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Homestead Health Center

2133 S Elizabeth Street, Wichita, KS 67213 · Non profit - Corporation · 45 certified beds · (316) 262-4473 Medicare & Medicaid certified

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2 immediate-jeopardy citations$59,829 in federal fines1 Medicare payment denial
Insights

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

In its favor
  • a high payroll-based staffing rating (4/5)
Worth asking about
  • inspectors cited 2 immediate-jeopardy problems — the most serious level
  • a high number of inspection citations overall (22) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $59,829 in federal fines (most recent 2024-08-28)
  • its payroll- and facility-reported staffing and quality-measure scores sit well above its independent inspection score
  • its independent health-inspection rating is low (2/5)

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) 4 of 5
Quality measuresSelf-reported by the facility 4 of 5

Worth a closer look. This home's staffing and quality-measure ratings run 2 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself, and staffing on its payroll (PBJ) submissions — so a gap this large is worth reading the inspection record for.

Location & what’s nearby

Hospital
★★ 2/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
3006 S Seneca St · (316) 522-4635 · Call to confirm hours
Pharmacy
3137 S Seneca St · (316) 361-3351 · Call to confirm hours
Grocery
2027 S Seneca St · (316) 267-1110 · Call to confirm hours
Park
Aley Park0.4 mi
1803 S Seneca St · (316) 268-4361 · Typically dawn to dusk
Place of worship

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 4 of 5
Long-stay residentspeople who live here 4 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 3 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 rating3★
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 increased25.4%17.9%15.4%worse
Long-stay residents who lose too much weight4.4%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 infection4.0%2.9%2.0%worse
Long-stay residents with depressive symptoms3.9%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 injury10.8%4.3%3.3%worse
Long-stay residents whose ability to walk worsened18.5%16.2%16.1%worse
Long-stay residents on antianxiety or hypnotic medication21.8%23.2%18.9%worse
Long-stay residents given the seasonal flu vaccine100.0%95.5%95.3%typical
Long-stay residents with pressure ulcers3.2%4.4%4.7%better
Long-stay residents with worsening bladder/bowel control12.0%22.6%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table9.8%18.1%17.1%better
Long-stay hospitalizations per 1,000 resident days1.401.801.67better
Long-stay outpatient ER visits per 1,000 resident days0.782.131.80better

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

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

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

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

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

0.36U.S. median 0.31
Therapy hours / resident / day
0.31hours / resident / day
Physical therapy
0.03hours / resident / day
Occupational therapy
0.02hours / resident / day
Speech therapy

Therapy staffing: this home’s payroll records show 0.36 therapist hours per resident per day in 2026Q1 — more than 61% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 23% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNFnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a 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 identified95.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care settingnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.0%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened0.0%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalizationnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in 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

0.51
RN hours/ resident / day
0.97
LPN hours/ resident / day
3.21
Aide hours/ resident / day
4.69
Total nurse hours/ resident / day
0.25
RN hoursweekends
46.4%
Total nursing turnover
RN turnover

How full it usually is: this home is certified for 45 beds and averages 43.1 residents a day — about 96% occupied, or roughly 2 beds 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 4.69 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.51 is below the 0.55-hour RN benchmark and nurse-aide staffing of 3.21 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 4.24 hrs/resident/day on weekends vs 4.87 on weekdays — 13% thinner on weekends. RN hours go from 0.61 to 0.25 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 46% 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

6
deficiencies at the latest standard inspection (2026-05-14)
6
at the previous standard inspection (2024-08-28)

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

Inspection deficiencies

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

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.

22 citations, most serious first. The 13 most serious are shown; the remaining 9 are one tap away and print in full.

  • Immediate jeopardy · Jcited before2024-01-04 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility reported a census of 42 residents with two reviewed for urinary catheter (insertion of a catheter into the bladder to drain the urine into a collection bag) management. Based on observation, record review, and interview the facility failed to ensure appropriate indwelling urinary catheter care for Resident (R)1. On 12/24/23 at approximately 08:30 PM Licensed Nurse (LN) G flushed R1's indwelling urinary catheter, without a physician order, and used a non-sterile 60 milliliter (ml) syringe from R1's bathroom, which possibly contained some bleach and water mixture (used to clean R1's dependent drainage bag). R1 complained of burning pain immediately upon injecting the flush and LN G realized she performed the flush on the wrong patient. LN G then flushed the catheter again with the same non-sterile 60 ml syringe using tap water from the sink to take out whatever was making it burn. Approximately 15 minutes later, R1 requested Tylenol (analgesic medication) for pain and LN G flushed R1's urinary…

