Grand Plains Skilled Nursing By Americare

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.

55.4% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 100 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 64.3% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 56 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.19 therapist hours per resident per day in 2026Q1 — more than 19% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 10% 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 53 beds and averages 44.1 residents a day — about 83% occupied, or roughly 9 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 4.17 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.32 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.91 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 3.41 hrs/resident/day on weekends vs 4.48 on weekdays — 24% thinner on weekends — a notable drop. RN hours go from 0.35 to 0.25 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 64% is well above the national median of 45%.

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

Inspection trend

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

Inspection deficiencies

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

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.

17 citations, most serious first. The 12 most serious are shown; the remaining 5 are one tap away and print in full.

• Actual harm · G2025-10-01 · 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 reported a census of 51 residents. The sample included six residents who were reviewed for abuse. Based on observation, interview, and record review, the facility failed to ensure residents remained free from resident-to-resident abuse when, on 09/03/25 at approximately 05:00 AM, Resident (R)1 wandered into R2's room and struck R2, a cognitively and physically impaired resident, in the head. Findings included:- R1's Electronic Health Record (EHR) documented diagnoses that included unspecified dementia (a progressive mental disorder characterized by failing memory and confusion).R1's 07/28/25 admission Minimum Data Set (MDS) documented a Brief Interview for Mental Status (BIMS) score of eight, which indicated moderately impaired cognition. The assessment documented R1 had physical behavioral symptoms directed towards others, rejection of care, and wandering behaviors that occurred one-to-three days during the look-back period.The 07/28/25 Behavioral Symptoms Care Area Assessment (CAA) documented R1 had wandering behaviors with rejection of care. The CAA documented risk…

  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 · G2023-06-27 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility had a census of 42 residents. The sample included 12 residents, with two reviewed for pressure ulcers/pressure injury (localized injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure, or pressure in combination with shear and/or friction). Based on observation, record review and interview, the facility failed to implement interventions to prevent the development of a facility-acquired, right heel pressure ulcer for Resident (R)22 and R39 who were at risk for pressure injuries. Findings included: - R22's Electronic Medical Record (EMR) documented she admitted to the facility on [DATE] from the community. R22's EMR documented she had diagnoses of unsteadiness, osteoporosis (abnormal loss of bone density and deterioration of bone tissue with an increased fracture risk), and reduced mobility. R22's admission Minimum Data Set (MDS), dated [DATE], documented R22 had a Brief Interview of Mental Status (BIMS) score of 15, which indicated intact cognition. R22…

  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 · E2025-10-01 · tag F0610 — failed to investigate and act on abuse reports — pattern
  Respond appropriately to all alleged violations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  The facility reported a census of 51 residents. The sample included six residents who were reviewed for abuse. Based on observation, interview, and record review, the facility failed to initiate protective actions to prevent the opportunity for additional resident-to-resident abuse, as required. On 09/03/25 at approximately 05:00 AM, Resident (R)1 wandered into R2's room and struck R2, a cognitively and physically impaired resident, in the head. R1 was placed on one-on-one observation by facility staff; however, R1 continued to wander into other resident's rooms with the potential to harm other residents on the unit. (Refer to F600) Findings included:- R1's Electronic Health Record (EHR) documented diagnoses that included unspecified dementia (a progressive mental disorder characterized by failing memory and confusion).R1's 07/28/25 admission Minimum Data Set (MDS) documented a Brief Interview for Mental Status (BIMS) score of eight, which indicated moderately impaired cognition. The assessment documented R1 had physical behavioral symptoms directed towards others, rejection 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-10-01 · 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 reported a census of 51 residents. The sample included six residents who were reviewed for abuse. Based on observation, interview, and record review, the facility failed to report an allegation of resident-to-resident abuse to the State Agency, as required. (Refer to F600) Findings included:- Review of R1's EHR Progress Notes revealed the following: On 09/03/25 at 07:52 AM, Licensed Nurse (LN) G documented on 09/03/25 at 05:00 AM, staff heard someone yelling and found R1 in R2's room. R2's wife reported R1 had hit her and was trying to hit R2. LN G documented R2 nodded his head to indicate yes and rubbed the left side of his forehead when asked if R1 had hit him. LN G documented R2 had a red area on the left side of his forehead. LN G documented Administrative Staff A ordered one-on-one observation of R1. The facility's investigation documented on 09/03/25 at 05:00 AM, staff heard yelling from R2's room and entered to find R1 swinging (fists) at R2's wife. Staff were able to remove R1 from R2's room and returned R1 to his room. The nurse assessed R2 and found a red mark…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-03-13 · tag F0812 — failed to store, cook, and serve food safely — pattern
  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 49 residents. Based on observation, interview, and record review, the facility failed to store, prepare, and serve food in a sanitary manner to prevent possible food-borne illness to the residents of the facility. Findings included: - On 03/10/24 at 02:40 PM during an initial tour of the main kitchen, refrigerator and dry food storage areas with Kitchen Manager CC, the following areas of concern were observed: One unsealed bag of ham open to air undated in walk in freezer. Two bag of undated and unlabeled chicken patties. Two bag of undated and unlabeled chicken nuggets. One bag of undated and unlabeled tater tots. One bag of undated and unlabeled French fries. Eight bottles of expired Lemon Juice dated 01/19/25. On 03/10/25 at 03:28 PM an interview with Kitchen Manager CC, revealed she expected staff to label, and date opened food items. Kitchen Manager CC, revealed that the above concerns identified with dry storage and freezer storage, which included undated and unsealed items were unacceptable. The facility's policy Food Receiving and Storage…

