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Logan Manor Community Health Services

415 N Washington St, Logan, KS 67646 · Government - City · 36 certified beds · (785) 689-4201 Medicare & Medicaid certified

Call the home — (785) 689-4201 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse-prevention, restraint, or reporting citations — no harm found (F0605, F0610) — most recent Dec 2025Behavioral-health or dementia-care citation — no harm found (F0758)
Insights

This home’s record is mixed — some reassuring signs, some worth asking about.

In its favor
  • a middle-of-the-pack inspection score (3/5)
  • no federal fines or payment denials on record
  • a high payroll-based staffing rating (4/5)
Worth asking about
  • it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0605, F0610) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • a high number of inspection citations overall (26) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its facility-reported quality-measure rating is low (2/5)
  • nursing-staff turnover (57%) 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.

3/5
CMS overall
3 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 3 of 5
StaffingFrom payroll records (PBJ) 4 of 5
Quality measuresSelf-reported by the facility 2 of 5

Location & what’s nearby

Hospital
Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
1150 State St · (785) 543-5226 · Call to confirm hours
Pharmacy
300 State St · (785) 543-5131 · Call to confirm hours
Grocery
103 Main St · (785) 689-4862 · Call to confirm hours
Park
1140 10 Rd · (785) 425-6775 · Typically dawn to dusk
Place of worship
204 Douglas St · (785) 689-4391

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Overall quality measures 2 of 5
Long-stay residentspeople who live here 2 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 held steady at 2 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 rating2★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased17.6%17.9%15.4%worse
Long-stay residents who lose too much weight1.7%4.9%5.4%better
Long-stay residents with a catheter left in their bladder0.7%1.6%0.9%better
Long-stay residents with a urinary tract infection0.0%2.9%2.0%better
Long-stay residents with depressive symptoms0.0%6.5%6.5%check this — see note marked star below the table
Long-stay residents who were physically restrained0.8%0.0%0.1%worse than state — see note marked double-dagger below the table
Long-stay residents with falls causing major injury13.5%4.3%3.3%worse
Long-stay residents whose ability to walk worsened8.9%16.2%16.1%better
Long-stay residents on antianxiety or hypnotic medication23.8%23.2%18.9%worse
Long-stay residents given the seasonal flu vaccine100.0%95.5%95.3%typical
Long-stay residents with pressure ulcers5.7%4.4%4.7%worse
Long-stay residents with worsening bladder/bowel control17.9%22.6%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table31.1%18.1%17.1%worse
Long-stay hospitalizations per 1,000 resident days2.641.801.67worse
Long-stay outpatient ER visits per 1,000 resident days4.082.131.80worse

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

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

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

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

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

0.03U.S. median 0.31
Therapy hours / resident / day
0.03hours / resident / day
Physical therapy
0.01hours / resident / day
Occupational therapy
<0.01hours / resident / day
Speech therapy

Therapy staffing: this home’s payroll records show 0.03 therapist hours per resident per day in 2026Q1 — more than 1% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 2% 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 SNFnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
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 — Newly certified nursing home with less than 12-15 months of data available or the nursing home opened less than 6 months ago, and there were no data to submit or claims for this measure.
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF 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 SNFsnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality 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

0.55
RN hours/ resident / day
0.63
LPN hours/ resident / day
3.23
Aide hours/ resident / day
4.41
Total nurse hours/ resident / day
0.34
RN hoursweekends
56.8%
Total nursing turnover
RN turnover

How full it usually is: this home is certified for 36 beds and averages 32.7 residents a day — about 91% occupied, or roughly 3 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 4.41 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.552 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.23 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.70 hrs/resident/day on weekends vs 4.69 on weekdays — 21% thinner on weekends — a notable drop. RN hours go from 0.64 to 0.34 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 57% 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

10
deficiencies at the latest standard inspection (2025-12-03)
10
at the previous standard inspection (2024-01-08)

Deficiencies are unchanged from the previous inspection. 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.

26 citations, most serious first. The 10 most serious are shown; the remaining 16 are one tap away and print in full.

