Via Christi Village Manhattan, INC

Location & what’s nearby

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

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

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

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

56.0% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 215 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 84.5% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 103 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.20 therapist hours per resident per day in 2026Q1 — more than 23% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 12% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 93 beds and averages 84.5 residents a day — about 91% occupied, or roughly 8 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 4.09 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.58 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.55 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 3.77 hrs/resident/day on weekends vs 4.22 on weekdays — 11% thinner on weekends. RN hours go from 0.68 to 0.32 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 49% is about the same as the national median of 45%.

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

Inspection trend

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

Inspection deficiencies

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

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

23 citations, most serious first. The 17 most serious are shown; the remaining 6 are one tap away and print in full.

• Immediate jeopardy · Jcited before2026-02-24 · tag F0760 — failed to prevent significant medication errors — isolated
  Ensure that residents are free from significant medication errors.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility identified a census of 89 residents, with three residents reviewed for medication errors. Based on record review, observation and interview, the facility failed to ensure Resident (R) 1 remained free from significant medications errors. On 02/04/26, Certified Medication Aide (CMA) R administered R1 another resident's medications, which included multiple medications that affected the central nervous system and had psychotropic qualities including Paxil (antidepressant), lorazepam (antianxiety), tizanidine (muscle relaxant), and clozapine (antipsychotic), as well as other medications including Cardizem (antihypertensive), metformin (diabetic medication), and furosemide (diuretic). At around 08:30 AM, R1 reported to Licensed Nurse (LN) G she felt she had received the wrong medication. At 10:00 AM, LN G went to R1's room to provide care and noted R1 slurring her words and was minimally responsive. Staff notified the provider, who gave orders to provide Narcan (opioid antagonist) and to send the resident…

  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 · Past Non-Compliance
• Immediate jeopardy · Jcited before2025-07-29 · 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 identified a census of 87 residents, with three residents reviewed for accidents and hazards. Based on record review, observation, and interview, the facility staff failed to ensure two staff safely transferred Resident (R)1 with a full mechanical lift as care planned. On [DATE] at 01:20 PM, CNA M was transferring R1 into her wheelchair with the full mechanical lift (Hoyer), without the assistance of the required second staff member. During the transfer, the bottom left sling loop came off the Hoyer lift, causing R1 to fall to the ground. Due to CNA M not following R1's care plan, R1 fell, broke her right distal femur, had extreme pain untreated by pain medication, and subsequently died. The facility further failed to ensure a safe environment free from preventable accidents for visually impaired Resident (R) 2, when facility staff did not ensure the ratchet harness was tightened to R2's wheelchair in the facility van before transport. On [DATE], Certified Nurse Aide (CNA) N attached the harness to…

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

  Quality of Life and Care Deficiencies · Past Non-Compliance
• Immediate jeopardy · Jcited before2023-12-13 · tag F0760 — failed to prevent significant medication errors — isolated
  Ensure that residents are free from significant medication errors.
  What the surveyor found here — an excerpt from the official record, may be distressing

  The facility identified a census of 80 residents with three residents reviewed for medication errors. Based on record review, observation, and interview, the facility failed to ensure Resident (R) 1 remained free from significant medication errors. On 12/07/23 R1 admitted to the facility with a physician's order for glimepiride (medication used to lower blood glucose [sugar] levels) 2 milligrams (mg) twice daily. Staff incorrectly transcribed the order as glimepiride 4 mg twice daily. R1 received a total of seven doses of glimepiride, at twice the prescribed dosage, before staff caught the error on 12/11/23 at 09:30 PM. Staff did not check R1's blood sugar but notified R1's representative and primary care physician (PCP) and stated there were no adverse effects from the error. A short while later, at 10:15 PM, staff found R1 face down on the floor of his room with his call light still hooked to his shirt. R1 was drowsy, with non-reactive pupils and then became non-verbal. Staff called Emergency Medical Services (EMS). EMS arrived and initiated transport to the Emergency Department…

