Medicalodges Wichita
2280 S Minneapolis Avenue, Wichita, KS 67211 · For profit - Corporation · 55 certified beds · (316) 265-5693 Medicare & Medicaid certified
This home’s record is mixed — some reassuring signs, some worth asking about.
- a middle-of-the-pack inspection score (3/5)
- no federal fines or payment denials on record
- a high payroll-based staffing rating (4/5)
- a high number of inspection citations overall (19) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- its facility-reported quality-measure 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.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 3 of 5 |
| StaffingFrom payroll records (PBJ) | 4 of 5 |
| Quality measuresSelf-reported by the facility | 2 of 5 |
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
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 | 2 of 5 |
| Long-stay residentspeople who live here | 2 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.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 15.4% | 17.9% | 15.4% | typical |
| Long-stay residents who lose too much weight | 0.7% | 4.9% | 5.4% | better |
| Long-stay residents with a catheter left in their bladder | 0.7% | 1.6% | 0.9% | better |
| Long-stay residents with a urinary tract infection | 1.9% | 2.9% | 2.0% | typical |
| Long-stay residents with depressive symptoms | 0.0% | 6.5% | 6.5% | check this* — see note marked star below the table |
| Long-stay residents who were physically restrained | 0.0% | 0.0% | 0.1% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with falls causing major injury | 4.5% | 4.3% | 3.3% | worse |
| Long-stay residents whose ability to walk worsened | 13.7% | 16.2% | 16.1% | better |
| Long-stay residents on antianxiety or hypnotic medication | 29.1% | 23.2% | 18.9% | worse |
| Long-stay residents given the seasonal flu vaccine | 97.6% | 95.5% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 6.5% | 4.4% | 4.7% | worse |
| Long-stay residents with worsening bladder/bowel control | 25.4% | 22.6% | 21.2% | worse |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 25.4% | 18.1% | 17.1% | worse |
| Short-stay residents who newly got an antipsychotic medication | 2.8% | 1.9% | 1.4% | worse |
| Short-stay residents given the seasonal flu vaccine | 81.5% | 73.8% | 79.4% | typical |
* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. Weigh it against the inspection record above.
‡ On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.
§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.
CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.
Short-stay rehab — if you are coming here from a hospital
Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.
Therapy staffing: this home’s payroll records show 0.06 therapist hours per resident per day in 2026Q1 — more than 3% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 5% 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
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | not 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 SNF | not 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 discharge | not 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 discharge | not 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 discharge | not 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 identified | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | not 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 discharge | not 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 stay | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | not 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 SNFs | not 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
How full it usually is: this home is certified for 55 beds and averages 44.5 residents a day — about 81% occupied, or roughly 10 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.
Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.90 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.87 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.34 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.
Weekend coverage: total nurse staffing is 3.32 hrs/resident/day on weekends vs 4.13 on weekdays — 20% thinner on weekends — a notable drop. RN hours go from 0.96 to 0.63 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 54% 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 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.
Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.
19 citations, most serious first. The 10 most serious are shown; the remaining 9 are one tap away and print in full.
- Potential for harm · F2025-11-17 · tag F0730 — widespreadObserve each nurse aide's job performance and give regular training.
What the surveyor found here — the official record, unedited, may be distressing
The facility reported a census of 45 residents. Based on interview and record review, the facility failed to complete an annual performance review at least once every 12 months for one of the five Certified Nurse Aides (CNA) reviewed. Findings included:- Review of five employee personnel files, employed by the facility for greater than one year, revealed the following concern: Certified Nurse Aide (CNA) M, hired 09/04/24, lacked an annual performance review in her personnel file. On 09/30/25 at 11:41 AM, Administrative Staff A stated the facility had not completed all the annual evaluations. The facility's Employee Handbook included: Staff performance evaluations shall be completed on an annual basis within two weeks of an employee's anniversary date and include the staff member's strengths and weaknesses.
- Potential for harm · Fcited before2025-11-17 · tag F0812 — failed to store, cook, and serve food safely — widespreadProcure 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 45 residents. Based on observation, record review, and interview, the facility failed to prepare and serve food under sanitary conditions to the residents of the facility appropriately, to prevent the potential for food-borne bacteria in one of one kitchen and one of two dining rooms.Findings included:- During an initial tour of the kitchen, on 09/25/25 at 09:37 AM, the following areas of concern were noted in the kitchen:Three of three two-door reach-in refrigerators had dried-on food and fluids on the fronts, and the rubber strips around the perimeter of the doors contained an unknown black substance.One two-door reach-in refrigerator had spilled liquid on the inside bottom shelf.A stainless-steel cart used to store clean cookie sheets had food debris on the bottom. The bottom shelf of a preparation table holding oils, syrups, uncooked pasta, etc., had food debris.Two of two covered trash cans had dried-on food debris on the fronts.A beige, plastic cart used to deliver drinks to residents in the dining room had black, rubbed-in debris on 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.
