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Brighton Place West

331 SW Oakley Street, Topeka, KS 66606 · For profit - Corporation · 50 certified beds · (785) 232-1212 Medicare & Medicaid certified

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Behavioral-health or dementia-care citation at the harm level (F0740)1 immediate-jeopardy citation$10,933 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
  • inspectors cited 1 immediate-jeopardy problem — the most serious level
  • a high number of inspection citations overall (20) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $10,933 in federal fines (most recent 2025-08-27)
  • its facility-reported quality-measure score sits well above its independent inspection score
  • its independent health-inspection rating is low (2/5)
  • its payroll-based staffing rating is low (1/5)
  • nursing-staff turnover (60%) 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.

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

Worth a closer look. This home's quality-measure rating runs 3 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
★★★ 3/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
200 SW Frazier Cir · (785) 232-2044 · Call to confirm hours
Pharmacy
330 SW Oakley Ave · (785) 783-0209 · Call to confirm hours
Grocery
335 SW MacVicar Ave · (785) 379-2336 · Call to confirm hours
Park
2751 SW East Circle Dr S · (785) 295-3750 · Typically dawn to dusk
Place of worship
3418 SW 6th Ave · (785) 232-8844

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 5 of 5
Long-stay residentspeople who live here 5 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 2 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 rating2★
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 increased29.5%17.9%15.4%worse
Long-stay residents who lose too much weight3.6%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 symptoms4.3%6.5%6.5%better
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 injury1.0%4.3%3.3%better
Long-stay residents whose ability to walk worsened17.1%16.2%16.1%typical
Long-stay residents on antianxiety or hypnotic medication56.2%23.2%18.9%worse
Long-stay residents given the seasonal flu vaccine96.0%95.5%95.3%typical
Long-stay residents with pressure ulcers1.3%4.4%4.7%better
Long-stay residents with worsening bladder/bowel control3.9%22.6%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table100.0%18.1%17.1%check this — see note marked dagger below the table

This value is several times the typical-state benchmark. It can be real, or it can be a coding artifact in what the facility submitted. Weigh it against the inspection record above.

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.

0.11U.S. median 0.31
Therapy hours / resident / day
0.08hours / resident / day
Physical therapy
0.03hours / resident / day
Occupational therapy
<0.01hours / resident / day
Speech therapy

Therapy staffing: this home’s payroll records show 0.11 therapist hours per resident per day in 2026Q1 — more than 7% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 60% of this home’s weekday level — it runs therapy at close to weekday levels right through the weekend. 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 SNFnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
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 identifiednot 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 next providerPercentage of residents where the SNF provided a current medication list to the next health care settingnot reported — Newly certified nursing home with less than 12-15 months of data available or the nursing home opened less than 6 months ago, and there were no data to submit or claims for this 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 staynot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsenednot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality 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 SNFsnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality 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

0.55
RN hours/ resident / day
0.21
LPN hours/ resident / day
1.65
Aide hours/ resident / day
2.41
Total nurse hours/ resident / day
0.34
RN hoursweekends
59.5%
Total nursing turnover
57.1%
RN turnover

How full it usually is: this home is certified for 50 beds and averages 49.1 residents a day — about 98% occupied, or roughly 1 bed typically open. It runs essentially full — expect a waiting list. 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 2.41 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.554 is at or above 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 2.19 hrs/resident/day on weekends vs 2.50 on weekdays — 12% thinner on weekends. RN hours go from 0.64 to 0.34 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 60% is well above the national median of 45%.

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

Inspection trend

4
deficiencies at the latest standard inspection (2024-10-17)
12
at the previous standard inspection (2023-05-15)

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.

20 citations, most serious first. The 12 most serious are shown; the remaining 8 are one tap away and print in full.

