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Diversicare Of Sedgwick

712 N Monroe Avenue, Box 49, Sedgwick, KS 67135 · For profit - Limited Liability company · 62 certified beds · (316) 772-5185 Medicare & Medicaid certified

Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse-prevention, restraint, or reporting citation — no harm found (F0609) — cited Jan 2022Behavioral-health or dementia-care citation — no harm found (F0758)1 immediate-jeopardy citation$33,586 in federal fines
Insights

This home has serious findings on its record. Read them closely before you consider it.

In its favor
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • inspectors cited 1 immediate-jeopardy problem — the most serious level
  • a high number of inspection citations overall (32) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $33,586 in federal fines (most recent 2025-05-15)
  • its facility-reported quality-measure score sits well above its independent inspection score
  • its independent health-inspection rating is low (1/5)
  • its payroll-based staffing rating is low (2/5)
  • nursing-staff turnover (78%) runs well above the national median (45%)

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

1/5
CMS overall
1 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 1 of 5
StaffingFrom payroll records (PBJ) 2 of 5
Quality measuresSelf-reported by the facility 3 of 5

Worth a closer look. This home's quality-measure rating runs 2 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself — so a gap this large is worth reading the inspection record for.

Location & what’s nearby

Hospital
NMC HEALTH10.5 mi
★★★★★ 5/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
501 N Commercial Ave · (316) 655-3787 · Call to confirm hours
Pharmacy
225 S Meridian Ave · (316) 755-3299 · Call to confirm hours
Grocery
103 E 5th St · (316) 772-0077 · Call to confirm hours
Park
(913) 731-1611 · Typically dawn to dusk
Place of worship
402 N Commercial Ave · (316) 772-5895

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

Overall quality measures 3 of 5
Long-stay residentspeople who live here 3 of 5

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.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 1 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating1★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased20.1%17.9%15.4%worse
Long-stay residents who lose too much weight3.5%4.9%5.4%better
Long-stay residents with a catheter left in their bladder0.0%1.6%0.9%better
Long-stay residents with a urinary tract infection0.0%2.9%2.0%better
Long-stay residents with depressive symptoms8.6%6.5%6.5%worse
Long-stay residents who were physically restrained0.0%0.0%0.1%better than state — see note marked double-dagger below the table
Long-stay residents with falls causing major injury2.8%4.3%3.3%better
Long-stay residents whose ability to walk worsened29.9%16.2%16.1%worse
Long-stay residents on antianxiety or hypnotic medication25.4%23.2%18.9%worse
Long-stay residents given the seasonal flu vaccine97.6%95.5%95.3%typical
Long-stay residents with pressure ulcers5.5%4.4%4.7%worse
Long-stay residents with worsening bladder/bowel control21.0%22.6%21.2%typical
Long-stay residents who got an antipsychotic medication — see the note below the table18.4%18.1%17.1%typical
Short-stay residents who newly got an antipsychotic medication0.0%1.9%1.4%better
Long-stay hospitalizations per 1,000 resident days1.761.801.67typical
Long-stay outpatient ER visits per 1,000 resident days1.372.131.80better

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

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.

10.3%U.S. median 10.7%
Went back to hospital
0.27U.S. median 0.31
Therapy hours / resident / day
0.13hours / resident / day
Physical therapy
0.12hours / resident / day
Occupational therapy
0.02hours / resident / day
Speech therapy

Therapy staffing: this home’s payroll records show 0.27 therapist hours per resident per day in 2026Q1 — more than 40% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 15% 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.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNFnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF10.3%CMS range 5.9–15.410.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care settingnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.0%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened0.0%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalizationnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.741.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.45
RN hours/ resident / day
0.86
LPN hours/ resident / day
1.65
Aide hours/ resident / day
2.96
Total nurse hours/ resident / day
0.40
RN hoursweekends
78.0%
Total nursing turnover
100.0%
RN turnover

How full it usually is: this home is certified for 62 beds and averages 51.1 residents a day — about 82% occupied, or roughly 11 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 2.96 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.45 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.65 is below 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 2.66 hrs/resident/day on weekends vs 3.08 on weekdays — 14% thinner on weekends. RN hours go from 0.46 to 0.40 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 78% is well above the national median of 45%. 1 administrator has left in the past year.

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

Inspection trend

7
deficiencies at the latest standard inspection (2025-05-15)
16
at the previous standard inspection (2023-07-19)

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.

ABCDEFGHIJKL

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.

32 citations, most serious first. The 12 most serious are shown; the remaining 20 are one tap away and print in full.