- Potential for harm · Fcited before2025-11-17 · tag F0880 — failed to prevent and control infections — widespreadProvide 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 45 residents. Based on observation, interview, and record review the facility failed to ensure adequate infection control practices related to the handling, processing, and storage of resident clothing and linen. Findings included: - On 09/30/25 at 01:45 PM, the tour of the laundry area with Laundry Staff V revealed the following concerns:The soiled linen sorting area had an overflow of laundry in three barrels in the corner, which resulted in direct contact with the walls.Six uncovered pillows, which included one with a torn, unsanitary vinyl cover, were stacked on top of an overflowing linen barrel with bagged, unmarked clean clothing.The inside door of the dryer, which came in direct contact with clothes during the processing of clean laundry, had an unsealed, worn surface and rust colored substance with an irregular, unsealed, and unsanitary surface.A folding table with peeling and missing laminate, which exposed a porous, unsealed, and unsanitary surface which comes in direct contact with clean laundry during the processing of clean laundry.On…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-11-17 · tag F0760 — failed to prevent significant medication errors — isolatedEnsure that residents are free from significant medication errors.
What the surveyor found here — an excerpt from the official record, may be distressing
The facility reported a census of 45 residents. The sample of 15 residents included five residents reviewed for unnecessary medications. Based on observations, interviews, and record review, the facility failed to ensure the accurate administering of multiple medications as ordered by the physician for one resident, Resident (R)17, related to pain medication and medications to treat constipation.Findings included:- R17's Electronic Health Records (EHR) undated Physician Orders (POS) documented diagnoses which included lymphocytic leukemia (malignant disease affecting bone marrow) of B-cell type, pain, neuropathy (weakness, numbness, and pain from nerve damage, usually in the hands and feet), and constipation R17's 08/29/25 Significant Change in Status Minimum Data Set (MDS) documented a Brief Interview for Mental Status (BIMS) score of 15, indicating she was cognitively intact. The MDS noted R17 received scheduled pain medications and opioids (narcotic pain medication) and reported occasional pain; she did not experience constipation. The Psychotropic Drug Use Care Area Assessment…
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.
- Potential for harm · Fcited before2024-02-15 · tag F0812 — failed to store, cook, and serve food safely — widespreadProcure 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 47 residents. Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for the residents of the facility to prevent possible food-borne illnesses. Findings included: - On 02/13/24 at 08:36 AM, a kitchen tour with Dietary Staff BB identified the following concerns: 1. An uncovered trash can/ barrel uncovered, at the handwashing station. 2. A gallon bottle of opened Worchester sauces with a sticky brown hardened rim around the exterior of the gallon jug. 3. The floor soiled with a black substance and debris throughout the kitchen and dish room. 4. A pot rack had rusted legs. 5. A commercial can opener, with a pointed spike that enters the sealed container of food, had black debris hardened on the spike and metal within the bracket used for storage. 6. Eleven flat baking sheets had a brown substance on the cooking surface of the pan, which was reported to be in direct contact with the food. On 02/13/24 at 08:36 AM, kitchen tour…
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.
- Potential for harm · Fcited before2024-02-15 · tag F0880 — failed to prevent and control infections — widespreadProvide 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 47 residents. Based on observation, interview, and record review, the facility failed to provide a safe, functional, sanitary environment for residents and staff in the facility kitchen for the residents of the facility to help prevent the development and transmission of infections. Findings included: - On 02/13/24 at 08:36 AM, during the kitchen tour with Dietary Staff BB identified the following concerns: 1. The dish room hand washing sink with an uncovered trash barrel/can which lacked a foot operated lid closure to prevent the staff from having to touch the lid to dispose of paper towels. 2. The food prep area with a barrel trash at the handwashing sink, with an uncovered trash barrel/can which lacked a foot operated lid closure to prevent the staff from having to touch the lid to dispose of paper towels 3. The kitchen and dish room floor with black substance and debris throughout. 4. The dish room had approximately 30 four-inch tiles missing with black substance build up on floor, which could not be sanitized. 5. A metal shelving unit with…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · F2024-02-15 · tag F0908 — failed to keep essential equipment working — widespreadKeep all essential equipment working safely.