  • Immediate jeopardy · J2025-08-28 · tag F0740 — failed to provide behavioral / mental-health care — isolated
    Ensure each resident must receive and the facility must provide necessary behavioral health care and 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 identified a census of 50 residents. The sample included three residents. Based on observation, record review, and interview, the facility failed to provide the necessary behavioral care and services for Resident (R) 1, who had moderate cognitive impairment as well as schizophrenia (mental disorder characterized by gross distortion of reality, disturbances of language and communication and fragmentation of thought), depression (a mood disorder that causes a persistent feeling of sadness and loss of interest), and a history of violence and substance abuse. On 07/07/25, R1 began refusing to take his mental health medications and demonstrated increased behaviors. On 07/10/25, around 11:06 AM, the Social Worker spoke with R1's parental guardian, who shared concerns with R1's history of medication noncompliance, erratic behaviors, and history of substance abuse. At around 03:58 PM, after asking Administrative Nurse D and Administrative Nurse E a question, R1 began kicking the door, stating he wanted 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 · G2024-10-17 · tag F0760 — failed to prevent significant medication errors — isolated
    Ensure that residents are free from significant medication errors.
    What the surveyor found here — an excerpt from the official record, may be distressing

    The facility identified a census of 48 residents. The sample included 13 residents with five residents reviewed for significant medication errors. Based on record review, observation, and interview, the facility failed to ensure Resident (R) 21 remained free of significant medication errors. On 12/28/24 the facility received an order from R21's psychiatric provider to discontinue Clozaril (an antipsychotic medication used to treat major mental conditions that cause a break from reality) 25 milligrams (mg) in the morning. Licensed Nurse (LN) G discontinued both the 25 mg dose of Clozaril scheduled in the morning and the 500 mg dose of Clozaril at bedtime creating an abrupt discontinuation of the medication. This deficient practice resulted in increased auditory and visual hallucinations (sensing things while awake that appear to be real, but the mind created) for R21, which caused her significant psychosocial distress. Findings include: - R21's Electronic Medical Record (EMR) documented R21 had diagnoses of disorganized schizophrenia (a mental disorder characterized by gross…

    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 · F2024-10-17 · 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 48 residents. The sample included 13 residents. Based on observation, record review, and interview the facility failed to prepare, store, distribute, and serve food under sanitary conditions for the 48 residents in the facility, who received their meals from the kitchen. This placed the residents at risk of foodborne illness. Findings included: - On 10/14/24 at 8:00 AM, during the initial tour, observations revealed the following: The refrigerator had an opened, undated half-full 2.5 pounds container of deli turkey meat, an undated peanut butter sandwich, and two plastic bags of shredded lettuce dated 09/29/24 (15 days). Observation revealed five 12-inch by three-foot fluorescent lights located above the food preparation area. Two of the plastic light covers had a brownish substance in the cover, one florescent light fixture was pulled down and not adhered to the ceiling, and three florescent light covers were cracked. One four feet by three feet ceiling mounted air conditioning unit, located on the exterior wall/ceiling of the kitchen blew air directly…

    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 · Dcited before2024-10-17 · tag F0576 — isolated
    Ensure residents have reasonable access to and privacy in their use of communication methods.
    What the surveyor found here — an excerpt from the official record, may be distressing

