Tribune, KS

Greeley County Hospital Ltcu

5-star overall rating with 4-star inspections with 6 recent health deficiencies with 13 fire-safety deficiencies in the latest cycle

506 3rd Street, Tribune, KS

(620) 376-4221

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1977-07-01

CMS approved date

Coverage

Medicaid

Participation flags

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Hospital-based

Yes

CMS reports the provider resides in a hospital

Staffing

Hours and turnover

RN hours / resident day

1.24

Registered nurse staffing · state 0.72 · national 0.68

LPN hours / resident day

0.67

Licensed practical nurse staffing · state 0.67 · national 0.87

Aide hours / resident day

2.95

Nurse aide staffing · state 2.69 · national 2.35

Total nurse hours

4.86

All reported nurse hours · state 4.07 · national 3.89

Licensed hours

1.91

RN + LPN hours · state 1.38 · national 1.54

Weekend hours

4.23

Weekend nurse staffing · state 3.58 · national 3.43

Weekend RN hours

0.99

Weekend registered nurse coverage · state 0.50 · national 0.47

Physical therapist

0.00

Reported PT staffing

Adjusted RN hours

1.42

CMS adjusted RN staffing hours

Adjusted total hours

5.56

CMS adjusted total nurse staffing hours

Case-mix index

1.20

Higher values indicate more complex resident acuity

RN turnover

Annual RN turnover

Total nurse turnover

16%

Annual nurse turnover · state 50% · national 46%

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	Not Available	10.72%	Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · This provider is not required to submit SNF QRP data.
Discharge to community	Not Available	50.57%	Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · This provider is not required to submit SNF QRP data.
Medicare spending per beneficiary	Not Available	1.02	This provider is not required to submit SNF QRP data.
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator Not Available · Adjusted rate Not Available · This provider is not required to submit SNF QRP data.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · This provider is not required to submit SNF QRP data.
Staff COVID-19 vaccination coverage	Not Available	8.2%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Staff flu vaccination coverage	Not Available	42%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	82.5%	91.8% 9.3 pts worse	93.4% 10.9 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 82.5%
Percentage of long-stay residents experiencing one or more falls with major injury	7.9%	4.4% 3.5 pts worse	3.3% 4.6 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 7.9% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	5.1%	5.6% 0.5 pts better	11.4% 6.3 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 5.1%
Percentage of long-stay residents who lose too much weight	11.1%	5.0% 6.1 pts worse	5.4% 5.7 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 11.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	7.9%	23.2% 15.3 pts better	19.6% 11.7 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 7.9%
Percentage of long-stay residents who received an antipsychotic medication	16.1%	19.8% 3.7 pts better	16.7% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 16.1% · 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 · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	13.7%	18.4% 4.7 pts better	16.3% 2.6 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 13.7% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	29.0%	18.8% 10.2 pts worse	14.9% 14.1 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 29.0% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	3.6%	1.8% 1.8 pts worse	1.0% 2.6 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 3.6% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	4.8%	3.1% 1.7 pts worse	1.7% 3.1 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 4.8% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	18.5%	23.2% 4.7 pts better	19.8% 1.3 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 18.5%
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 · 4Q avg 0.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-11-06 · Fire 2025-11-06

6 health deficiencies

Top issue: Infection Control (2 deficiencies)

13 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Cycle 2 Health 2024-08-29 · Fire 2024-08-29

4 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2023-06-08 · Fire 2023-06-08

9 health deficiencies

Top issue: Pharmacy Service (3 deficiencies)

6 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-11-06

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 2026-02-26

F · Potential for more than minimal harm 2025-11-06

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 2026-02-26

F · Potential for more than minimal harm 2025-11-06

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2026-02-26

F · Potential for more than minimal harm 2025-11-06

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2026-02-26

F · Potential for more than minimal harm 2025-11-06

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2026-02-26

F · Potential for more than minimal harm 2025-11-06

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2026-02-26

F · Potential for more than minimal harm 2025-11-06

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2026-02-26

F · Potential for more than minimal harm 2025-11-06

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2026-02-26

F · Potential for more than minimal harm 2025-11-06

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2026-02-26

F · Potential for more than minimal harm 2025-11-06

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2026-02-26

E · Potential for more than minimal harm 2025-11-06

K907 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure medical gas and vacuum systems have documented maintenance programs.

Corrected 2026-02-26

D · Potential for more than minimal harm 2025-11-06

K100 · Construction Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2026-02-26

D · Potential for more than minimal harm 2025-11-06

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2026-02-26

F · Potential for more than minimal harm 2024-08-29

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 2024-10-29

F · Potential for more than minimal harm 2024-08-29

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-10-29

E · Potential for more than minimal harm 2024-08-29

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 2024-10-29

D · Potential for more than minimal harm 2024-08-29

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-10-29

D · Potential for more than minimal harm 2024-08-29

K753 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of highly flammable decorations.

Corrected 2024-10-29

F · Potential for more than minimal harm 2023-06-08

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-08-10

F · Potential for more than minimal harm 2023-06-08

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-08-10

F · Potential for more than minimal harm 2023-06-08

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-08-10

F · Potential for more than minimal harm 2023-06-08

K926 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

Corrected 2023-08-10

D · Potential for more than minimal harm 2023-06-08

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 2023-08-10

D · Potential for more than minimal harm 2023-06-08

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2023-08-10

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-11-06

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-12-20

E · Potential for more than minimal harm 2025-11-06

F883 · Infection Control Deficiencies

Health

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

Corrected 2025-12-20

D · Potential for more than minimal harm 2025-11-06

F605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Corrected 2025-12-20

D · Potential for more than minimal harm 2025-11-06

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-12-20

D · Potential for more than minimal harm 2025-11-06

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 2025-12-20

D · Potential for more than minimal harm 2025-11-06

F757 · Pharmacy Service Deficiencies

Health

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

Corrected 2025-12-20

G · Actual harm 2024-08-29

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-08-15

F · Potential for more than minimal harm 2024-08-29

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 2024-09-18

D · Potential for more than minimal harm 2024-08-29

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-09-18

D · Potential for more than minimal harm 2024-08-29

F761 · Pharmacy Service Deficiencies

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 2024-09-18

G · Actual harm 2023-06-08

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-08-21

G · Actual harm 2023-06-08

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2023-08-21

D · Potential for more than minimal harm 2023-06-08

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2023-07-12

D · Potential for more than minimal harm 2023-06-08

F625 · Resident Rights Deficiencies

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 2023-07-12

D · Potential for more than minimal harm 2023-06-08

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 2023-07-12

D · Potential for more than minimal harm 2023-06-08

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 2023-07-12

D · Potential for more than minimal harm 2023-06-08

F758 · Pharmacy Service Deficiencies

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 2023-08-21

D · Potential for more than minimal harm 2023-06-08