Meade District Hosp Ltcu DBA Lone Tree Retirement

Location & what’s nearby

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

Quality measures — how residents actually fare

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

Staffing

How full it usually is: this home is certified for 45 beds and averages 31.0 residents a day — about 69% occupied, or roughly 14 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. 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the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026.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 4.73 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.92 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.71 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 4.31 hrs/resident/day on weekends vs 4.91 on weekdays — 12% thinner on weekends. RN hours go from 1.01 to 0.68 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 40% is about the same as the national median of 45%. 1 administrator has left in the past year.

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

Inspection trend

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

Inspection deficiencies

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

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

18 citations, most serious first. The 11 most serious are shown; the remaining 7 are one tap away and print in full.

• Immediate jeopardy · J2024-06-13 · 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

  The facility reported a census of 32 residents, with three residents reviewed for risk of elopement (an incident in which a cognitively impaired resident with poor or impaired decision-making ability/safety awareness leaves the facility without the knowledge of staff). Based on observation, record review, and interview, the facility failed to provide adequate supervision and a safe environment as free of accident hazards as possible, to prevent the elopement of cognitively impaired and independently mobile Resident (R)2, who the facility identified as an elopement risk. On 05/25/24 R2 displayed an increase in his wandering/exit seeking behavior which included statements he was going to leave, and he attempted to push open the front. On 05/26/24 R2 pushed on the doors leading to the apartments, displayed agitation, and thought the facility was a jail. On 05/27/24 at 10:38 AM, R2 attempted to exit the front entrance without success. On 05/27/24 at 10:40 AM, visitors entered the building and held the door open for R2 and he exited the front entrance without staff knowledge. R2 remained…

  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
• Potential for harm · Fcited before2025-08-21 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility reported a census of 33 residents, and one main kitchen. Based on observation, record review and interview the facility failed to prepare and serve food under sanitary conditions to prevent the potential for food borne bacteria. This placed the residents at risk for food borne illnesses.Findings included:- Observation of the kitchen and food storage areas on 08/19/25 at 07:40 AM revealed the following areas of concern:Dry storage concerns:Four cases of soda cans and a 50-pound bag of sealed flour were stored on the floor.One unsealed bag of marshmallows.One bag of unsealed russet instant mashed potatoes.A large container of pinto beans that was not sealed with the lid all the way.Several bottles of spices with no date opened and no expiration date.Walk-In Cooler concerns:Several containers of caffeine and sunshine drink with straws in them, with initials TP and no date. Two bags of fresh broccoli unsealed,One bag of sliced onions unsealed.One box of Pizza [NAME] pizza, no date, no name.One unsealed…

  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 · F2025-08-21 · tag F0814 — failed to dispose of garbage properly — widespread
  Dispose of garbage and refuse properly.
  What the surveyor found here — an excerpt from the official record, may be distressing

  The facility reported a census of 33 residents. Based on observations, interviews and record review, the facility failed to maintain and/or dispose of kitchen garbage and refuse properly. This placed facility residents at risk for insect or rodent infestation.Findings included:- During a tour of the kitchen on 08/19/25 at 07:40 AM, observation revealed three garbage cans with no lids on them. During an observation on 08/20/25 at 10:20 AM, the same three garbage cans were found with no lids in the kitchen. Certified Dietary Manager (CDM) BB reported that the garbage cans did have lids and pulled a lid out from behind a garbage can and placed it on the can next to the steamer counter. CDM BB reported that the garbage cans should be covered. During an observation on 08/20/25 at 11:25 AM, the garbage can that was approximately three feet away from the stove had no lid. Dietary Staff CC had just finished cooking hamburgers and reported that the garbage cans in the kitchen rarely had a lid placed on them. During an interview on 08/20/25 at 01:00 PM, Administrative Staff A reported she…

  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 · F2025-08-21 · tag F0882 — widespread
  Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
  What the surveyor found here — an excerpt from the official record, may be distressing

  The facility reported a census of 33 residents. Based on interview and record review the facility failed to designate a qualified Infection Preventionist (IP), who had completed specialized training in infection prevention and control, to be responsible for the facility's Infection Prevention and Control Program (IPCP). This failure has the potential to affect all 33 residents.Findings included:- During an interview on 08/19/25 at 07:50 AM, Administrative Staff A revealed she was the facility IP, and Administrative Nurse D assisted with the task. Administrative Staff A provided a certificate for completion of Nursing Home Infection Prevention Training Course dated 01/22/25.During an interview on 08/21/25 at 01:06 PM, Administrative Staff A reported she had a bachelor's degree in Aging Sociology but no health-related degrees. She confirmed she was the IP of the facility while Administrative Nurse D was taking the IP class to receive her certification. During an interview on 08/21/25 at 01:10 PM, Consultant Staff GG stated he thought any staff member could be the IP 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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-08-21 · tag F0641 — pattern
  Ensure each resident receives an accurate assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility had a census of 33 residents. The sample included 12 residents. Based on observation, interview, and record review, the facility failed to accurately complete the Minimum Data Set (MDS) for five residents: Resident (R) 7, and R4 related to personal alarms; R5 related to pressure ulcers and medications; R2 related to dental; and R25 related to nutrition. This deficient practice placed the affected residents at risk for impaired care due to unidentified care needs. Findings included:During an observation and interview on 08/19/25 at 01:23 PM, R7 reported she has had some falls and hit her head, which she needed staples sometime this past year. Observation revealed a bed and chair alarm in her room.R7's Care Plan in the Electronic Health Record (EHR) directed staff to provide a silent alarm on R7's bed and chair dated 09/11/24. R7's EHR recorded a Quarterly MDS, dated [DATE], and an Annual MDS, dated [DATE], which both lacked documentation of R7's bed and chair alarm in Section P.During an observation…

