Peabody, KS

Access Mental Health

0-star overall rating with 0-star inspections with Special Focus status with $100,231 in total fines with 7 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle

500 Peabody, Peabody, KS

(620) 983-2165

Compare this facility

Overall

0 / 5

CMS overall stars

Health inspections

0 / 5

Survey and complaint cycles

Staffing

0 / 5

RN + nurse staffing

Quality measures

0 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

45

Certified beds

Average residents

44

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1982-01-01

CMS approved date

Coverage

Medicaid

Participation flags

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.62

Registered nurse staffing · state 0.72 · national 0.68

LPN hours / resident day

0.37

Licensed practical nurse staffing · state 0.67 · national 0.87

Aide hours / resident day

1.59

Nurse aide staffing · state 2.69 · national 2.35

Total nurse hours

2.58

All reported nurse hours · state 4.07 · national 3.89

Licensed hours

0.99

RN + LPN hours · state 1.38 · national 1.54

Weekend hours

2.48

Weekend nurse staffing · state 3.58 · national 3.43

Weekend RN hours

0.47

Weekend registered nurse coverage · state 0.50 · national 0.47

Physical therapist

0.00

Reported PT staffing

Adjusted RN hours

0.95

CMS adjusted RN staffing hours

Adjusted total hours

3.96

CMS adjusted total nurse staffing hours

Case-mix index

0.89

Higher values indicate more complex resident acuity

RN turnover

29%

Annual RN turnover · state 46% · national 45%

Total nurse turnover

35%

Annual nurse turnover · state 50% · national 46%

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission Not Available
10.72%
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · This provider is not required to submit SNF QRP data.
Discharge to community Not Available
50.57%
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · This provider is not required to submit SNF QRP data.
Medicare spending per beneficiary Not Available
1.02
This provider is not required to submit SNF QRP data.
Drug regimen review with follow-up Not Available
95.27%
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Falls with major injury Not Available
0.77%
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Discharge self-care score Not Available
53.69%
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Discharge mobility score Not Available
50.94%
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Pressure ulcers or injuries, new or worsened Not Available
2.29%
Numerator Not Available · Denominator Not Available · Adjusted rate Not Available · This provider is not required to submit SNF QRP data.
Healthcare-associated infections requiring hospitalization Not Available
7.12%
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · This provider is not required to submit SNF QRP data.
Staff COVID-19 vaccination coverage Not Available
8.2%
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Staff flu vaccination coverage Not Available
42%
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Discharge function score Not Available
56.45%
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 0.7
1.8
1.1 pts better
1.9
1.2 pts better
Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.6 · Expected 1.5 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 0.2
2.2
2 pts better
1.8
1.6 pts better
Long Stay · 20240701-20250630 · Adjusted 0.2 · Observed 0.2 · Expected 1.9 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 96.5%
91.8%
4.7 pts better
93.4%
3.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 93.2% · Q3 95.3% · Q4 97.7% · 4Q avg 96.5%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 90.0%
95.5%
5.5 pts worse
95.5%
5.5 pts worse
Long Stay · 2024Q3-2025Q2 · 4Q avg 90.0%
Percentage of long-stay residents experiencing one or more falls with major injury 1.7%
4.4%
2.7 pts better
3.3%
1.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.3% · Q3 2.3% · Q4 2.3% · 4Q avg 1.7% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 18.7%
5.6%
13.1 pts worse
11.4%
7.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 22.2% · Q2 17.1% · Q3 19.4% · Q4 16.2% · 4Q avg 18.7%
Percentage of long-stay residents who lose too much weight 5.9%
5.0%
0.9 pts worse
5.4%
0.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 14.6% · Q2 7.0% · Q3 0.0% · Q4 2.4% · 4Q avg 5.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 36.6%
23.2%
13.4 pts worse
19.6%
17 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 50.0% · Q2 40.9% · Q3 34.9% · Q4 20.9% · 4Q avg 36.6%
Percentage of long-stay residents who received an antipsychotic medication 75.0%
19.8%
55.2 pts worse
16.7%
58.3 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 75.0% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 0.0%
0.0%
About the same
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened 10.7%
18.4%
7.7 pts better
16.3%
5.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 8.9% · Q3 0.0% · Q4 25.6% · 4Q avg 10.7% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 5.3%
18.8%
13.5 pts better
14.9%
9.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 9.3% · Q3 2.3% · Q4 4.8% · 4Q avg 5.3% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0%
1.8%
1.8 pts better
1.0%
1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 1.2%
3.1%
1.9 pts better
1.7%
0.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 2.3% · Q3 0.0% · Q4 0.0% · 4Q avg 1.2% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 7.9%
23.2%
15.3 pts better
19.8%
11.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 13.5% · Q2 6.4% · Q3 5.9% · Q4 6.0% · 4Q avg 7.9%
Percentage of long-stay residents with pressure ulcers 0.0%
4.6%
4.6 pts better
5.1%
5.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 85.7%
75.6%
10.1 pts better
81.7%
4 pts better
Short Stay · 2024Q4-2025Q3 · 4Q avg 85.7%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-12-10 · Fire 2025-12-10

