Brighton Place North

Location & what’s nearby

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

Quality measures — how residents actually fare

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

Staffing

How full it usually is: this home is certified for 34 beds and averages 32.2 residents a day — about 95% occupied, or roughly 2 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 2.04 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.43 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.08 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 1.54 hrs/resident/day on weekends vs 2.25 on weekdays — 31% thinner on weekends — a notable drop. RN hours go from 0.50 to 0.26 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 44% is about the same as the national median of 45%.

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

Inspection trend

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

Inspection deficiencies

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

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

19 citations, most serious first. The 10 most serious are shown; the remaining 9 are one tap away and print in full.

• Potential for harm · F2025-10-15 · 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 had a census of 33 residents. The sample included 12 residents. Based on observation, record review, and interview, the facility failed to have sufficient licensed nursing staff 24 hours a day.Finding included:- On 10/14/25 at 03:00 PM, a review of Licensed Nurse (LN) H had an employment date of 09/25/23, and license verification revealed LN H's license had lapsed on 06/30/25. LN H, the only LN scheduled, worked the following dates:July 2025: 1, 2, 3, 7, 8, 9, 10, 14, 15, 16, 17, 21, 22, 23, 24, 25, 28, 29, 30, and 31.August 2025: 4, 5, 6, 7, 11, 12, 13, 14, 18, 19, 20, 21, 25, 26, 27, and 28.September 2025: 1, 2, 3, 4, 8, 9, 10,11,15, 16, 17, 18, 22, 23, 24, 25, 29, and 30.October 2025: 1, 2, 6, 7, 8, 9, 10, and 13.On 10/14/25 at 03:30 PM, Administrative Staff A and Administrative Nurse D stated they became aware of LN H's lapsed license on this day when they had checked the verification on the Kansas Board of Nursing verification. Administrative Staff A stated LN H had been removed from the schedule until the renewal process had been completed. Administrative Nurse D…

  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 · F2025-10-15 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  The facility had a census of 33 residents. The sample included 12 residents. Based on observation, record review, and interview, the facility failed to store, prepare, distribute, and serve food by professional standards for food service safety in one kitchen. Findings included:- On 10/13/25 at 08:00 AM, observation in the kitchen revealed the following.A kitchen refrigerator labeled #1 had a 1/2 full, five-gallon container of cottage cheese with an expiration date of 09/20/25.On 10/13/25 at 08:05 AM, Certified Dietary Aide (CNA) M verified the finding and stated she was not a dietary staff member; she was helping today. CNA M discarded the cottage cheese container.On 10/13/25 at 08:10 AM, Social Services X walked into the kitchen by the prep area without a hair net, took a plate of food from CNA M, and delivered it to a resident at the dining room table.On 10/13/25 at 08:12 AM, Social Services X verified she had entered the kitchen prep area without a hair net and stated she probably forgot to put a hair net on, and she should have. On 10/13/25 at 11:08 AM, an observation revealed…

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

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-10-15 · tag F0880 — failed to prevent and control infections — widespread
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility had a census of 33 residents. The sample included 12 residents. Based on observation, record review, and interview, the facility failed to implement Enhanced Barrier Precautions (EBP- an infection control practice that uses personal protective equipment (PPE) to reduce the spread of multi-drug-resistant organisms (MDRO- common bacteria that have developed resistance to multiple types of antibiotics) for Resident (R) 4, who had an indwelling urinary catheter (tube placed in the bladder to drain urine into a collection bag). The facility also failed to implement a water management program for Legionella disease (Legionella is a bacterium spread through mist, such as air-conditioning units in large buildings. Adults over the age of 50 and people with weak immune systems and chronic lung disease). Findings included:- R4's Electronic Medical Record (EMR) included diagnoses of schizophrenia (a mental disorder characterized by gross distortion of reality, disturbances of language and communication, and…