  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 · Ecited before2025-08-21 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  The facility reported a census of 33 residents. The sample included 12 residents. Based on interviews, observation and record review, the facility failed to utilize 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) when providing direct care to a Resident (R) 5 with a Stage 3 (full-thickness pressure injury extending through the skin into the tissue below) pressure injury. The facility further failed to ensure adequate hand hygiene during personal care for R5 and R32 when staff failed to complete adequate hand hygiene. The facility failed to deliver food in a sanitary manner for several residents in the dining room. These deficient practices had the potential to spread infections to the residents in the facility.Findings included:- Observation on 08/20/25 at 05:49 PM, Certified Medication Aide (CMA) R delivered food to the resident's tables with thumbs touching the eating surface of the plate.Observation on 08/20/25 at 05:49 PM, Certified Nurse…

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

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-08-21 · 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 reported a census of 33 residents. The sample included 12 residents with two reviewed for dignity. Based on observation, interview and record review, the facility failed to treat residents in a dignified manner when Resident (R)4 received care without privacy. This deficient practice placed the resident at risk for decreased psychosocial well-being and embarrassment. Findings included:- R4's Electronic Health Record (EHR) included diagnoses of Alzheimer's disease (progressive mental deterioration characterized by confusion and memory failure) and dementia (a progressive mental disorder characterized by failing memory and confusion). R4's 07/17/25 Significant Change Minimum Data Set (MDS) documented a Brief Interview for Mental Status (BIMS) score of eight, which indicated moderately impaired cognition. The assessment documented R4 was dependent on staff for transfers. The 07/17/25 Cognitive Loss / Dementia Care Area Assessment (CAA) documented R4 had impaired cognitive function. The 07/17/25 ADL Functional / Rehabilitation Potential CAA documented R4 had a self-care…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-08-21 · 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 33 residents. The sample included 12 residents with one resident reviewed for discharge. Based on observation, interview, and record review, the facility failed to provide a written discharge summary or recapitulation of the stay for Resident (R) 37. This placed the resident at risk for impaired rights related to continuity of care. Findings included:- R37's Electronic Health Record (EHR) documented diagnoses that included chronic pain and hypothyroidism (a condition characterized by decreased activity of the thyroid gland).R37's Nursing Home Discharge Minimum Data Set (MDS), dated [DATE], documented R37's discharge from the facility to the community on 06/19/25.R37's EHR noted Physician Orders, which documented an order to discharge to independent apartments on Thursday, 06/19/25, dated 06/17/25.The EHR Progress Notes documented:On 06/11/25 at 11:09 AM, fax communication with the physician who requested orders to discharge the resident to home.On 06/12/25 at 10:25 AM, fax…

  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 · Fcited before2023-08-30 · 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 reported a census of 27 residents with one central kitchen. Based on observation, interview, and record review, the facility failed to store foods safely and ensure proper sanitization and food handling practices to prevent the outbreak of foodborne illnesses for the residents of the facility. Findings included: - On 08/28/23 at 10:32 AM during the initial tour of the kitchen, revealed the facility's dish washer was not in working order. Dietary staff were washing all the dishes with the three-sink method. Dietary staff CC was in the dish room washing the dishes. He reported the dish machine was broke down and replacement parts were on back order. Until then, the dishes were being washed manually and sanitized. The dishes were sanitized with chlorine after washing. Dietary staff CC was not sure how to test the level of chlorine being used to sanitize the dishes. Dietary supervisor BB instructed/supervised dietary staff CC while he used testing strips to check the chlorine level. The sanitizing sink water tested at a concentration of 100 PPM and air dried. 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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2023-08-30 · tag F0908 — failed to keep essential equipment working — widespread
  Keep all essential equipment working safely.
  What the surveyor found here — an excerpt from the official record, may be distressing

  The facility census totaled 27 residents with all residents receiving meals from the one main kitchen. Based on observation and interview the facility failed to maintain mechanical, electrical, and patient care equipment in good working condition by the failure to have a functioning dish machine since 08/08/23. This failure has made it necessary to manually wash all dishes used in the kitchen and for residents with questionable sanitization. This had the potential to affect all residents residing in the facility. Findings included: - On 08/28/23 at 10:32 AM during the initial tour of the kitchen, revealed the facility's dish washer was not in working order. Dietary staff were washing all the dishes with the three-sink method. Dietary staff CC was in the dish room washing the dishes. He reported the dish machine was broke down and replacement parts were on back order. Until then, the dishes were being washed manually and sanitized. The dishes were sanitized with chlorine after washing. Dietary staff CC was not sure how to test the level of chlorine being used to sanitize the dishes.…

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

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2023-08-30 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  Provide safe and appropriate respiratory care for a resident when needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  The facility has a census of 27 with 12 residents included in the sample, two reviewed for respiratory care. Based on observation, interview, and record review, the facility failed to provide necessary respiratory care consistent with professional standards of practice regarding the use of nebulizer (a device that delivers medication as a mist to the lungs) for Resident (R) 26, and R27. Findings included: - The ''Physician Orders'' dated 07/04/23 for Resident (R)26 revealed the diagnosis included chronic obstructive pulmonary disease (COPD - a progressive irreversible condition characterized diminished lung capacity and difficulty or discomfort in breathing). The admission Minimum Data Set dated 01/17/23, revealed a Brief Interview for Mental Status BIMS score of 15, that indicated intact cognition. The MDS further revealed R26 had shortness of breath and received oxygen therapy. The Care Plan dated 04/18/23, revealed R26 had shortness of breath and would require pulmonary rehabilitation at the local hospital. The resident had shortness of breath with ambulation, sitting 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

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

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.

What families pay in KS