11 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
8 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Eskridge, KS
1-star overall rating with 2-star inspections with $13,397 in total fines with 11 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
505 N. Main Street, Eskridge, KS
(785) 449-2294
Overall
1 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
60
Certified beds
Average residents
57
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Mission Health Communities
Operator or chain grouping
Approved since
2002-07-23
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Staffing
RN hours / resident day
0.47
Registered nurse staffing
LPN hours / resident day
0.38
Licensed practical nurse staffing
Aide hours / resident day
1.68
Nurse aide staffing
Weekend hours
2.17
Weekend nurse staffing
RN turnover
67%
Annual RN turnover
Total nurse turnover
47%
Annual nurse turnover
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.9 |
1.8
0.1 pts worse
|
1.9
About the same
|
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 | 75.5% |
91.8%
16.3 pts worse
|
93.4%
17.9 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.7% |
95.5%
1.2 pts better
|
95.5%
1.2 pts better
|
Long Stay · 2024Q3-2025Q2 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.5% |
4.4%
0.9 pts better
|
3.3%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who have depressive symptoms | 1.8% |
5.6%
3.8 pts better
|
11.4%
9.6 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who lose too much weight | 6.0% |
5.0%
1 pts worse
|
5.4%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 40.7% |
23.2%
17.5 pts worse
|
19.6%
21.1 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antipsychotic medication | 93.6% |
19.8%
73.8 pts worse
|
16.7%
76.9 pts worse
|
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 | 10.8% |
18.4%
7.6 pts better
|
16.3%
5.5 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose need for help with daily activities has increased | 9.2% |
18.8%
9.6 pts better
|
14.9%
5.7 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.2% |
1.8%
0.6 pts better
|
1.0%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a urinary tract infection | 3.2% |
3.1%
0.1 pts worse
|
1.7%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 9.3% |
23.2%
13.9 pts better
|
19.8%
10.5 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with pressure ulcers | 10.3% |
4.6%
5.7 pts worse
|
5.1%
5.2 pts worse
|
Long Stay · 2024Q4-2025Q3 |
Survey summary
Top issue: Quality of Life and Care (3 deficiencies)
8 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Top issue: Quality of Life and Care (2 deficiencies)
17 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Pharmacy Service (4 deficiencies)
18 fire-safety deficiencies
Top issue: Emergency Preparedness (6 deficiencies)
Fire safety
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-05-12
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-05-12
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-05-12
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-05-12
Fire Safety
Have restrictions on the use of highly flammable decorations.
Corrected 2025-05-12
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-05-12
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-05-12
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-05-12
Fire Safety
Conduct testing and exercise requirements.
Corrected 2023-06-27
Fire Safety
Use approved construction type or materials.
Corrected 2023-06-27
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-06-27
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-06-27
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-06-27
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2023-06-27
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-06-27
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-06-27
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-06-27
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-06-27
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-06-27
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-06-27
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-06-27
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-06-27
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-06-27
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 2023-06-27
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2023-06-27
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2021-12-10
Fire Safety
Create arrangements with other facilities to receive patients.
Corrected 2021-12-10
Fire Safety
List the names and contact information of those in the facility.
Corrected 2021-12-10
Fire Safety
Conduct testing and exercise requirements.
Corrected 2021-12-10
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2021-12-10
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2021-12-10
Fire Safety
Provide properly protected cooking facilities.
Corrected 2021-12-10
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2021-12-10
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2021-12-10
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2021-12-10
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2021-12-10
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2021-12-10
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2021-12-10
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2021-12-10
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2021-12-10
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2021-12-10
Fire Safety
Use approved construction type or materials.
Corrected 2021-12-10
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 2021-12-10
Inspection history
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-03-26
Health
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2025-03-26
Health
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2025-03-26
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2025-03-26
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2025-03-26
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2025-03-26
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 2025-03-26
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-03-26
Health
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2025-03-26
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-03-26
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2025-03-26
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2024-02-16
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-10-10
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 2023-06-16
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2023-06-16
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-06-16
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 2023-06-16
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-06-16
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 2023-06-16
Health
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2021-11-04
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2021-11-04
Health
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected 2021-11-04
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2021-11-04
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2021-11-04
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 2021-11-04
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2021-11-04
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2021-11-04
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 2021-11-04
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2021-11-04
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 2021-11-04
Penalties and ownership
Fine · fine $13,397
Fine
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Organization
Corporate Officer · Individual
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