7 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
6 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Garden City, KS
5-star overall rating with 5-star inspections with $9,978 in total fines with 7 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
1505 E Spruce Street, Garden City, KS
(620) 275-9651
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
62
Certified beds
Average residents
49
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Frontline Management
Operator or chain grouping
Approved since
1988-09-06
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
9 facilities
Chain averages 3 overall / 3 health / 3 staffing / 3 quality stars
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
RN hours / resident day
0.86
Registered nurse staffing · state 0.72 · national 0.68
LPN hours / resident day
0.19
Licensed practical nurse staffing · state 0.67 · national 0.87
Aide hours / resident day
2.30
Nurse aide staffing · state 2.69 · national 2.35
Total nurse hours
3.35
All reported nurse hours · state 4.07 · national 3.89
Licensed hours
1.05
RN + LPN hours · state 1.38 · national 1.54
Weekend hours
3.16
Weekend nurse staffing · state 3.58 · national 3.43
Weekend RN hours
0.69
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.09
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
0.93
CMS adjusted RN staffing hours
Adjusted total hours
3.62
CMS adjusted total nurse staffing hours
Case-mix index
1.27
Higher values indicate more complex resident acuity
RN turnover
50%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
42%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Program rank
6,932
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
31.29
Composite VBP score used to determine payment impact.
Payment multiplier
0.9864
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
6.51
Baseline 18.17% · Performance 18.42% · Measure score 6.51 · Achievement 6.51 · Improvement 0
Healthcare-associated infections
0
Baseline 6.22% · Performance 8.45% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
4.13
Baseline 52.00% · Performance 46.81% · Measure score 4.13 · Achievement 4.13 · Improvement 1.41
Adjusted total nurse staffing
1.88
Baseline 3.48 hours · Performance 3.61 hours · Measure score 1.88 · Achievement 1.88 · Improvement 0.09
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.84% |
10.72%
0.1 pts worse
|
No Different than the National Rate · Eligible stays 134 · Observed rate 11.19% · Lower 95% interval 8.06% |
| Discharge to community | 54.04% |
50.57%
3.5 pts better
|
No Different than the National Rate · Eligible stays 113 · Observed rate 46.9% · Lower 95% interval 44.12% |
| Medicare spending per beneficiary | 0.9 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 95 · Denominator 95 |
| Falls with major injury | 2.11% |
0.77%
1.3 pts worse
|
Numerator 2 · Denominator 95 |
| Discharge self-care score | 40.28% |
53.69%
13.4 pts worse
|
Numerator 29 · Denominator 72 |
| Discharge mobility score | 29.17% |
50.94%
21.8 pts worse
|
Numerator 21 · Denominator 72 |
| Pressure ulcers or injuries, new or worsened | 5.26% |
2.29%
3 pts worse
|
Numerator 5 · Denominator 95 · Adjusted rate 4.59% |
| Healthcare-associated infections requiring hospitalization | 8.44% |
7.12%
1.3 pts worse
|
No Different than the National Rate · Eligible stays 85 · Observed rate 10.59% · Lower 95% interval 5.07% |
| Staff COVID-19 vaccination coverage | 1.22% |
8.2%
7 pts worse
|
Numerator 1 · Denominator 82 |
| Staff flu vaccination coverage | 33.64% |
42%
8.4 pts worse
|
Numerator 36 · Denominator 107 |
| Discharge function score | 52.78% |
56.45%
3.7 pts worse
|
Numerator 38 · Denominator 72 |
| Transfer of health information to provider | 90.48% |
95.95%
5.5 pts worse
|
Numerator 19 · Denominator 21 |
| Transfer of health information to patient | 90% |
96.28%
6.3 pts worse
|
Numerator 36 · Denominator 40 |
| Resident COVID-19 vaccinations up to date | 20.83% |
25.2%
4.4 pts worse
|
Numerator 10 · Denominator 48 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.4 |
1.8
0.6 pts worse
|
1.9
0.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 2.5 · Expected 2.0 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 3.0 |
2.2
0.8 pts worse
|
1.8
1.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.0 · Observed 3.0 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 94.8% |
91.8%
3 pts better
|
93.4%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 95.5% · Q2 91.3% · Q3 93.0% · Q4 100.0% · 4Q avg 94.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.0% |
95.5%
2.5 pts better
|
95.5%
2.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 10.5% |
4.4%
6.1 pts worse
|
3.3%
7.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 13.6% · Q2 13.0% · Q3 9.3% · Q4 5.1% · 4Q avg 10.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.9% |
5.6%
3.7 pts better
|
11.4%
9.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.9% |
| Percentage of long-stay residents who lose too much weight | 8.7% |
5.0%
3.7 pts worse
|
5.4%
3.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 5.6% · Q3 13.9% · Q4 11.1% · 4Q avg 8.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 13.2% |
23.2%
10 pts better
|
19.6%
6.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.9% · Q2 13.6% · Q3 12.5% · Q4 10.3% · 4Q avg 13.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 4.1% |