  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
• Immediate jeopardy · Jcited before2023-10-26 · 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 identified a census of 85 residents. The sample included three residents. Based on observations, record review, and interviews, the facility failed to provide a safe environment free from preventable accidents for Resident (R) 1 and R2. On 10/14/23 Certified Medication Aide (CMA) R picked R1 up from the emergency room (ER) using the facility transportation van. CMA R assisted R1, who used a wheelchair, into the van. CMA R failed to secure the two front straps as well as the lap strap. As CMA R made the first left hand turn after leaving the hospital, R1's wheelchair tipped backward, and R1 fell from the chair and hit his head. R1 returned to the ER where he was diagnosed with a fracture of the cervical vertebrae (neck spine). The facility further failed to ensure R2 remained free from preventable accident hazards when staff allowed cognitively impaired R2 outside without staff supervision. Staff failed to recognize R2, who was at risk for elopement (when a cognitively impaired resident leaves the…

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

  Quality of Life and Care Deficiencies · Past Non-Compliance
• Immediate jeopardy · Jcited before2023-08-10 · 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 79 residents with three residents reviewed for elopements. Based on record review, observation, and interview, the facility failed to provide adequate supervision to prevent an elopement (when a cognitively impaired residents exits the facility without staff knowledge or supervision) for cognitively impaired Resident (R) 1, who also wore a Wander Guard (bracelet which alarms when close to participating doors). Staff further failed to respond appropriately to two door alarms and failed to respond appropriately to the cognitively impaired R1. On 07/22/23 at 08:53 PM a visitor entered the code to the locked double doors and R1 followed the visitor through the double doors, exiting the unit. R1 wore a Wander Guard bracelet which caused the alarms of the double doors to sound and Licensed Nurse (LN) G came and silenced the alarm to the double doors but did not perform a search. At 08:54 PM, R1 followed the visitor out of the facility front doors, which caused the front doors alarms to sound. Certified Nurse Aide (CNA) N went to the front doors of the…

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

  Quality of Life and Care Deficiencies · Past Non-Compliance
• Actual harm · G2025-04-01 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility identified a census of 91 residents, with 3 residents sampled for medication errors. Based on observation, record review, and interview, the facility failed to ensure Resident (R) 1 received treatments and care in accordance with professional standards of practice. On 03/22/25 at 10:30 AM, Certified Medication Aide (CMA) R assisted R1 in undressing in the bath spa and noted extensive purple/black bruising to R1's bilateral (both sides) axilla (armpit), bilateral arms, torso, and back. CMA R reported her findings to Licensed Nurse (LN) G, who assessed R1 and documented the extensive bruising. LN G then reported the findings to the nurse manager on duty, LN H. Neither LN G nor LN H reported R1's extensive bruising to her primary care physician even though R1 was on Coumadin (medication for anticoagulation (a treatment that prevents blood from clotting too quickly or excessively) and per facility protocol, staff were to notify the primary care physician of any resident who was on an anticoagulant…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2023-12-13 · 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 identified a census of 80 residents with three residents reviewed for accidents and hazards. Based on record review, observation, and interview, the facility failed to ensure staff repositioned Resident (R)2 safely while in her Broda chair (specialized wheelchair with the ability to tilt and recline) and R2 sustained a right proximal (nearer to a point of reference or attachment) humerus (upper arm bone) fracture (broken bone). This deficient practice also placed R2 at risk for pain. Finding included: - R2's Electronic Medical Record (EMR) documented R2 had diagnoses of osteoporosis (abnormal loss of bone density and deterioration of bone tissue with an increased fracture risk), major depressive disorder (a mood disorder that causes a persistent feeling of sadness and loss of interest), and anxiety (mental or emotional reaction characterized by apprehension, uncertainty and irrational fear). The Annual Minimum Data Set (MDS), dated 06/16/23, documented R2 had a Brief Interview for Mental Status…

  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 · D2026-04-30 · 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

  Based on observation, record review, and interview, the facility failed to ensure Resident (R) 54 and R4 and their representatives received a written notification of transfer that included a statement of the residents' appeal rights and the state ombudsman information, as soon as practicable upon their emergent transfer to the hospital. Findings included:1. R54's Electronic Medical Record (EMR) contained a scanned Discharge/Transfer, Room Change, Roommate Notice form dated 11/30/25. R54 was transferred to the hospital for a higher level of care. The resident and his representative were notified. The Discharge/Transfer form lacked a statement of the right to appeal and the state ombudsman information. 2. R4's EMR contained a scanned Discharge/Transfer, Room Change, Roommate Notice form dated 02/17/26. R4 was transferred to the hospital for a higher level of care. The resident and his representative were notified. The Discharge/Transfer form lacked a statement of the right to appeal and the state ombudsman information. On 04/30/26 at 11:49 AM, Social Services X stated that she was…