    The facility had a census of 48 residents. The sample included 13 residents. Based on record review and interview the facility failed to deliver mail to facility residents on Saturdays. Findings included: - On 10/14/24 at 01:00 PM during the resident council meeting, a resident verbalized there was no mail delivery on Saturdays. On 10/14/24 at 02:00 PM, Administrative Staff verified the Activity Director would get the mail during the week from the mailbox in front of the facility, then deliver to the residents. Administrative Staff A verified the key to the mailbox was kept in the Activity Directors office and said there was another key kept in the medication cart. Administrative Staff A verified that on the weekends the medication aide would get the mail and deliver the residents' personal mail and the business mail would be kept in the office. Administrative Staff said that Certified Medication Aides knew they were to get the mail on Saturdays. On 10/14/24 at 02:15 PM, Certified Medication Aide (CMA) R looked through both the facility medication carts, and the medication room, 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-10-17 · tag F0623 — isolated
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    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 13 residents with three reviewed for discharge. Based on observation, interview, and record review the facility failed to provide written notice for facility-initiated transfers for Residents (R) 22, R23, and R20 or their representative when they were transferred to the hospital. The facility also failed to notify the Office of the Long-Term Care Ombudsman (LTCO-a public official who works to resolve resident issues in nursing facilities) of R22, R23, and R20's discharge. This placed the residents at risk of uninformed care choices. Findings included: - R22's Electronic Medical Record documented diagnoses of anxiety disorder (mental or emotional disorder characterized by apprehension, uncertainty, and irrational fear), diabetes mellitus (DM-when the body cannot use glucose, not enough insulin is made, or the body cannot respond to insulin), and hypertension (elevated blood pressure). The Quarterly 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2023-05-15 · 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 identified a census of 49 residents. The sample included 13 residents. Based on record review and interviews, the facility failed to ensure sufficient Licensed Nurse (LN) coverage and adequate weekend staffing. This placed the facility residents at risk for a decline and inadequate resident cares being completed. Findings included: - A review of the Facility Assessment dated 04/28/23 indicated the facility should have a one LN, one Certified Medication Aide (CMA), and three Certified Nurse's Aides (CNA) for morning (06:00AM to 02:00PM) and day (02:00PM to 10:00PM) shifts. The assessment indicated the facility needed one LN and two CNAs for night shift (10:00PM to 06:00AM). The assessment indicated the facility will provide recreational activities from a certified activity coordinator. A review of the facility's Payroll-Based Journal (PBJ -Staffing Data Report) from 01/01/22 through 12/31/22 indicated the facility failed to have 24/7 licensed nurse coverage in the facility for 1/1, 1/2, 1/3, 1/8, 1/9, 1/15, 1/16, 1/22, 1/23, 1/29, 1/30, 2/2, 2/5, 2/12, 2/13, 2/19, 2/20,…

    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 · E2023-05-15 · tag F0679 — failed to provide activities — pattern
    Provide activities to meet all resident's needs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    The facility identified a census of 49 residents. The sample include 13 residents. Based on record review and interviews, the facility failed to provide activities consistently on Saturdays. This deficient practice placed the affected residents at risk for decreased psychosocial wellbeing. Findings Included: - A review of the facility's Activity Calendar on Saturdays for April and May of 2023 revealed that on 4/1, 4/8, 4/15, 4/22, 4/29, 5/6, 5/13, 5/20, and 5/27 the schedule remained the same (10:00AM - Coloring, 01:30PM-Quiet Time, 03:00PM-Puzzles, and 06:00PM- Nightly News). On 05/11/23 at 11:01AM, Resident Council members reported the activities coordinator worked Sunday through Thursday. The council reported activities would often be missed on Saturdays due to low staffing. The council reported staff were busy and often not able to hold groups some weekends. On 05/15/23 at 04:15PM Administrative Staff B stated she was the activity director until July 2022 and transition to another role in the facility. She stated Activity Coordinator (AC) Z took over activities. She stated that…

    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 · E2023-05-15 · tag F0680 — pattern
    Ensure the activities program is directed by a qualified professional.
    What the surveyor found here — an excerpt from the official record, may be distressing

    The facility identified a census of 49 residents. The sample include 14 residents. Based on observation, record review, and interviews, the facility failed to provide a certified activity professional. This deficient practice placed the affected residents at risk for decreased psychosocial wellbeing. Findings Included: - Upon request, the facility was unable to provide evidence the Activity Coordinator was certified. On 05/11/23 at 02:20PM Administrative Staff A stated that Activity Coordinator (AC) Z was on vacation, but the staff were covering the activities for the week. She stated she forgot that AC Z was not certified to provide activity. She stated the facility had not had a certified activities coordinator since October 2022. On 05/15/23 at 04:15PM Administrative Staff B stated she was the activity director until July 2022 and transition to another role in the facility. She stated Activity Coordinator (AC) Z took over activities. She stated that AC Z trained with her before assuming the role but was not certified. She stated staff should be providing activities scheduled on…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-05-15 · tag F0883 — failed to offer flu and pneumonia vaccines — pattern
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    What the surveyor found here — an excerpt from the official record, may be distressing