  • Immediate jeopardy · Jcited before2025-05-15 · 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

    The facility reported a census of 42 residents. The sample included 15 residents, which included three residents selected for closed record review. Based on interviews and record review the facility failed to provide the necessary care and service needed to manage symptoms when staff failed to promptly identify and react to a change in condition for Resident (R) 29, who had diabetes mellitus. On 05/04/25 R29 refused all his morning medication including his diabetic medications; R29's blood glucose was 388 milligrams (mg) per deciliter (dL) at 05:45 AM that morning. Staff did not notify R29's physician of the medication refusal or the abnormally high blood glucose level. On the evening of 05/04/25, R29 refused all his medications again and had a blood glucose of 513 mg/dL at 09:00 PM but staff did not notify the provider of the dangerously high blood glucose or the medication refusals. On the morning of 05/05/25, staff entered an order for a one-time dose of Humalog (fast-acting insulin) at 06:13 AM but the insulin was not administered as R29 was unresponsive and sent by ambulance 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 · Deficient, Provider has date of correction
  • Actual harm · Gcited before2022-01-11 · 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 census totaled 39 residents, with five residents reviewed for skin issues. Based on observation, interview, and record review the facility failed to order and provide four days (11/01/21-11/04/21) of continued intravenous antibiotic treatment as ordered for Resident (R)7, who was continuing post-surgical recovery for osteomyelitis and gangrene (death of body tissue due to a lack of blood flow or a serious bacterial infection) treatment to his left foot. On 11/01/21 R7's Infectious Disease Provider prescribed Zosyn (antibiotic) intravenously (IV, through the vein) three times a day for an additional two weeks. The interruption in the IV antibiotic treatment for R7 resulted in worsening of wound and the potential for regrowth of the infection, osteomyelitis, and gangrene. Furthermore the facility failed to ensure necessary treatment and care, in accordance with professional standards of practice, for Resident (R) 4, who had multiple wounds. Findings included: - Review of R7's diagnoses from the…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-09-09 · tag F0627 — isolated
    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility had a census of 48 residents. The sample included six residents with one resident reviewed for involuntary discharge. Based on interviews and record review, the facility failed to ensure Resident (R) 1's Electronic Health Record (EHR) contained physician documentation of the rationale for the involuntary immediate discharge. This placed the resident at risk for impaired rights and inappropriate discharge. Findings included: - R1's EHR documented diagnoses that included Huntington's disease (a rare abnormal hereditary condition characterized by progressive mental deterioration, a disabling central nervous system movement disorder), anxiety (a mental or emotional reaction characterized by apprehension, uncertainty, and irrational fear), history of suicidal behavior and major depressive disorder (MDD - a major mood disorder that causes persistent feelings of sadness).R1's Census log documented Discharge Paid dated 06/26/25, and Stop [NAME] dated 06/27/25.R1's Significant Change Minimum Data Set (MDS)…

    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 before2025-05-15 · tag F0730 — widespread
    Observe each nurse aide's job performance and give regular training.
    What the surveyor found here — an excerpt from the official record, may be distressing

    The facility reported a census of 42 residents. Five Ceritifed Nurse Aide (CNA) were reviewed with three reviewed for annual performance evaluations. Based on interview and record review, the facility failed to complete annual performance reviews for two of the three CNA staff that were employed for a year or more. This placed the residents at risk for inadequate care. Findings included: - Per review of employee records, Certified Medication Aide (CMA) M was hired on 02/12/21. CMA M's annual Performance Evaluation, dated 02/13/25, was not completed with the employee's signature indicating it had been reviewed with the staff member. CMA N's employee records noted she was hired 05/08/20. CMA N's most recent Performance Evaluation, was completed on 02/27/24. On 05/14/25 at 09:21 AM, Administrative Nurse C verified the above findings and confirmed that direct care staff should receive an annual evaluation to include identified weaknesses and actions to address weaknesses to ensure the residents receive adequate care. The facility did not provide a policy related to annual performance…

    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.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2025-05-15 · 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 42 residents. The sample included 15 residents. Based on interviews, record reviews, and observation, the facility failed to ensure a safe environment in all areas of the facility including the laundry area. This deficient practice created the risk for contaminated laundry and fires. Findings included: - During an observation on 05/13/25 at 09:30 AM, the fluorescent light fixtures above the washers and the dryers had no covers over the bulbs. There were several light fixtures that had exposed rust on the metal housings. During an observation on 05/13/25 at 09:35 AM, the ceilings above the washers and dryers had cracked and peeling paint. During an observation on 05/13/25 at 09:40 AM, it was observed that there was an open grate drain with standing water that the washing machines drained into in front of the washing machines. During an observation on 05/13/25 at 09:45 AM, the washing machine detergent hoses were fed through an open hole in the wall with an exposed dry wall just below a vent covered in lint and dust. During an observation on 05/13/25…

    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 · Ecited before2025-05-15 · tag F0880 — failed to prevent and control infections — pattern
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    The facility reported a census of 42 residents. The sample included 15 residents. Based on interviews, record reviews, and observation, the facility failed to implement professional standards of care related to infection control practices during direct care and laundry services. This deficient practice placed the residents at risk for infections. Findings included: - R21's Electronic Medical Record (EMR) revealed a diagnosis of a persistent vegetative state (state of wakefulness accompanied by a complete lack of cognitive function), tracheostomy (opening through the neck into the trachea through which an indwelling tube may be inserted), and Foley catheter (a tube inserted into the bladder to drain urine into a collection bag). The 03/07/25 Annual Minimum Data Set (MDS) documented R21 was in a vegetative state. R21 was dependent on staff for her care. The MDS noted R21 required a tracheostomy and supplemental oxygen. The MDS recorded R21 had a feeding tube and received her nutrition from it. It documented R21 had had a Foley catheter. The 03/07/25 Feeding Tube CAA triggered…