19.8%
15.7 pts better
|
16.7%
12.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 3.2% · Q3 3.7% · Q4 6.9% · 4Q avg 4.1% · 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 | 35.8% |
18.4%
17.4 pts worse
|
16.3%
19.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 35.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 28.9% |
18.8%
10.1 pts worse
|
14.9%
14 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.4% · Q2 30.2% · Q3 29.7% · Q4 31.6% · 4Q avg 28.9% · 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 | 3.2% |
3.1%
0.1 pts worse
|
1.7%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 7.7% · Q4 5.6% · 4Q avg 3.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 28.5% |
23.2%
5.3 pts worse
|
19.8%
8.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.2% · Q2 22.7% · Q3 37.5% · Q4 20.1% · 4Q avg 28.5% |
| Percentage of long-stay residents with pressure ulcers | 5.5% |
4.6%
0.9 pts worse
|
5.1%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.8% · Q2 9.3% · Q3 2.1% · Q4 2.6% · 4Q avg 5.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 80.1% |
75.6%
4.5 pts better
|
81.7%
1.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 78.9% · Q2 65.5% · Q3 78.8% · Q4 92.7% · 4Q avg 80.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 25.4% |
11.7%
13.7 pts worse
|
12.0%
13.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 25.4% · Observed 24.3% · Expected 10.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
2.2%
2.2 pts better
|
1.6%
1.6 pts better
|
Short 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 who were assessed and appropriately given the seasonal influenza vaccine | 63.3% |
73.5%
10.2 pts worse
|
79.7%
16.4 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 63.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.7% |
23.0%
0.3 pts better
|
23.9%
1.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.7% · Observed 24.3% · Expected 25.6% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (4 deficiencies)
6 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Top issue: Resident Assessment and Care Planning (3 deficiencies)
6 fire-safety deficiencies
Top issue: Construction (2 deficiencies)
Top issue: Resident Assessment and Care Planning (2 deficiencies)
4 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Fire safety
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-07-30
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-07-30
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-07-30
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-07-30
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-07-30
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-07-30
Fire Safety
Meet requirements for sections of health care facilities separated by fire resistive construction.
Corrected 2023-02-27
Fire Safety
Use approved construction type or materials.
Corrected 2023-02-27
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-02-27
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-02-27
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-02-27
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-02-27
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2021-10-07
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2021-10-07
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2021-10-07
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2021-10-07
Inspection history
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-07-02
Health
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected 2025-07-02
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2025-07-02
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-07-02
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-07-02
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2025-07-02
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 2025-07-02
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-07-12
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-07-12
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 2023-07-12
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2023-07-12
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 2023-07-12
Health
Provide or obtain dental services for each resident.
Corrected 2023-07-12
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2021-09-24
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2021-09-24
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2021-09-24
Health
Ensure each resident receives an accurate assessment.
Corrected 2021-09-24
Health
Provide or obtain dental services for each resident.
Corrected 2021-09-24
Health
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected 2021-09-24
Penalties and ownership
Fine · fine $9,978
Fine
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Nearby options
Garden City, KS
5-star overall rating with 4-star inspections with 5 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
Lakin, KS
1-star overall rating with 1-star inspections with Special Focus status with $69,565 in total fines with 33 recent health deficiencies with 14 fire-safety deficiencies in the latest cycle
Cimarron, KS
1-star overall rating with 1-star inspections with $13,627 in total fines with 13 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
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