What the surveyor found here — an excerpt from the official record, may be distressing
The facility reported a census of 47 residents. Based on observation, interview, and record review, the facility failed to maintain all mechanical and electrical equipment in safe operating condition in the kitchen. Findings included: - On 02/13/24 at 08:36 AM, kitchen tour with Dietary Staff BB revealed the following identified concerns: 1. Eight dish racks stacked on a metal stand that had soiled vinyl linoleum which covered the shelf. The shelf had rust on the legs. 2. A commercial spike can opener had a build-up of hardened black debris on the spike which enters the sealed can of food, and metal black dried hard substance within the bracket which housed the can opener. 3. The upright poles attached to the pot rack were rusted. On 02/13/24 at 08:45 AM, Dietary Staff BB confirmed the above findings and stated the equipment needed to be cleaned and maintained for safe operation. On 02/14/24 at 11:45 AM, the commercial stove hood had bubbled peeled paint. Dietary Staff CC confirmed the above finding and stated the stove hood had been like that for a while. Dietary Staff BB confirmed…
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.
- Potential for harm · F2024-02-15 · tag F0921 — failed to keep a safe, functional, sanitary building — widespreadMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
What the surveyor found here — an excerpt from the official record, may be distressing
The facility reported a census of 47 residents. Based on observation, interview, and record review the facility failed to ensure a safe and sanitary environment for residents and staff in the facility kitchen. Findings included: - On 02/13/24 at 08:36 AM, kitchen tour with Dietary Staff BB, revealed the dish room floor with approximately 30, four-inch tiles missing with black substance build up on the bare concrete where the floor tiles were missing. On 02/13/24 at 08:55 AM, Maintenance Staff U, joined the kitchen tour and confirmed the above finding. He stated the tile had been missing for a while. The facility usually placed a rubber mat over the missing tile. Maintenance Staff U confirmed the area was a trip hazard and was unsanitizable. On 02/14/24 at 10:42 AM, during additional tour of the kitchen, two wall tiles laid on the windowsill in food prep area. On 02/14/24 at 10:54 AM, Dietary Staff BB and dietary staff CC confirmed the above finding, and reported they did not know why or how long the tiles had been lying in the windowsill. The facility lacked a policy to address…
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.
- Potential for harm · Ecited before2022-03-23 · tag F0812 — failed to store, cook, and serve food safely — patternProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — the official record, unedited, may be distressing
The facility reported a census of 43 residents one main kitchen that served all residents that received meals. Two residents received nutrition via feeding tubes. The facility failed to store food in a sanitary manner in the main kitchen. Findings Included: - Tour of the kitchen on 03/21/22 at 08:10 AM in the dry storage area revealed a large bag of Cheetos laid open on the shelf. Observation in the freezer revealed a bag of hamburger patties open with no closure, a bag with five fish fillets with no date, and a box of pizza dough left open to air. Interview on 03/23/22 at 01:10 PM with Certified Dietary Manager N verified she expected the staff to date all items when opened and all opened items should have proper closures. The facility policy Food Storage revised in 2011 stated food shall be stored at appropriate temperatures and using appropriate methods to ensure the highest level of food safety. Wrap food properly and never leave food items uncovered and not labeled. The facility failed to store food in a sanitary manner in the main kitchen.
- Potential for harm · D2022-03-23 · tag F0550 — failed to protect resident dignity and rights — isolatedHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
What the surveyor found here — an excerpt from the official record, may be distressing
The facility had a census of 43 residents with 13 included in the sample. Based on observation, interview and record review the facility failed to ensure the resident's dignity by the failure to place the catheter drainage bag in a dignity bag and away from public view for Resident (R) 29. Findings include: - R29's 02/02/22 signed Physician Orders revealed diagnoses of neurogenic bladder (dysfunction of the urinary bladder caused by a lesion of the nervous system) and dementia (progressive mental disorder characterized by failing memory, confusion). The 10/25/22 Significant Change in Status Minimum Data Set (MDS) revealed a Brief Interview for Mental Status (BIMS) score of 15, indicating intact cognition. The resident required extensive assistance from one staff for daily care, had a urinary catheter, and received hospice care. The 01/25/22 Quarterly MDS revealed no significant changes in status since the 10/25/22 MDS assessment. The 10/25/22 Urinary Incontinence Care Area Assessment (CAA) revealed the resident continued to require an indwelling urinary catheter and the staff change…
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.