    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 · D2025-05-15 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    What the surveyor found here — an excerpt from the official record, may be distressing

    The facility identified a census of 42 residents. The sample included 15 residents with one reviewed for activities of daily living (ADL). Based on observation, record review, and interviews, the facility failed to ensure Resident (R) 21, a resident in a persistent vegetative state (state of wakefulness accompanied by a complete lack of cognitive function) received adequate restorative care, including the application of splints, to minimize further decline. This deficient practice placed R21 at risk for increased pain and contractures (abnormal fixation of joints or muscles). Findings included: - A review of R21's Electronic Medical Record (EMR) revealed a diagnosis of a persistent vegetative state. The 03/07/25 Annual Minimum Data Set (MDS) documented R21 was in a vegetative state; R21 was dependent on staff for her care. The MDS noted R21 received no range of motion (ROM- the full movement potential of a joint, usually its range of flexion and extension) exercise during the assessment period. The 03/07/25 Care Area Assessment (CAA) did not trigger for R21 for ADLs. R21's Care Plan…

    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 · D2025-05-15 · tag F0693 — failed to provide proper feeding-tube care — isolated
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    What the surveyor found here — an excerpt from the official record, may be distressing

    The facility identified a census of 42 residents. The sample included 15 residents with one reviewed for enteral nutrition (provision of nutrients through the gastrointestinal tract when the resident cannot ingest, chew, or swallow food). Based on observation, record review, and interviews, the facility failed to ensure Resident (R) 21, a resident fed by enteral means, received the appropriate treatment and services to prevent complications of enteral feeding when staff failed to monitor R21's weight routinely and/or as ordered. This placed the resident at risk for continued weight loss and malnutrition. Findings included: - A review of R21's Electronic Medical Record (EMR) revealed a diagnosis of a persistent vegetative state (state of wakefulness accompanied by a complete lack of cognitive function). The 03/07/25 Annual Minimum Data Set (MDS) documented R21 was in a vegetative state; R21 was dependent on staff for her care. The MDS noted R21 weighed 145 pounds and she had no weight loss or gain since the last MDS. The MDS recorded R21 had a feeding tube and received her nutrition…

    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 · D2025-05-15 · tag F0699 — isolated
    Provide care or services that was trauma informed and/or culturally competent.
    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 42 residents. There were 15 residents in the sample, with one resident reviewed for trauma-informed care. Based on observation, interview, and record review the facility failed to develop and implement approaches to care that were both clinically appropriate and person-centered for Resident(R) 12, who had a history of personal trauma and substance abuse. This placed the resident at risk for decreased quality of life and re-traumatization. Findings included: - R12's Electronic Health Record (EHR) revealed diagnoses that included major depressive disorder (major mood disorder that causes persistent feelings of sadness), anxiety (mental or emotional reaction characterized by apprehension, uncertainty, and irrational fear), and post-traumatic stress disorder (PTSD- a mental disorder characterized by an acute emotional response to a traumatic event or situation involving severe environmental stress). The Significant Change in Status Minimum Data Set (MDS) dated [DATE], documented a…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2023-07-19 · tag F0725 — failed to have enough nursing staff — widespread
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    What the surveyor found here — an excerpt from the official record, may be distressing

    The facility reported a census of 40 residents. Based on interview and record review, the facility failed to ensure sufficient qualified nursing staff available at all times to provide nursing and related services to meet the residents' needs safely and in a manner that promotes each resident's rights, physical, mental and psychosocial well-being. Findings included: - Review of the Facility Assessment, updated 04/28/23, documented the facility would base the staffing plan on resident population and the needs of residents' care and support. The facility would require three to four licensed nurses (LN) providing direct resident care and seven to 12 Certified Nurse Aides (CNA) and/or Certified Medication Aides (CMA), every day, depending on the census and acuity (the level of care a resident requires) of the residents. Review of the facility's daily staff postings, from 06/01/23 through 07/16/23, revealed the facility staffed the nursing department with one to three LNs and four to seven CNA/CMAs per day. On 07/17/23 at 11:07 AM, R 22 stated the evening and night shift did not have…

    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.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2023-07-19 · tag F0730 — widespread
    Observe each nurse aide's job performance and give regular training.
    What the surveyor found here — an excerpt from the official record, may be distressing

