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Sandstone Heights

440 State Street, Little River, KS 67457 · Non profit - Other · 36 certified beds · (620) 897-6266 Medicare & Medicaid certified

Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse/neglect citation on record (F0602) — cited Jan 20241 immediate-jeopardy citation$67,763 in federal fines1 Medicare payment denial
Insights

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

In its favor
  • a high payroll-based staffing rating (4/5)
  • 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 Jan 2024
  • inspectors cited 1 immediate-jeopardy problem — the most serious level
  • a high number of inspection citations overall (20) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $67,763 in federal fines (most recent 2025-03-13)
  • its payroll-based staffing score sits well above its independent inspection score
  • its independent health-inspection rating is low (2/5)
  • its facility-reported quality-measure rating is low (1/5)
  • nursing-staff turnover (59%) runs well above the national median (45%)

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.

1/5
CMS overall
1 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 2 of 5
StaffingFrom payroll records (PBJ) 4 of 5
Quality measuresSelf-reported by the facility 1 of 5

Worth a closer look. This home's staffing rating runs 2 stars above its independent health-inspection score. The inspection is done by state surveyors; the staffing score rests on the facility's own payroll (PBJ) submissions — so a gap this large is worth reading the inspection record for.

Location & what’s nearby

Hospital
Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
1221 W Noble St · (620) 257-5124 · Call to confirm hours
Pharmacy
921 W Main St · (620) 509-2169 · Call to confirm hours
Grocery
Park
Avenue N · Typically dawn to dusk
Place of worship
405 Harrison St · (620) 897-6460

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 1 of 5
Long-stay residentspeople who live here 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 3 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating3★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased21.4%17.9%15.4%worse
Long-stay residents who lose too much weight4.4%4.9%5.4%better
Long-stay residents with a catheter left in their bladder15.1%1.6%0.9%worse
Long-stay residents with a urinary tract infection5.5%2.9%2.0%worse
Long-stay residents with depressive symptoms6.2%6.5%6.5%typical
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 injury17.2%4.3%3.3%worse
Long-stay residents whose ability to walk worsened16.9%16.2%16.1%typical
Long-stay residents on antianxiety or hypnotic medication28.6%23.2%18.9%worse
Long-stay residents given the seasonal flu vaccine100.0%95.5%95.3%typical
Long-stay residents with pressure ulcers6.2%4.4%4.7%worse
Long-stay residents with worsening bladder/bowel control24.5%22.6%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table45.8%18.1%17.1%worse
Long-stay hospitalizations per 1,000 resident days3.321.801.67worse
Long-stay outpatient ER visits per 1,000 resident days4.992.131.80worse

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.

9.8%U.S. median 10.7%
Went back to hospital
0.37U.S. median 0.31
Therapy hours / resident / day
0.30hours / resident / day
Physical therapy
0.07hours / resident / day
Occupational therapy
<0.01hours / resident / day
Speech therapy

Therapy staffing: this home’s payroll records show 0.37 therapist hours per resident per day in 2026Q1 — more than 63% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 1% 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 SNFnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF9.8%CMS range 6.1–15.310.7%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 dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identifiednot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care settingnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final 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 staynot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsenednot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalizationnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.001.02Oct 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

1.11
RN hours/ resident / day
0.65
LPN hours/ resident / day
2.43
Aide hours/ resident / day
4.18
Total nurse hours/ resident / day
0.81
RN hoursweekends
58.8%
Total nursing turnover
40.0%
RN turnover

How full it usually is: this home is certified for 36 beds and averages 25.6 residents a day — about 71% occupied, or roughly 10 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 4.18 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.11 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.43 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.80 hrs/resident/day on weekends vs 4.33 on weekdays — 12% thinner on weekends. RN hours go from 1.22 to 0.81 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 59% is well above 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 (2025-03-13)
9
at the previous standard inspection (2023-06-15)

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

ABCDEFGHIJKL

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

20 citations, most serious first. The 12 most serious are shown; the remaining 8 are one tap away and print in full.