  • Potential for harm · Fcited before2025-12-03 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    The facility had a census of 32 residents. The sample included 12 residents. Based on observation, record review, and interview, the facility failed to store food by professional standards for food service safety in two kitchenettes and one pantry room.Findings included:- On 12/01/25 at 08:30 AM, the silver upright refrigerator located in Pod two kitchenette had the following:One large gallon zip-lock bag of potato salad, undated.One plastic bag of chicken patties, 16 count, undated.One plastic bag of chicken patties, six count, undated.One plastic bag of pancakes, three count, undated.On 12/01/25 at 08:40 AM, the silver upright refrigerator located in Pod three kitchenette, had the following:One large bowl, approximately 32 ounces (oz) of vegetable beef soup, undated.One covered plastic bowl, approximately 6 inches by 6 inches of cranberries, undated. One 32-oz plastic container of strawberry yogurt, undated.On 12/01/25 at 09:00 AM, observation of the pantry room two door silver upright refrigerated on the North Administration Hall upon entrance to the facility, had the…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2025-12-03 · tag F0727 — failed to provide required RN coverage — pattern
    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 32 residents. The sample included 12 residents. Based on interviews and record review, the facility failed to provide Registered Nurse (RN) coverage for eight consecutive hours a day, seven days a week. This placed all residents who reside at the facility at risk for decreased quality of care.Findings included:- The Payroll Based Journal (PBJ- a required detail of staffing information submitted by nursing homes to the Centers of Medicare and Medicaid Services [CMS]) documented that the facility lacked RN eight-hour coverage for the following days: 04/06/25, 04/07/25, 04/13/25, 04/19/25, 04/20/25, 04/26/25, 04/27/25, 05/03/25, 05/04/25, 05/17/25, 05/18/25, 05/2425, 05/25/25, 05/31/25, 06/01/25, 06/07/25, 06/13/25, 06/15/25, 06/21/25, and 06/22/25.The Nursing Schedule, dated November 2025, documented that the facility lacked RN eight-hour coverage for the following days: 11/08/25, 11/09/25, 11/22/25, and 11/23/25. The Nursing Schedule, dated December 2025, ldocumented that the facility lacked RN eight-hour coverage for the following days: 12/01/25 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.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2025-12-03 · 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

    The facility had a census of 32 residents. The sample included 12 residents. Based on observation, interview, and record review, the facility failed to store and label biologicals adequately when staff failed to date one insulin (medications used to treat high blood glucose levels) pen when opened and failed to remove or dispose of one expired bottle of stock medications. Findings included:- On 12/01/25 at 10:56 AM, observation of Pod one medication room refrigerator revealed the following: R7's opened insulin glargine (long-acting insulin) pen without an open date or a discard date.On 12/01/25 at 11:05 AM, observation of Pod one medication cart revealed the following:One expired stock medication bottle:Thera High Potency Vitamin Dietary Supplement, 160 count bottle, expired June 2025, and the facility had dated the bottle on 10/26/25 when they placed the medication in the medication cart for use.On 12/01/25 at 11:10 AM, Licensed Nurse (LN) G verified the expiration date on the stock medication and the undated insulin pen. LN G verified staff were to date the insulin pens when…

    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 · D2025-12-03 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    The facility had a census of 32. The sample included 12 residents. Based on record review, interview, and observation, the facility failed to provide care for Resident (R) 7 in a manner that protected and promoted their dignity. Findings included:- On 12/02/25 at 07:30 AM, observation revealed R7 sat in a chair at the dining room table. Licensed Nurse (LN) G obtained R7's blood sugar reading using a glucometer (an instrument used to calculate blood glucose) from R7's left index finger. LN G then stated to the residents, Your blood sugar reading is 120. Continued observation revealed two residents were seated in the dining room awaiting breakfast to be served, while staff and other residents were in the hallways adjacent to the dining room.On 12/03/25 at 08:15 AM, Administrative Staff A stated staff should not check residents' blood sugar in a common area; staff should take the resident to their room or to a private area.The facility's Residents Dignity policy, dated 10/22/24, documented each resident had the right and would be afforded the right to a dignified existence,…