    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
  • Immediate jeopardy · J2024-01-04 · tag F0726 — failed to have competent, trained nursing staff — isolated
    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility reported a census of 42 residents with two reviewed, Resident (R)1 and R2, for urinary catheter (insertion of a catheter into the bladder to drain the urine into a collection bag) management. Based on observation, record review, and interview the facility failed to ensure nursing staff competency when LN G flushed R1's indwelling urinary catheter, without a physician order, and used a non-sterile 60 milliliter (ml) syringe from R1's bathroom, which possibly contained some bleach and water mixture (used to clean R1's dependent drainage bag) on 12/24/23 at approximately 08:30 PM. R1 complained of burning pain immediately upon injecting the flush and LN G realized she performed the flush on the wrong patient. LN G then flushed the catheter again with the same non-sterile 60 ml syringe using tap water from the sink to take out whatever was making it burn. Approximately 15 minutes later, R1 requested Tylenol (analgesic medication) for pain and LN G flushed R1's urinary catheter again, using a new syringe…

    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
  • Actual harm · G2024-08-28 · 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 - Resident (R) 35's Electronic Health Record (EHR) revealed diagnoses of unspecified dementia (progressive mental disorder characterized by failing memory, confusion) and Alzheimer's disease (progressive mental deterioration characterized by confusion and memory failure). The 06/20/24 admission Minimum Data Set (MDS) documented a Brief Interview for Mental Status (BIMS) score of 14, indicating intact cognition. R35 had a total mood severity score of 03, indicating minimal depression and there were no behaviors. She was independent with activities of daily living (ADLs), with toileting hygiene, dressing, personal hygiene, ambulation, and transfers. R35 required set up for meals and moderate assistance with bathing. The MDS indicated R35 experienced no falls since admission. The 06/20/24 Falls Care Area Assessment (CAA) documented R35 had potential for falls and injury related to unstable blood glucose control, decreased safety awareness, and a history of falls prior to admission. The 08/26/24 Care Plan documented…

    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 · F2026-05-14 · tag F0801 — widespread
    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on observation, interview, and record review the facility failed to employ a full-time certified dietary manager for the residents who resided in the facility and received meals from the facility kitchen. Findings included:- Upon request the facility was unable to provide evidence of a Certified Dietary manager (CDM). On 05/12/26 at 07:40 AM, Dietary Manager BB revealed the facility does not have a CDM and said License Nurse (LN) G does act as the CDM when needed. On 05.13/26 at 11:30 AM, Administrative Staff A revealed the Registered Dietitian monitors the kitchen and dining and Dietary Manager BB oversees the ordering for the kitchen and attends the food meetings. Administrative Staff A stated three CDM have left and the facility was currently advertising for a CDM. The facility did not provide a policy as requested on 05/14/26.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2026-05-14 · 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

    Based on observation, interview, and record review, the facility failed to prepare and serve food under sanitary conditions to prevent potential food borne bacteria. Findings included:- On 05/12/26 at 07:40 AM, an initial tour of the main kitchen revealed refrigerator temperatures were missing for the following date: 05/04/26, 05/05/26, 05/06/26, 05/07/26, 05/09/26 and 05/10/26. During the tour three male dietary staff wearing beard guards without covering mustaches, including Dietary Manager BB. Additionally, the hand-washing station lacked a foot activated trash can, and the dishwasher chemical sanitization needed repaired. the staff did not use the three-sink sanitation until asked about their procedure, The three-sink sanitation was started. On 5/12/26 at 07:40 AM Dietary Staff BB revealed the dishwasher was not working properly and a repairman would be coming out that day to fix the issue. On 05/12/26 at 11:30 AM interview with Administrative Staff A revealed she expected the staff to keep refrigerator temperatures documented daily; staff to wear the beard net properly to cover…

    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 before2026-05-14 · 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

