73 residents. Findings included: - During an interview on 12/12/24 at 10:50 AM, Administrative Staff B revealed the facility did not have an effective IPCP. Administrative Staff B verified she was the IP, but the floor nurses completed the Infection Control Surveillance Logs. As Administrative Staff B reviewed the Infection Control Surveillance Logs, she acknowledged the logs lacked a causative organism, site of infection, some documented a culture but lacked the documentation, and the log lacked mapping (for tracking and trending). Administrative Staff B stated the nurses were not trained in infection control or Antibiotic Stewardship and acknowledged the nurses needed infection control training. The facility's Infection Control Policy dated 12/28/24 revealed the infection control program would…

  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 · F2024-12-12 · 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 73 residents. Five Certified Nurse Aide (CNA) staff, who worked in the facility over a year, were reviewed for required annual in-service training. Based on interview and record review, the facility failed to develop, implement, and permanently maintain an in-service training program for Certified Nurse Aide (CNAs) with the required topics and no less than 12 hours per year. Two CNA staff lacked the required training topics, and one CNA lacked the required 12 hours per year of in-service training. Findings included: - On 12/12/24 at 09:56 AM, review of training records for five CNAs employed by the facility for more than one year revealed one CNA had less than 12 hours of documented in-service training for the previous 12 months. CNA FF had eight hours and twelve minutes of documented training. On 12/12/24 at 09:56 AM, review of training records for five CNAs employed by the facility for more than one year revealed two CNAs did not have the required topics for in-service training for the previous 12 months. CNA FF and CNA GG lacked dementia care…

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

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-12-12 · tag F0578 — failed to honor advance directives / code status — pattern
  Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
  What the surveyor found here — an excerpt from the official record, may be distressing

  The facility reported a census of 73 residents with 18 residents sampled. Based on observation, interview, and record review, the facility failed to verify valid advanced directives (a legal document in which a person specified what actions should be taken for their health, which may or may not include a do not resuscitate [DNR - a decision whether or not to withhold medical intervention in the even the resident's heart stops] order) for three residents, Resident (R) 20, R60, and R72. These deficient practices had the potential to lead to uncommunicated needs specifically to end-of-life care. Findings included: - Review of the Electronic Health Record (EHR) on 12/09/24 at 10:47 AM for R20 revealed the following: 1. On 11/07/24 R20 had a Brief Interview for Mental Status (BIMS) score of six which indicated severely impaired cognition. 2. On the banner of the EHR, documentation indicated R20 had a valid DNR order. 3. The (Physician's) Orders tab lacked a DNR order. 4. The Resident Documents tab lacked documentation of a valid DNR. During an interview on 12/11/24 at 10:35 AM, Licensed…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-12-12 · tag F0641 — pattern
  Ensure each resident receives an accurate assessment.
  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 73 residents with 18 residents selected for review. Based on observation, interview, and record review, the facility failed to accurately complete the [NAME] Data Set for three residents: R26 related to behavioral and emotional needs; R27 related to oxygen not captured; and 72 related to section GG coded incorrectly. Findings included: - During the onsite annual survey, the surveyor identified a concern regarding the accuracy of Minimum Data Set (MDS) assessments completed for three residents. Review of the Electronic Health Record (EHR) on 12/10/24 revealed the following comprehensive MDS noted concerns for the following three residents: R26's EHR recorded an Annual MDS, dated [DATE] and a Quarterly MDS, dated [DATE] revealed R26's behaviors were not captured on either MDS. Review of EHR targeted behavior charting on the medication administration record (MAR) during the look back period of MDS completed 07/25/24 and MDS completed on 11/10/24 revealed R26 had behaviors…

  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 · E2024-12-12 · tag F0657 — failed to keep the care plan current — pattern
  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 73 residents with 18 residents selected for review. Based on observation, interview, and record review, the facility failed to accurately revise four residents care plans after psychotropic (alters mood or thought) medication changes for Resident (R) 62, R65, and R20. The facility did not revise the care plan for R20 and R24 to reflect pressure ulcer/injury (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) interventions. This failure placed the residents at risk for uncommunicated care needs. Findings included: - During the onsite annual survey, the surveyors identified a concern regarding the lack of updated care plan revisions and/or care plan revisions completed in a timely manner for R20, R24, R62, and R65. R20's Electronic Health Record (EHR) revealed the care plan lacked a timely intervention for pressure ulcer that was discovered on 04/04/24. The care plan…

  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 · E2024-12-12 · tag F0695 — failed to provide proper breathing / tracheostomy care — pattern
  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 73 residents with 18 in the sample revied six for respiratory care. Based on observation, interview, and record review, the facility failed to provide respiratory care and services including the safe handling, storage, and dispensing of oxygen consistent with professional standards of practice for five residents, Residents (R)11, R27, R16, R60, and R42 to prevent the spread of illnesses. Findings included: - Observation on 12/09/24 at 09:44 AM revealed R11's oxygen tubing dated 12/09/24 connected to the concentrator and the nasal cannula hanging off the humidifier bottle. Observation on 12/09/24 at 11:44 AM revealed R27's oxygen tubing with the excess cannula tubing coiled on floor behind concentrator. Observation on 12/10/24 at 07:53 AM revealed R16's oxygen tubing laid in a basket on the resident's bedside table and another unused oxygen tubing shoved in basket beside recliner. Observation on 12/10/24 at 08:20 AM revealed R60's oxygen nonrebreather-mask was draped over the resident's oxygen concentrator, unplugged, with the mask touching 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-12-12 · 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 had a census of 73 residents. The sample included 18 residents. Based on observation, interview, and record review the facility failed to ensure two of the four households observed and reviewed during the medication administration pass remained free of medication errors. Forty-two medication opportunities were observed with fifteen medication errors identified This placed the residents at risk for adverse reactions from the medications and resulted in a medication error rate of 35.71%. Findings Included: R65's Physician Orders included for staff to flush the resident's Percutaneous Endoscopic Gastrostomy tube (PEG-tube surgically placed through an artificial opening into the stomach) with 150 milliliters (ml) of water before and after administration of medications, date ordered 11/14/24. - During an observation on 12/10/24 at 10:36 AM, Licensed Nurse (LN) Z prepared Resident (R) 65's medications, which included Gabapentin (anticonvulsant medication) and Acetaminophen-Codeine (pain medication). Both medications were crushed separately and placed into separate medication…

  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.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

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