  • Immediate jeopardy · J2024-01-16 · 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 27 residents. The sample included 15 residents with facility held personal fund accounts, reviewed for misappropriation and exploitation. Based on observation, interview, and record review the facility failed to ensure a system in place for the accurate accounting and reconciliation of resident fund accounts to prevent staff misappropriation and exploitation. The facility kept 14 manilla envelopes, each labeled with a resident's name, for the personal funds of Resident (R) 1, R2, R3, R4, R5, R6, R7, R8, R9, R10, R11, R12, R13, and R14. Observation of the 14 envelopes revealed no paper cash in any of the 14 envelopes. R15 elected the facility as the payee and responsible party for her finances. The facility kept R15's money in a bank account with a debit card available. A facility employee used R15's bank card to withdraw money from the resident's bank account and made numerous unauthorized purchases without the resident's consent. The facility failed to record and track money 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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Actual harm · Gcited before2025-03-13 · 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 22 residents, with 11 residents sampled, including six residents reviewed for accidents. Based on observation, interview, and record review, the facility failed to ensure fall prevention interventions were implemented to prevent falls for three residents. Resident (R)14 had multiple falls with no fall prevention interventions placed and fell on [DATE] at approximately 07:20 AM, which resulted in a fractured (broken bone) right hip that required hospitalization and surgical repair. The facility also failed to investigate, develop, and implement fall prevention interventions to prevent multiple falls for R9 and R10. Findings included: - Review of the Electronic Health Record (EHR) for Resident (R)14 included diagnoses of altered mental status (state of awareness that was different from the normal awareness of a person) and age-related osteoporosis (abnormal loss of bone density and deterioration of bone tissue with an increased fracture risk). The 10/02/24 Quarterly Minimum Data…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2025-03-13 · tag F0851 — widespread
    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
    What the surveyor found here — an excerpt from the official record, may be distressing

    The facility reported a census of 22 residents. Based on interview and record review, the facility failed to electronically submit complete and accurate staffing information to the Federal regulatory agency through Payroll-Based Journaling (PBJ) when the facility failed to accurately submit hourly staffing data for all nursing personnel. Findings included: - Review of the PBJ Staffing Data Report for Fiscal Year (FY) for Quarter 1 - 2024 (October 1 - December 31), revealed the facility failed to have Licensed Nursing Coverage 24 hours/Day on the following dates: 10/14/24 Saturday (SA), 10/20/24 Friday (FR), 10/21/24 Saturday (SA), 10/22/24 Sunday (SU), 10/28/24 Saturday (SA), 11/19/24 Sunday (SU). Review of the Nursing Schedule and Payroll Data Sheets for the above dates revealed the facility had 24-hour nursing coverage. During an interview on 03/12/25 at 11:15 AM, Administrative Nurse B confirmed the facility had 24-hour nursing coverage, even though it was not reflected on the PBJ report. On 03/12/25 at 12:45 PM, Administrative Nurse B provided payroll staffing data for the dates…

    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 · D2025-03-13 · 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 had a census of 22 residents. The sample included 11 residents with three reviewed for discharge. Based on observation, record review, and interviews, the facility failed to provide a written bed hold policy notice to Residents (R) 3, R14, and R 9, or the resident's representatives, when they transferred to the hospital. This deficient practice had the risk of impaired ability to return to the facility and to the previous room for R3, R14, and R19. Finding included: - Review of the Electronic Health Record (EHR) census log for R3 revealed a discharge from the facility to a hospital on [DATE] and readmitted to the facility on [DATE]. The EHR lacked documentation related to written notification of the resident or resident's representative related to this discharge/transfer. Review of the EHR census log for R14 revealed a discharge from the facility to a hospital on [DATE] and readmitted to the facility on [DATE]. The EHR lacked documentation related to written notification of the resident or…

    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 · D2025-03-13 · 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

    The facility reported a census of 22 residents and included 11 residents sampled and reviewed for care plan revision. Based on observations, interviews, and record reviews, the facility failed to ensure the care plans were reviewed and revised to develop and implement appropriate interventions to prevent multiple falls for three residents, Resident (R) 9, R10 and R14. These deficient practices resulted in ongoing increased risk of falls and had the potential to lead to uncommunicated needs that would negatively affect the physical and psychosocial well-being of the residents. Findings included: - Review of the Electronic Health Record (EHR) for Resident (R)14 included diagnoses of altered mental status (state of awareness that was different from the normal awareness of a person) and age-related osteoporosis (abnormal loss of bone density and deterioration of bone tissue with an increased fracture risk). The 10/02/24 Quarterly Minimum Data Set (MDS) documented a Brief Interview of Mental Status (BIMS) score of five, which indicated severely impaired cognition. The assessment…