Show the remaining 9 citations
- Potential for harm · D2022-03-23 · tag F0582 — isolatedGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
What the surveyor found here — an excerpt from the official record, may be distressing
The facility had a census of 43 residents with three reviewed for Beneficiary Protection Notification. The facility failed to provide notification (CMS form 10055) prior to ending Medicare Part A coverage for Resident (R) 99, which did not provide the resident the opportunity to dispute the decision to discontinue therapy services. Findings included: - On the Beneficiary Notice Discharge List R99 discharged from Part A skilled therapy on 02/09/22. Review of R99's record revealed the facility failed to have prior notification of the discharge date of therapy. The record lacked completion of CMS form 10055 signed by the resident or representative prior to the resident's discharge. On 03/23/22 at 08:36 AM Administrative Nurse I reported she was responsible for the beneficiary notices when residents discharged from therapy services. She stated she met with the director of therapy services every morning to discuss resident progress and therapy progress. When discharge was coming up for a resident, she then talked to Social Services Designee (SSD) C who then worked with the resident and…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2022-03-23 · tag F0623 — isolatedProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility reported a census of 43 residents with 13 sampled, including one for hospitalization. Based on observation, interview, and record review the facility failed to send a copy of the facility-initiated hospitalization transfer/discharge notice to the representative of the Office of the State Long-Term Care Ombudsman for Resident (R) 28. Findings Included: - Review of R28's Minimum Data Set (MDS) tracking form documented the resident discharged to the hospital on [DATE] and returned to the facility on [DATE]. Review of R28's Medical Record lacked evidence of written notification of the facility-initiated hospitalization transfer/discharge to R28's Office of the State Long-Term Care Ombudsman. On 03/21/22 at 02:14 PM R28 sat in her wheelchair outside of her room and used her legs to move her wheelchair toward the dining room. Several staff through the area stop and spoke to R28, offered her assistance, snacks, and drinks. On 03/22/22 at 02:09 PM Social Service Designee (SSD) C confirmed he did not send 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.
- Potential for harm · D2022-03-23 · tag F0657 — failed to keep the care plan current — isolatedDevelop 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
The facility reported a census of 43 resident with 13 residents included in the sample and two residents reviewed for respiratory care. Based on observation, interview, and record review the facility failed to ensure Resident (R)148's plan of care included changing of nebulizer tubing, and cleaning of respiratory equipment in a timely manner. Findings included: - The 12/22/21 signed Physician Orders for R148 included a diagnosis of chronic pulmonary disease (progressive and irreversible condition characterized by diminished lung capacity and difficulty or discomfort in breathing). The 12/29/21 admission Minimum Data Set (MDS) documented a Brief Interview for Mental Status (BIMS) score of 15, which indicated intact cognition. The Plan of Care dated 12/22/21 indicated R148 had potential for respiratory distress related to a diagnosis of chronic obstructive pulmonary disease, staff would administer breathing treatments as ordered, and staff would monitor for effectiveness. The care plan lacked any further direction to staff regarding changing nebulizer tubing and/or cleaning of…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2022-03-23 · tag F0687 — failed to care for feet properly — isolatedProvide appropriate foot care.
What the surveyor found here — an excerpt from the official record, may be distressing
The facility reported a census of 43 with 13 residents included in the sample. Based on observations, interviews, and record review the facility failed to ensure Resident (R) 148 received appropriate assessments and foot care. Findings include: - The 12/22/21 signed Physician Orders included a diagnosis of type two diabetes (a disease in which the body's ability to produce or respond to the hormone insulin is impaired, resulting in abnormal metabolism of carbohydrates and elevated levels of glucose in the blood and urine). The 12/29/21 admission Minimum Data Set (MDS) documented a Brief Interview for Mental Status (BIMS) score of 15, which indicated intact cognition. The Activities of Daily Living (ADL) Care Area Assessment (CAA) dated 12/29/21 stated the resident was independent with ADLs except required some assistance for balance with mobility. The 12/22/21 Care Plan indicated R148 needed assistance of one staff member with dressing and personal cares. The care plan lacked information to provide diabetic foot care. Review of the Medical Record from 12/22/21 to 03/17/22 lacked 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.