    The facility reported a census of 40 residents. Based on interview and record review the facility failed to complete annual competency performance reviews at least once every 12 months for five of the five Certified Nurse Aides (CNA) and Certified Medication Aides (CMA) reviewed, CNA N, CNA NN, CNA OO and CMA T and CMA S, to ensure adequate appropriate cares and services provided to the residents of the facility. Findings included: - Review of five employee personnel files, revealed employment by the facility for greater than one year, revealed the following areas of concern: 1. Certified Medication Aide (CMA) S, hired 03/14/22, lacked an annual performance review in her personnel file. 2. Certified Nurse Aide (CNA) N, hired 12/18/14, lacked an annual performance review in her personnel file. 3. CNA NN, hired 05/24/17, lacked an annual performance review in her personnel file. 4. CNA OO, hired 06/27/22, lacked an annual performance review in her personnel file. 5. CMA T, hired 05/17/22, lacked an annual performance review in her personnel file. On 07/19/23 at 02:30 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.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2023-07-19 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility reported a census of 40 residents. Based on observation, interview and record review, the facility failed to store, prepare, serve food to the residents in a sanitary [NAME] to prevent the outbreak of foodborne illness, regarding the failure of wearing hairnets, dirty reach-in freezers, and reach-in refrigerators and six plastic drawers which contained cooking utensils. Findings included: - During an initial tour of the kitchen on 07/17/23 at 11:12 AM revealed the following areas of concern: 1. Former dietary staff CC entered the kitchen and stood next to a food preparation table where staff were preparing food, on 07/17/23 at 11:18 AM. Former dietary staff CC did not wear a hairnet while she was in the kitchen where staff were preparing food for the residents. 2. The bottom of two reach-in refrigerators had a heavy build-up of food debris on the bottom shelf as well as a heavy build-up of food debris in the rubber door gasket seal around the reach-in doors. 3. The bottom of two reach-in freezers…

    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
Show the remaining 20 citations
  • Potential for harm · F2023-07-19 · tag F0867 — failed to act on quality-improvement findings — widespread
    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
    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 40 residents. Based on observation, interview and record review, the facility failed to ensure the Quality Assurance Performance Improvement (QAPI) program identified resident care issues to enhance the residents' quality of life, failed to implement appropriate and effective action plans for environmental issues and resident care issues. Findings included: - Interview, on 07/19/23 at 2:30 PM, with Administrative Staff A, revealed he was in the administrative position since March 2023. Staff A explained the facility Quality Assurance Performance Improvement (QAPI) utilized data from the electronic medical record reports and staff input. The Quality Assurance Committee met on 12/21/22, 03/01/23, 05/31/23 and 06/28/23. During the facility survey from 07/17-19/23, the following several concerns were identified and in need of corrective actions by the facility. Refer to F584, the facility failed to ensure a safe, sanitary, and homelike environment for the residents in seven resident…

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

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2023-07-19 · 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 40 residents. Based on observation, interview, and record review the facility failed to ensure an effective infection control program in the facility with the failure to maintain accurate tracking and trending of infections in the facility, failure to store supplies in a sanitary manner, and failure to ensure housekeeping staff were knowledgeable on the effective use of cleaning chemicals. Findings included: - Review of the Infection Prevention and Control Tracking Logs for 2023, revealed the lack of logs for January, February, and March 2023. Interview, on 07/19/23 at 11:30 AM, with Administrative Nurse D confirmed the missing infection control tracking logs. The facility policy Surveillance and Communicable Diseases Reporting Guideline, revised November 1, 2017, instructed staff to collect accurate and relevant surveillance data, evaluate and compare calculate rates of various infections, evaluate compare the data and report the data to team members. The facility failed to maintain an effective infection control program with the 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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-07-19 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    What the surveyor found here — an excerpt from the official record, may be distressing

    The facility reported a census of 40 residents. Based on observation, interview and record review, the facility failed to ensure a safe, sanitary, and homelike environment for the residents residing in seven resident rooms of the facility. Findings included: - Observation, on 07/18/23 at 01:40 PM, with Maintenance Staff U revealed the following areas of concern: 1. Two resident rooms had large areas of missing paint. 2. One resident room with five cracked broken floor tiles at the entrance to their room. 3. One resident room contained two completely loose floor tiles beside the resident's bed. 4. One resident room contained a privacy curtain between the two resident's bed with a black substance along approximately one third of the lower edge. 5. One resident room contained a closet with blankets directly on the floor and a box of shredded wheat directly on the floor. 6. One resident room contained a bed frame without a mattress. Interview, on 07/18/23 at 02:30 PM, with Maintenance Staff U, confirmed the above. The facility lacked a policy for maintenance of resident rooms. The…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2023-07-19 · tag F0677 — failed to help fully-dependent residents with daily care — pattern
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    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 40 residents with 16 residents sampled, including four residents reviewed for Activities of Daily Living (ADL). Based on observation, interview and record review, the facility failed to provide facial grooming for two Residents (R)10 and R 7, failed to ensure one R 4 changed into clean clothing and failed to get one R 34 out of bed and dressed for the entirety of a day. Findings included: - The Physician Order Sheet (POS), dated 06/29/23, for Resident (R)4, documented the resident had a diagnosis of dementia (progressive mental disorder characterized by failing memory, confusion). The admission Minimum Data Set (MDS), dated [DATE], documented the resident had a Brief Interview for Mental Status (BIMS) score of 15, indicating intact cognition. He required no setup assistance or staff assistance with dressing. The Cognitive Loss/Dementia Care Area Assessment (CAA), dated 10/17/22, documented the resident had inattention and disorganized thinking. The resident had a diagnosis 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-07-19 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
    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 - Review of Resident (R)24's electronic medical record (EMR) revealed a diagnosis of dementia (progressive mental disorder characterized by failing memory, confusion) and weakness. The significant change Minimum Data Set (MDS), dated [DATE], documented the resident had a Brief Interview for Mental Status (BIMS) score of four, indicating severe cognitive impairment. She required extensive assistance of one for locomotion on the unit and had impairment on one side of her lower extremity. The Activities of Daily Living (ADL) Functional/Rehabilitation Potential Care Area Assessment (CAA), dated 12/20/22, did not trigger. The Cognitive Loss/Dementia CAA, dated 12/20/22, documented the resident had a diagnosis of dementia. The quarterly MDS, dated 06/02/23, documented the resident had a BIMS score of four, indicating severe cognitive impairment. She required supervision with setup help for locomotion on the unit. The care plan for physical functioning, revised 06/05/23, instructed staff the resident utilized a front…

