Topeka Presbyterian Manor

Location & what’s nearby

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

Quality measures — how residents actually fare

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

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

Met the expected recovery: 46.1% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 26 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

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

Weekend therapy: weekend therapy hours are 16% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 68 beds and averages 59.9 residents a day — about 88% occupied, or roughly 8 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.54 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.58 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.91 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 4.15 hrs/resident/day on weekends vs 4.69 on weekdays — 12% thinner on weekends. RN hours go from 0.69 to 0.32 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 47% 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.

33 citations, most serious first. The 15 most serious are shown; the remaining 18 are one tap away and print in full.

• Actual harm · Gcited before2026-04-01 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to provide follow-up care and services for Resident (R) 1's fractured wrist when staff failed to make an appointment and take her to a surgeon as ordered by the physician. This resulted in a non-removable device existing for longer than intended without physician oversight, which caused a Stage 3(full-thickness pressure injury extending through the skin into the tissue below) pressure ulcer on R1's thumb. Findings Included:- R1's Electronic Medical Record (EMR) revealed the following diagnoses: Alzheimer's disease (progressive mental deterioration characterized by confusion and memory failure), depression (a mood disorder that causes a persistent feeling of sadness and loss of interest), chronic kidney disease, and a Stage 3 pressure ulcer (full-thickness pressure injury extending through the skin into the tissue below). R1's 01/22/26 Quarterly Minimum Data Set (MDS) documented a Brief Interview for Mental Status (BIMS) score of 13, indicating intact cognition. The MDS recorded R1 was at risk for pressure ulcers…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2024-09-12 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility identified a census of 60 residents. The sample included three residents reviewed for accidents. Based on record review, interviews, and observations, the facility failed to ensure Resident (R)1 remained free from avoidable accident hazards when staff failed to provide safe transfers using the required number of staff and the required equipment per the resident's plan of care. Subsequently, R1 sustained fractures to both her ankles/lower legs. This deficient practice also placed R1 at risk for increased pain and impaired well-being. Findings include: - R1's Electronic Medical Record (EMR), under the Diagnosis tab, recorded diagnoses of malignant neoplasm (tumor) of the lower right lung, chronic obstructive pulmonary disease (COPD- a progressive and irreversible condition characterized by diminished lung capacity and difficulty or discomfort in breathing), age-related osteoporosis (abnormal loss of bone density and deterioration of bone tissue with an increased fracture risk), thrombocytopenia…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2024-02-01 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility identified a census of 62 residents. The sample included three residents reviewed for accidents. Based on record review, interview, and observation, the facility failed to provide an environment free from safety hazards when staff left Resident (R) 1 in a mechanical recliner, with the footrest raised, without assessing R1's ability to lower the footrest. On 01/10/24 R1 attempted to get out of the recliner by climbing over the footrest and fell. As a result, R1 sustained a fractured sternum (breastbone) and left fourth rib. This also placed R1 at risk for pain, decreased mobility, and impaired quality of life. Findings included: - R1's Electronic Medical Record (EMR), under the Diagnosis section, recorded diagnoses of fracture of the coccyx (small triangular bone at the base of the spine), fall, acute posthemorrhagic anemia (type of anemia that occurs when a person loses a large amount of blood quickly), Parkinson's disorder (a slowly progressive neurologic disorder characterized by resting tremor,…

  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 · G2023-11-27 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  The facility identified a census of 62 residents. The sample included three residents. Based on observations, record review, and interviews, the facility failed to ensure Resident (R) 1 remained free from abuse when Certified Nurse Aide (CNA) M struck R1 on her arm after R1 had physical behaviors towards her. This deficient practice resulted in impaired psychosocial well-being and placed R1 at risk for continued abuse. Findings included: - R1's Electronic Medical Record (EMR) documented diagnoses of Alzheimer's disease (progressive mental deterioration characterized by confusion and memory failure) and encounter for palliative care (treatment designed to relieve or reduce intensity of uncomfortable symptoms). The Annual Minimum Data Set (MDS) dated 03/30/23, documented a Brief Interview for Mental Status (BIMS) was not conducted due to R1 was rarely/never understood. R1 had physical behaviors directed towards others one to three days in the assessment period. R1 required extensive assistance with two staff for bed mobility, transfers, dressing, and toileting; extensive assistance…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2023-07-26 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  The facility identified a census of 63 residents. The sample included 16 residents with five residents reviewed for falls. Based on observation, interview, and record review the facility failed to respond to falls, assess, and identify injury, and apply standards of care for fall follow up for Resident (R)28. On 07/02/23 at 01:30 AM R28, who had severe cognitive impairment, had an unwitnessed fall in her room. Licensed Nurse (LN) K found R28 on the floor at which time R28 stated she was trying to get to her recliner. LN K assessed the resident and noted an abrasion to the left shoulder. R28 complained of left hip pain at that time. LN K assisted R28 to the recliner but failed to notify R28's physician and representative of the incident. LN K failed to follow up immediately after the occurrence with neurological checks and post fall assessments to identify changes and or injuries and failed to treat the reported pain in R28's left hip. Several hours later, Administrative Nurse E assessed R28, noted a deformity to the residents left leg and sent the resident to the acute hospital…