7 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

7 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Cycle 2 Health 2025-06-23 · Fire 2025-06-23

11 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

8 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 3 Health 2025-01-15 · Fire 2025-01-15

27 health deficiencies

Top issue: Quality of Life and Care (9 deficiencies)

16 fire-safety deficiencies

Top issue: Smoke (6 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-12-10

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Not marked corrected

F · Potential for more than minimal harm 2025-12-10

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Not marked corrected

F · Potential for more than minimal harm 2025-12-10

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Not marked corrected

F · Potential for more than minimal harm 2025-12-10

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Not marked corrected

E · Potential for more than minimal harm 2025-12-10

K200 · Egress Deficiencies

Fire Safety

Meet other general requirements.

Not marked corrected

E · Potential for more than minimal harm 2025-12-10

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Not marked corrected

E · Potential for more than minimal harm 2025-12-10

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Not marked corrected

F · Potential for more than minimal harm 2025-06-23

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2025-09-08

F · Potential for more than minimal harm 2025-06-23

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2025-09-08

F · Potential for more than minimal harm 2025-06-23

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-09-08

F · Potential for more than minimal harm 2025-06-23

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-09-08

D · Potential for more than minimal harm 2025-06-23

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2025-09-08

D · Potential for more than minimal harm 2025-06-23

K223 · Egress Deficiencies

Fire Safety

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2025-09-08

D · Potential for more than minimal harm 2025-06-23

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2025-09-08

D · Potential for more than minimal harm 2025-06-23

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-09-08

F · Potential for more than minimal harm 2025-01-15

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2025-03-14

F · Potential for more than minimal harm 2025-01-15

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2025-03-14

F · Potential for more than minimal harm 2025-01-15

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2025-03-14

F · Potential for more than minimal harm 2025-01-15

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2025-03-14

F · Potential for more than minimal harm 2025-01-15

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-03-14

F · Potential for more than minimal harm 2025-01-15

K346 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Corrected 2025-03-14

F · Potential for more than minimal harm 2025-01-15

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-03-14

F · Potential for more than minimal harm 2025-01-15

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2025-03-14

F · Potential for more than minimal harm 2025-01-15

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-03-14

F · Potential for more than minimal harm 2025-01-15

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2025-03-14

F · Potential for more than minimal harm 2025-01-15

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-03-14

F · Potential for more than minimal harm 2025-01-15

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2025-03-14

F · Potential for more than minimal harm 2025-01-15

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2025-03-14

F · Potential for more than minimal harm 2025-01-15

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2025-03-14

F · Potential for more than minimal harm 2025-01-15

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-03-14

F · Potential for more than minimal harm 2025-01-15

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2025-03-14

Inspection history

Recent health citations

J · Immediate jeopardy 2025-12-10

F740 · Quality of Life and Care Deficiencies

Health

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Corrected 2025-11-05

E · Potential for more than minimal harm 2025-12-10

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2026-01-23

D · Potential for more than minimal harm 2025-12-10

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2026-01-23

D · Potential for more than minimal harm 2025-12-10

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2026-01-23

D · Potential for more than minimal harm 2025-12-10

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2026-01-23

D · Potential for more than minimal harm 2025-12-10

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2026-01-23

D · Potential for more than minimal harm 2025-12-10

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2026-01-23

F · Potential for more than minimal harm 2025-06-23

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-07-25

F · Potential for more than minimal harm 2025-06-23

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-07-25

E · Potential for more than minimal harm 2025-06-23

F636 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Corrected 2025-08-07

E · Potential for more than minimal harm 2025-06-23

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-07-25

E · Potential for more than minimal harm 2025-06-23

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-07-25

E · Potential for more than minimal harm 2025-06-23

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2025-07-25

D · Potential for more than minimal harm 2025-06-23

F552 · Resident Rights Deficiencies

Health

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2025-07-25

D · Potential for more than minimal harm 2025-06-23

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2025-07-25

D · Potential for more than minimal harm 2025-06-23

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2025-07-25

G · Actual harm 2025-01-15

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2025-02-12

F · Potential for more than minimal harm 2025-01-15

F801 · Nutrition and Dietary Deficiencies

Health

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.

