Minneola District Hospital Ltcu

Location & what’s nearby

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

Quality measures — how residents actually fare

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

Staffing

How full it usually is: this home is certified for 20 beds and averages 15.0 residents a day — about 75% occupied, or roughly 5 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 7.16 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.63 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 5.02 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 6.11 hrs/resident/day on weekends vs 7.59 on weekdays — 19% thinner on weekends. RN hours go from 1.73 to 1.37 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

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.

23 citations, most serious first. The 12 most serious are shown; the remaining 11 are one tap away and print in full.

• Immediate jeopardy · J2025-03-04 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility reported a census of 19 residents, with eleven residents sampled, including five residents reviewed for accidents. Based on observation, interview, record review, the facility failed to ensure that dependent resident (R)2 remained free from accident hazards/harm related to staff feeding R2 pureed foods, without ensuring the pureed foods were at a safe temperature to eat. The staff attempted to give R2 bites of pureed food which included: hot pureed soup, which had been heated 196 degrees Fahrenheit (F) and placed in an insulated container on the steam table; and a pureed grilled sandwich, which had been heated to 150 degrees F, without obtaining the temperature prior to serving the dependent resident. This failure placed R2 in immediate jeopardy. Findings included: - Review of Resident (R)2's Physician Orders, (POs) dated 12/20/24, documented diagnoses of cerebral palsy (a congenital disorder of movement, muscle tone or posture due to abnormal brain, development), epilepsy, (seizures- a sudden…

  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 · G2025-03-04 · 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 identified a census of 19 residents, with 11 sampled, including one reviewed for hydration. Based on observation, interview, and record review, the facility failed to offer sufficient fluid intake to maintain proper hydration and health for Resident (R)6. This deficient practice resulted the hospitalization admission of R6 for dehydration. Findings included: - Review of R6's diagnoses from the Electronic Health Record (EHR) included dementia (progressive mental disorder characterized by failing memory, confusion) and amnesia (loss of memory caused by brain damage or severe emotional trauma). The Annual Minimum Data Set (MDS) dated [DATE], documented R6 had a Brief Interview of Mental Status (BIMS) score of four, which indicated severely impaired cognition. The assessment documented R6 experienced delusions (a persistent belief or perception held by a person although evidence shows it was untrue) and was dependent on staff for all activities of daily living (ADLs - activities such as walking,…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-03-04 · tag F0761 — failed to label and store drugs safely — widespread
  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 census totaled 19 residents and one medication carts. Based on observation, interview, and record review, the facility failed to ensure the staff had secured storage of resident medications when observation onsite revealed an unlocked and unattended medication cart, not in the line of vision of the attending staff, and contained oral, topical and inhaled medications. This deficient practice placed nine cognitively impaired, independently mobile residents at risk. Findings included: - On 02/25/25 at 08:36 AM, observation revealed an unlocked and unattended medication cart which contained oral, topical, and inhaled medications in the hall between the dining area and the commons area. During an interview on 02/25/25 at 08:36 AM, Certified Medication Aide (CMA) K confirmed the medication cart should be locked when not attended or not within her line of sight. During an interview on 02/25/25 at 08:59 AM, Licensed Nurse (LN) O reported medication carts should be locked when out of the line of sight of whomever was responsible (for the medication cart). LN O further explained…

  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 before2025-03-04 · 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 19 residents with 11 residents sampled. Based on observation, interview and record review the facility failed to store, prepare and serve food in a sanitary manner. This placed all residents at risk for food bourne illness. Findings included: - An observation on 02/25/25 at 10:40 AM, revealed a trash can at the hand washing sink. The trash can failed to have a foot operated lid. The lid had a flip top and closed by swinging next to the food preparation area. An observation on 02/25/25 at 11:45 AM, Dietary Aide M pushed down trash into the trash can with a gloved hand then resumed preparation of food with the same gloved hand. The facilities Food Preparation and Service Policy revised 5/21/2024 under 5. Hygiene/sanitary practices- food preparation staff will adhere to proper hygiene and sanitary practices to prevent the spread of forborne illness. Under Food Service/Distribution number six revealed bare hand contact with food is prohibited. Gloves must be worn when handling foods directly. However, gloves can also become contaminated and/or soiled and must be…