    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 · E2023-07-19 · tag F0887 — pattern
    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
    What the surveyor found here — an excerpt from the official record, may be distressing

    The facility reported a census of 40 residents with five residents reviewed for immunizations. Based on interview and record review. The facility failed to offer residents COVID-19 vaccinations per the CDC (Center for Disease Control) guidelines. Findings included: - Review of the resident immunizations in the electronic medical record revealed the following: Resident (R)14, admitted to the facility 04/11/19, received three doses of COVID-19 vaccine with the last immunization administered on 01/7/22. R8 admitted to the facility 07/06/15 received three doses of COVID-19 vaccine with the last Immunization administered on 01/17/22. R9 admitted to the facility 01/06/22 and historically received three doses of COVID-19 with last immunization administered on 12/28/21. R 4 admitted to the facility 10/10/22 and historically received three doses of COVID-19 with last dose received 11/10/21. R7 admitted to the facility 02/02/18 and received three doses of COVID-19 with the last dose received 01/17/22. The CDC recommended a fourth COVID-19 booster in May 2022 and approved and recommended the…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-07-19 · 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 reported a census of 40 residents, with 16 sampled for review. Based on observation, interview, and record review the facility failed to review and revise the plan of care for two sampled residents including Resident (R)13 with psychotrophic medications and )13 for foot pedals on the wheelchair. Findings included: - Review of Resident (R)13's electronic medical record (EMR) revealed diagnoses of major depressive disorder (major mood disorder) and anxiety (feeling of worry, nervousness, or unease). The annual Minimum Data Set (MDS), dated [DATE], documented the resident had a Brief Interview for Mental Status (BIMS) score of 15, indicating intact cognition. She received an antidepressant medication (medication used to treat the symptoms of depression) seven days of the seven day assessment period. The Behavioral Symptoms Care Area Assessment (CAA), dated 12/02/22, did not trigger. The Psychosocial Well-Being CAA, dated 12/02/22, did not trigger. The Mood State CAA, dated 12/02/22, did not trigger.…

    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 · D2023-07-19 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility reported a census of 40 residents with 16 residents sampled, including three residents reviewed for bowel and bladder. Based on observation, interview and record review, the facility failed to toilet one dependent Resident (R)8 timely and failed to complete a 72-hour voiding diary to assist the staff in the development of an individualized toileting program to assist R 30 improve or maintain his bladder continence. Findings included: - Review of Resident (R)30's electronic medical record (EMR) revealed a diagnosis of dementia (progressive mental disorder characterized by failing memory, confusion). The annual Minimum Data Set (MDS), dated [DATE], documented the resident had a Brief Interview for Mental Status (BIMS) score of seven, indicating severe cognitive impairment. He required limited assistance of one staff for toileting and was frequently incontinent of bowel and bladder. The Urinary Incontinence and Indwelling Catheter Care Area Assessment (CAA), dated 10/18/22, documented the resident…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-07-19 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility reported a census of 40 residents with 16 residents sampled, including three residents reviewed for respiratory care. Based on observation, interview and record review, the facility failed to ensure one of the three sampled resident's (R)10 oxygen concentrator had a humidifier bottle. Findings included: - The Physician Order Sheet (POS), dated 06/29/23, for Resident (R)10, documented a diagnosis of Chronic Obstructive Pulmonary Disease (COPD)- progressive and irreversible condition characterized by diminished lung capacity and difficulty or discomfort in breathing). The admission Minimum Data Set (MDS), dated [DATE], documented the resident had a Brief Interview for Mental Status (BIMS) score of six, indicating severe cognitive impairment. He used oxygen while a resident. The Cognitive Loss/Dementia Care Area Assessment (CAA), dated 06/16/23, documented the resident had impaired cognition. The care plan for respiratory status, dated 06/16/23, instructed staff the resident used oxygen at 7 liters (L)…