  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 · D2026-04-30 · tag F0693 — failed to provide proper feeding-tube care — isolated
  Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview, the facility failed to provide tube feeding management services consistent with the standards of practice when staff failed to verify placement of the feeding tube before administering medications and nutritional feeding for Resident (R) 8. Finding included: - R8's Electronic Health Record (EHR) revealed diagnoses of recorded a diagnosis of dysphasia (swallowing disorder), and cerebral infarct (damage to tissue in the brain due to loss of oxygen in the area). R8's Quarterly Minimum Data Set (MDS), dated [DATE], recorded R8 had a Brief Interview Status of 11 (which indicated moderate cognitive impairment). The MDS recorded R8 required staff assistance with transfers, bed mobility, dressing, toilet use, and personal hygiene. The MDS recorded R8 had a feeding tube. And received 51percent or more by the feeding tube. R8's Care Plan, dated 04/03/26, recorded R8 required a feeding tube for nutritional maintenance related to dysphagia and aspiration pneumonia. The…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-30 · tag F0757 — failed to avoid unnecessary drugs — isolated
  Ensure each resident’s drug regimen must be free from unnecessary drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to notify the physician and follow the standing orders for Resident (R) 17's low blood sugar levels. Findings included:- R17's Electronic Medical Record (EMR) included diagnoses of dementia (a progressive mental disorder characterized by failing memory and confusion), type 2 diabetes mellitus (DM-when the body cannot use glucose, not enough insulin is made, or the body cannot respond to the insulin), heart failure, and major depressive disorder (major mood disorder that causes persistent feelings of sadness) with recurrent severe psychotic (any major mental disorder characterized by a gross impairment in reality perception) symptoms. R17's Significant Change Minimum Data Set (MDS) dated [DATE], documented R17 had severe cognitive impairment. R17 required partial/moderate assistance with toileting hygiene, upper and lower body dressing, putting on and taking off footwear, and sitting to lying and lying to sitting on the edge of the bed. R17…

  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 before2026-04-30 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to properly store medications when staff failed to discard Resident (R)3 insulin (a hormone that lowers the level of glucose in the blood) outdated flex pen. Findings included:- On [DATE] at 08:05 AM, observation of the F Court treatment cart revealed R3's Novolog (rapid-acting insulin) flex pen was labeled with an open date of [DATE] and a discard date of [DATE] (10 days expired). On [DATE] at 08:15 AM, License Nurse H verified the nurses should discard the outdated insulin flex pens. On [DATE] at 08:20 AM, Administrative Nurse D verified the nurse should check the insulin flex pens for expiration dates and discard if expired. Medlineplus.gov directs open, unrefrigerated Novolog can be used within 28 days; after that time, they must be discarded. The facility's Storage of Medications policy, dated [DATE], documented the facility shall store all drugs and biologicals in a safe, secure, and orderly manner. The medication/treatment cart 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 · Dcited before2024-10-02 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility had a census of 86 residents. The sample included 20 residents, with two reviewed for dignity. Based on observation, record review, and interview, the facility failed to provide dignity and quality of life for Resident (R)187 and R133, by having an uncovered urinary collection bag visible to guests and other residents. This placed the residents at risk of embarrassment and an undignified living environment. Findings included: - R187's Electronic Medical Record (EMR) recorded diagnoses of heart failure (a condition when the heart does not pump blood for the body's needs), kidney failure (the kidneys are no longer able to function effectively and are unable to filter waste), and compression fracture of the lumbar spine (a break in a lower bone in the spine.) R187's EMR documented the resident was admitted to the facility on [DATE]. R187s Care Plan dated 10/02/24, documented the resident had an indwelling urinary catheter (a flexible tube inserted through a narrow opening into a body cavity,…

  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 · D2024-10-02 · 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 had a census of 86 residents. The sample included 20 residents with four residents reviewed for pressure ulcers (localized injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure, or pressure in combination with shear and/or friction). Based on observation, interview, and record review the facility failed to revise the care plan for Resident (R) 5 who was on Enhanced Barrier Precautions (EBP-infection control interventions designed to reduce transmission of resistant organisms which employ targeted gown and glove use during high contact care). This deficient practice placed R5 at risk for impaired care due to uncommunicated care needs. Findings included: - R5's Electronic Medical Record (EMR) documented diagnoses of cerebrovascular accident (CVA-stroke- sudden death of brain cells due to lack of oxygen caused by impaired blood flow to the brain by blockage or rupture of an artery to the brain) affecting the right side, diabetes mellitus (DM-when the body cannot use glucose, not enough insulin is made, or the body cannot…