    Based on observation, interview, and record review, the facility failed to ensure adequate infection control practices related to Enhanced Barrier Precautions, EBP (a infection control measure using gowns and gloves during high-contact care) and cleaning of the Hoyer lift (mechanical device used to transfer individuals between surfaces) and proper handwashing between clean and soiled during resident care. Findings included:- On 05/12/26 at 09:17 AM, an observation revealed Certified Nurse Aide (CNA) O and Certified Nurse Aide CNA R transferred Resident (R) 33 from the recliner to the wheelchair using the Hoyer lift. After finishing the transfer, the lift was placed in the slot in the hallway without wiping it down. On 05/12/26 at 09:25 AM, an observation revealed CNA P obtained the Hoyer lift from the slot in the hallway, took the lift in to use on R11 without cleaning the lift prior to use. On 05/13/26 at 10:30 AM, an observation revealed Licensed Nurse (LN) H was already in the room with gloves on, assisting R42 to get up for the day. CNA Q entered the room and washed hands before…

    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 · E2026-05-14 · tag F0908 — failed to keep essential equipment working — pattern
    Keep all essential equipment working safely.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to have a scale to obtain resident weights that was operational.Findings:- On 05/13/26 at 04:41 PM, Certified Medication Aide (CMA) R stated the Certified Nurse Aide (CNA) got the residents' weights monthly and when needed. CMA R stated she would weigh Resident (R) 5 but would have to make sure the scale was working, as it had been down. CMA R returned and stated it was still broken so she was unable to weigh R5. Review of R5's Electronic Medical Record (EMR) showed a lack of documentation of weights for 04/29/26, 05/06/26, and 05/20/26. On 05/14/26 at 03:09 PM, Administrative Nurse D stated that all residents use the scale to weigh. The scale was down since 04/28/26 and was sent to be fixed on 05/04/26. They have been unable to weigh any residents since then. On 05/14/26 at 03:09 PM, Administrate Staff A stated she called several places to rent a scale and was unable to get one. The facility policy Maintenance Service, dated 03/2025, documented the maintenance department is responsible for maintaining 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.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-05-14 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
    Provide enough food/fluids to maintain a resident's health.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to provide care and services to ensure acceptable parameters of nutritional status for Resident (R) 5 when the facility failed to identify weight loss, implement interventions and recommendations to prevent further loss, notify the registered dietician or the physician of the weight loss, and failed to ensure working scales in the facility. Findings included:- R5's Electronic Medical Record (EMR) revealed the following diagnoses: dementia (a progressive mental disorder characterized by failing memory and confusion), Parkinson's disease (a slowly progressive neurologic disorder characterized by resting tremors, rolling of the fingers, masklike faces, shuffling gait, muscle rigidity, and weakness), need for assistance with personal care, and hallucinations (sensing things while awake that appear to be real, but the mind created). R5's 04/06/26 Significant Change Minimum Data Set (MDS) documented a Brief Interview for Mental Status (BIMS) score…

    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 · D2026-05-14 · tag F0804 — failed to serve food at safe, palatable temperature — isolated
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    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 follow methods that conserve nutritive value, flavor, and appearance of pureed foods for Resident (R) 33. Findings included: On 05/13/26 at 11:15 AM, observation revealed Dietary Staff CC placed stew into the blender to puree the food for R33. The recipe book present showed how to cook meat and gravy, it did not show a recipe for pureed food. Dietary Staff CC reported they only put about one fourth of water into the stew and stated they did not have a recipe book to follow Dietary staff CC did not use a measuring device for an accurate amount of fluid used. On 05/13/26 at 11:20 AM, Dietary Manager BB attempted to show the recipes which indicated how to cook beef and gravy. Dietary Manager BB then revealed the kitchen did not have recipes for pureed foods. On 5.13.26 at 11:30 AM Administrative Staff A revealed she expected the kitchen staff to puree the food correctly and confirmed the facility had recipes and the staff just needs to use them. The facility did not provide a policy regarding proper food…