    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 · D2025-03-13 · tag F0812 — failed to store, cook, and serve food safely — isolated
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    The facility reported a census of 22 residents. Based on observation, interview, and record review, the facility failed to store and prepare food under sanitary conditions for the residents of the facility. Finings included: - On 03/11/25 at 01:34 PM, kitchen tour with Dietary Aide (DA) K, revealed the following areas of concern: 1. Thirteen cookie sheets/pans with brown, dried, caked on substance on the exterior and the interior corners and cooking surfaces of each pan. Pans were in a upside down position, one on top of other, which resulted in the outside of one pan in direct contact with the cooking surface of the next pan. The surfaces were unsanitizable. 2. Seven frying pans/skillets with brown dried caked substance on exterior and interior corners and cooking surfaces were in a upside down position, one on top of other, the outside of one skillet/frying pan in direct contact with the cooking surface of the next skillet/frying pan. The surfaces were unsanitizable. 3. A metal rack with four shelves with rust and greasy sticky grim build-up on the upper which rendered them…

    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 · F2023-06-15 · 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 reported a census of 26 residents. Based on observation, interview and record review, the facility failed to have Registered Nurse (RN) coverage for at least eight continuous hours on 07/31/22 as required. This placed the residents in the facility at risk for unsupervised nursing care and services. Findings included: - The facility provided Daily Census Report, dated 06/12/23 documented 26 residents resided in the facility. On 06/12/23 at 10:30 AM, observation revealed 26 residents resided in the facility. Review of the nursing schedules for 07/01/22 through 08/31/22 documented one day without the required consecutive eight hours of RN coverage (07/31/22). Review of RN payroll documents for 07/01/22 through 08/31/22 revealed a lack of RN coverage on 07/31/22. On 6/13/23 at 03:30 PM, Administrative Nurse B confirmed no RN coverage on 07/31/22 and stated that she understood the regulation to mean that an RN could be on call and available by telephone. The facility failed to ensure eight consecutive hours of RN nursing coverage to ensure adequate nursing cares provided 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.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2023-06-15 · 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 26 residents. Based on observation, interview and record review the facility failed to maintain an effective infection control program with the failure of staff to provide appropriate perineal (the area of the body between the anus and genitals) care and urinary catheter (a hollow flexible tube that collects urine and leads to a collection bag) care for Resident (R)3, failure of the staff to sanitize equipment between resident use, failure to contain soiled laundry in appropriate containers and failure to maintain cleanable surfaces in the laundry area. This deficient practice with potential to negatively affect infection control for all residents in the facility. Findings included: - The 06/12/23 Electronic Health Record (EHR) documented R3 had the following diagnoses: fracture of femur (a broken thigh bone), diabetes mellitus type 2 (DM2 - a chronic disease when the body cannot use glucose, not enough insulin made or the body cannot respond to the insulin), chronic obstructive pulmonary disease (COPD - a progressive and irreversible condition…

    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 · F2023-06-15 · tag F0921 — failed to keep a safe, functional, sanitary building — widespread
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    What the surveyor found here — an excerpt from the official record, may be distressing

    The facility reported a census of 26 residents. Based on observation, interview, and record review, the facility failed to ensure a safe and sanitary environment for residents and staff in the facility laundry. Findings included: - On 06/14/23 at 02:39 PM, the tour of the laundry with Laundry Supervisor D revealed the following concerns: 1. The soiled laundry area contained a trash can that held used/soiled Personal Protective Equipment, that lacked a cover. 2. A handwashing sink with an unsanitizable three door cabinet due to peeling laminate an unsealed/bare wood exposed. 3. The floor area exiting the laundry and entering into the hallway to the delivery area, contained 19 broken/missing floor tiles. On 06/14/23 at 02:39 PM, Laundry/Housekeeping Supervisor D confirmed the tour of the laundry and verified the above concern findings. She reported staff should cover trash cans when putting used PPE in the trash to prevent cross contamination and prevent infection. Additionally, she agreed that the areas of bare wood should be sealed to have a sanitizable surface. On 06/14/23 at 02:45…