    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 · D2025-12-03 · tag F0605 — failed to not use drugs as a restraint — isolated
    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility had a census of 32 residents. The sample included 12 residents, with five reviewed for unnecessary medications. Based on observations, interview, and record review, the facility failed to ensure a 14-day stop date or a specified duration with a rationale for Resident (R) 32's ongoing as-needed (PRN) antianxiety (class of medications that calm and relax people) medication. Findings included:- R32's Electronic Medical Record (EMR) revealed diagnoses of anxiety (mental or emotional reaction characterized by apprehension, uncertainty, and irrational fear), dementia (progressive mental disorder characterized by failing memory, confusion), and major depressive disorder (major mood disorder that causes persistent feelings of sadness).R32's Quarterly Minimum Data Set (MDS) dated [DATE] recorded R32 had severely impaired cognition. The MDS recorded she required extensive assistance from staff with activities of daily living (ADL). The MDS documented R32 received an antianxiety medication during 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 · D2025-12-03 · tag F0610 — failed to investigate and act on abuse reports — isolated
    Respond appropriately to all alleged violations.
    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 32 residents. The sample included 12 residents. Based on observation, interview, and record review, the facility failed to complete an investigation, including root cause analysis for one resident who had falls, Resident (R) 19.Findings included:- The Electronic Medical Record (EMR) for R19 documented diagnoses of hypertension (high blood pressure), transient ischemic attack (TIA- a temporary episode of inadequate blood supply to the brain), and chronic kidney disease (a long-term condition where your kidneys become damaged and can't filter waste and extra fluid from the blood).The Annal Minimum Data Set (MDS) dated [DATE] documented R19 had intact cognition. R19 was dependent upon staff for toileting hygiene, showers, and lower-body dressing. R19 required substantial staff assistance for oral hygiene, upper body dressing, personal hygiene, mobility, and transfers. R19 had upper functional impairment on both sides and had one fall with injury.R19's Quarterly MDS dated 09/10/25…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-12-03 · 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 had a census of 32 residents. The sample included 12 residents, with two residents reviewed for discharge. Based on observation, record review, and interview, the facility failed to provide Resident (R) 8 with written information regarding the facility bed hold policy when he was transferred to the hospital and the facility failed to complete a Recapulation (a required component of a residents comprehensive discharge summary from the facility, the form is completed to provide a concise summary of the residents entire stay to ensure continuity of care when transitioning to another care setting, home, or other providers) after R37 was discharged from the facility. Findings included:- R8's Electronic Medical Record (EMR) revealed diagnoses of congestive heart failure (CHF- a condition with low heart output and the body becomes congested with fluid), edema (swelling resulting from an excessive accumulation of fluid in the body tissues), gastroesophageal reflux (GERD- backflow of stomach contents to the…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-12-03 · 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 had a census of 32 residents. The sample included 12 residents, with nine reviewed for accidents. Based on observation, interview, and record review, the facility failed to ensure a safe environment to prevent falls for three sampled residents: Resident (R) 19, who fell out of her wheelchair; R26, who had an unwitnessed fall in his room; and R3, when staff failed to place her alarm on her wheelchair, and she fell.Findings included:- R3's Electronic Medical Record (EMR) documented the resident had diagnoses of rheumatoid arthritis (chronic inflammatory disease that affects joints and other organ systems), peripheral vascular disease (PVD- slow and progressive circulation disorder causing narrowing, blockage, or spasms in a blood vessel), atrial fibrillation (rapid, irregular heartbeat), fracture of right femur (a break in the femur-thigh bone), and fractured right humerus (upper arm bone). R3's admission Minimum Data Set (MDS) dated [DATE] recorded R3 had a Brief Interview for Mental Status (BIMS) of…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-12-03 · tag F0756 — failed to review each resident's drug regimen — isolated
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility had a census of 32 residents. The sample included 12 residents, with five reviewed for unnecessary medications. Based on observation, interview, and record review, the facility failed to ensure the Consultant Pharmacist identified and reported to the Director of Nursing, facility medical director, and physician, the lack of a 14-day stop date or specified duration, for Resident (R) 32's as needed (PRN) antianxiety (class of medications that calm and relax people) medication. Findings included:- R32's Electronic Medical Record (EMR) revealed diagnoses of anxiety (mental or emotional reaction characterized by apprehension, uncertainty, and irrational fear), dementia (progressive mental disorder characterized by failing memory, confusion), and major depressive disorder (major mood disorder that causes persistent feelings of sadness).R32's Quarterly Minimum Data Set (MDS) dated [DATE] recorded R32 had severely impaired cognition. The MDS recorded he required extensive assistance from staff with…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-12-03 · tag F0851 — isolated
    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 had a census of 32 residents. Based on observation, interview, and record review, the facility failed to submit complete and accurate staffing information through Payroll Based Journaling (PBJ). Findings included:- The PBJ report provided by the Centers for Medicare & Medicaid Services (CMS) for Medicare & Medicaid Services (CMS) for Fiscal Year (FY) 2024 Quarter (Q) 4 indicated no licensed nurse coverage on five dates.Review of the facility's licensed nurse payroll data for the dates listed above revealed a licensed nurse was on duty for 24 hours a day, seven days a week.On 12/02/25 at 09:45 AM, Administrative Staff A stated they have had problems with the PBJ in the past, but never were without a nurse in the building. Administrative Staff A stated that the dates that say there was not a nurse in the building were probably due to the use of agency nurse's and it was not documented.The facility's Mandatory Submission of Uniform Format Staffing Information (PBJ) policy, dated 09/08/25, documented the facility's complete submission of staffing based on payroll data in a…