    The facility identified a census of 49 residents. The sample included 13 residents. Based on record review, and interviews, the facility failed to obtain pneumococcal (pneumonia infection that inflames air sacs in one or both lungs which may fill with fluid) vaccination consents, declinations, or administration information for Residents (R)10, R29, R9 and R27. This deficient practice placed the residents at increased risk for pneumonia, and related complications. Findings included: - Review of the Electronic Medical Record (EMR) for R10, R29, R9 and R27 revealed the clinical record lacked documentation indicating the residents listed had been offered, consented, refused, or had received the pneumonia vaccination. On 05/15/23 at 04:22 PM Licensed Nurse (LN) G stated that residents are not usually offered or asked about past immunizations at the time of admission. LN G stated she thought it was social services responsibility to ask the resident about current immunization status. On 05/15/23 at 04:44 PM Administrative Nurse D stated that assistant director of nursing assisted her with…

    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 · D2023-05-15 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    The facility identified a census of 49 residents. The sample included 13 residents with two reviewed for dignity. Based on observation, record review, and interviews, the facility failed to ensure Resident (R) 33 and R41 were treated in a dignified manner. This deficient practice placed the residents at risk for decreased psychosocial well-being. Findings included: - On 05/11/23 at 09:00AM R41 was assisted to the smoking area by staff. Upon opening the exit door to the smoking area, a staff member yelled out, Make sure [R41] is not wet, he was wet this morning. The staff member pushing R41 yelled back, No, he's not wet. I just checked him. On 05/11/23 at 12:30PM R33 had an incontinent episode during lunch and sat down on the couch in front of the visitor's restroom. An unidentified staff walked up to R33 and made her get out off the couch. The staff member stated loudly Why did you sit on the couch if you know your pants were wet? as other residents were eating lunch within ten feet of R33. The staff member removed the seat cushion and told R33 to go to her room and wait for…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-05-15 · tag F0582 — isolated
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    What the surveyor found here — an excerpt from the official record, may be distressing

    The facility identified a census of 49 residents with 13 residents included in the sample. Based on interview and record review the facility failed to issue CMS (Center for Medicare/Medicaid Services) Skilled Nursing Facility Advance Beneficiary Notification (SNF ABN) form 10055 (the form used to notify Medicare A participants of potential financial liability when a Medicare Part A episode ends) and Notification of Medicare Non-Coverage (NOMNC- the form used to notify Medicare A participants of their rights to appeal and the last covered date of service) form 10123 which contained the required information for Resident (R) 32 and R99. This failure placed the residents at risk for decreased autonomy and impaired right to appeal. Findings included: - Review of R32's Electronic Medical Record (EMR) documented the Medicare Part A episode began on 02/02/23 and ended on 04/08/23. R32 remained in the facility for custodial care. The facility did not issue the SNF ABN 10055 to R32. Review of R99's EMR documented the Medicare Part A episode began on 01/31/23 and ended on 02/14/23. R99…