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

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2023-06-15 · tag F0761 — failed to label and store drugs safely — pattern
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility reported a census of 26 residents and identified seven that received stock medication of magnesium oxide and multivitamins. Based on observation, interview, and record review the facility failed to monitor and ensure administration of nonexpired medication to these seven residents who received expired stock medication of magnesium multivitamin 400 milligrams. The seven affected residents included (R)1, R3, R5, R18, R22, R26, and R27. Findings included: - On [DATE] at 08:40 AM, Licensed Nurse (LN) J, prepared medications for resident (R)1, which included Magnesium 400 mg, and Multivitamin ordered daily by mouth. After LN J prepared the resident's medications for administration, observation of the pharmacy medication labels found the following concerns: 1. The bottle of Magnesium Oxide, 400 mg tablets, noted to initially contain 120 tablets contained nine tablets. The pharmacy label indicated the expiration date of [DATE]. Upon inquiry LN J reported she did not check the medication for an expiration…

    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 · D2023-06-15 · tag F0557 — isolated
    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
    What the surveyor found here — an excerpt from the official record, may be distressing

    The facility reported a census of 26 residents with 12 selected for review. Based on interview, observation, and record review, the facility failed to protect the dignity of R3 when the environment around the resident and in her room contained the foul urine odors. Findings included: - On 06/12/23 at 11:12 AM, a heavy odor of urine was present in the hallway beside R3's room and intensified in the doorway of R3's room. On 06/12/23 at 12:10 PM, observation revealed an unidentified housekeeping staff cleaning R3's room and at that time, the foul urine odor was not detected. On 06/12/23 at 02:39 PM, R3 observed resting in her room with a heavy odor of urine present in the hallway outside the resident's room. R3's urinary catheter drainage bag revealed it was inside of a dark blue plastic trash can that stood on the floor next to the bed. On 06/13/23 at 10:54 AM, R3's room observed to have a mild odor of urine with R3 being currently absent from her room. On 06/13/23 at 04:00 PM, R3 observed to be resting in her room with a heavy odor of urine present in the hallway approximately 15…

    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 · D2023-06-15 · tag F0641 — isolated
    Ensure each resident receives an accurate assessment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    The facility reported a census of 26 residents with 12 selected for review. Based on observation, interview, and record review, the facility failed to accurately complete the MDS for Resident (R)15 and R3, with administration of oxygen. This placed the resident at risk for uncommunicated care needs. Findings included: - The 06/12/23 Electronic Health Record (EHR) documented R3 had the following diagnoses: fracture of femur (a broken thigh bone), diabetes mellitus type 2 (DM2 - a chronic disease when the body cannot use glucose, not enough insulin made or the body cannot respond to the insulin), chronic obstructive pulmonary disease (COPD - a progressive and irreversible condition characterized by diminished lung capacity and difficulty or discomfort in breathing), and hemiplegia (paralysis of one side of the body) and hemiparesis (muscular weakness on one half of the body) following cerebrovascular disease (unspecified diseases of the brain tissues due to impaired blood flow to the brain). The 12/27/22 Significant Change Minimum Data Set (MDS) documented a brief interview for mental…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
Show the remaining 8 citations
  • Potential for harm · D2023-06-15 · tag F0660 — isolated
    Plan the resident's discharge to meet the resident's goals and needs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Resident #29 Discharge Dx: pain, bph, htn, CAD, presence of right artificial shoulder joint, aftercare following joint replacement surgery MDS: 3/15/23 admission MDS: BIMS: 15, TSS: 0, no behaviors, required limited assistance of one staff for all cares, was receiving PT/OT, indicates discharge plan was for resident to return to the community. CAAs: ADL:Resident is here in facility post R shoulder surgery due to osteoarthritis. Resident has an amputated L arm at the shoulder. He is here for a short stay for skilled services thru PT and OT. Resident currently has a sling with cushion and he is not to be doing own cares to promote healing. He requires toileting assistance due to inability to adjust clothing or to provide peri-care, but he remains continent of bowel/bladder. Due to resident being unbalanced with missing L arm and surgery on R arm he is at risk for falls, but no falls have occurred since admission. Resident had been trying to lose weight while at home and had only been eating twice a day. Three…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-06-15 · tag F0661 — isolated
    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
    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 26 residents, with 12 sampled residents with two closed records reviewed. Based on record review, and interviews, the facility failed to provide a recapitulation of stay (summary of stay) upon discharge from the facility for Resident (R)29. This deficient practice placed R29 at risk for an interruption in the continuity of care. Findings included: - R29's Electronic Health Record (EHR) documented the following diagnoses: presence of artificial shoulder joint and aftercare following joint replacement surgery. R29's admission Minimum Data Set (MDS), dated [DATE] documented Brief Interview of Mental Status (BIMS) score of 15, which indicated intact cognition. R29 required limited assistance of one staff member for all cares. The MDS documented that R29 was receiving physical therapy (PT) and occupational therapy (OT) and documented a plan for resident to return to the community. R29's ADL Functional/Rehabilitation Potential Care Area Assessment (CAA) documented that R29 was admitted for…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-06-15 · 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