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

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2025-03-04 · tag F0880 — failed to prevent and control infections — widespread
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  The facility reported a census of 19 residents with 11 residents reviewed. Based on observation, interview and record review, the facility failed to maintain a comprehensive infection control program related to laundry delivery. This failure had the potential to lead to contamination of clean linens during delivery which had the potential to negatively affect all the residents in the facility. Findings included: - On 02/25/25 at 03:30 PM, observation revealed laundry personnel transported clean resident laundry in the laundry cart through the facility halls with one of the side covers draped over the top of the cart exposing the clean laundry. During an interview on 02/25/25 at 03:30 PM, Laundry Staff Z confirmed that the laundry cart should have all sides covered when being transported down the hallway and when not attended in the hallway. During an interview on 02/26/25 at 12:57 PM, Laundry Supervisor W reported that delivery of laundry should be done with the front cover and side covers of the linen cart down and the clothes covered. During an interview on 02/26/25 at 12:57 PM,…

  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 · F2025-03-04 · tag F0921 — failed to keep a safe, functional, sanitary building — widespread
  Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  What the surveyor found here — an excerpt from the official record, may be distressing

  The facility reported a census of 19 residents. Based on observation, interview, and record review the facility failed to provide a safe, functional, and sanitary environment in the laundry service area. Findings included: - During the laundry tour on 03/04/25 at 09:06 AM, with Administrative Staff H and Laundry/Housekeeping Staff W, revealed the following environmental concerns: 1. Two uncovered soiled linen bins contained soiled linen and clothing which had a sock hanging off the side of the bin. 2. The walkway tiled floor extending from the soiled linen area to the clean area, was not sanitizable due to two broken and missing floor tiles. 3. The floor in the clean linen processing area was not sanitizable due to two missing floor tiles beside the washing machine. 4. The egress from the clean linen room to the hallway entrance/exit doorway with multiple abrasions across the width of the door exposing bare wood, which was not sanitizable. On 03/04/25 at 09:26 AM, Administrative Staff H and Laundry/Housekeeping Staff W confirmed the above findings. The facility lacked a policy…

  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 · E2025-03-04 · tag F0550 — failed to protect resident dignity and rights — pattern
  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 19 residents with 11 residents sampled. Based on observation, interview, and record review, the facility failed to protect the dignity of Resident (R) 10, when staff transferred the resident from her room to the shower room with her buttocks exposed. The facility failed to honor the dignity of residents in the dining room, when observation revealed a container in the dining room for soiled clothing protectors was labeled bibs only, no trash, and was visible to all residents and guests in the area. These deficient practices had the potential to negatively impact each residents dignity and psychosocial well-being. Findings included: - During an observation on 02/25/25 at 02:57 PM, an unknown staff member transported R10 from her room to the shower room, with the resident seated in a shower chair. Observation revealed the resident was covered in a white sheet from her neck to her knees, but her buttocks was exposed during the transport, visible to anyone in the area. During an interview on 02/25/25 at 02:59 PM, Certified Medication Aide (CMA) R…

  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 · E2025-03-04 · tag F0578 — failed to honor advance directives / code status — pattern
  Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
  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 19 residents with 11 residents sampled, including four residents reviewed for advanced directives (a written document which indicated the medical decisions for health care professionals when the person could not speak). Based on observation, interview, and record review, the facility failed to have a process in place to ensure each resident's code status was accurate and easily identified for Resident (R)17, R3, R14, and R171. Findings included: - Review of the facility's admission Packet provided to the survey team on [DATE] documented a request for copies of DPOA, living will, and advanced directives/DNR paperwork and lacked prompts or blank forms to be filled out by residents or resident's representatives. R17's Electronic Health Record EHR lacked a physical Do Not Resuscitate (DNR or no code - a written legal order to withhold cardiopulmonary resuscitation [CPR], in respect of the wishes of a person in case their heart stopped or they stopped breathing) form and Physician…