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

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-03-13 · 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 identified a census of 49 residents. The sample included 13 residents. The facility identified residents on Enhanced Barrier Precautions (EBP-infection control interventions designed to reduce transmission of resistant organisms that employ targeted gown and glove use during high contact care). Based on observations, interviews, and record review, the facility failed to ensure the EBP residents were cared for by staff using appropriate precautions. Further the facility failed to ensure staff used appropriate hand hygiene and glove changes with resident care. These deficient practices placed the residents at risk for infectious diseases. Findings included: - On 03/10/25 at 04:58 PM, observation of two unidentified Certified Nurse Aides provided care for an unidentified resident. Resident (R) had enhanced barrier precaution (EBP) sign on the door instructing staff to gown and glove when providing close contact care for the resident. Both CNAs were not wearing gowns while taking the resident, with an indwelling catheter, to the restroom. On 03/11/25 at 11:02 AM,…

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

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-03-13 · tag F0908 — failed to keep essential equipment working — pattern
  Keep all essential equipment working safely.
  What the surveyor found here — an excerpt from the official record, may be distressing

  The facility reported a census of 49 residents. Based on observation, interview, and record review, the facility failed to ensure the availability of proper maintenance equipment for the dishwasher and appropriate monitoring to automatic sanitizing to maintain properly functioning equipment. Findings included: - On 03/10/25 at 03:28 PM Kitchen Manager CC was observed making sanitizer water that registered at 50 parts per million. Kitchen Manager CC was unable to provide chlorine test strips to test the chlorine level in the dishwasher. Interview on 03/10/25 at 03:54 PM with Kitchen Manager CC revealed dietary staff were expected to test the sanitizer level daily. There was no written log of the results of the sanitizer test as staff were trusted to be testing it as expected. Kitchen Manager CC revealed, sanitizer was working 03/06/25 to her last knowledge. Kitchen Manager CC revealed, being unaware how long kitchen staff have been without chlorine testing strips for the dishwasher. Staff had not brought either of these issues to Kitchen Manager CC's attention. The facility failed 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.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-03-13 · 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 49 residents with 13 residents sampled. Based on observation, interview, and record review the facility failed to protect the privacy and dignity of Resident (R) 36 when the indwelling catheter bag was left with no privacy cover. These practices had the potential to lead to negative psychosocial effects related to dignity. Findings included: - The Electronic Health Record (EHR) for R36 included the diagnosis of neuromuscular bladder. The admission Minimum Data Set (MDS) dated 12/29/24 documented a Brief Interview for Mental Status score of 12, which indicated mildly impaired cognition. The assessment documented R36 as dependent on staff for all cares. The Urinary Incontinence and Indwelling Catheter Care Area Assessment (CAA) dated 12/29/24 documented R36 required a urinary catheter and was dependent on staff. Observations on 03/10/25 at 04:58 PM, 03/11/25 at 11:02 AM, 03/12/25 at 08:38 AM, R36's indwelling catheter drainage bag was facing the window in his room with no privacy cover, covering it from the staff and public that parked in the parking…