    The facility reported a census of 26 residents, with 12 sampled, including one resident sampled for activities of daily living (ADL). Based on observation, interview, and record review, the facility failed to provide adequate assistance with personal hygiene care for the one sampled Resident (R) 3 related to incontinence care, cleaning of body folds and care of the perineum (area of the body between the genitals and the anus), to maintain adequate personal hygiene. Findings included: - The 06/12/23 Electronic Health Record (EHR) documented R3 had the following diagnoses: fracture of femur (a broken thigh bone), diabetes mellitus type 2 (DM2 - a chronic disease when the body cannot use glucose, not enough insulin made or the body cannot respond to the insulin), chronic obstructive pulmonary disease (COPD - a progressive and irreversible condition characterized by diminished lung capacity and difficulty or discomfort in breathing), and hemiplegia (paralysis of one side of the body) and hemiparesis (muscular weakness on one half of the body) following cerebrovascular disease…

    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 · F2021-11-04 · 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 — the official record, unedited, may be distressing

    The facility census totaled 23 residents residing on two halls. Based on interview and record review the facility failed to designate one or more individuals as the infection preventionist, who completed specialized training in infection prevention and control, and would be responsible for the facility's infection control program. This had the potential to affect all residents in the facility. Findings included: - Review of facility records lacked evidence of completion of specialized training in infection prevention and control. During an interview on 11/04/21 at 10:00 AM Administrative Nurse B reported she oversaw infection control. She reported neither of them received training as the infection preventionist. The facility failed to designate one or more individuals as the infection preventionist who completed specialized training in infection prevention and control.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2021-11-04 · tag F0881 — failed to use antibiotics responsibly — pattern
    Implement a program that monitors antibiotic use.
    What the surveyor found here — an excerpt from the official record, may be distressing

    The facility census totaled 23 residents residing on 2 units. Based on interview and record review the facility failed to culture infections to ensure the appropriate use of antibiotics for three residents with urinary tract infections (UTI) and one resident with a wound infection for Resident (R) 12, R20, R5, and R14. Findings included: - The Antibiotic Use Tracking Sheet for September 2021 revealed: On 09/06/2021 01:48 PM R12 had a urinary Chem-stick (a dip stick used to trace bacteria in urine) sent to the physician due to the resident had complaints of burning with urination and increased incontinent episodes. A new order on 09/07/2021 at 04:29 PM included Cipro (antibiotic) twice a day for seven days for a diagnosis of UTI. No culture ordered on urine. On 09/07/21 R14'a physician ordered a UA (urinalysis lab test) for complaints of frequency of urine with order for Macrobid (antibiotic) 100 milligrams (mg) twice a day for ten days. No culture ordered on urine. On 09/20/21 staff notified R20's physician of a foul odor with urine. Order received from the physician for Ceftriaxone…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2021-11-04 · 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 23 residents. Based on observation, interview, and record review the facility failed to keep the resident environment free of accident hazards by the failure to keep hazardous chemicals locked away for resident safety. Findings Include: - During initial tour on 11/02/21 at 07:25 AM observation revealed of a 14-ounce aerosol spray can of Asepticare Virucide (Disinfectant Germicidal Deodorizer) with a warning label to keep out of reach of children, located in an unlocked cabinet on a resident hallway. On 11/02/21 at 07:40 AM Administrative Nurse B stated she expected all hazardous chemicals in the cabinet to be locked up. On 11/02/21 at 07:40 AM revealed Administrative Nurse B had removed the Asepticare Virucide spray and placed it in a safe, locked location. The facility undated Chemical Storage Policy and Procedure for Sandstone Heights documented that staff are to store all hazardous materials properly. The facility failed to keep the resident environment free of accident hazards by not storing hazardous materials properly in a locked area away…

