4 health deficiencies
Top issue: Administration (1 deficiency)
13 fire-safety deficiencies
Top issue: Emergency Preparedness (4 deficiencies)
Hutchinson, KS
4-star overall rating with 4-star inspections with $8,590 in total fines with 4 recent health deficiencies with 13 fire-safety deficiencies in the latest cycle
810 E 30th Avenue, Hutchinson, KS
(620) 663-1189
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
65
Certified beds
Average residents
51
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Good Samaritan Society
Operator or chain grouping
Approved since
1993-10-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
89 facilities
Chain averages 3 overall / 3 health / 4 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
0.52
Registered nurse staffing · state 0.72 · national 0.68
LPN hours / resident day
0.50
Licensed practical nurse staffing · state 0.67 · national 0.87
Aide hours / resident day
2.37
Nurse aide staffing · state 2.69 · national 2.35
Total nurse hours
3.40
All reported nurse hours · state 4.07 · national 3.89
Licensed hours
1.03
RN + LPN hours · state 1.38 · national 1.54
Weekend hours
2.70
Weekend nurse staffing · state 3.58 · national 3.43
Weekend RN hours
0.23
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.04
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
0.60
CMS adjusted RN staffing hours
Adjusted total hours
3.93
CMS adjusted total nurse staffing hours
Case-mix index
1.18
Higher values indicate more complex resident acuity
RN turnover
67%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
49%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Program rank
6,320
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
33.30
Composite VBP score used to determine payment impact.
Payment multiplier
0.9876
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
3.50
Baseline 19.02% · Performance 19.81% · Measure score 3.50 · Achievement 3.50 · Improvement 0
Healthcare-associated infections
0.6
Baseline 6.22% · Performance 7.66% · Measure score 0.6 · Achievement 0.6 · Improvement 0
Total nurse turnover
4.88
Baseline 42.86% · Performance 43.75% · Measure score 4.88 · Achievement 4.88 · Improvement 0
Adjusted total nurse staffing
4.34
Baseline 3.96 hours · Performance 4.31 hours · Measure score 4.34 · Achievement 4.34 · Improvement 1.43
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.87% |
10.72%
1.1 pts worse
|
No Different than the National Rate · Eligible stays 80 · Observed rate 12.5% · Lower 95% interval 8.07% |
| Discharge to community | 45.66% |
50.57%
4.9 pts worse
|
No Different than the National Rate · Eligible stays 59 · Observed rate 44.07% · Lower 95% interval 35.49% |
| Medicare spending per beneficiary | 1.05 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 97.83% |
95.27%
2.6 pts better
|
Numerator 45 · Denominator 46 |
| Falls with major injury | 8.7% |
0.77%
7.9 pts worse
|
Numerator 4 · Denominator 46 |
| Discharge self-care score | 43.24% |
53.69%
10.4 pts worse
|
Numerator 16 · Denominator 37 |
| Discharge mobility score | 51.35% |
50.94%
0.4 pts better
|
Numerator 19 · Denominator 37 |
| Pressure ulcers or injuries, new or worsened | 4.35% |
2.29%
2.1 pts worse
|
Numerator 2 · Denominator 46 · Adjusted rate 5.29% |
| Healthcare-associated infections requiring hospitalization | 7.66% |
7.12%
0.5 pts worse
|
No Different than the National Rate · Eligible stays 47 · Observed rate 8.51% · Lower 95% interval 4.37% |
| Staff COVID-19 vaccination coverage | 1.32% |
8.2%
6.9 pts worse
|
Numerator 1 · Denominator 76 |
| Staff flu vaccination coverage | 79.78% |
42%
37.8 pts better
|
Numerator 71 · Denominator 89 |
| Discharge function score | 56.76% |
56.45%
0.3 pts better
|
Numerator 21 · Denominator 37 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 21 · Denominator 21 |
| Resident COVID-19 vaccinations up to date | 37.5% |
25.2%
12.3 pts better
|
Numerator 9 · Denominator 24 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.4 |
1.8
1.6 pts worse
|
1.9
1.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.4 · Observed 2.9 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.5 |
2.2
0.7 pts better
|
1.8
0.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.3 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.8% |
91.8%
7 pts better
|
93.4%
5.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 97.6% · Q2 97.7% · Q3 100.0% · Q4 100.0% · 4Q avg 98.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.8% |
95.5%
2.3 pts better
|
95.5%
2.3 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.7% |
4.4%
0.3 pts worse
|
3.3%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 0.0% · Q3 7.0% · Q4 9.5% · 4Q avg 4.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
5.6%
5.6 pts better
|
11.4%
11.4 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 who lose too much weight | 2.4% |
5.0%
2.6 pts better
|
5.4%
3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 0.0% · Q3 3.2% · Q4 3.3% · 4Q avg 2.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 14.9% |
23.2%
8.3 pts better
|
19.6%
4.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 14.3% · Q3 17.1% · Q4 15.6% · 4Q avg 14.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 20.0% |
19.8%
0.2 pts worse
|
16.7%
3.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 14.8% · Q2 14.3% · Q3 23.1% · Q4 27.6% · 4Q avg 20.0% · 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 | 22.6% |
18.4%
4.2 pts worse
|
16.3%
6.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 27.2% · Q4 23.4% · 4Q avg 22.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 15.2% |
18.8%
3.6 pts better
|
14.9%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 17.1% · Q3 20.6% · Q4 9.7% · 4Q avg 15.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 3.9% |
1.8%
2.1 pts worse
|
1.0%
2.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 2.6% · Q3 3.0% · Q4 4.8% · 4Q avg 3.9% · 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 0.0% · Q2 2.4% · Q3 0.0% · Q4 2.5% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 25.9% |
23.2%
2.7 pts worse
|
19.8%
6.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.5% · Q2 25.8% · Q3 37.0% · Q4 15.8% · 4Q avg 25.9% |