    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
Show the remaining 16 citations
  • Potential for harm · Dcited before2025-07-02 · 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 identified a census of 35 residents, with three reviewed for elopement. Based on record review, observation, and interview, the facility failed to provide sufficient supervision for Resident (R) 1 to prevent R1 from exiting the building. This deficient practice placed R1 at risk for elopement, falls, and injury. Findings included: - R1's Electronic Medical Record (EMR) documented R1 had diagnoses of nontraumatic brain dysfunction (brain damage that occurs form internal factors), dementia (progressive mental disorder characterized by failing memory, confusion), anxiety (mental or emotional reaction characterized by apprehension, uncertainty and irrational fear), depression (a mood disorder that causes a persistent feeling of sadness and loss of interest), and psychotic disorder (any major mental disorder characterized by a gross impairment in reality perception). The admission Minimum Data Set (MDS), dated 05/11/25, documented R1 had a Brief Interview for Mental Status score of 15, which indicated intact cognition. The MDS documented R1 required moderate staff assistance…

    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 · Fcited before2024-01-08 · 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 32 residents. The sample included 12 residents. Based on observation, record review, and interview, the facility failed to use the services of a registered nurse for at least eight consecutive hours a day, seven days a week, for the 32 residents who resided in the facility. This placed the facility and residents at risk for inadequate nurse guidance and leadership. Findings included: - Review of the Registered Nursing Staffing Schedule for October, November, and December 2022, and January through December 2023, recorded the facility lacked a registered nurse on the following days: One day in October 2022 (10/29/22) Two days in November 2022 (11/05/22, and 11/19/22) One day in December 2022 (12/28/22) One day February 2023 (02/26/23) Six days March 2023 (03/01/23, 03/11/23, 03/12/23, 03/25/23, 03/26/23, 03/28/23) Six days April 2023 (04/08/23, 04/09/23, 04/15/23, 04/22/23, 04/23/23, 04/29/23) Seven days May 2023 (05/06/23, 05/07/23, 05/20/23, 05/21/23, 05/27/23, 05/28/23, 05/29/23) Seven days June 2023 (06/03/23, 06/04/23, 06/11/23, 06/17/23, 06/18/23,…

    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 before2024-01-08 · 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 had a census of 32 residents. Based on observation, interview, and record review, the facility failed to submit complete and accurate staffing information through Payroll Based Journal (PBJ) as required. This deficient practice placed the residents at risk for unidentified and ongoing inadequate nurse staffing. Findings included: - The PBJ report provided by the Centers for Medicare & Medicaid Services (CMS) for Fiscal Year (FY) 2023 Quarter 2 indicated the facility did not have licensed nurse coverage 24 hours a day, seven days a week on following days. (Quarter 2: 02/24/24, 02/26/24, 03/18/24, 03/19/24 and 03/28/24) A review of the facility licensed nurse payroll data for the dates listed on the PBJ revealed a licensed nurse was on duty for 24 hours a day seven days a week. On 01/02/24 at 10:00 AM, observation revealed a registered nurse on duty in the facility. On 01/04/24 at 10:30 AM, Administrative Staff A verified the facility did not send in the correct data to CMS for payroll-based data. The facility's Registered Nurse policy dated 01/05/24 recorded the facility…