    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 · E2024-08-28 · tag F0657 — failed to keep the care plan current — pattern
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility reported a census of 43 residents with 13 residents selected for review. Based on observation, interview, and record review, the facility failed to accurately revise four resident's care plans after falls experienced by Residents (R)37, R35, R21, and R12. Additionally, R9's hearing bilateral hearing aides were not addressed on the resident's care plan. This placed the residents at risk for uncommunicated care needs. Findings included: - Resident (R)37's Electronic Health Record (EHR) revealed diagnoses, which included dementia (progressive mental disorder characterized by failing memory, confusion), weakness, and falls. The 08/14/24 Annual Minimum Data Set (MDS) documented a Brief Interview for Mental Status (BIMS) score of 13, indicating intact cognition. R37 had a total (mood) severity score of zero, which indicated no depression. R37 required set up assistance for oral care and eating. R37 required moderate assistance with activities of daily living (ADLs), with personal hygiene, and transfers.…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-08-28 · tag F0761 — failed to label and store drugs safely — pattern
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    The facility reported a census of 43 residents with 12 residents sampled. Based on observation, interview, and record review, the facility failed to ensure one of two medication carts observed were locked while unattended. This deficiency had the potential to affect 21 residents located on the North Unit. Findings included: - During an observation on 08/27/24 at 12:05 PM, an unlocked medication cart was observed on the North Unit. Licensed Nurse (LN) Q was seated behind the nurse's station desk with her back towards the unlocked medication cart that was positioned on the outside of the nurse's station. LN Q had been communicating with a hospice nurse. The medication cart drawer was opened without LN Q noticing. During an interview on 08/27/24 at 12:06 PM, LN Q confirmed that the medication cart was the nurses' treatment cart and should not have been left unlocked as the cart contained medications and treatment supplies. LN Q then locked the cart. During an interview on 08/28/24 at 10:07 AM, Administrative Nurse B confirmed the nurses' medication/treatment cart should be locked at…

    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 · Dcited before2024-08-28 · tag F0578 — failed to honor advance directives / code status — isolated
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility reported a census of 43 residents, with 12 residents sampled, including one resident sampled for advanced directives (a written document which indicated the medical decisions for health care professionals when the person could not make their own decisions). Based on interview and record review, the facility failed to ensure Resident (R) 35 who was cognitively intact sign a completed Do Not Resuscitate (DNR- or no code, a legal document or order that means the person does not desire CPR in the event of cardiac arrest), instead they had a family member sign the directive. Findings included: - Resident (R) 35's Electronic Health Record (EHR) revealed diagnoses of unspecified dementia (progressive mental disorder characterized by failing memory, confusion) and Alzheimer's disease (progressive mental deterioration characterized by confusion and memory failure). The [DATE] admission Minimum Data Set (MDS) documented a Brief Interview for Mental Status (BIMS) score of 14, indicating intact cognition. R35…

    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 before2024-08-28 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    The facility reported a census of 43 residents. Based on observations, interviews, and record review, the facility failed to maintain effective infection control measures when Certified Medication Aide (CMA) H poked a straw through a potentially contaminated plastic film on the top of a cup containing a house supplement shake and then assisted a resident in drinking part of the shake. This deficient practice had the potential to contaminate the shake and lead to food-borne illness. Findings included: - On 08/28/24 at 11:04 AM, CMA H knocked over a cup that contained an unknown liquid and covered with a plastic film that sat on the medication cart. CMA H picked up the cup, removed a straw from the paper wrapper, and poked the straw through the plastic film. CMA H then walked into Resident (R) 1's room and assisted R1 in drinking approximately half of the liquid. On 08/28/24 at 11:11 AM, CMA H identified the liquid as a house supplement nutritional supplement shake and confirmed that she poked the straw through the potentially contaminated plastic film. CMA H stated that she should…

    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
Show the remaining 9 citations
  • Potential for harm · D2024-08-28 · tag F0883 — failed to offer flu and pneumonia vaccines — isolated
    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 reported a census of 43 residents with 12 residents sampled. Based on interview and record review, the facility failed to provide the pneumococcal vaccine (vaccine designed to prevent pneumonia [inflammation of the lungs which can be debilitating or lethal in the elderly]) declination form to two of the five residents reviewed, Resident (R) 37 and R38. Findings included: - Review of the Electronic Health Record (EHR) and the 2023-2024 binder which contained consents and declinations in Administrative Nurse B's office on 08/28/24, lacked documentation of any pneumococcal vaccine declination form for Resident (R) 37 and R38. On 08/28/24 at 12:05 PM, Administrative Nurse B reported that R37 said she had the pneumococcal vaccine in the past and would not require one. Administrative Nurse B stated that she would look for the declinations for both residents. On 08/28/24 at 12:44 PM, Administrative Nurse B confirmed the facility could not locate any vaccination declinations for R37 and R38. Furthermore, she reported that R37's family did not provide the facility with 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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2022-12-15 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    The facility reported a census of 41 residents. All residents received meals prepared in the main kitchen. Based on observation, interview and record review, the facility failed to store foods safely and sanitary by the staff's failure to date and reseal opened food items, failure to discard expired food items, and the failure to handle plates appropriately in the kitchen, to prevent the spread of food borne illnesses to the residents of the facility. Findings included: - Initial tour of the kitchen dry storage area on 12/12/22 at 01:50 PM, with (dietary manager) DM BB, revealed the following concerns: 1. A package of commercially available cookies, open date of 09/30/22, and expiration date of 11/30/22. 2. Cereals included a bag of Raisin Bran, opened, with no open date or use by date and a bag of opened [NAME] Crispies, with no opened date or use by date. A box of carrot cake mix opened and undated. DM BB stated dry foods like cereal and mixes were shelf stable for three months. She acknowledged there was no open date to time the three months. Inspection of the stand-alone…