  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 · E2025-03-04 · tag F0755 — failed to provide safe pharmacy services — pattern
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  What the surveyor found here — an excerpt from the official record, may be distressing

  The facility reported a census of 19 residents. Based on observations, interviews and record review, the facility failed to ensure the facility had an effective system in place for the accurate accounting and reconcilliation of controlled medicaiton. Findings included: - During an observation on 02/27/25 at 09:22 AM, a medication cart narcotics count was performed with Certified Medication Aide (CMA) K. During this count with CMA K, the bottle of Lyrica pills for R9 indicated a count discrepancy. The count sheet displayed 39 pills, the hard count was 38 pills and was performed twice. The last count performed was on 02/27/25 at 06:20 AM by CMA K and Licensed Nurse (LN) V, with a recorded count of 39, signed by CMA K. The previous count 02/26/25 in the morning was performed by CMA K with a recorded count of 40 Lyrica. Review of CMA K's sworn statement dated 02/27/25 included the medication was not caught during count. CMA K documented the night nurse stated she had not taken anything from cart. CMA K took the cart around 6:20 AM to start the morning medication pass. CMA K documented…

  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 · Ecited before2025-03-04 · tag F0756 — failed to review each resident's drug regimen — pattern
  Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility reported a census of 19 residents with 15 residents sampled which included five residents reviewed for unnecessary medications. Based on observation, interview, and record review the facility failed to ensure a timely response to the pharmacist's identify and reported irregularities to the facility for four of the five residents sampled, Resident (R)8, R15, R17, and R6. Findings included: - Review of Resident (R)8's Physician Orders, dated 02/10/25, documentation included diagnoses of major depression disorder (a mental health disorder characterized by persistently depressed mood or loss of interest in in activities), muscle weakness, dementia (a group of brain disorders that cause a progressive decline in cognitive function and memory), psychotic disturbances (a mental health disorder characterized by a disconnect from reality), mood disturbances a group of psychiatric conditions that can cause intense and persistent changes in mood, energy, and behaviors), and anxiety (a feeling of worry,…

  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 · E2025-03-04 · tag F0758 — failed to limit and justify psychotropic drugs — pattern
  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 reported a census of 19 residents with 15 residents sampled which included five residents reviewed for unnecessary medications. Based on observation, interview, and record review the facility failed to ensure Residents who use psychotropic drugs (any drug that affects brain activities associated with mental processes and behavior. receive gradual dose reductions, and behavioral interventions, unless clinically contraindicated, in an effort to discontinue these drugs) related to a timely response to the pharmacist's identify and reported irregularities to the facility for four of the five residents sampled, Resident (R)8, R15, R17, and R6. Findings included: - Review of Resident (R) 8's Physician Orders, dated 02/10/25, documentation included diagnoses of major depression disorder (a mental health disorder characterized by persistently depressed mood or losoterest in in activities), muscle weakness, dementia (a group of brain disorders that cause a progressive decline in cognitive function 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 · Fcited before2023-03-02 · tag F0880 — failed to prevent and control infections — widespread
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  The facility census totaled 29 residents with 12 residents included in the sample. Of the 29 residents five were reported to be Covid positive and were in isolation in their rooms on the 200 hallway. The facility failed to provide a safe sanitary living environment for the residents by the failure to doff personal protective equipment (PPE) prior to leaving the positive residents rooms and using large trash receptacles in the hallway for contaminated PPE, to prevent the spread of covid and infections. Findings included: - Observation, on 02/27/23 at 04:50 PM, revealed Administrative Nurse D standing in the hall after exiting a resident's room with COVID. She stood talking to another staff with no gloves on and still had on the protective blue gown. She pulled the gown by the front of the gown to remove it. She removed the gown and then walked to a hamper in the hall and placed the gown in the hamper. Another CNA was seen at the same time walking in the same hall with a PPE gown she removed and brought it to the same hamper used by the nurse for her contaminated gown. Interview, on…

  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

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