Stanton County Health Care Facility Ltcu

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.

Staffing

How full it usually is: this home is certified for 25 beds and averages 19.8 residents a day — about 79% occupied, or roughly 5 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 5.27 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.23 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.70 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 4.88 hrs/resident/day on weekends vs 5.43 on weekdays — 10% thinner on weekends. RN hours go from 1.45 to 0.69 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 13% is below the national median of 45%.

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

Inspection trend

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.

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.

24 citations, most serious first. The 10 most serious are shown; the remaining 14 are one tap away and print in full.

• Potential for harm · F2025-08-28 · tag F0801 — widespread
  Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
  What the surveyor found here — an excerpt from the official record, may be distressing

  The facility had a census of 22 residents and one kitchen. The sample included 12 residents. Based on observation, record review, and interview, the facility failed to employ a full-time Certified Dietary Manager for 22 residents who reside in the facility and received their meals from the kitchen. This placed the residents at risk of not receiving adequate nutrition.Findings included:- On 08/25/25 at 10:45 AM, Dietary staff preparing for the noon meal, Dietary Staff (DS) BB present in the kitchen. DS BB identified herself as the Dietary Manager, was enrolled in a Dietary Manager Certification course, but had not yet finished the course. DS BB reported that the Registered Dietitian came to the facility monthly.The facility's Dietitian policy, dated 01/2025, documented that a qualified dietitian would help oversee clinical nutritional dietary services in the facility. A dietitian's qualification shall be based upon: Registration by the Commission on Dietetic Registration of the American Dietetic Association, or demonstrated education, training, or experience in the identification of…

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

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2025-08-28 · 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 had a census of 22 residents. The sample included 12 residents. Based on observation, record review, and interview, the facility failed to implement Enhanced Barrier Precautions (EBP- infection control interventions designed to reduce transmission of resistant organisms, which employ targeted gown and glove use during high contact care) for Resident (R) 1, who had an indwelling urinary catheter (tube placed in the bladder to drain urine into a collection bag) and shared use of a full body lift sling. This deficient practice placed the residents who reside in the facility at risk of infectious disease processes.Findings included:- R1's Electronic Medical Record (EMR), documented diagnoses of dementia (a progressive mental disorder characterized by failing memory and confusion), urinary tract infection (UTI- an infection in any part of the urinary system), right thigh blister, neuromuscular dysfunction of the bladder(the muscles that control the flow of urine out of the body do not relax and prevent the bladder from fully emptying), edema(swelling resulting from an…

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

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-08-28 · tag F0605 — failed to not use drugs as a restraint — pattern
  Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility had a census of 22 residents. The sample included 12 residents, of whom six sampled residents were reviewed for unnecessary medications. Based on observation, record review, and interview, the facility failed to ensure that Resident (R) 2, R3, R16, and R18, were free from antipsychotic (a class of medications used to treat major mental conditions that cause a break from reality) medication use without an appropriate indication for use, a gradual dose reduction (GDR - tapering of a medication dose to determine if symptoms, conditions, or risks can be managed by a lower dose or if the dose or medication can be discontinued), or ensure the physician provided the risk versus benefit for the continued use of antipsychotic medications. These deficient practices placed R2, R3, R16, and R18 at risk of unnecessary medication administration and related complications.Findings included:- R2’s Electronic Medical Record (EMR) documented diagnoses of dementia (a progressive mental disorder characterized by failing…

  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 · E2025-08-28 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility had a census of 22 residents. The sample included 12 residents. Based on observation, record review, and interview, the facility failed to ensure the Consultant Pharmacist (CP) identified and reported to the Director of Nursing and the Medical Director for Residents (R) 2, R3, R16, and R18 for the appropriate use of antipsychotics (a class of medications used to treat major mental conditions that cause a break from reality). The facility furtherly failed to ensure the CP identified and reported to the Director of Nursing and the Medical Director the missed vital signs required for R10 and R11's heart medications. This placed the residents at risk for inappropriate use of medications and unnecessary medications.Findings included: - R2’s Electronic Medical Record (EMR) documented diagnoses of dementia (a progressive mental disorder characterized by failing memory and confusion) with behavioral disturbance, major depressive disorder (major mood disorder that causes persistent feelings of sadness),…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-08-28 · tag F0628 — isolated
  Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
  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 22 residents. The sample included 12 residents, with two sampled residents reviewed for hospitalization. Based on observation, record review, and interview, the facility failed to ensure that Resident (R) 8 and R20 and their representative were provided a written notification of transfer upon the residents' transfer to the hospital. This placed R8 and R20 at risk of miscommunication between the facility and the resident's representative, and the possible missed opportunity for healthcare services.Findings included: - R8’s Electronic Medical Record (EMR) documented diagnoses of atrial fibrillation (rapid, irregular heartbeat), chronic kidney disease (the kidneys have mild to moderate damage and are less able to filter waste and fluid out of your blood), heart failure (when the heart cannot pump enough blood to meet the body’s needs), and chronic obstructive pulmonary disease (COPD- a progressive and irreversible condition characterized by diminished lung capacity and difficulty…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-08-28 · tag F0742 — isolated
  Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
  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 22 residents. The sample included 12 residents. Based on observation, record review, and interview, the facility failed to provide Resident (R) 3, who had a mental disorder and adjustment difficulties, with treatment and services to attain the highest practical mental and psychosocial well-being.Findings included:- R3's Electronic Medical Record (EMR) included diagnoses of dementia (a progressive mental disorder characterized by failing memory and confusion) with other behavioral disturbance, urinary tract infection (UTI- an infection in any part of the urinary system), nausea with vomiting, major depressive disorder (major mood disorder that causes persistent feelings of sadness), dizziness, and giddiness.R3's Quarterly Minimum Data Set (MDS), dated [DATE], documented that R3 had severe cognitive impairment, had no signs or symptoms of delirium (sudden severe confusion, disorientation, and restlessness), psychosis (any major mental disorder characterized by a gross impairment in…

