Logan County Senior Living 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.

Therapy staffing: this home’s payroll records show 0.21 therapist hours per resident per day in 2026Q1 — more than 25% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 24% 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 30 beds and averages 26.1 residents a day — about 87% occupied, or roughly 4 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 4.19 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.63 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.13 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 3.99 hrs/resident/day on weekends vs 4.26 on weekdays — 6% thinner on weekends. RN hours go from 0.70 to 0.47 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 46% 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.

27 citations, most serious first. The 17 most serious are shown; the remaining 10 are one tap away and print in full.

• Immediate jeopardy · Jcited before2026-06-16 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interviews, and record review, the facility failed to provide the required supervision to prevent Resident (R) 1, a cognitively impaired resident at risk of elopement and a high risk for falls, from exiting the facility without staff knowledge or supervision. The facility also failed to ensure staff performed the required 15-30 minute safety checks; therefore, staff did not identify the resident was out of the facility for one hour and 15 minutes. On 06/06/2026 at 10:00 AM, R1 exited the facility via the North door, which was left ajar by a staff member. At 11:15 AM, Certified Nurse Aide (CNA) M alerted staff that R1 was missing. Staff located R1 lying face down in the grass of the facility at 11:45 AM, one hour and 45 minutes after the resident eloped. The weather at the time was 77-81 degrees Fahrenheit (F) with wind speeds up to 16 miles per hour (mph). The facility was in a residential area with posted speed limits of up to 30 mph on the surrounding streets. The facility's failure 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 before2023-09-12 · 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 25 residents with three residents reviewed for quality of care. Based on record review, observation, and interview, the facility failed to ensure staff implemented care and treatment consistent with standards of care when staff failed to ensure Resident (R)1 received the antibiotic treatment as ordered by the infectious disease physician. On [DATE] R1 readmitted to the facility after an acute hospital stay related to empyema (collection of pus in the pleural cavity related to bacterial pneumonia). Upon readmission, facility staff noted R1's three antibiotic medications did not have a stop date noted. R1's admission paperwork noted multiple times the resident was to continue antibiotics for four weeks, but facility staff did not review the admission paperwork and health information sent by the hospital and failed to contact the ordering physician for clarification. Facility staff called the resident's primary care physician, relayed inaccurate and/or incomplete information, and…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · Jcited before2023-08-15 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  The facility identified a census of 24 residents with three residents reviewed for abuse and neglect. Based on record review, observation, and interview, the facility failed to ensure residents remained free from verbal and mental abuse and mistreatment. On 08/06/23 at approximately 02:00 AM, Certified Nurse Aide (CNA) M heard Licensed Nurse (LN) G holler at Resident (R)1 shut the [expletive] up or I swear I will kill you. CNA M asked CNA N who she should report the incident to, and CNA N told CNA M to talk to Administrative Nurse D next time CNA M saw her. Five days later, CNA M reported the incident to LN H. Upon receiving the allegation, the facility started an investigation which revealed another resident, R2, reported LN G had yelled and cussed at him. The investigation further revealed other staff heard LN G cussing in the hallways and telling residents to be quiet, then shutting the residents' doors so LN G would not have to hear them yelling, though the staff had not reported this to the facility administrator when it occurred. The facility failed to ensure R1 and R2 were…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · J2023-08-15 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  The facility identified a census of 24 residents with three residents reviewed for abuse and neglect. Based on record review, observation, and interview the facility failed to ensure staff identified a situation of verbal and mental abuse and mistreatment as an allegation of abuse and failed to immediately report to the facility administrator (LNHA). On 08/06/23 at approximately 02:00 AM, Certified Nurse Aide (CNA) M heard Licensed Nurse (LN) G holler at Resident (R)1 shut the [expletive] up or I swear I will kill you. CNA M asked CNA N who she should report the incident to, and CNA N told CNA M to talk to Administrative Nurse D next time CNA M saw her. Five days later, CNA M reported the incident to LN H. Upon receiving the allegation, the facility started an investigation which revealed another resident, R2, reported LN G had yelled and cussed at him. The investigation further revealed other staff heard LN G cussing in the hallways and telling residents to be quiet, then shutting the residents' doors so LN G would not have to hear them yelling, though the staff had not reported…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2025-02-17 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  The facility identified a census of 27 residents, with three residents reviewed for abuse, neglect, and exploitation. Based on record review, observation, and interview, the facility failed to prevent staff from physically forcing Resident (R) 1 to take her medications when she refused to take her medications. On 12/15/24 at approximately 07:20 AM, Licensed Nurse (LN) G attempted to administer medications to R1. R1 swatted LN G's hand away indicating R1 did not want to take the medications. LN G pushed R1's hands away into her lap, removed R1's coffee cup asR1 attempted to grab it and replaced it with a cup of water. LN G then held R1's shoulders and attempted to spoon the medications into R1's mouth. R1 spit out the medications and LN G placed the medications that were spit out back on the spoon and attempted to administer the medications again. LN G grabbed the back of R1's head, pushed her head forward, lifted the water cup up to R1's mouth, and poured water into R1's mouth. R1 attempted to spit the medications back out. Certified Nurse's Aide (CNA) M intervened, sat beside R1,…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Past Non-Compliance
• Actual harm · Gcited before2023-12-28 · 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 24 residents with three residents reviewed for accidents and hazards. Based on record review, observation, and interview, the facility failed to prevent a fall out of a wheelchair when staff failed to place foot pedals on the wheelchair before assisting Resident (R) 1 outside in her wheelchair. On 12/15/23 at approximately 06:20 PM, Licensed Nurse (LN) G propelled R1 down the sloped sidewalk, without foot pedals on the wheelchair, and R1 planted her feet on the sidewalk and leaned forward, causing her to fall face first on the sidewalk. The fall resulted in a forehead hematoma (collection of blood trapped in the tissues of the skin or in an organ, resulting from trauma) and laceration (cut) which required sutures to close, abrasions, and a cervical (neck/spine) fracture (broken bone) of R1's first vertebrae (the first bone at the top of the spine). The deficient practice also placed R1 at risk for increased pain and impaired mobility. Findings included: - R1's Electronic Medical Record (EMR) documented R1 had the diagnoses of dementia (progressive…