  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 before2025-06-17 · 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 reported a census of 68 residents. The sample included four residents, with four reviewed for accidents and supervision. Based on observations, interviews, and record review, the facility failed to provide adequate supervision for Resident (R) 1 resulting in an elopement from the facility. This deficient practice placed R1 at risk for preventable accidents and injuries. Findings included: - The Medical Diagnosis section within R1's Electronic Medical Record (EMR) included diagnoses of Alzheimer's disease (progressive mental deterioration characterized by confusion and memory failure), generalized anxiety disorder (mental or emotional reaction characterized by apprehension, uncertainty, and irrational fear), and chronic obstructive pulmonary disorder (COPD- a progressive and irreversible condition characterized by diminished lung capacity and difficulty or discomfort in breathing). R1's Quarterly Minimum Data Set (MDS) completed 06/05/25 noted a Brief Interview for Mental Status (BIMS) of nine, indicating moderate cognitive impairment. The MDS noted he had physically…

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

  Quality of Life and Care Deficiencies · Past Non-Compliance
• Potential for harm · E2024-12-11 · 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 63 residents. The sample included 18 residents. Based on observation, record review, and interviews, the facility failed to provide consistent weekend activities on Saturdays to promote socialization. This deficient practice placed the affected residents at risk for decreased psychosocial well-being, boredom, and isolation. Findings included: - A review of the facility's Activity Calendar for October, November, and December 2024 was completed. The Activity Calendar for October recorded the following Saturday activities: for 10/05/24 were Chronicles and Current Events, afternoon bingo, deep breathing, exercise, and balance; and on 10/12/24 the activity was afternoon bingo, exercise, balance, and deep breathing. The Activities Calendar recorded no activities for 10/19/24, and 10/26/24. The Activity Calendar for November 2024 recorded no activity on 11/02/24, and 11/09/24. The Activity Calendar listed 11/16/24 was a musical performance. The Activity Calendar on 11/23/24 listed deserts for Thanksgiving open house, and no activities on 11/30/24. The…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-12-11 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  The facility had a census of 63 residents. The sample included 18 residents with eight reviewed for accidents. Based on observation, record review and interview the facility failed to secure electrical panels and cleaning chemicals in a safe, locked area, and out of reach of the ten cognitively impaired, independently mobile residents. The facility additionally failed to provide adequate supervision for Resident (R) 33 and follow R43's care-planned fall interventions related to her wheelchair placement. This placed the affected residents at risk for preventable accidents and injuries. Findings Included: - On 12/09/24 at 07:05 AM, a walk-through of the Cedar View halls was completed with the following observations: An inspection of an unsecured housekeeping closet in the 580's hallway revealed numerous heavy-duty 3M brand cleaning products on the wall. The room also contained multipurpose sprays and floor cleaners. The cleaning products contained the warning label, Keep out of reach of children, hazardous to humans can cause eye irritation, harmful if swallowed. An inspection of an…

  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 · E2024-12-11 · tag F0730 — pattern
  Observe each nurse aide's job performance and give regular training.
  What the surveyor found here — an excerpt from the official record, may be distressing

  The facility identified a census of 63 residents. The sample included 18 residents and five Certified Nurse Aides (CNA) were reviewed for yearly performance evaluations and the associated in-service training. Based on record review and interview, the facility failed to ensure one of the five CNA staff reviewed had yearly performance evaluations completed. This placed the residents at risk for inadequate care. Findings included: - A review of the facility's staffing list revealed the following CNAs were employed with the facility for more than 12 months: CNA N, hired 09/05/23, had no yearly performance evaluation upon request. On 12/11/24 at 09:28 AM, Administrative Staff A stated CNA N had just been there a year and her yearly performance had not been completed at this time. Administrative Staff A stated the facility was a little behind in completing their staff's yearly performance. The facility failed to provide a policy related to yearly staff performance reviews. The facility failed to ensure one of the five CNA staff reviewed had the required yearly performance evaluations…

  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 · Ecited before2024-12-11 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  The facility identified a census of 63 residents with one kitchen and three dining rooms. Based on observation, record review, and interviews, the facility failed to follow sanitary dietary standards related to maintaining a sanitary service environment for food storage and meal service. These deficient practices placed the affected residents at risk related to food-borne illnesses and food safety concerns. Findings Included: - On 12/09/24 at 07:21 AM, an inspection of the dining room for Cedar View revealed dirty plates stored on the table next to the kitchenette's serving window from the previous evening's meal service. The table contained a stack of domed plate covers stored in an upward position. Inspection of the condiment shelf in the dining room to the right of the service window revealed a large, uncovered container of instant food thickener with no lid on the top shelf. Thickener residue covered the top of the countertop. On 12/09/24 at 08:40 AM, an inspection of the Cedar View dining room revealed that the thickener container had been moved to the table next to the service…