    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 · Dcited before2023-05-15 · tag F0623 — isolated
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility identified a census of 49. The sample included 13 residents. Based on observation, record review and interview, the facility failed to provide written notice of transfer with the required information to Resident (R)32 and/or to their family/durable power of attorney (DPOA- legal document that named a person to make healthcare decisions when the resident was no longer able to) in a practicable amount of time. This deficient practice had the risk of miscommunication between facility and resident/family and possible missed opportunity for healthcare service for R32. Findings included: - The Electronic Medical Record (EMR) for R32 documented diagnoses of schizophrenia (psychotic disorder characterized by gross distortion of reality, disturbances of language and communication and fragmentation of thought), and neuromuscular dysfunction of bladder (dysfunction of the urinary bladder caused by a lesion of the nervous system). The Significant Change Minimum Data Set (MDS) dated [DATE], documented R32 had 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
Show the remaining 8 citations
  • Potential for harm · D2023-05-15 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility identified a census of 49 residents. The sample included 13 residents with one resident reviewed for quality of care. Based on observation, record review, and interviews, the facility failed to implement a physician order for daily weights to monitor for congestive heart failure (CHF-a condition with low heart output and the body becomes congested with fluid) for Resident (R) 29. This deficient practice placed R29 at risk of delayed treatment and untreated illness. Findings included: - R29's Electronic Medical Record (EMR) from the Diagnoses tab documented diagnoses of hypertension (elevated blood pressure), edema (swelling resulting from an excessive accumulation of fluid in the body tissues), congestive heart failure, and atrial fibrillation (rapid, irregular heartbeat). The Minimum Data Set (MDS) dated [DATE] documented a Brief Interview of Mental Status (BIMS) score of 14 which indicated intact cognition. The MDS documented that R29 required set up assistance for activities of daily living…

    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 · D2023-05-15 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    The facility had a census of 49 residents. The sample included 13 residents with four residents reviewed for accidents. Based on observation, record review and interview, the facility failed to ensure chemicals were stored in a safe, secure manner. This deficient practice placed three cognitively impaired independently mobile residents at risk for preventable accidents and injuries. Findings Included: - On 05/10/2023 at 07:04AM an inspection of the facility revealed the laundry room door (right side) was propped open by a hanger. The room contained two bottles of disinfectant spray and a bottle of lemon scented furniture polish with the warning Caution- Keep Out of Reach for Children label indicating a poison ingestion risk. On 05/16/23 at 04:15PM Certified Nurse's Aide (CNA) M stated the laundry room should always be locked. She stated staff should not be leaving the door unsecured or allowing residents inside the room. On 05/15/23 at 04:35PM Licensed Nurse (LN) G reported staff should never prop or leave the laundry room unsecured. She reported that room had tools and chemicals…

    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 before2023-05-15 · 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 identified a census of 49 residents. The sample included 13 residents with five residents reviewed for unnecessary medications. Based on observation, record review, and interviews, the facility failed to ensure the Consultant Pharmacist (CP) identified and reported irregularities for monitoring hypertensive medication (class of medication used to treat high blood pressure) for Resident (R) 33 for failure to monitor heart rate and R29 for failure to administer as needed antihypertensive medication as ordered. This deficient practice had the potential of unnecessary medication administration thus leading to possible harmful side effects or harmful consequences. Findings included: - R33's Electronic Medical Record (EMR) from the Diagnoses tab documented diagnoses of edema (swelling resulting from an excessive accumulation of fluid in the body tissues) and hypertension (elevated blood pressure). The Annual Minimum Data Set (MDS) dated [DATE] documented a Brief Interview of Mental Status (BIMS) score of…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-05-15 · 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 identified a census of 49 residents. The sample included 13 residents with five residents reviewed for unnecessary medications. Based on observation, record review, and interviews, the facility failed to follow a physician order for monitoring of hypertensive medication (class of medication used to treat high blood pressure) for Resident (R) 33 for failure to monitor heart rate and R29 for failure to administer as needed antihypertensive medication as ordered. This deficient practice had the potential of unnecessary medication administration thus leading to possible harmful side effects or harmful consequences. Findings included: - R33's Electronic Medical Record (EMR) from the Diagnoses tab documented diagnoses of edema (swelling resulting from an excessive accumulation of fluid in the body tissues) and hypertension (elevated blood pressure). The Annual Minimum Data Set (MDS) dated [DATE] documented a Brief Interview of Mental Status (BIMS) score of 15 which indicated intact cognition. The 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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2021-12-01 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility identified a census of 43 residents. The sample included 14 residents. Based on observation and interviews, the facility failed to provide a home like environment in the facility. This increased the risk for an institutionalized experience for affected residents. Findings included: - On 11/29/21 at 07:57 AM during initial tour of the facility, staff used the overhead intercom system to page residents and staff to the phone and/or activities. The women's hallway had empty carts, soiled linen carts, a fan, a beauty shop chair, mechanical lift, and an empty wheelchair along the hallway. On 11/29/21 at 09:23 AM, during an interview with R93, the floor next to her bed was scuffed and damaged so that the wooden floor material underneath was exposed. R93 stated that the floor was like that when she arrived to the facility on [DATE]. On 11/29/21 at 03:23 PM soiled linen carts, fan, a beauty shop chair, and empty cart remain in the women's hallway. On 11/30/21 at 07:05 AM soiled linen carts, a fan, a beauty…