    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 · Fcited before2024-01-08 · tag F0880 — failed to prevent and control infections — widespread
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility had a census of 32 residents. The sample included 12 residents. Based on observation, record review, and interview the facility failed to implement a water management program for the prevention of Legionella disease (a bacterium which can cause pneumonia in vulnerable populations) and failed to store Resident (R) 4's oxygen tubing in a manner to prevent infection. This placed the residents of the facility at risk for infections. Findings Included: - Upon request, the facility produced the information material for the water management process however was unable to provide evidence of implementation of the water management policy and procedure other than the log for hot water temperatures for resident rooms. On 01/04/23 at 09:04 AM, Administrative Staff A stated the maintenance staff person checked for waterborne infection potential. The facility's Water Management Policy, dated 01/05/24, stated the Director of Environmental Services was responsible for: Carrying out suitable and sufficient Legionella…

    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 · Ecited before2024-01-08 · 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

    The facility had a census of 32 residents. The sample included 12 residents. Based on observation, interview, and record review, the facility failed to dispose of expired medications appropriately. This deficient practice placed the residents at risk of receiving ineffective medication. Findings included: - On 01/02/24 at10:45 AM, observation in the facility's medication storage and preparation room revealed the following: One box of acetaminophen suppositories (pain reliever medication) with an expiration date of 09/2023. One bag of six acetaminophen suppositories with an expiration date of 04/2023. One box of 10 albuterol (medication which relaxes and opens the air passages to the lungs) 2.5 milligram (mg) inhaler solutions with an expiration date of 07/2023. On 01/02/24 at 10:45 AM, Licensed Nurse (LN) G verified the expired medications and stated staff should have disposed of them at the expiration date. The facility's Disposition of Unusable and Outdated Drugs policy, dated 01/05/24, stated all discontinued, outdated, or contaminated drugs would be returned to the provider…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-01-08 · tag F0623 — isolated
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    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 32 residents. The sample included 12 residents with one reviewed for hospitalization. Based on observation, interview, and record review the facility failed to notify the State of Kansas Long Term Care Ombudsman of facility-initiated discharges for Resident (R) 22, who was hospitalized twice in November 2023. This placed the resident at risk for decreased oversight and assistance with transfers and discharge. Findings included: - R22's Electronic Medical Record documented diagnoses of 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), encephalopathy (a broad term for any brain disease that alters brain function or structure), and respiratory failure. The Quarterly Minimum Data Set (MDS), dated [DATE], documented a Brief Interview for Mental Status (BIMS) score of three, indicating severely impaired cognition. The MDS documented R22 was dependent on staff for most activities 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-01-08 · tag F0657 — failed to keep the care plan current — isolated
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility had a census of 32 residents. The sample included 12 residents. Based on observation, interview, and record review the facility failed to revise the care plan to include interventions related to delusions when the physician prescribed an antipsychotic (a class of medications used to treat major mental conditions which cause a break from reality) medication new to the resident. This deficient practice placed Resident (R) 31 at risk for inadequate response to her mental health needs due to uncommunicated care needs. Findings included: - R31's Electronic Medical Record documented diagnoses of dementia (a progressive mental disorder characterized by failing memory, and confusion), Alzheimer's disease (progressive mental deterioration characterized by confusion and memory failure), anxiety (mental or emotional reaction characterized by apprehension, uncertainty and irrational fear) disorder, delusional disorder mental health condition in which a person can't tell what's real from what's imagined), and…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-01-08 · tag F0756 — failed to review each resident's drug regimen — isolated
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility had a census of 32 residents. The sample included 12 residents with five reviewed for unnecessary drugs. Based on observation, interview, and record review the facility's Consultant Pharmacist failed to notify the facility of the need to obtain an appropriate indication for the use of antipsychotic drugs (a class of medications used to treat major mental conditions which cause a break from reality) for Residents (R) 30 and R25. This deficient practice placed the residents at risk of receiving unnecessary antipsychotic drugs. Findings included: - R30's Electronic Medical Record documented diagnoses of dementia (a progressive mental disorder characterized by failing memory, and confusion), recurrent major depressive disorder (a mood disorder that causes a persistent feeling of sadness and loss of interest), anxiety disorder (mental disorder characterized by apprehension, uncertainty and irrational fear), bipolar disorder (major mental illness that caused people to have episodes of severe high and low…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-01-08 · tag F0758 — failed to limit and justify psychotropic drugs — isolated