    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 before2021-11-04 · 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 — an excerpt from the official record, may be distressing

    The facility reported a census of 23 residents. The facility had one medication room where medications were stored. Based on observation, interview, and record review the facility failed to date two opened vials of injectable Aplisol (tuberculin PPD, diluted, is a sterile aqueous solution of a purified protein fraction for intradermal administration as an aid in the diagnosis of tuberculosis). The facility further failed to ensure staff disposed of Aplisol in the recommended time frame with multiple doses remaining in the four vials and accessible for use, as stored in the medication refrigerator. Findings included: - On 11/02/21 at 07:39 AM observation of the medication room with Administrative Nurse C revealed four open vials of Aplisol. One vial with an opened-on date of 07/13/21, one vial dated opened on 08/17/21, and two open vials with no date. Multiple doses remained in all vials and Administrative Nurse C removed all vials from the refrigerator and destroyed them. On 11/02/21 at 08:15 AM Administrative Nurse B reported she expected the licensed nurses to check on medications…

    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 before2021-11-04 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    The facility census totaled 23 residents with 12 included in the sample. Based on observation, interview, and record review the facility failed to ensure a sanitary environment when staff did not change gloves when going from dirty to clean areas while changing the brief of Resident (R) 3. Findings included: - Observation on 11/02/21 at 09:30 AM revealed Certified Nursing Assistant (CNA) D used a sit-to-stand lift to transfer the resident from the toilet. CNA D stood the resident up from the toilet and donned (applied) gloves and provided peri care after toileting R3. CNA D did not remove her gloves and continued to pick up a clean brief for R3, placed the brief on the resident, and pulled up the resident's pants. CNA D then transferred the resident to the wheelchair. CNA D then removed gloves and emptied the trash. CNA D did not perform hand hygiene or change her gloves during the observation, when going between dirty and clean areas, to prevent the contamination of clean areas. An interview on 11/02/21 at 09:40 AM, CNA D reported she should have changed her gloves after providing…

    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

“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

$67,763 in federal fines across 2 penalties. 1 Medicare payment denial on record.

  • $41,262 — penalty dated 2025-03-13
  • $26,501 — penalty dated 2024-01-16
  • Medicare payment denial — starting 2025-04-11 for 40 days

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Who owns this facility

Owner / managerTypeRoleShareSince
RICE COUNTY HOSPITAL DISTRICT NO 2Organization5% OR GREATER DIRECT OWNERSHIP INTEREST100%since 07/01/1989
LEHMAN, ABIGAILIndividualMANAGING CONTROL - GOVERNING BODYsince 02/01/2023
OLANDER, RANDALLIndividualMANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROLsince 07/13/2015
TURNER, NANCYIndividualMANAGING CONTROL - GOVERNING BODYsince 02/01/2025
WEMPE, JOHNIndividualMANAGING CONTROL - GOVERNING BODYsince 02/01/2021
WHORTON, ALLENIndividualMANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROLsince 02/01/2021
WILLARD, DAVIDIndividualMANAGING CONTROL - GOVERNING BODYsince 02/01/2025
DECKER, JAMESIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2003
LOOK, TREYIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2022
SCHLOSSER, TODDIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 06/27/2025

CMS files one row per role, so the 15 rows in the source record cover these 10 parties — each is shown once here with every role it holds. Nothing is omitted.

1 organizational owner 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.

$2.8M
Net patient revenuemost recent cost report
-27.7%
Operating marginrevenue minus expenses
Who pays — share of resident-days
Medicaid 45%Medicare 8%Other / private 47%

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

$373per resident / day
operating cost
$11,340per month
≈ monthly operating cost
$292per 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 175509. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-03-13, 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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