    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 · E2021-12-01 · tag F0880 — failed to prevent and control infections — pattern
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    The facility identified a census of 43 residents. Based on observation, record review, and interview, the facility failed to ensure laundry staff failed to cover clothing racks when transporting clean linen/clothing through the facility as to prevent the spread of infection, and failed to ensure that facility staff measured and recorded water temperatures for the washing machine. This placed residents at risk of contaminants on clothing, and at risk for infection due to laundry not being laundered at appropriate water temperatures to clean and disinfect clothing. Finding included: - Observation on 11/29/21 at 12:12 PM showed a laundry staff member pushed an uncovered portable wheeled clothing rack with clean residents' clothing down the hallways to be delivered to each resident. Observation on 11/30/21 at 12:49 PM showed laundry staff member pushed an uncovered portable wheeled clothing rack with clean residents' clothing down the hallways to be delivered to each resident. On 12/01/21 maintenance staff failed to provide water temperature logs for the washing machine. In an interview…

    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 · Dcited before2021-12-01 · 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 identified a census of 43 residents. The sample included 14 residents, with five residents reviewed for unnecessary medication. Based on observation, record review, and interviews, the facility failed to ensure the Consultant Pharmacist (CP) recommendations were acknowledged and/or followed up for Resident (R) 20 and R10. This deficit practice had the potential for unnecessary medication use and possible unwarranted side effects. Findings included: - R20's electronic medical record (EMR) from the Diagnoses tab documented diagnoses of hypertension (elevated blood pressure) and atrial fibrillation (rapid, irregular heartbeat). The Annual Minimum Data Set (MDS) dated [DATE] documented a Brief Interview of Mental Status (BIMS) score of 15 which indicated intact cognition. The MDS documented that R20 was independent with her activities of daily living (ADL's). The MDS documented R20 had received antipsychotic medication (class of medications used to treat psychosis (any major mental disorder…

    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
  • No harm found · Ccited before2023-05-15 · tag F0576 — widespread
    Ensure residents have reasonable access to and privacy in their use of communication methods.
    What the surveyor found here — an excerpt from the official record, may be distressing

    The facility identified a census of 49 residents. The sample include 13 residents. Based on observation, record review, and interviews, the facility failed to provide a system to ensure mail was consistently delivered on Saturdays for the residents. This deficient practice placed 49 residents at risk for decreased psychosocial wellbeing. Findings Included: - On 05/11/23 at 11:01AM, Resident Council members reported the facility often would not pass mail on Saturdays due to staff were not aware they were supposed to check the mailboxes and hand it out. The council reported mail would often be locked up until the following Monday. On 05/16/23 at 04:15PM Administrative Staff B stated mail should be collected on Saturdays by the charge nurse and secured in the administrative office until delivery to the residents. She stated the charge nurses should have a key to the mailbox. She stated direct care staff should have passed it out to the residents. On 05/15/23 at 04:41PM Licensed Nurse G reported mail delivery would often be inconsistent due to some nurses not having access to 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

“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

$10,933 in federal fines across 1 penalty.

