Federal inspection record · CMS data as of October 1, 2026
Diversicare Of Council Grove
400 Sunset Drive, Council Grove, KS · (620) 767-5172
- Certified beds
- 60
- Residents per day
- 47
- Ownership
- For-Profit
- Chain
- Diversicare Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 1, 1993
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Kansas.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Kansas homes
Diversicare Of Council Grove carries 92 inspection points. That is fewer than 28% of Kansas's 293 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Kansas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–27 pts
- 4★ 27–49 pts
- 3★ 49–71 pts
- 2★ 71–114.38 pts
- 1★ over 114.38 pts
Bars show every rated home in Kansas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
33 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Everything else, by area of care
Resident Rights8E
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- E
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.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- E
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.
Quality of Life and Care7D
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
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.
Infection Control6F
- F
Provide and implement an infection prevention and control program.
- F
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
- E
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.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- E
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
Pharmacy Service4E
- E
Ensure medication error rates are not 5 percent or greater.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
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.
Nursing and Physician Services2F
- F
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
- C
Post nurse staffing information every day.
Resident Assessment and Care Planning2E
- E
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Administration2F
- F
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
- F
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Environmental1E
- E
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Inspection history
2026-07-08
10 health deficiencies · 14 fire-safety deficiencies
Top issue: Infection Control (4 deficiencies)
2024-08-28
16 health deficiencies · 15 fire-safety deficiencies
Top issue: Resident Rights (6 deficiencies)
2022-12-05
7 health deficiencies · 9 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 4 min of nursing staff time a day, 26 min of it from a registered nurse.
This home
3 h 4 min
Kansas average
4 h 8 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 53% of nursing staff and 63% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.6 pts better | 1.1 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days2.3 pts worse | 4.3 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.3 pts better | 97.2% | 92.9% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.1 pts better | 98.0% | 94.9% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury4.7 pts worse | 8.9% | 4.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1.7 pts better | 4.9% | 6.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.3 pts worse | 5.1% | 4.8% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication0.5 pts better | 22.9% | 23.4% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.1 pts worse | 18.8% | 17.7% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened6.4 pts better | 8.1% | 14.5% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.4 pts better | 16.0% | 17.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts better | 0.7% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.2 pts better | 0.6% | 2.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.4 pts worse | 26.0% | 21.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.7 pts better | 1.7% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine17.3 pts better | 94.4% | 77.1% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit5.4 pts worse | 16.8% | 11.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.6 pts better | 0.0% | 1.6% | 1.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission7 pts better | 15.3% | 22.3% | 23.4% |
·
Who owns and runs it
18 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Diversicare Kansas LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 6 facilities |
| Advocat Finance, LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 34 facilities |
| Bodie, Rebecca | Corporate Officer · Individual | 0% | 42 facilities |
| Dac Newcorp Inc | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 34 facilities |
| Diversicare Healthcare Services LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 34 facilities |
| Diversicare Holding Company LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 7 facilities |
| Diversicare Management Services LP. | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 39 facilities |
| Diversicare Management Services LP. | Operational/Managerial Control · Organization | 0% | 39 facilities |
| Fischer, Brad | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Fischer, Brad | Adp Of The SNF · Individual | 0% | 1 facilities |
| Kellman, Franklin | Corporate Director · Individual | 0% | 37 facilities |
| Kohn, Brian | Corporate Director · Individual | 0% | 47 facilities |
| Nee, Stephen | Corporate Officer · Individual | 0% | 44 facilities |
| Ratner, Eran | Corporate Director · Individual | 0% | 43 facilities |
| Ratner, Eran | Corporate Officer · Individual | 0% | 43 facilities |
| Siegle, Lora | Contracted Managing Employee · Individual | 0% | 1 facilities |
| Siegle, Lora | Adp Of The SNF · Individual | 0% | 1 facilities |
| Weishaar, Matthew | Corporate Officer · Individual | 0% | 46 facilities |
·
Fire safety
38 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke17F
- F
Provide properly protected cooking facilities.
- F
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Install corridor and hallway doors that block smoke.
- D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- F
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Install corridor and hallway doors that block smoke.
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Install corridor and hallway doors that block smoke.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Gas, Vacuum, and Electrical Systems9F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Have proper medical gas storage and administration areas.
- D
Ensure proper usage of power strips and extension cords.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure proper usage of power strips and extension cords.
- F
Ensure that testing and maintenance of electrical equipment is performed.
- F
Ensure proper usage of power strips and extension cords.
- E
Have proper medical gas storage and administration areas.
Miscellaneous5F
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
Have simulated fire drills held at unexpected times.
Egress4F
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F
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.
- F
Have properly located and lighted "Exit" signs.
Services2F
- D
Have properly installed electrical wiring and gas equipment.
- F
Have properly installed electrical wiring and gas equipment.
Construction1E
- E
Use approved construction type or materials.
·
Other homes nearby
-
Chase County Care And Rehab
Cottonwood Falls, KS · Mission Health Communities
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 20 min
- Fines
- $0
-
Emporia Presbyterian Manor
Emporia, KS · Presbyterian Manors Of Mid-America
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 5 h 14 min
- Fines
- $14,651
-
Flint Hills Care And Rehabilitation Center
Emporia, KS · Recover-Care Healthcare
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 37 min
- Fines
- $22,048