  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 before2023-11-29 · 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

  The facility identified a census of 23 residents with three residents reviewed for accidents. Based on record review, observation, and interview, the facility failed to follow Resident (R) 1's care plan, which directed two staff to assist the resident for transfers with a sit to stand lift, which resulted in a very large skin tear to R1's posterior left calf which measured 4.5 centimeters (cm) by 3 cm. On 10/30/23 between 05:00 PM and 05:30 PM, Certified Nurse Aide (CNA) M transferred R1 from the toilet using the sit to stand lift by herself and R1 sustained a skin tear to her left posterior leg. CNA M did not notice R1 was bleeding from the skin tear until after she transferred R1 back to the wheelchair using the sit to stand lift by herself. This deficient practice placed R1 at risk for skin tears, pain, and delayed healing. Findings included: - R1's Electronic Medical Record (EMR) documented R1 had diagnoses of dementia (progressive mental disorder characterized by failing memory, confusion), anxiety (mental or emotional reaction characterized by apprehension, uncertainty, and…

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

  Quality of Life and Care Deficiencies · Past Non-Compliance
• Potential for harm · Dcited before2026-06-16 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, observation, and interview, the facility failed to ensure Resident (R) 2 was free from verbal abuse. Findings included:R2's Electronic Medical Record (EMR) documented she had diagnoses of dementia, traumatic brain injury (TBI-an injury to the brain caused by external forces), major depressive disorder, arthritis, and atrial fibrillation (rapid, irregular heartbeat). The Annual Minimum Data Set (MDS), dated 05/15/2026, documented R2 had a Brief Interview for Mental Status (BIMS) score of six, which indicated severely impaired cognition. The MDS documented R2 had functional impairment in both her bilateral upper and lower extremities and she was dependent on staff for transfer, bed mobility, dressing, and mobility in a wheelchair. The MDS documented R2 had verbal behaviors directed towards others one to three days during the look-back period. The Cognitive Loss/Dementia Care Area Assessment (CAA), dated 05/05/2026, documented R2 had the potential for unmet needs, difficulty focusing on tasks and conversations, and mood/behavioral changes related to severe…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Past Non-Compliance
• Potential for harm · F2026-02-11 · tag F0628 — widespread
  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