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility had a census of 32 residents. The sample included 12 residents with five reviewed for unnecessary drugs. Based on observation, interview, and record review, the facility failed to obtain an appropriate indication, or the required physician documentation, for the use of antipsychotic drugs (a class of medications used to treat major mental conditions that cause a break from reality) for Residents (R) 30, R31, and R25. This deficient practice placed the residents at risk of receiving unnecessary antipsychotic drugs. Findings included: - R30's Electronic Medical Record documented diagnoses of dementia (a progressive mental disorder characterized by failing memory, and confusion), recurrent major depressive disorder (a mood disorder that causes a persistent feeling of sadness and loss of interest), anxiety disorder (mental disorder characterized by apprehension, uncertainty and irrational fear), bipolar disorder (major mental illness that caused people to have episodes of severe high and low moods), 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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-01-08 · tag F0759 — failed to keep medication error rate low — isolated
    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 32 residents. The sample included 12 residents. Based on observation, record review, and interview the facility failed to ensure Resident (R)25, reviewed during the medication administration pass, remained free of medication errors This placed the resident at risk for adverse reactions from the medication and resulted in a facility medication error rate of 5.13 percent (%). Findings included: - R25's medical diagnoses include dementia (a progressive mental disorder characterized by failing memory, confusion with agitation including verbal and physical aggression, wandering, and hoarding), major depressive disorder (major mood disorder which causes persistent feelings of sadness,) and hypertension (HTN-elevated blood pressure.) The Physician order, dated 05/15/23 instructed staff to administer potassium chloride (potassium supplement) extended release (ER), 20 milliequivalents (mEq) 1 tablet a day for hypertension, and Pristiq (antidepressant) oral tablet, ER 50 milligrams (mg), 1 tablet a day for major depressive disorder. On 01/03/24 at 08:10 AM,…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2022-06-16 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    The facility had a census of 29 residents. Based on observation, record review, and interview the facility failed to provide a backflow device (unwanted flow of water in the reverse direction) or a two-inch air gap for the drainage system of the kitchen ice machine, used by the 29 residents who resided in the facility. This placed the affected residents at risk to receive contaminated ice. Findings Included: - On 06/15/22 at 11:15 AM, observation revealed a one-inch plastic drainpipe extended from the back of the ice machine approximately 12 feet and inserted into a floor drain under a three-compartment sink. Continued observation revealed the ice machine drainage system had no backflow device or two-inch air gap at the floor drain. On 06/15/22 at 01:10 PM, Administrative Staff A verified the ice machine drainage system did not have a backflow device, or two-inch air gap to prevent possible backflow contamination into the ice supply. Upon request the facility was not able to provide an ice machine policy. The facility failed to provide a backflow device or two-inch air gap for the…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-06-16 · 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 had a census of 29 residents. The sample included 12 residents of which four had been reviewed for pressures ulcers (localized injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure, or pressure in combination with shear and/or friction). Based on observation, interview, and record review, the facility failed to implement interventions to relive pressure in order to promote healing of pressure ulcer for one of four residents, Resident (R) 13, which placed R13 at risk for unhealed pressure ulcers. Findings included: - R13's Physician Order Sheet (POS), dated 05/12/22, diagnoses included major depressive disorder, restless leg syndrome, dementia (progressive mental disorder characterized by failing memory, confusion )with behavioral symptoms, muscle weakness, edema (swelling resulting from an excessive accumulation of fluid in the body tissues), anxiety disorder (mental or emotional reaction characterized by apprehension, uncertainty and irrational fear ),…

    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 before2022-06-16 · 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 had a census of 29 residents. The sample included 12 residents. Based on observations, interview, and record review, the facility failed to assess and identify risks and implement interventions to pervent hot liquid spills for one of five residents, Resident (R)24, reviewed for accidents. This deficient practice placed R24 at risk for injuries related to hot liquid spills. Findings included: - R24's Physician Order Sheet (POS), dated 05/04/22, included diagnoses of restlessness and agitation, osteoarthritis (degenerative changes to one or many joints characterized by swelling and pain), history of mental and behavioral disorder, altered mental status, dementia (progressive mental disorder characterized by failing memory, confusion) with behavioral disturbance, major depressive disorder (abnormal emotional state characterized by exaggerated feelings of sadness, worthlessness, emptiness and hopelessness), generalized anxiety (mental or emotional reaction characterized by apprehension, uncertainty and…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-06-16 · 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