Corrected 2025-02-12

F · Potential for more than minimal harm 2025-01-15

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-02-12

E · Potential for more than minimal harm 2025-01-15

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2025-02-12

D · Potential for more than minimal harm 2025-01-15

F622 · Resident Rights Deficiencies

Health

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Corrected 2025-02-12

D · Potential for more than minimal harm 2025-01-15

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2025-02-12

D · Potential for more than minimal harm 2025-01-15

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-02-12

D · Potential for more than minimal harm 2025-01-15

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-02-12

D · Potential for more than minimal harm 2025-01-15

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2025-02-12

D · Potential for more than minimal harm 2025-01-15

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2025-02-12

D · Potential for more than minimal harm 2025-01-15

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2025-02-12

D · Potential for more than minimal harm 2025-01-15

F699 · Quality of Life and Care Deficiencies

Health

Provide care or services that was trauma informed and/or culturally competent.

Corrected 2025-02-12

D · Potential for more than minimal harm 2025-01-15

F740 · Quality of Life and Care Deficiencies

Health

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Corrected 2025-02-12

D · Potential for more than minimal harm 2025-01-15

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2025-02-12

D · Potential for more than minimal harm 2025-01-15

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2025-02-12

D · Potential for more than minimal harm 2025-01-15

F758 · Pharmacy Service Deficiencies

Health

Implement 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.

Corrected 2025-02-12

D · Potential for more than minimal harm 2025-01-15

F887 · Infection Control Deficiencies

Health

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Corrected 2025-02-12

J · Immediate jeopardy 2024-10-10

F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2024-11-11

J · Immediate jeopardy 2024-10-10

F742 · Quality of Life and Care Deficiencies

Health

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

Corrected 2024-11-11

J · Immediate jeopardy 2024-02-01

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-02-29

G · Actual harm 2024-02-01

F741 · Quality of Life and Care Deficiencies

Health

Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

Corrected 2024-02-29

F · Potential for more than minimal harm 2024-02-01

F835 · Administration Deficiencies

Health

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Corrected 2024-02-29

F · Potential for more than minimal harm 2024-02-01

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2024-02-29

L · Immediate jeopardy 2024-01-16

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-02-20

L · Immediate jeopardy 2024-01-16

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-02-20

K · Immediate jeopardy 2024-01-16

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-02-20

J · Immediate jeopardy 2024-01-16

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-02-20

J · Immediate jeopardy 2023-06-14

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-01-31

E · Potential for more than minimal harm 2023-06-14

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2023-07-14

Penalties and ownership

What sits behind the stars

$64,643 2025-06-23

Fine

Fine · fine $64,643

Fine

$0 2025-06-23

Payment Denial

Payment Denial · denial start 2025-07-26 · 12 days

12 day denial

$35,588 2025-01-15

Fine

Fine · fine $35,588

Fine

$0 2024-01-16

Payment Denial

Payment Denial · denial start 2024-02-13 · 16 days

16 day denial

Ownership

Nearby options

Other facilities in reach

#1

Peabody Health And Rehab

Peabody, KS

5-star overall rating with 4-star inspections with $22,711 in total fines with 5 recent health deficiencies with 13 fire-safety deficiencies in the latest cycle

Overall
5 / 5
Health
4 / 5
Staffing
4 / 5
Fines
$22,711
#2

Parkside Homes

Hillsboro, KS

1-star overall rating with 1-star inspections with $72,818 in total fines with 19 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle

Overall
1 / 5
Health
1 / 5
Staffing
4 / 5
Fines
$72,818
#3

Salem Home

Hillsboro, KS

4-star overall rating with 4-star inspections with 4 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle

Overall
4 / 5
Health
4 / 5
Staffing
4 / 5
Fines
$0

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