- Potential for harm · D2022-03-23 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolatedProvide 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 census totaled 43 residents with 13 included in the sample, and one reviewed for urinary catheter. Based on observation, interview, and record review the facility failed to provide necessary services to decrease the risk of a urinary tract infection when staff failed to ensure Resident (R) 29 urinary catheter tubing did not come in contact with the floor. Findings included: - R29's signed Physician Orders dated 02/02/22 revealed the following diagnoses: neurogenic bladder (dysfunction of the urinary bladder caused by a lesion of the nervous system) and dementia (progressive mental disorder characterized by failing memory, confusion). The 10/25/21 Significant Change in Status Minimum Data Set (MDS) revealed a Brief Interview for Mental Status (BIMS) score of 15, indicating intact cognition. The resident required extensive assistance of one staff for daily care. The resident had a urinary catheter and received hospice care. The 01/25/22 Quarterly MDS revealed no significant changes in status since assessment on 10/25/21. The 10/25/21 Urinary Incontinence Care Area…
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.
- Potential for harm · D2022-03-23 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolatedProvide 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 43 resident, with 13 residents included in the sample, and two residents reviewed for respiratory care. Based on observation, interview, and record review the facility failed to ensure they had a system in place to change oxygen tubing, nebulizer tubing, and cleaning of respiratory equipment in a timely manner for Residents (R) 148 and R25. Findings included: - The 12/22/21 signed Physician Orders for R148 included a diagnosis of chronic pulmonary disease (progressive and irreversible condition characterized by diminished lung capacity and difficulty or discomfort in breathing). Them12/29/21 admission Minimum Data Set (MDS) documented a Brief Interview for Mental Status (BIMS) score of 15, which indicated intact cognition. The Plan of Care dated 12/22/21 indicated R148 had a potential for respiratory distress related to a diagnosis of chronic obstructive pulmonary disease, staff would administer breathing treatments as ordered, and staff would monitor for effectiveness. The care plan lacked any further direction to staff regarding changing oxygen…
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.
- Potential for harm · D2022-03-23 · tag F0756 — failed to review each resident's drug regimen — isolatedEnsure 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 43 residents with 13 sampled including five reviewed for unnecessary medications. Based on observation, interview, and record review the facility failed to initiate a physician's order for a dose reduction for an antipsychotic medication, as recommended by consulting pharmacist, for six months for Resident (R) 33. The facility further failed to limit the time frame of an as needed (PRN) psychotropic medication, as recommended by the consulting pharmacist, for R28. Findings Included: - R28's Physician's Orders Sheet dated 03/21/22 documented a diagnosis of anxiety (mental or emotional reaction characterized by apprehension, uncertainty and irrational fear). The 01/18/22 Significant Change Minimum Data Set (MDS) documented a Brief Interview for Mental Status (BIMS) score of 99, which indicated the resident was unable to complete the interview. R28 received an antianxiety medication on one day in the seven-day look back period. The 03/21/22 Care Plan for R28 instructed staff to administer medications and monitor for side effects as ordered by the physician.…
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.
- Potential for harm · D2022-03-23 · tag F0758 — failed to limit and justify psychotropic drugs — isolatedImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
What the surveyor found here — an excerpt from the official record, may be distressing
The facility census totaled 43 residents, with 13 sampled, including five reviewed for unnecessary medications. Based on observation, interview, and record review the facility failed to initiate a physician's order for a dose reduction for an antipsychotic medication for six months for Resident (R) 33. The facility further failed to limit the time frame of an as needed (PRN) psychotropic medication for R28. Findings Included: - R28's Physician's Orders Sheet dated 03/21/22 documented a diagnosis of anxiety (mental or emotional reaction characterized by apprehension, uncertainty and irrational fear). The 01/18/22 Significant Change Minimum Data Set (MDS) documented a Brief Interview for Mental Status (BIMS) score of 99, which indicated the resident was unable to complete the interview. R28 received an antianxiety medication on one day in the seven-day look back period. The 03/21/22 Care Plan for R28 instructed staff to administer medications and monitor for side effects as ordered by the physician. The Physicians Orders in the electronic health record (EHR) documented the following…
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.