| Percentage of long-stay residents with pressure ulcers | 1.7% |
4.6%
2.9 pts better
|
5.1%
3.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 0.0% · Q3 2.5% · Q4 2.4% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 76.2% |
75.6%
0.6 pts better
|
81.7%
5.5 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 80.0% · Q2 83.3% · Q3 75.0% · Q4 67.4% · 4Q avg 76.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.3% |
11.7%
0.6 pts worse
|
12.0%
0.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 12.3% · Observed 12.2% · Expected 11.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 5.0% |
2.2%
2.8 pts worse
|
1.6%
3.4 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 13.0% · Q2 7.7% · Q3 0.0% · Q4 0.0% · 4Q avg 5.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 84.1% |
73.5%
10.6 pts better
|
79.7%
4.4 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 84.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.9% |
23.0%
0.9 pts worse
|
23.9%
About the same
|
Short Stay · 20240701-20250630 · Adjusted 23.9% · Observed 22.0% · Expected 21.9% · Used in QM five-star |
Survey summary
Top issue: Administration (1 deficiency)
13 fire-safety deficiencies
Top issue: Emergency Preparedness (4 deficiencies)
Top issue: Pharmacy Service (2 deficiencies)
5 fire-safety deficiencies
Top issue: Emergency Preparedness (3 deficiencies)
Top issue: Pharmacy Service (2 deficiencies)
24 fire-safety deficiencies
Top issue: Emergency Preparedness (11 deficiencies)
Fire safety
Fire Safety
Provide family notifications of emergency plan.
Corrected 2026-02-20
Fire Safety
Implement emergency and standby power systems.
Corrected 2026-02-20
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2026-02-20
Fire Safety
Include a process for Emergency Preparedness collaboration.
Corrected 2026-02-20
Fire Safety
Use approved construction type or materials.
Corrected 2026-02-20
Fire Safety
Provide properly protected cooking facilities.
Corrected 2026-02-20
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2026-02-20
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2026-02-20
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2026-02-20
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2026-02-20
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2026-02-20
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2026-02-06
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2026-02-20
Fire Safety
Establish policies and procedures for volunteers.
Corrected 2024-01-23
Fire Safety
Establish staff and initial training requirements.
Corrected 2024-01-23
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2024-01-23
Fire Safety
Ensure gas and vacuum systems are inspected and tested as part of a maintenance program.
Corrected 2024-01-23
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-01-23
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2022-03-17
Fire Safety
Establish policies and procedures for sheltering.
Corrected 2022-03-17
Fire Safety
Establish policies and procedures for medical documentation.
Corrected 2022-03-17
Fire Safety
Establish policies and procedures for volunteers.
Corrected 2022-03-17
Fire Safety
List the names and contact information of those in the facility.
Corrected 2022-03-17
Fire Safety
Establish methods for sharing information.
Corrected 2022-03-17
Fire Safety
Provide a means of sharing information on occupancy/needs.
Corrected 2022-03-17
Fire Safety
Provide family notifications of emergency plan.
Corrected 2022-03-17
Fire Safety
Conduct testing and exercise requirements.
Corrected 2022-03-17
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2022-03-17
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2022-03-17
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 2022-03-17
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 2022-03-17
Fire Safety
Provide properly protected cooking facilities.
Corrected 2022-03-17
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2022-03-17
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-03-17
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-03-17
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2022-03-17
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2022-03-17
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2022-03-17
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2022-03-17
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-03-17
Fire Safety
Meet other general requirements.
Corrected 2022-03-17
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2022-03-17
Inspection history
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2026-01-17
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-01-17
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 2026-01-17
Health
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected 2026-01-17
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-12-22
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-12-22
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2023-12-22
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-12-22
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-12-22
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 2023-12-22
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 2023-12-22
Health
Provide and implement an infection prevention and control program.
Corrected 2023-12-22
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-09-04
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 2022-02-15
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2022-02-15
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 2022-02-15
Penalties and ownership
Fine · fine $8,590
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Nearby options
Hutchinson, KS
1-star overall rating with 2-star inspections with $70,179 in total fines with 9 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
Hutchinson, KS
4-star overall rating with 4-star inspections with $8,376 in total fines with 7 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
Hutchinson, KS
5-star overall rating with 4-star inspections with 2 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
Jump out