  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 · D2025-03-13 · tag F0814 — failed to dispose of garbage properly — isolated
  Dispose of garbage and refuse properly.
  What the surveyor found here — the official record, unedited, may be distressing

  The facility reported a census 49 residents. Based on observation, interview, and record review, the facility failed to maintain and/or dispose of garbage and refuse properly in a sanitary condition to prevent the harborage and feeding of pests. Findings included: - Initial tour of the outside trash dumpsters on 03/10/25 at 02:40 PM with Kitchen Manager CC, revealed four dumpsters had the lids in the open position, one of which was missing the dumpster lid. Dumpster lids were all failed to completely cover the trash cans. On 03/10/25 at 02:40 PM, Kitchen Manager CC, revealed she was not aware of the requirement to have trash covered. On 03/13/25 at 04:48 PM, Administrative Staff A stated that the dumpsters belonged to the city. The facility lacked a policy related to garbage and refuse handling and disposal. The facility failed to provide sanitary garbage and refuse containers that were maintained with lids closed or otherwise covered. This deficient practice had the potential to lead to harborage and feeding of pest animals.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2023-06-27 · tag F0761 — failed to label and store drugs safely — pattern
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  The facility had a census of 42 residents. The sample included 12 residents. Based on observation, interview, and record review the facility failed to ensure the insulin (a hormone that lowers the level of glucose [a type of sugar] in the blood) for Residents (R) 4, R36, R29 and R147 was labeled in accordance with currently accepted professional standards with an open date or expiration date, failed to discard expired insulin, and failed to ensure refrigerated stock medications were not expired. This deficient practice placed residents at risk for treatment with expired or ineffective medication. Findings included: - On 06/21/23 at 09:02 AM, observation revealed Certified Medication Aide (CMA) R dispensing medications from the north/west medication cart. On 06/21/23 at 09:05 AM, observation revealed the medication room refrigerator held: Two boxes of influenza (flu)vaccines, expiration date 05/06/2023. A box of Tylenol (pain reliver and fever reducer) suppositories expiration date 01/2023. A box of promethazine (drug used to treat allergies and to prevent vomiting) suppositories,…

  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 · D2023-06-27 · 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 42 residents. The sample included 12 residents. Based on record review and interview, the facility failed to provide Resident (R)20 and R21, or their representative, the completed Skilled Nursing Facility Advanced Beneficiary Notices (ABN) form 10055. This placed the resident, or their representatives at risk to make uninformed decisions about their skilled services and at risk to incur charges if exercising their right to appeal. 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. The facility failed to provide R20, or her representative, the completed form 10055, knowing…

  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 · D2023-06-27 · 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 42 residents. The sample included 12 residents, with two reviewed for skin conditions. Based on observation, record review, and interview, the facility failed to update Resident (R)39's care plan with interventions related to prevention of pressure injuries and failed to update R11's care plan with instructions to staff regarding hopsice care. This placed R39 at risk for further injuries to his skin due to uncommunicated or unmet needs and R11 at risk for unmet care needs Findings included: - R39's Physician Order Sheet included diagnoses of arterial sclerotic heart disease (ASHD-a condition where the arteries become narrowed and hardened due to buildup of fat in the artery wall.), edema (swelling resulting from an excessive accumulation of fluid in the body tissues), atrial fibrillization (rapid, irregular heartbeat), and hypertension (elevated blood pressure). R39's admission Minimum Data Set (MDS) assessment, dated 04/17/23, recorded the resident had a Brief Interview for Mental…

  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

“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

$14,352 in federal fines across 1 penalty.

• $14,352 — penalty dated 2025-10-01

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 AMERICARE SENIOR LIVING — 23 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 11 rows in the source record cover these 10 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.

This home reported $1.2M paid to related parties — landlords or management companies under common ownership — equal to about 26% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

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