  The facility had a census of 25 residents. The sample included 12 residents, with five reviewed for hospitalization. Based on interview, and record review, the facility failed to notify the Office of the Long-Term Care Ombudsman (LTCO- a public official who works to resolve resident issues in nursing facilities) for four residents, (R) 1, R6, R7, R12, and R13, and failed to provide two residents, R6 and R12, with written information regarding the facility's bed hold policy when they were transferred to the hospital.Findings included- The Nurse's Note, dated 11/01/25 at 03:21 AM, documented R1 admitted to the hospital for possible pulmonary embolism (occurs when a clump of material, most often a blood clot, gets stuck in an artery in the lungs, and blocks the flow of blood). R1's clinical record lacked evidence of the ombudsman notification for the 11/01/26 hospital transfer. The Nurse's Note dated 12/10/25 at 01:54 AM, documented R6 admitted to the hospital for pneumonia. R6's clinical record lacked evidence that the family received the bed hold notification or that the Ombudsman…

  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 before2026-02-11 · tag F0880 — failed to prevent and control infections — widespread
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility had a census of 25 residents. The sample included 12 residents. Based on observation, interview, and record review, the facility failed to ensure a sanitary and comfortable environment to help prevent the development and transmission of communicable diseases and infections when the facility failed to ensure Enhanced Barrier Precautions (EBP-infection control interventions designed to reduce transmission of resistance organism which employ targeted gown and glove use during high contact care) were used for two residents with urinary catheters (a tube inserted into the bladder to drain the urine into a collection bag), Resident (R)3 and R6 Findings included: - The Electronic Medical Record (EMR) for R3 documented a diagnosis of neuromuscular dysfunctions 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).The Annual Minimum Data Set (MDS), dated [DATE], documented R3 had a Brief Interview for Mental Status (BIMS) score of…

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

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-02-11 · tag F0883 — failed to offer flu and pneumonia vaccines — pattern
  Develop and implement policies and procedures for flu and pneumonia vaccinations.
  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 25 residents. The sample included 12 residents, with five residents reviewed for immunizations, Resident (R) 2, R15, R16, and R27, to include pneumococcal (a disease that refers to a range of illnesses that affect various parts of the body and are caused by infection) vaccinations. Based on record review and interviews, the facility failed to offer and/or obtain an informed declination or a physician documented contraindication for the pneumococcal PCV20 vaccination per the latest guidance from the Centers for Disease Control and Prevention (CDC). Findings Included: - Review of the clinical medical records lacked evidence the facility or the resident representative received or signed a consent to receive or informed declination for the pneumococcal vaccine PCV20 for the following residents. Review of R2's Electronic Medical Record (EMR) revealed the resident admitted to the facility on [DATE]. R2 had not been offered or received a pneumococcal PCV20 vaccine since admission. Review of…

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

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2024-04-04 · tag F0851 — widespread
  Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
  What the surveyor found here — an excerpt from the official record, may be distressing

  The facility had a census of 27 residents. Based on record review and interview, the facility failed to submit complete and accurate staffing information through Payroll Based Journal (PBJ) as required. This deficient practice placed the residents at risk for unidentified and ongoing inadequate nurse staffing. Findings included: - The PBJ report provided by the Centers for Medicare & Medicaid Services (CMS) for Fiscal Year (FY) 2023 Quarter 2 indicated the facility did not have licensed nurse coverage 24 hours a day, seven days a week on following days: 01/03/23, 01/13/23, 01/14/23, 01/16/23, 01/19/23, 01/26/23, 01/27/23, 01/29/23. 02/02/23, 02/06/23, 02/12/23, 02/14/23, 02/16/23, 02/23/23, 02/25/23, 02/26/23, 03/12/23, 03/26/23. The PBJ report for FY 2023 Quarter 3 indicated no licensed nurse coverage on 04/09/23, 04/21/23, 05/04/23, 05/06/23, 05/20/23, 05/21/23, 05/29/23, 06/10/23 and 06/11/23. The PBJ report for FY 2023 Quarter 4 indicated no licensed nurse coverage on 08/13/23, 08/20/23, 08/26/23, 08/27/23, 08/28/23, 09/02/23, 09/03/23, 09/17/23, 09/22/23, 09/23/23, 09/24/23,…

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

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-04-04 · tag F0582 — isolated
  Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
  What the surveyor found here — an excerpt from the official record, may be distressing