    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 · D2023-07-19 · tag F0697 — failed to manage pain — isolated
    Provide safe, appropriate pain management for a resident who requires such services.
    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 40 residents with 16 residents sampled, including two residents reviewed for pain. Based on observation, interview and record review, the facility failed to provide adequate pain relief for one of the two sampled residents, Resident (R)10 in order to remain free from pain as possible. Findings included: - The Physician Order Sheet (POS), dated 06/29/23, for Resident (R)10, revealed a diagnosis of urinary retention (the inability to urinate). The admission Minimum Data Set (MDS), dated [DATE], documented the resident had a Brief Interview for Mental Status (BIMS) score of six, indicating severe cognitive impairment. He required limited assistance of one staff for toileting. The Pain Care Area Assessment (CAA), dated 06/16/23, documented the resident would be monitored by a licensed nurse (LN) every shift for pain. Staff were to notify the physician immediately if the resident did not receive pain relief from the current pain medication regimen. The pain care plan, dated 06/16/23,…

    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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-07-19 · tag F0756 — failed to review each resident's drug regimen — isolated
    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 40 residents with 16 residents selected for review, which included five residents reviewed for unnecessary medications. Based on observation, interview and record review, the facility failed to follow up on pharmacy recommendations for one Resident (R) of the five residents reviewed for unnecessary medications. Findings included: - Review of Resident (R)34's Physician Order Sheet, dated 06/29/23, revealed diagnoses included cerebral infarction (stroke which is the sudden death of brain cells due to lack of oxygen caused by impaired blood flow to the brain by blockage or rupture of an artery to the brain), left hemiplegia (paralysis and weakness of one side of the body muscular of one half of the body), hemiparesis (muscular weakness of one side of the body), and major depressive disorder (major mood disorder). The Significant Change Minimum Data Set (MDS) dated [DATE] assessed the resident with normal cognitive function. The resident had a mood score of 17 which indicated…

    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 · D2023-07-19 · tag F0757 — failed to avoid unnecessary drugs — isolated
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility reported a census of 40 residents with 16 residents sampled, including five residents reviewed for unnecessary medications. Based on observation, interview and record review, the facility failed to ensure Resident (R)4 was kept free from unnecessary medications, by failing to notify the physician of blood sugars (BS) outside of ordered parameters, in case of the need for change in the medication. Findings included: - Review of Resident (R)4's Physician Order Sheet (POS), dated 06/29/23, documented the resident had a diagnosis of type II diabetes mellitus (DM-when the body cannot use glucose, not enough insulin made or the body cannot respond to the insulin). The admission Minimum Data Set (MDS), dated [DATE], documented the resident had a Brief Interview for Mental Status (BIMS) score of 15, indicating intact cognition. He received insulin (a hormone that regulates the level of sugar in the blood) seven days of the seven-day assessment period. The Nutritional Status Care Area Assessment (CAA), dated…

    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 · D2023-07-19 · tag F0758 — failed to limit and justify psychotropic drugs — isolated
    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 40 residents with 16 residents selected for review, which included five residents reviewed for unnecessary medications. Based on observation, interview and record review, the facility failed to ensure two Residents (R)34 and R36, of the five residents had Abnormal Involuntary Movement Scale (AIMS) assessments for monitoring, when they received antipsychotic medications. Findings included: - Review of Resident (R) 36's Physician Order Sheet, dated 06/29/23, revealed diagnoses included psychosis (any major mental disorder characterized by a gross impairment in reality testing), delusional disorder (untrue persistent belief or perception held by a person although evidence shows it was untrue) and major depressive disorder. The resident admitted to the facility on [DATE]. The admission Minimum Data Set (MDS), dated [DATE], assessed the resident with severe cognitive impairment and inattention. This MDS indicated the resident received no antipsychotic medications during the seven day…

    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 before2022-01-11 · tag F0921 — failed to keep a safe, functional, sanitary building — pattern
    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 39 residents. Based on observation, interview, and record review, the facility failed to provide maintenance services to ensure a safe and sanitary environment for residents and staff in the facility laundry area. Findings included: - On 01/10/22 at 10:48 AM, the tour of the facility laundry areas with Housekeeping staff U revealed the following areas of concern: 1. The soiled linen room's ceiling contained a brown colored stain in an area approximately three by two-foot section with peeling spackling. 2. The cement floor throughout the laundry processing areas had multiple areas of missing paint and with chips in the concrete. 3. The folding table had missing areas of the laminent revealing the raw wood. 01/11/22 11:48 AM, Administrative staff A agreed the laundry should be maintained and repaired to provide a safe and comfortable environment for the staff. He reported the areas noted above should be addressed by the maintenance staff. The facility failed to maintain a safe and sanitary environment for the residents and the staff in the facility…

    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 · D2022-01-11 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility reported a census of 39 residents, with 21 sampled and five residents for medication review as well as concerns of abuse, neglect and exploitation (ANE). Based on observation, interview, and record review the facility failed to complete an investigation, for Resident (R) 7, when the facility failed to administer four days of Zosyn (antibiotic) intravenously (IV; through the vein) from 11/01/21 through 11/04/21, resulting in a medication error. The facility also failed to administer ordered STAT (immediately) IV fluids to R10 as ordered by the physician, resulting in the fluids being administered over 24 hours later and creating an error in followoing physician orders. The facility then failed to report these two incidents of neglect, with failure to follow physisican orders, to the State Survey Agency within five working days of the missed doses of IV antibiotics and late administration of the IV fluids. Findings included: - Resident (R) 7's pertinent diagnoses from the 10/06/21 Physician's Orders…