    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 · F2022-12-15 · tag F0868 — widespread
    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
    What the surveyor found here — an excerpt from the official record, may be distressing

    The facility reported a census of 41 residents. Based on record review and interview, the facility failed to conduct Quality Assessment and Assurance (QAA) committee meetings with the required members present that included the Director of Nursing Services (DON), the Medical Director, the Nursing home administrator, owner, board member, or other individual in a leadership role, the Infection Preventionist and two other staff members, when the facility failed to have a DON present at the meetings. This had the potential to affect all residents. Findings included: - On 12/12/22 at 03:30 PM, Administrative Staff A produced sign- in sheets for quarterly QAA meetings from October 2021 through November 2022. The facility lacked documentation for the required members at the meetings, with a DON present at only in August,2022 and September 2022. On 12/15/22 at 03:44 PM, Administrative Staff A confirmed the facility had not had a DON at the quarterly meetings She stated she was unaware the DON needed to be specifically signed in. The facility's Quality Assessment and Assurance Program policy…

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

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2022-12-15 · tag F0578 — failed to honor advance directives / code status — isolated
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility reported a census of 41 residents, with 12 residents sampled, including one resident sampled for advanced directives (a written document which indicated the medical decisions for health care professionals when the person could not make their own decisions).Based on interview and record review, the facility failed to clarify Resident (R)32's advanced directives to ensure the resident had the right to formulate the wishes in the event the resident's heart stopped beating or the resident stopped breathing. Findings included: - The Electronic Health Records (EHR) documented R32 had the following diagnoses: congestive heart failure (CHF - a condition with low heart output and the body becomes congested with fluid), cerebral infarction (stroke - sudden death of brain cells due to lack of oxygen caused by impaired blood flow to the brain by blockage or rupture of an artery to the brain), atrial fibrillation (A-Fib - rapid, irregular heartbeat) and chronic kidney disease (a slow progression of damage 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
  • Potential for harm · Dcited before2022-12-15 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    What the surveyor found here — an excerpt from the official record, may be distressing

    The facility reported a census of 29 residents with 12 sampled, including one resident for bladder and bowel incontinence. Based on observation, interview, and record review, the facility failed to provide appropriate treatment and services to prevent possible urinary tract infections for Resident (R) 41. Findings included: - The 12/13/22 Electronic Health Record (EHR) documented R41 had the following diagnoses: functional urinary incontinence (something keeps you from making it to the bathroom in time) and Pressure ulcer (localized injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure, or pressure in combination with shear and/or friction) of the sacrum (large triangular bone between the two hip bones). The 08/10/22 Significant Change Minimum Data Set (MDS), documented a Brief Interview for Mental Status (BIMS) score of six, indicating severely impaired cognition. R41 was always incontinent of bladder and bowel. The 11/02/22 Quarterly MDS, documented R41 had moderately impaired cognition per staff interview. R41 was always incontinent…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-12-15 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    The facility reported a census of 41 residents with 12 residents sampled, including two residents reviewed for respiratory care. Based on observations, record reviews, and interviews, the facility failed to obtain a physician order to appropriately administer oxygen to Resident (R)24, who used oxygen. In addition, the facility failed to properly store the resident's oxygen tubing, to prevent possible contamination of the tubing, to prevent possible respiratory complications. Findings included: - The 03/07/22 Electronic Health Records (EHR) documented that R24 had the following diagnoses: post Covid-19 condition, cough, other pneumonia (inflammation of the lungs) and pleural effusion (abnormal accumulation of fluid in the lungs). The 05/25/22 Significant Change Minimum Data Set (MDS) documented brief interview for mental status (BIMS) of seven, indicating severely impaired cognition. The resident required extensive one person assist with all activities of daily living (ADLs) except eating, which required setup. The resident received oxygen. The 11/16/22 quarterly MDS documented a…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-12-15 · tag F0698 — failed to provide proper dialysis care — isolated
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    What the surveyor found here — an excerpt from the official record, may be distressing