  The facility had a census of 27 residents. The sample included 13 residents. Based on record review and interview, the facility failed to provide Resident (R)5, R19, and R79 or their representative, the accurate Centers for Medicare and Medicaid (CMS) Skilled Nursing Facility Advanced Beneficiary Notices (ABN) Form 10055. This placed the resident at risk of uninformed decisions about their skilled services. Findings included: - The Medicare ABN form 10055 informed the beneficiary that Medicare may not pay for future skilled therapy services. The form included an option for the beneficiary to receive specific services listed, and bill Medicare for an official decision on payment. The form stated 1) I understand if Medicare does not pay, I will be responsible for payment but can make an appeal to Medicare, (2) receive therapy listed, but do not bill Medicare, I am responsible for payment for services, (3) I do not want the listed services. A review of the ABN provided to R5 revealed that R5 received form CMS-R-131 instead of CMS Form 10055. The resident's skilled services ended 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-04-04 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility had a census of 27 residents. The sample included 13, with two reviewed for dementia (progressive mental deterioration characterized by confusion and memory failure) care. Based on observation, record review, and interview, the facility failed to develop and implement an individualized dementia treatment plan for Resident (R)22, who had dementia and behaviors. This placed the resident at risk for abuse and decreased quality of life. Finding included: - R22's Electronic Medical Record (EMR) documented diagnoses of dementia without behavioral disturbance, mood disorder (category of mental health problems, feelings of sadness, helplessness, guilt, wanting to die were more intense and persistent than what may normally be felt from time to time), depression (abnormal emotional state characterized by exaggerated feelings of sadness, worthlessness, emptiness, and hopelessness), and pain. The admission Minimum Data Set (MDS), dated [DATE], documented R22 had moderately impaired cognition. R22 required…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-04-04 · 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 had a census of 27 residents. The sample included 13 residents. Based on observation, record review, and interview, the facility failed to staff followed acceptable standard of practice related to wound care for Resident (R) 79, who had an infected wound. This placed the resident at risk for delayed healing and other complications. Findings included: - The Electronic Medical Record (EMR) for R79 documented diagnoses of diabetes mellitus (DM-when the body cannot use glucose, not enough sepsis is made or the body cannot respond to the insulin), Charcot arthropathy (a rare complication of diabetes-related neuropathy (nerve damage)), Methicillin-resistant Staphylococcus aureus (MRSA-a type of bacteria resistant to many antibiotics), neuropathy, chronic kidney disease, stage three (mild to moderate damage to the kidneys and they are less able to filter waste and fluid out of your blood), and vascular insufficiency (improper function of the vein valves in the leg). The Significant Change Minimum Data Set…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-04-04 · 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 had a census of 27 residents. The sample included 13 residents, with five reviewed for accidents. Based on observation, record review, and interview, the facility failed to ensure the environment was free of accident hazards for two sampled residents, Resident (R) 9, and R18, when the facility failed to assess the residents to safely use an electric wheelchair or to safely smoke. This placed the residents at risk for preventable accidents and injury. Findings included: - The Electronic Medical Record (EMR) documented R9 had diagnoses of diabetes mellitus type two (when the body cannot use glucose, not enough insulin made, or the body cannot respond to the insulin), chronic obstructive pulmonary disease (COPD-a group of lung diseases that block airflow and make it difficult to breath), congestive heart failure (CHF-a condition with low heart output and the body becomes congested with fluid), hypertension (high blood pressure), and weakness. The Quarterly Minimum Data Set (MDS), dated [DATE],…

  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 · D2024-04-04 · tag F0742 — isolated
  Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
  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 27 residents. The sample included 13 residents with nine reviewed for mood and behavior. Based on observation, record review, and interview, the facility failed to provide the necessary behavioral health care and services to attain or maintain the highest practicable physical, mental, and psychosocial well-being for Resident (R)2. This placed her at risk for impaired quality of life due to untreated and ongoing mental health concerns. Findings - R2's Electronic Health Record (EHR) revealed diagnoses of schizophrenia (a mental disorder characterized by gross distortion of reality, disturbances of language and communication, and fragmentation of thought), bipolar disorder (a major mental illness that causes people to have episodes of severe high and low moods), and depression (a mood disorder that causes a persistent feeling of sadness and loss of interest). R2's admission Minimum Data Set (MDS), dated [DATE], recorded the resident had a Brief Interview for Mental Status (BIMS) score…

  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

$34,181 in federal fines across 3 penalties.

• $10,358 — penalty dated 2025-02-17
• $10,784 — penalty dated 2023-12-28
• $13,039 — penalty dated 2023-11-29

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 GRACE TEAM SERVICES — 9 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 17 rows in the source record cover these 11 parties — each is shown once here with every role it holds. Nothing is omitted.

3 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.

A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in KS