Atchison, KS

Dooley Center

5-star overall rating with 5-star inspections with 9 fire-safety deficiencies in the latest cycle

801 S 8th Street, Atchison, KS

(913) 360-6200

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

44

Certified beds

Average residents

32

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1993-08-20

CMS approved date

Coverage

Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.61

Registered nurse staffing

LPN hours / resident day

1.08

Licensed practical nurse staffing

Aide hours / resident day

2.64

Nurse aide staffing

Weekend hours

3.79

Weekend nurse staffing

RN turnover

33%

Annual RN turnover

Total nurse turnover

26%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 0.9
1.8
0.9 pts better
1.9
1 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 1.0
2.2
1.2 pts better
1.8
0.8 pts better
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
91.8%
8.2 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96.9%
95.5%
1.4 pts better
95.5%
1.4 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 5.0%
4.4%
0.6 pts worse
3.3%
1.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 7.7%
5.6%
2.1 pts worse
11.4%
3.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 3.5%
5.0%
1.5 pts better
5.4%
1.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 23.7%
23.2%
0.5 pts worse
19.6%
4.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 7.1%
19.8%
12.7 pts better
16.7%
9.6 pts better
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose ability to walk independently worsened 4.9%
18.4%
13.5 pts better
16.3%
11.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 13.3%
18.8%
5.5 pts better
14.9%
1.6 pts better
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents with a urinary tract infection 5.0%
3.1%
1.9 pts worse
1.7%
3.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 8.4%
23.2%
14.8 pts better
19.8%
11.4 pts better
Long Stay · 2024Q4-2025Q3
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
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
75.6%
24.4 pts better
81.7%
18.3 pts better
Short Stay · 2024Q4-2025Q3

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-10-22 · Fire 2025-10-22

0 health deficiencies

No concentrated health issue counts in this cycle.

9 fire-safety deficiencies

Top issue: Egress (3 deficiencies)

Cycle 2 Health 2024-02-20 · Fire 2024-02-20

7 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

6 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2022-07-21 · Fire 2022-07-21

3 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

9 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-10-22

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2026-01-05

F · Potential for more than minimal harm 2025-10-22

K291 · Egress Deficiencies

Fire Safety

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

Corrected 2026-01-05

F · Potential for more than minimal harm 2025-10-22

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2026-01-05

F · Potential for more than minimal harm 2025-10-22

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2026-01-05

F · Potential for more than minimal harm 2025-10-22

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2026-01-05

E · Potential for more than minimal harm 2025-10-22

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 2026-01-05

E · Potential for more than minimal harm 2025-10-22

K343 · Smoke Deficiencies

Fire Safety

Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

Corrected 2026-01-05

D · Potential for more than minimal harm 2025-10-22

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2026-01-05

D · Potential for more than minimal harm 2025-10-22

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2026-01-05

F · Potential for more than minimal harm 2024-02-20

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-04-26

F · Potential for more than minimal harm 2024-02-20

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-04-26

F · Potential for more than minimal harm 2024-02-20

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-04-26

F · Potential for more than minimal harm 2024-02-20

K901 · Electrical Deficiencies

Fire Safety

Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.

Corrected 2024-04-26

F · Potential for more than minimal harm 2024-02-20

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-04-26

E · Potential for more than minimal harm 2024-02-20

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 2024-04-26

L · Immediate jeopardy 2022-07-21

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 2022-09-08

F · Potential for more than minimal harm 2022-07-21

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-09-12

F · Potential for more than minimal harm 2022-07-21

K354 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Corrected 2022-09-12

F · Potential for more than minimal harm 2022-07-21

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2022-09-12

F · Potential for more than minimal harm 2022-07-21

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2022-09-12

E · Potential for more than minimal harm 2022-07-21

K291 · Egress Deficiencies

Fire Safety

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

Corrected 2022-09-09

E · Potential for more than minimal harm 2022-07-21

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2022-09-12

D · Potential for more than minimal harm 2022-07-21

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2022-09-08

D · Potential for more than minimal harm 2022-07-21

K355 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-09-12

Inspection history

Recent health citations

F · Potential for more than minimal harm 2024-02-20

F851 · Administration Deficiencies

Health

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Corrected 2024-03-13

F · Potential for more than minimal harm 2024-02-20

F882 · Infection Control Deficiencies

Health

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Corrected 2024-03-13

E · Potential for more than minimal harm 2024-02-20

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-03-13

D · Potential for more than minimal harm 2024-02-20

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 2024-03-13

D · Potential for more than minimal harm 2024-02-20

F678 · Quality of Life and Care Deficiencies

Health

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Corrected 2024-03-13

D · Potential for more than minimal harm 2024-02-20

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-03-13

D · Potential for more than minimal harm 2024-02-20

F757 · Pharmacy Service Deficiencies

Health

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

Corrected 2024-03-13

E · Potential for more than minimal harm 2022-07-21

F883 · Infection Control Deficiencies

Health

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

Corrected 2022-08-04

D · Potential for more than minimal harm 2022-07-21

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 2022-08-04

D · Potential for more than minimal harm 2022-07-21

F757 · Pharmacy Service Deficiencies

Health

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

Corrected 2022-08-04

Penalties and ownership

What sits behind the stars

Ownership

Nearby options

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Staffing
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Fines
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