  • $10,933 — penalty dated 2025-08-27

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 RECOVER-CARE HEALTHCARE — 27 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 2 of 52.4-0.4 vs chain
Health inspection 2 of 52.5-0.5 vs chain
Staffing 1 of 52.4-1.4 vs chain
Quality measures 5 of 53.1+1.9 vs chain
The other 26 homes this chain runs (chain average 2.4★, per CMS)
1 of 5Kenwood View Healthcare And Rehabilitation CenterSalina, KS 1 of 5Meadowbrook Rehabilitation HospitalGardner, KS 1 of 5Parkview Health And Rehabilitation CenterOsborne, KS 1 of 5Plaza West Healthcare And RehabTopeka, KS 1 of 5Richmond Healthcare & Rehab CenterRichmond, KS 1 of 5Rossville Healthcare And Rehabilitation CenterRossville, KS 1 of 5Shawnee Gardens Healthcare & Rehab CenterShawnee, KS 1 of 5The Gardens At AldersgateTopeka, KS 1 of 5Via Christi Village Hays Ks LLCHays, KS 2 of 5Belleville Healthcare And Rehabilitation CenterBelleville, KS 2 of 5Cambridge PlaceMarysville, KS 2 of 5Hilltop Lodge Health And Rehabilitation CenterBeloit, KS 2 of 5Hope Springs Care CenterMontrose, CO 2 of 5Merriam Gardens Healthcare & Rehabilitation CenterMerriam, KS 3 of 5Gem City Healthcare And Rehabilitation CenterDayton, OH 3 of 5Heritage Gardens Health And Rehabilitation CenterOskaloosa, KS 3 of 5Louisburg Healthcare And Rehabilitation CenterLouisburg, KS 3 of 5Spring View Manor Healthcare And RehabilitationConway Springs, KS 3 of 5Via Christi Village PittsburgPittsburg, KS 3 of 5Wathena Healthcare & Rehabilitation CenterWathena, KS 4 of 5Flint Hills Care And Rehabilitation CenterEmporia, KS 4 of 5Parkview Heights Nursing And Rehabilitation CenterGarnett, KS 4 of 5Sandpiper Healthcare & Rehabilitation CenterWichita, KS 5 of 5Baldwin Healthcare & Rehab Center, LLCBaldwin City, KS 5 of 5Minneapolis Healthcare And Rehabilitation CenterMinneapolis, KS 5 of 5Pinnacle Park Nursing & Rehab CenterSalina, KS

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 / managerTypeRoleSince
MRC REVENUE LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/30/2025
MRC SNF MANAGEMENT LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/30/2025
FIESTER, ROCHELLEIndividualOPERATIONAL/MANAGERIAL CONTROLsince 08/15/2022
HESTON, TIMOTHYIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 02/06/2025
MORRIS, STEPHANIEIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 02/06/2025
KANSAS HEALTHCARE HOLDINGS LLCOrganizationADP OF THE SNFsince 02/28/2025
MAD FAMILY HOLDINGS LLCOrganizationADP OF THE SNFsince 02/28/2025
NATR TRUSTOrganizationADP OF THE SNFsince 02/28/2025
RARMNA HOLDINGS LLCOrganizationADP OF THE SNFsince 02/28/2025
RATR TRUSTOrganizationADP OF THE SNFsince 02/28/2025
RNR HOLDINGS LLCOrganizationADP OF THE SNFsince 02/28/2025
WETR TRUSTOrganizationADP OF THE SNFsince 02/28/2025

CMS files one row per role, so the 16 rows in the source record cover these 12 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

9 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.

$3.4M
Net patient revenuemost recent cost report
+0.8%
Operating marginrevenue minus expenses
$457K
Related-party expense13% of expenses
Who pays — share of resident-days
Medicaid 89%Medicare 4%Other / private 6%

About 89% 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 $457K 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

$194per resident / day
operating cost
$5,913per month
≈ monthly operating cost
$196per 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 175547. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2024-10-17, 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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