    The facility reported a census of 41 residents, with 12 sampled, including one resident sampled for dialysis care. Based on observation, interview, and record review, the facility failed to provide Resident (R) 19 treatment consistent with professional standards of practice by not monitoring dialysis treatments appropriately by not sending or collecting the dialysis communication forms. Findings include: - The 12/13/22 Electronic Health Record (EHR) documented R19 had a diagnosis of end stage (a terminal disease because of irreversible damage to vital tissues or organs) renal (kidney) disease (ESRD). The 11/23/22 Annual Minimum Data Set (MDS) documented a brief interview for mental status (BIMS) score of 99, and staff interview indicated moderately impaired cognition. R19 required dialysis. The 11/23/22 ADL (activities of daily living) Functional/Rehabilitation Potential Care Area Assessment (CAA), documented R19 had ESRD and received hemodialysis (procedure where impurities or wastes were removed from the blood) three times a week. The 12/01/22 Care Plan documented R19 went 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
  • Potential for harm · D2022-12-15 · 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

    The facility census totaled 41 residents, with 12 sampled, including five residents for unnecessary medications. Based on interview and record review the facility failed to act upon irregularities identified by the pharmacy consultant for one of the five residents reviewed, regarding pantoprazole (proton pump inhibitor medication, used to decrease the amount of acid produced by the stomach and to promote healing of tissue) for Resident (R) 30, regarding decreasing the dose of this medication. This failure placed the resident at risk for adverse effects related to medication use. Findings Included: - The 12/13/22 Electronic Health Record (EHR) documented diagnosis of dementia (progressive mental disorder characterized by failing memory, confusion), gastro esophageal reflux (backflow of stomach contents to the esophagus), gastrointestinal bleeding (bleeding into the stomach and/or digestive tract) and osteoporosis (abnormal loss of bone density and deterioration of bone tissue with an increased fracture risk). The 02/23/22 Annual Minimum Data Set (MDS) documented a Brief Interview 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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-12-15 · 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

    The facility census totaled 41 residents, with 12 sampled, including five residents for unnecessary medications. Based on interview and record review, the facility failed to ensure adequate monitoring for one of the five residents reviewed, regarding pantoprazole (proton pump inhibitor medication, used to decrease the amount of acid produced by the stomach and to promote healing of tissue) for Resident (R) 30, by not decreasing the dose of this medication as ordered. This failure placed the resident at risk for adverse effects related to medication use. Findings Included: - The 12/13/22 Electronic Health Record (EHR) documented diagnosis of dementia (progressive mental disorder characterized by failing memory, confusion), gastro esophageal reflux (backflow of stomach contents to the esophagus), gastrointestinal bleeding (bleeding into the stomach and/or digestive tract) and osteoporosis (abnormal loss of bone density and deterioration of bone tissue with an increased fracture risk). The 02/23/22 Annual Minimum Data Set (MDS) documented a Brief Interview for Mental Status (BIMS)…

    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

“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

$59,829 in federal fines across 2 penalties. 1 Medicare payment denial on record.

  • $37,375 — penalty dated 2024-08-28
  • $22,454 — penalty dated 2024-01-04
  • Medicare payment denial — starting 2024-09-26 for 19 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.

Who owns this facility

Owner / managerTypeRoleSince
VESTRING, NANCYIndividualW-2 MANAGING EMPLOYEEsince 07/01/2011
BUTLER, EULAIndividualCORPORATE DIRECTORsince 07/31/2013
CHARD, MILLYIndividualCORPORATE DIRECTORsince 07/31/2011
BAILEY, RICKYIndividualCORPORATE OFFICERsince 07/31/2010
BREWER, JOHNIndividualCORPORATE OFFICERsince 07/31/2013
HOMESTEAD HEALTH CENTER, INC.OrganizationOPERATIONAL/MANAGERIAL CONTROLsince 02/02/1981

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

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

Follow the money — this home’s finances

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

$4.7M
Net patient revenuemost recent cost report
-3.8%
Operating marginrevenue minus expenses
Who pays — share of resident-days
Medicaid 68%Medicare 2%Other / private 31%

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

$322per resident / day
operating cost
$9,788per month
≈ monthly operating cost
$310per day
avg. revenue, all payers

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

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 175487. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-05-14, 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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