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

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-12-11 · 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 63 residents. The facility identified eight residents on Enhanced Barrier Precautions (EBP-infection control interventions designed to reduce transmission of resistant organisms that employ targeted gown and glove use during high contact care). Based on record review, observations, and interviews, the facility failed to develop and implement a system to alert staff and visitors of EBP needs and additionally failed to complete hand hygiene during wound care and to ensure the sanitary storage of oxygen therapy equipment. These deficient practices placed the residents at risk for infectious diseases. Included Findings: - On 12/09/24 the facility identified Resident (R) 2, R5, R9, R13, R48 R50, R51, and R260 as being on EBP. An inspection of the above residents' rooms revealed personal protective equipment (PPE) stored within them though there was no signage related to EBP or the required PPE An inspection of the rooms revealed no visible indicator or signage for EBP. On 12/09/24 at 09:22 AM, R4's nebulizer mask lay directly on her coffee table…

  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 · E2024-12-11 · tag F0942 — pattern
  Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  The facility identified a census of 63 residents. Based on record review and interviews, the facility failed to ensure agency staff received the required resident rights training. This placed the residents at risk for impaired care and decreased quality of life. Findings included: - On 12/11/24 at 09:30 AM, the training record on file at the facility for agency Certified Nurses Aid (CNA) O, CNA P, and Licensed Nurse (LN) I revealed the following: CNA O's facility-provided credentialing file lacked documented training completed for resident rights training. LN I facility credentialing file lacked documented training completed for resident rights training. The file documented she was provided abuse, neglect, and exploitation (ANE) training. On 12/11/24 at 12:48 PM, CNA Q confirmed she was agency staff. She stated she had completed some in-services through the staffing agency through which she was contracted. On 12/11/24 at 01:48 PM, Licensed Nurse (LN) H confirmed she was agency staff. She stated she contracted through several different staffing agencies, and she had completed nursing…

  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 · E2024-12-11 · tag F0945 — failed to train staff on abuse prevention — pattern
  Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  The facility identified a census of 63 residents. Based on record review and interviews, the facility failed to ensure agency staff received the required infection control training. This placed the residents at risk for impaired care and decreased quality of life. Findings included: - On 12/11/24 at 09:30 AM the training record on file at the facility for agency Certified Nurses Aid (CNA) O, CNA P and Licensed Nurse (LN) I revealed the following: CNA O's facility-provided credentialing file lacked documented training completed for infection control training. CNA P's facility-provided credentialing file lacked documented training completed for infection control training. The file noted she was provided abuse, neglect, and exploitation (ANE), and resident rights training. LN I facility credentialing file lacked documented training completed for infection control training. The file noted she was provided abuse, neglect, and exploitation (ANE) training. On 12/11/24 at 12:48 PM, CNA Q confirmed she was agency staff. She stated she had completed some in-services through the staffing…

  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 · D2024-12-11 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
  Reasonably accommodate the needs and preferences of each resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  The facility had a census of 63 residents. The sample included 18 residents with two reviewed for accommodation of needs related to assistive devices. Based on observation, record review, and interview the facility failed to utilize and ensure the appropriate use of foot pedals during wheelchair transports for Resident (R) 1, R41, and R47. This placed the residents at risk for preventable accidents and injuries. Findings Included: - On 12/09/24 at 07:30 AM, R1 (resident with upper and lower extremity impairments) was wheeled out of his room to the medication cart by the nurse's station. R1's foot pedals were not in place as staff pushed him down the hall. At 07:35 AM, staff applied his foot pedals and wheeled him to breakfast. On 12/10/24 at 08:32 AM, R41 (severely cognitively and physically impaired resident) sat upright in his Broda chair as an unidentified staff pushed his chair down the hallway toward the edge of the dining room close to his room. R41's feet slid along on the floor as staff pushed his chair. On 12/10/24 at 08:56 AM, R41 sat upright in his Broda chair by the…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-12-11 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility identified a census of 63 residents. The sample included 18 residents with four residents reviewed for activities of daily living (ADL) care. Based on observation, record review, and interviews, the facility failed to ensure staff assisted Resident (R) 4 with grooming. This deficient practice placed R4 at risk for impaired dignity and a further decline in ADL. Finding Included: - R4's Diagnosis section within the Electronic Medical Record (EMR) noted diagnoses of ischemia (decreased supply of oxygenated blood to a body part), heart disease (the heart does not pump as well as it should), myocardial infarction (heart attack), hypertension (high blood pressure), cognitive decline, kidney disease stage four (severe damage to the kidneys and a significant decline in function), and obesity (excessive body fat). R4's Quarterly Minimum Data Set (MDS) dated [DATE] noted a Brief Interview of Mental Status (BIMS) score of four which indicated severe cognitive impairment. The MDS indicated R4 needed partial 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

“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

$56,260 in federal fines across 4 penalties. 1 Medicare payment denial on record.

• $17,155 — penalty dated 2026-04-06
• $12,048 — penalty dated 2024-09-12
• $8,824 — penalty dated 2024-02-01
• $18,233 — penalty dated 2023-11-27
• Medicare payment denial — starting 2026-04-30 for 16 days

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 PRESBYTERIAN MANORS OF MID-AMERICA — 13 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

2 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $984K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2024). 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