    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 · Dcited before2022-01-11 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    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 39 residents with 21 selected for review which included four residents reviewed for activities of daily living (ADL). Based on observation, record review, and interview the facility failed to provide necessary services to maintain good personal hygiene for one resident, Resident (R)23, related to nail care. Findings included: - The Order Summer Report, dated 01/01/22 for R23 included the diagnosis of Duchenne muscular dystrophy (a inherited disorder of progressive muscular weakness), hemiplegia (paralysis of one side of the body) following cerebral infarction affecting right dominant side, and myocardial infarction (heart attack). The annual Minimum Data Set, (MDS), dated [DATE], assessed R23 with a brief interview for mental status (BIMS) score of 15, indicating intact cognition. He required extensive assistance of two persons for bed mobility, transfers, dressing, and personal hygiene. R23 does have impairment on one side of upper and lower extremities. The…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-01-11 · 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 reported a census of 39 residents with five residents reviewed for pressure ulcers. Based on interview and record review, the facility failed to provide necessary treatment and services to promote healing for two of the five sampled residents, Resident (R) 4 and R17, who had pressure ulcers. Findings included: - The Physician Orders (PO), dated 01/01/22, for R4, included diagnoses of COVID-19, type 2 diabetes mellitus (a form of diabetes that is characterized by high blood sugar, insulin resistance, and relative lack of insulin), pressure ulcer of back, buttock and hip, stage 4, and chronic ulcer of buttock. The Significant Change Minimum Data Set (MDS), dated [DATE], documented R4 with a Brief Interview for Mental Status (BIMS) score of 15, indicating intact cognition and required extensive assistance with bed mobility, limited assistance with transfer, and total dependence on the staff for toileting. The resident had one or more unhealed pressure ulcers and the staff provided pressure ulcer care…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-01-11 · tag F0694 — isolated
    Provide for the safe, appropriate administration of IV fluids for a resident when needed.
    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 39 residents with 21 sampled including two residents reviewed for hydration. Based on interview and record review, the facility failed to administer IV (intravenous) fluids in accordance with the physician orders for one of the two residents (R)10, when the physician ordered IV fluids given stat (immediately) and the staff failed to implement the IV fluids for over 24 hours for the resident's dehydration. Findings included: - The Physician Orders (PO), dated 01/01/22, included diagnoses of COVID-19 and chronic kidney disease, stage three. A PO, dated 12/31/21 at 10:19 AM, documented the resident was to receive Sodium Chloride solution 0.45 percent (%) (saline water solution). Use one liter intravenously (through the vein) STAT (urgent or rush) for fluid volume depletion with chronic kidney disease. Run the fluids at 75 cubic centimeters (cc)/hour (hr) until complete. Review of the resident's December 2021 medication administration record (MAR), revealed it lacked staff initials…

    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 before2022-01-11 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility reported a census of 39 residents with 21 selected for review, which included three residents sampled for respiratory care. Based on observation, interview, and record review, the facility failed to provide appropriate respiratory care related to maintaining respiratory equipment to prevent the spread of infection, consistent with standard of practice and person centered care plan for two residents (R)29, and R 11 related to storage of oxygen/nebulizer tubing and cannula when not in use and changing of the oxygen concentrator humidifier bottle and tubing cannula. Findings included: - Review of the resident (R)29's Physician Orders, dated 01/01/22, revealed diagnoses which included shortness of breath, obstructive sleep apnea (intermittent airflow blockage during sleep), and chronic obstructive pulmonary disease (a group of lung diseases that block airflow and make it difficult to breath. The Annual Minimum Data Set (MDS) dated [DATE], documentation included the Brief Interview for Mental Status…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-01-11 · tag F0842 — failed to keep accurate, complete medical records — isolated
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility reported a census of 39 residents with 21 sampled. Based on record review and interview, the facility failed to maintain medical records in accordance with accepted professional standards and practices for two of the 21 sampled residents, including Resident (R) 10, that were complete and accurately documented, when R10 discharged from the facility on [DATE] at approximately 09:40 AM to the hospital and the attending nurse failed to update and complete the resident's medical record with these changes in condition. In addition, the facility failed to document a request in the medical record from R29 related to obtaining a mammogram. Findings included: - Interview, on [DATE] at 12:58 PM, with Certified Medication Aide R, revealed R10 was sent out to the hospital due to a sudden decline by the aide staff and the attending nurse, on [DATE] at approximately 09:40 AM. Review of R10's electronic medical record (EMR) on [DATE] (4 days later), revealed the nurse on duty failed to update and complete the…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction

“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.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

$33,586 in federal fines across 1 penalty.