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

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-10-15 · tag F0605 — failed to not use drugs as a restraint — pattern
  Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility had a census of 33 residents. The sample included 12 residents, with five reviewed for unnecessary medications. The facility failed to ensure as-needed (PRN) psychotropic medication had a stop date for Resident (R) 2, R5, and R26. The facility also failed to complete gradual dose reductions (GDR), with the physician's rationale of risk versus benefits, and if the GDR was clinically contraindicated for continued use of psychotropic medications for R2, R5, and R26.Findings included:- R2's Electronic Medical Record (EMR) documented that R2 had a diagnosis of schizophrenia (a mental disorder characterized by gross distortion of reality, disturbances of language and communication, and fragmentation of thought). R2's Quarterly Minimum Data Set (MDS), dated [DATE], documented R2 had a Brief Interview for Mental Status (BIMS) score of 14, which indicated intact cognition. The MDS documented R2 was independent with most activities of daily living (ADL). The MDS documented R2 received an antipsychotic (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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-10-15 · tag F0756 — failed to review each resident's drug regimen — pattern
  Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility had a census of 33 residents. The sample included 12 residents, with five reviewed for unnecessary medications. The facility failed to ensure the Consultant Pharmacist (CP) identified and reported irregularities to the attending physician, the facility medical director, and the director of nursing for Resident (R) 2, R6, R5, and R26. Findings included:- R2's Electronic Medical Record (EMR) documented that R2 had a diagnosis of schizophrenia (a mental disorder characterized by gross distortion of reality, disturbances of language and communication, and fragmentation of thought). R2's Quarterly Minimum Data Set (MDS), dated [DATE], documented R2 had a Brief Interview for Mental Status (BIMS) score of 14, which indicated intact cognition. The MDS documented R2 independent of most activities of daily living (ADL). The MDS documented R2 received an antipsychotic (a class of medications used to treat major mental conditions that cause a break from reality) medication during the look-back period. R2's 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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-10-15 · tag F0628 — isolated
  Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility had a census of 33 residents. The sample included 12 residents. Based on observation, record review, and interview, the facility failed to provide a Bed Hold Notification for Resident (R) 4, who was hospitalized on [DATE] and 03/25/25, and R6 hospitalization on 06/26/25. Findings included:- R4's Electronic Medical Record (EMR) included diagnoses of schizophrenia (a mental disorder characterized by gross distortion of reality, disturbances of language and communication, and fragmentation of thought), anxiety disorder (mental or emotional reaction characterized by apprehension, uncertainty, and irrational fear), epilepsy (brain disorder characterized by repeated seizures), and hypothyroidism (a condition characterized by decreased activity of the thyroid gland). R4's Quarterly Minimum Data Set (MDS), dated [DATE], documented R4's staff cognition assessment as modified independence, experienced inattentiveness and disorganized thinking which fluctuated, delusions (untrue persistent belief or perception…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-10-15 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility had a census of 33 residents. The sample included 12 residents. Based on observation, record review, and interview, the facility failed to submit a required discharge and re-entry Minimum Data Set for Resident (R) 4, who was hospitalized on [DATE] and returned to the facility on [DATE].Findings include:- R4's Electronic Medical Record (EMR) included diagnoses of schizophrenia (a mental disorder characterized by gross distortion of reality, disturbances of language and communication, and fragmentation of thought), anxiety disorder (mental or emotional reaction characterized by apprehension, uncertainty, and irrational fear), epilepsy (brain disorder characterized by repeated seizures), and hypothyroidism (a condition characterized by decreased activity of the thyroid gland).R4's Quarterly Minimum Data Set (MDS), dated [DATE], documented R4's staff cognition assessment as modified independence, experienced inattentiveness and disorganized thinking which fluctuated, delusions (untrue persistent belief…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-10-15 · tag F0761 — failed to label and store drugs safely — isolated
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility had a census of 33 residents. The sample included 12 residents. Based on observation, record review, and interview, the facility failed to ensure the medication and biologicals for the residents were not outdated.Finding included:- On [DATE] at 09:07 AM, the facility had one medication and treatment cart. Upon initial tour of the facility treatment cart revealed Resident (R) 29 Nystatin Cream (an antifungal which treats fungal or yeast infections) had an expiration date of [DATE]. Licensed Nurse (LN) G verified the expiration date and removed it from the cart.On [DATE] at 09:11 AM, Administrative Nurse D stated it was the charge nurse's responsibility to check the expiration dates of the treatments. Administrative Nurse D reported that R29's expired medication had been removed from the treatment cart.The facility's Storage of Medication policy, dated [DATE], documented that the facility shall not use discontinued, outdated, or deteriorated drugs or biologicals. All such drugs shall be returned 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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-10-15 · tag F0881 — failed to use antibiotics responsibly — isolated
  Implement a program that monitors antibiotic use.
  What the surveyor found here — an excerpt from the official record, may be distressing

  The facility had a census of 33 residents. The sample included 12 residents. Based on observation, interventions, and record review, the facility failed to implement protocols to avoid unnecessary and/or inappropriate antibiotic (medications used to treat infectious processes) use, adverse events, and multidrug-resistant organisms (MDRO- common bacteria that have developed resistance to multiple types of antibiotics), and to assess for infection using standardized tools and criteria before antibiotic use.Findings included:- On 10/15/25 at 09:11 AM, a review of the facility's Antibiotic Stewardship Program revealed that Administrative Nurse D provided the monthly tracking logs of infections and treatments. The tracking logs documented the type of infections to include respiratory, urinary tract, ophthalmic (pertaining to the eye), optic (pertaining to the ear), skin, wounds, gastrointestinal (pertaining to the stomach or intestinal tract), and other. The monthly tracking log also recorded the treatment course for the infections, including the start and end of antibiotic use.…

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

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2024-02-22 · tag F0801 — widespread
  Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
  What the surveyor found here — an excerpt from the official record, may be distressing

  The facility had a census of 33 residents. The facility had one kitchen. Based on observation, record review, and interview, the facility failed to employ a full-time certified dietary manager for the 32 residents who resided in the facility and received meals from the facility kitchen. This placed the residents at risk for inadequate nutrition. Findings included: - On 02/20/24 at 10:30 AM, a review of the noon meal consisted of spaghetti and noodles, lettuce salad, and peach cobbler. On 02/20/24 at 11:00 AM, observation revealed Dietary Staff (DS) BB in the kitchen overseeing the preparation of the noon meal. On 02/20/24 at 10:30 AM, DS BB stated he was not certified and was not enrolled in certified dietary manager classes. On 2/21/24 at 1:05 PM, Administrative Nurse D verified DS BB was not certified and had not started dietary certification classes. Upon request, the facility did not provide a policy regarding a certified dietary manager. The facility failed to employ a full-time certified dietary manager, for 33 residents who resided in the facility who received meals 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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction

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

Fines & penalties

$9,408 in federal fines across 3 penalties.

• $2,634 — penalty dated 2024-02-20
• $2,258 — penalty dated 2024-02-12
• $4,516 — penalty dated 2024-01-22

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.

Who owns this facility

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

What families pay in KS