    The facility had a census of 29 residents. The sample included 12 residents with three residents reviewed for nutritional and hydration status. Based on observation, record review, and interview, the facility failed to proivide and monitor Resident (R)13's intake of nutritional supplement which placed the resident at risk for continued weight loss. Finding included: - R13's Physician Order Sheet (POS), dated 05/12/22, diagnoses included major depressive disorder, restless leg syndrome, dementia (progressive mental disorder characterized by failing memory, confusion )with behavioral symptoms, muscle weakness, edema (swelling resulting from an excessive accumulation of fluid in the body tissues), anxiety disorder (mental or emotional reaction characterized by apprehension, uncertainty and irrational fear ), personal history of COVID-19 (a mild to severe respiratory illness which may progress to pneumonia [inflammation of the lungs] or respiratory failure). The Quarterly Minimum Data Set (MDS), dated 03/3122, documented R13 had severe cognitive impairment, and rejected evaluation 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2022-06-16 · 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 had a census of 29 residents. The sample included 12 residents. Based on observation, record review, and interview, the facility failed to maintain standardized infection control practice during a dressing change for Resident (R)13, which placed the resident at increased risk of wound infection. Findings included: -On 06/16/22 at 10:02 AM, observation revealed R13 sat in her recliner with her bare feet elevated. R13's foot dressings had been removed in the bathing room. Administrative Nurse D gathered the dressing change supplies from the treatment cart and placed the dressing change supplies on R13's over bed table next to the resident. Administrative Nurse D put on gloves then proceeded to cleanse the pressure ulcer (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) area with wound cleaner and gauze. After cleansing and examining the wound, Administrative Nurse D proceeded to apply treatment cream to wound base with cotton tipped applicator without…

    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
  • No harm found · C2024-01-08 · tag F0576 — widespread
    Ensure residents have reasonable access to and privacy in their use of communication methods.
    What the surveyor found here — an excerpt from the official record, may be distressing

    The facility had a census of 32 residents. The sample included 12 residents. Based on record review and interview the facility failed to deliver mail to the facility residents on Saturdays. Findings included: - On 01/03/24 at 01:30 PM during the resident council meeting, the residents verbalized there was no mail delivery on Saturdays. On 01/0/324 at 03:30 PM, Administrative Nurse D verified the Certified Medication Aides (CMA) would get the mail during the weekends at the post office box downtown, and then deliver the mail to the residents. Administrative Nurse D verified the mail should be delivered to the residents on Saturdays and verified the facility had recently hired a new CMA and failed to tell her she should get the mail on Saturdays at the post office box downtown, and she worked every other weekend. Administrative Nurse D verified the facility did not pick up or deliver mail to the residents every other Saturday. The facility's Right to Send and Receive Mail policy, dated 01/05/24, documented the facility each resident has the right to privacy of written communications.…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction

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

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

Owner / managerTypeRoleSince
JACKSON, SUEIndividualMANAGING CONTROL - GOVERNING BODYsince 03/13/2024
LOWRY, MAXIndividualMANAGING CONTROL - GOVERNING BODYsince 12/31/2012
SCHOOLER, VERLAINEIndividualMANAGING CONTROL - GOVERNING BODYsince 02/16/2022
TIEN, JOYCEIndividualMANAGING CONTROL - GOVERNING BODYsince 01/01/2011
VANLAEYS, TIMIndividualMANAGING CONTROL - GOVERNING BODY; CORPORATE DIRECTORsince 04/01/2010
MCCOMB, TERESAIndividualW-2 MANAGING EMPLOYEE; CORPORATE OFFICERsince 01/16/2014
CITY OF LOGANOrganizationOPERATIONAL/MANAGERIAL CONTROLsince 11/01/1989

CMS files one row per role, so the 9 rows in the source record cover these 7 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

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.

$2.5M
Net patient revenuemost recent cost report
-22.6%
Operating marginrevenue minus expenses
Who pays — share of resident-days
Medicaid 62%Medicare 6%Other / private 32%

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

$306per resident / day
operating cost
$9,315per month
≈ monthly operating cost
$250per 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 175480. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-12-03, 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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