  • $33,586 — penalty dated 2025-05-15

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 DIVERSICARE HEALTHCARE — 44 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 →

RatingThis homeChain avg
Overall 1 of 52.6-1.6 vs chain
Health inspection 1 of 52.5-1.5 vs chain
Staffing 2 of 53.0-1.0 vs chain
Quality measures 3 of 53.5-0.5 vs chain
The other 43 homes this chain runs (chain average 2.6★, per CMS)
1 of 5Diversicare Of BessemerBessemer, AL 1 of 5Diversicare Of HaysvilleHaysville, KS 1 of 5Diversicare Of MeridianMeridian, MS 1 of 5Diversicare Of Oak RidgeOak Ridge, TN 1 of 5Diversicare Of OxfordOxford, AL 1 of 5Diversicare Of RipleyRipley, MS 1 of 5Diversicare Of SouthavenSouthaven, MS 1 of 5Lampasas Nursing and Rehabilitation CenterLampasas, TX 1 of 5Windsor HouseHuntsville, AL 2 of 5Diversicare Of AmoryAmory, MS 2 of 5Diversicare Of ArabArab, AL 2 of 5Diversicare Of BatesvilleBatesville, MS 2 of 5Diversicare Of BoazBoaz, AL 2 of 5Diversicare Of BrookhavenBrookhaven, MS 2 of 5Diversicare Of ChanuteChanute, KS 2 of 5Diversicare Of Council GroveCouncil Grove, KS 2 of 5Diversicare Of EuporaEupora, MS 2 of 5Diversicare Of FoleyFoley, AL 2 of 5Diversicare Of MontgomeryMontgomery, AL 2 of 5Diversicare Of Moss PointMoss Point, MS 2 of 5Diversicare Of Pell CityPell City, AL 2 of 5Diversicare Of TupeloTupelo, MS 2 of 5St Martin's In The PinesIrondale, AL 3 of 5Chisolm Trail Nursing and Rehabilitation CenterLockhart, TX 3 of 5Diversicare Of Copper BasinCopperhill, TN 3 of 5Diversicare Of LulingLuling, TX 3 of 5Diversicare Of OneontaOneonta, AL 3 of 5Diversicare Of QuitmanQuitman, MS 3 of 5Diversicare Of RiverchaseBirmingham, AL 3 of 5Diversicare Of ShelbyShelby, MS 3 of 5Park PlaceSelma, AL 3 of 5Yorktown Nursing and Rehabilitation CenterYorktown, TX 4 of 5Baron House Of HueytownHueytown, AL 4 of 5Diversicare Of Big SpringsHuntsville, AL 4 of 5Diversicare Of HutchinsonHutchinson, KS 4 of 5Diversicare Of LanettLanett, AL 4 of 5Diversicare Of WinfieldWinfield, AL 4 of 5Hartford Health CareHartford, AL 5 of 5Diversicare Of GreensboroGreensboro, AL 5 of 5Diversicare Of LarnedLarned, KS

Showing 40 of 43; lowest-rated first.

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

Owner / managerTypeRoleShareSince
DIVERSICARE KANSAS LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%since 01/29/2013
ADVOCAT FINANCE, LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 01/29/2013
DAC NEWCORP INCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 04/04/2022
DIVERSICARE HEALTHCARE SERVICES LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 05/10/1994
DIVERSICARE HOLDING COMPANY LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 01/29/2013
DIVERSICARE MANAGEMENT SERVICES LP.Organization5% OR GREATER INDIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROLNO PERCENTAGE PROVIDEDsince 01/29/2013
LIEPINS, RICHARDIndividualCONTRACTED MANAGING EMPLOYEE; ADP OF THE SNFsince 01/03/2025
BITTEL, RAYNAIndividualW-2 MANAGING EMPLOYEE; ADP OF THE SNFsince 01/03/2025
KELLMAN, FRANKLINIndividualCORPORATE DIRECTORsince 09/13/2024
KOHN, BRIANIndividualCORPORATE DIRECTORsince 11/19/2021
RATNER, ERANIndividualCORPORATE DIRECTOR; CORPORATE OFFICERsince 09/13/2024
BODIE, REBECCAIndividualCORPORATE OFFICERsince 03/02/2020
NEE, STEPHENIndividualCORPORATE OFFICERsince 02/20/2023
WEISHAAR, MATTHEWIndividualCORPORATE OFFICERsince 12/01/2003

CMS files one row per role, so the 18 rows in the source record cover these 14 parties — each is shown once here with every role it holds. Nothing is omitted.

6 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.

$4.8M
Net patient revenuemost recent cost report
+1.4%
Operating marginrevenue minus expenses
$591K
Related-party expense13% of expenses
Who pays — share of resident-days
Medicaid 78%Medicare 4%Other / private 17%

About 78% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $591K paid to related parties — landlords or management companies under common ownership — equal to about 13% 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

$300per resident / day
operating cost
$9,109per month
≈ monthly operating cost
$304per day
avg. revenue, all payers

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

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Kansas Medicaid page.

Typical monthly cost in Kansas
$8,669/mo
Nursing home (semi-private)
$9,064/mo
Nursing home (private)
$5,975/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 175254. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-05-15, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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