- Potential for harm · Dcited before2022-03-23 · tag F0880 — failed to prevent and control infections — isolatedProvide 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 observation, interview, and record review the facility failed to ensure nursing staff used Personal Protective Equipment (PPE) appropriately, by the failure to change gloves between dirty and clean tasks when providing care for Residents (R) 23 and R9. The facility further failed to clean a glucometer (instrument used to calculate blood glucose) after use to reduce the risk of spread of infectious diseases. Findings Included: - On 03/21/22 at 08:50 AM, observation revealed Certified Medication Aid (CMA) J and Administrative Nurse I entered R23's room and informed R23 of care to be provided. Both staff performed hand hygiene and donned gloves, positioned R23 with shorts down and brief open lying on his side. While Administrative Nurse I held R23 on his side, CMA J cleaned the bowel movement (BM) off of R23 with gloved hands and wipes, then cleaned R23's front side, CMA J continued with the same gloved hands to close R23's brief, pull up his shorts, and cover him with a blanket. CMA J then continued, with dirty/same gloved…
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.
“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.
- 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.
Fines & penalties
No federal fines in the current CMS record.
Part of a chain
This home belongs to MEDICALODGES, INC. — 18 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 →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 3 of 5 | 2.7 | +0.3 vs chain |
| Health inspection | 3 of 5 | 2.4 | +0.6 vs chain |
| Staffing | 4 of 5 | 3.6 | +0.4 vs chain |
| Quality measures | 2 of 5 | 2.8 | -0.8 vs chain |
The other 17 homes this chain runs (chain average 2.7★, per CMS)
A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.
Who owns this facility
| Owner / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| MEDICALODGES INC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | 100% | since 04/19/1976 |
| LUMENT REAL ESTATE CAPITAL LLC | Organization | 5% OR GREATER MORTGAGE INTEREST | — | since 06/26/2009 |
| BUTLER, RICHARD | Individual | CORPORATE DIRECTOR | — | since 07/01/2003 |
| COX, GAREN | Individual | CORPORATE DIRECTOR; TRUSTEE OF THE SNF | — | since 02/26/1998 |
| DOLL, GAYLE | Individual | CORPORATE DIRECTOR | — | since 03/10/2005 |
| GROVER, BRIDGET | Individual | CORPORATE DIRECTOR | — | since 06/01/2025 |
| HINES, SCOTT | Individual | CORPORATE DIRECTOR; CORPORATE OFFICER; TRUSTEE OF THE SNF | — | since 03/19/2009 |
| KELLY, ELIZABETH | Individual | CORPORATE DIRECTOR | — | since 03/27/2025 |
| LAGER, SHANNON | Individual | CORPORATE DIRECTOR; CORPORATE OFFICER | — | since 06/15/2013 |
| LISTWAN, SAMANTHA | Individual | CORPORATE DIRECTOR | — | since 06/05/2017 |
| MARSHALL, CAROL | Individual | CORPORATE DIRECTOR | — | since 07/27/2006 |
| OTT, RON | Individual | CORPORATE DIRECTOR | — | since 09/15/2006 |
| CHRISTMAS, KEVIN | Individual | CORPORATE OFFICER | — | since 03/27/2025 |
| COOVER, TERESA | Individual | CORPORATE OFFICER | — | since 07/07/2016 |
| DANIELS, JANA | Individual | CORPORATE OFFICER | — | since 03/27/2005 |
| DILLON, WILLIAM | Individual | CORPORATE OFFICER | — | since 09/12/2022 |
| FISHER, KRISTYN | Individual | CORPORATE OFFICER | — | since 03/28/2024 |
| LANTZ, KATHLEEN | Individual | CORPORATE OFFICER | — | since 10/22/2007 |
| MCBRIDE, TRAVIS | Individual | CORPORATE OFFICER | — | since 11/15/2012 |
| ROHLING MCCORD, CATHERINE | Individual | CORPORATE OFFICER; TRUSTEE OF THE SNF | — | since 06/09/2000 |
| SCHERTZ, AMBER | Individual | CORPORATE OFFICER | — | since 10/05/2023 |
| WAECHTER HARMON, LORI | Individual | CORPORATE OFFICER | — | since 03/26/2019 |
| BRYANT, RODNEY | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 10/07/2022 |
| BURNETT, RHODY | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 06/01/2014 |
| ML-RE WICHITA, LLC | Organization | ADP OF THE SNF | — | since 06/26/2009 |
CMS files one row per role, so the 34 rows in the source record cover these 25 parties — each is shown once here with every role it holds. Nothing is omitted.
3 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 $247K paid to related parties (affiliated landlords or management companies) in its most recent cost report.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.
Cost & finances
Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.
What families pay in KS
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.
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 175008. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-11-17, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →
Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →
Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.