  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 · D2024-10-02 · 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 86 residents. The sample included 20 residents of which one was reviewed for discharge. Based on record review and interview, the facility failed to provide a resident-specific detailed discharge summary and complete a recapitulation (summary) of stay for Resident (R) 233. This placed the resident at risk for unidentified and unmet care needs. Findings included: - R233's Electronic Medical Record (EMR) documented diagnoses of a nondisplaced fracture of left posterior (back) column acetabulum (part of the hip), diabetes mellitus (DM-when the body cannot use glucose, not enough insulin is made, or the body cannot respond to the insulin) with other circulatory complications, peripheral vascular disease (PVD- slow and progressive circulation disorder causing narrowing, blockage, or spasms in a blood vessel), end-stage renal (pertaining to kidneys) disease (ESRD-a terminal disease of the kidneys) dependence on renal dialysis (a procedure where impurities or wastes are removed from 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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-10-02 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  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 86 residents. The sample included 20 residents with three reviewed for urinary catheter (a tube inserted into the bladder to drain the urine into a collection bag). Based on observation, interview, and record review the facility failed to provide catheter care and services consistent with the standards of practice for Resident (R) 133 when staff failed to monitor urine output, failed to ensure the tubing was anchored appropriately, and failed to manage the tubing and urine collection bag in a sanitary and dignified manner. This placed the resident at risk for catheter-related complications including dislodgement and urinary tract infections (UTI). Findings included: - R133's Electronic Medical Record documented diagnoses of UTI (an infection in any part of the urinary system), 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), and traumatic brain injury (TBI-an injury 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-10-02 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
  Provide enough food/fluids to maintain a resident's health.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility had a census of 86 residents. The sample included 20 residents with one reviewed for hydration. Based on observation, record review, and interview, the facility failed to monitor Resident (R) 57's physician-ordered fluid restriction. This placed R57 at risk of complications related to fluid overload. Findings included: - R57's Electronic Medical Record (EMR) documented diagnoses of congestive heart failure (CHF-a condition with low heart output and the body becomes congested with fluid), pulmonary hypertension high blood pressure that affects the lungs), hypernatremia (greater than normal concentration of sodium in the blood), diabetes mellitus (DM-when the body cannot use glucose, not enough insulin is made, or the body cannot respond to the insulin), asthma (a disorder of narrowed airways that causes wheezing and shortness of breath), anxiety (mental or emotional reaction characterized by apprehension, uncertainty, and irrational fear, major depressive disorder (major mood disorder that causes…

  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 · D2024-10-02 · 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 86 residents. Based on observation, record review, and interview the facility failed to adhere to infection control for enhanced barrier precautions (EBP -an infection control intervention designated to reduce transmission of resistant organisms that employs targeted gown and glove used during high contact resident care activities), for Resident (R)5, who had an open wound on her right calf. This placed the resident at risk for infection. Findings included: - On 10/01/24 at 12:10 PM observation revealed License Nurse (LN) G entered the room of R5, who was on enhanced barrier precautions. A sign was posted on the wall of the resident's room giving instructions on personal protection equipment (PPE-gown and gloves). The room had a metal storage bin affixed to the wall upon entrance to the resident's room with PPE supplies. Continued observation revealed LN G entered the resident's room and donned gloves. LN G elevated the resident's right leg off the pillow and removed part of the dressing to reveal the resident's open draining wound on her calf 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.

  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.

Fines & penalties

$96,781 in federal fines across 4 penalties.

• $26,685 — penalty dated 2026-02-24
• $17,345 — penalty dated 2025-07-29
• $38,698 — penalty dated 2023-12-13
• $14,053 — penalty dated 2023-10-26

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.

Part of a chain

This home belongs to ASCENSION LIVING — 12 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 16 rows in the source record cover these 10 parties — each is shown once here with every role it holds. Nothing is omitted.

5 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $1.8M paid to related parties — landlords or management companies under common ownership — equal to about 15% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. 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

Straight from this home’s Medicare cost report (CMS, FY2024). 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