  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 · D2025-08-28 · tag F0744 — failed to care for residents with dementia — isolated
  Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
  What the surveyor found here — an excerpt from the official record, may be distressing

  The facility identified a census of 22 residents. The sample included 12 residents, with five residents reviewed for dementia care. Based on observation, record review, and interview, the facility failed to ensure staff provided the necessary person-centered activities and interventions to address Resident (R) 11's dementia (a progressive mental disorder characterized by failing memory, confusion) diagnosis. This deficient practice placed R11 at risk of ineffective treatment and decreased quality of care.Findings included:- R11's Electronic Medical Record (EMR) documented diagnoses of dementia with psychotic disturbance (a condition characterized by cognitive decline accompanied by psychotic symptoms such as hallucinations and delusions), anxiety (mental or emotional reaction characterized by apprehension, uncertainty, and irrational fear), delirium (sudden severe confusion, disorientation, and restlessness), congestive heart disease (CHF- a condition with low heart output and the body becomes congested with fluid), and atrial fibrillation (rapid, irregular heart beat).R11's Annual…

  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 · D2025-08-28 · 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

  The facility had a census of 22 residents. The sample included 12 residents. Based on observation, record review, and interview, the facility failed to identify the missed vital signs required for R10 metoprolol succinate (an extended-release, beta-blocker used to treat high blood pressure) medication and R11's digoxin (a medication used to treat CHF and heart rhythm problems) medication. This placed the residents at risk for unnecessary medications.Findings included:- R10's Electronic Medical Record (EMR) recorded diagnoses of pleural effusion (a condition where excess fluid accumulates in the thin cavity between the lungs and the chest wall), hypertension (HTN- elevated blood pressure), chronic respiratory failure with hypoxia (a condition where the lungs are unable to provide enough oxygen to the body over a prolonged period, leading to low oxygen levels in the blood), and chronic obstructive pulmonary disease (COPD- a progressive and irreversible condition characterized by diminished lung capacity and difficulty or discomfort in breathing).R10's 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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-08-28 · tag F0761 — failed to label and store drugs safely — isolated
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — the official record, unedited, may be distressing

  The facility had a census of 22 residents. The Sample included 12 residents. Based on observation, record review, and interview, the facility failed to store drugs and biologicals for Resident (R) 4 according to policy in the medication cart. This placed the resident at risk for an ineffective medication regimen.Findings included:- On 08/25/25 at 02:08 PM, during the medication room tour, the medication cart labeled with R4's name contained a Lantus insulin pen without a name or date the insulin pen was put into use. Licensed Nurse (LN) G verified that the insulin pen should have a label with R4's name and the date it was put into use.The facility's Medication Storage policy, dated 01/28/25, documented that no outdated or deteriorated medications are available for use in the facility. All such medications are destroyed. Drug containers having solid, illegible, worn, makeshift, incomplete, damaged, or missing labels will be returned to the pharmacy for proper labeling before storage.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2023-08-10 · tag F0727 — failed to provide required RN coverage — widespread
  Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
  What the surveyor found here — an excerpt from the official record, may be distressing

  The facility had a census of 23 residents. Based on observation, record review, and interview, the facility failed to provide Registered Nurse (RN) coverage eight hours a day, seven days a week, that placed all the residents who reside at the facility at risk of lack of assessments and inappropriate care. Findings included: - Upon review of Payroll Based Journal (PBJ- a required detail information submitted by nursing homes of staffing information that is required by the Centers of Medicare and Medicaid Services [CMS]) the facility reported a lack of RN consecutive eight-hour coverage for 20 dates during the months of April 2022, May 2022, June 2022, July 2022, August 2022 and September 2022. Upon review of the facility's schedule for Licensed Nurses of the months of April 2022, May 2022, June 2022, July 2022, August 2022 September 2022, October 2022, November 2022, December 2022, January 2023, February 2023, March 2023 and May 2023 a total of four dates lacked RN consecutive eight-hour coverage. On 8/10/23 at 08:15 AM, Administrative Nurse B stated she was unaware 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.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

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