14 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
14 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Halstead, KS
2-star overall rating with 2-star inspections with 14 recent health deficiencies with 14 fire-safety deficiencies in the latest cycle
915 Mcnair Street, Halstead, KS
(316) 835-3535
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
60
Certified beds
Average residents
35
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Midwest Health
Operator or chain grouping
Approved since
2001-08-24
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
10 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
0.88
Registered nurse staffing · state 0.72 · national 0.68
LPN hours / resident day
0.37
Licensed practical nurse staffing · state 0.67 · national 0.87
Aide hours / resident day
2.44
Nurse aide staffing · state 2.69 · national 2.35
Total nurse hours
3.70
All reported nurse hours · state 4.07 · national 3.89
Licensed hours
1.25
RN + LPN hours · state 1.38 · national 1.54
Weekend hours
3.24
Weekend nurse staffing · state 3.58 · national 3.43
Weekend RN hours
0.55
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.00
Reported PT staffing
Adjusted RN hours
1.10
CMS adjusted RN staffing hours
Adjusted total hours
4.62
CMS adjusted total nurse staffing hours
Case-mix index
1.10
Higher values indicate more complex resident acuity
RN turnover
33%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
57%
Annual nurse turnover · state 50% · national 46%
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.34% |
10.72%
0.4 pts better
|
No Different than the National Rate · Eligible stays 35 · Observed rate 8.57% · Lower 95% interval 6.62% |
| Discharge to community | 52.69% |
50.57%
2.1 pts better
|
No Different than the National Rate · Eligible stays 29 · Observed rate 55.17% · Lower 95% interval 38.54% |
| Medicare spending per beneficiary | 0.93 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 96% |
95.27%
0.7 pts better
|
Numerator 24 · Denominator 25 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 25 |
| Discharge self-care score | 34.78% |
53.69%
18.9 pts worse
|
Numerator 8 · Denominator 23 |
| Discharge mobility score | 34.78% |
50.94%
16.2 pts worse
|
Numerator 8 · Denominator 23 |
| Pressure ulcers or injuries, new or worsened | 4% |
2.29%
1.7 pts worse
|
Numerator 1 · Denominator 25 · Adjusted rate 4.36% |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 14 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 56 |
| Staff flu vaccination coverage | 68.66% |
42%
26.7 pts better
|
Numerator 46 · Denominator 67 |
| Discharge function score | 43.48% |
56.45%
13 pts worse
|
Numerator 10 · Denominator 23 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 89.1% |
91.8%
2.7 pts worse
|
93.4%
4.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 97.1% · Q2 97.1% · Q3 83.3% · Q4 79.4% · 4Q avg 89.1% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
95.5%
4.5 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.3% |
4.4%
0.1 pts better
|
3.3%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 5.9% · Q3 5.6% · Q4 2.9% · 4Q avg 4.3% · 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 | 5.0% |
5.0%
About the same
|
5.4%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 3.3% · Q3 6.7% · Q4 6.9% · 4Q avg 5.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 28.3% |
23.2%
5.1 pts worse
|
19.6%
8.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.6% · Q2 26.7% · Q3 30.0% · Q4 34.5% · 4Q avg 28.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 13.8% |
19.8%
6 pts better
|
16.7%
2.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 13.0% · Q3 16.7% · Q4 17.4% · 4Q avg 13.8% · 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 | 13.2% |
18.4%
5.2 pts better
|
16.3%
3.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q3 9.4% · 4Q avg 13.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 12.1% |
18.8%
6.7 pts better
|
14.9%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 13.8% · Q3 10.3% · Q4 14.3% · 4Q avg 12.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.9% |
1.8%
0.9 pts better
|
1.0%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.4% |
3.1%
1.7 pts better
|
1.7%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.9% · Q3 0.0% · Q4 2.9% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.8% |
23.2%
1.6 pts worse
|
19.8%
5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.9% · Q2 25.3% · Q3 19.2% · Q4 24.1% · 4Q avg 24.8% |
| Percentage of long-stay residents with pressure ulcers | 3.8% |
4.6%
0.8 pts better
|
5.1%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 3.6% · Q3 0.0% · Q4 8.7% · 4Q avg 3.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 62.7% |
75.6%
12.9 pts worse
|
81.7%
19 pts worse
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 62.7% |
| 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 · 4Q avg 0.0% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (4 deficiencies)
14 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Quality of Life and Care (3 deficiencies)
6 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Top issue: Quality of Life and Care (3 deficiencies)
26 fire-safety deficiencies
Top issue: Smoke (9 deficiencies)
Fire safety
Fire Safety
Implement emergency and standby power systems.
Corrected 2024-07-15
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 2024-07-15
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-07-15
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 2024-07-15
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-07-15
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-07-15
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-07-15
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-07-18
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-07-15
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-07-15
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-07-15
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-07-15
Fire Safety
Have an externally vented heating system.
Corrected 2024-07-15
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-07-15
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-12-09
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2022-12-09
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2022-12-09
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-12-09
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2022-12-09
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-12-09
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2021-06-14
Fire Safety
Establish procedures for tracking staff and patients during an emergency.
Corrected 2021-06-14
Fire Safety
Establish policies and procedures for medical documentation.
Corrected 2021-06-14
Fire Safety
Establish policies and procedures for volunteers.
Corrected 2021-06-14
Fire Safety
Create arrangements with other facilities to receive patients.
Corrected 2021-06-14
Fire Safety
List the names and contact information of those in the facility.
Corrected 2021-06-14
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2021-06-14
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 2021-06-14
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 2021-06-14
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2021-06-14
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2021-06-14
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2021-06-14
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2021-06-14
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2021-06-14
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2021-06-14
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2021-06-14
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2021-06-14
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2021-06-14
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2021-06-14
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2021-06-14
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2021-05-13
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2021-06-14
Fire Safety
Provide properly protected cooking facilities.
Corrected 2021-06-14
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2021-06-14
Fire Safety
Meet other general requirements that are deficient.
Corrected 2021-06-14
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2021-06-14
Inspection history
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-06-08
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-06-08
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-06-08
Health
Provide and implement an infection prevention and control program.
Corrected 2024-06-08
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-06-08
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 2024-06-08
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-06-08
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-06-08
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 2024-06-08
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-06-08
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2024-06-08
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-06-08
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 2024-06-08
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-06-08
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-10-31
Health
Dispose of garbage and refuse properly.
Corrected 2022-10-31
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2022-10-31
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-10-31
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 2022-10-31
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-10-31
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2022-10-31
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2022-10-31
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2021-04-30
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2021-04-30
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2021-04-30
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2021-04-30
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2021-04-30
Health
Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
Corrected 2021-04-30
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Individual
Corporate Director · Individual
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
Corporate Director · Individual
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Organization
Nearby options
Sedgwick, KS
1-star overall rating with 1-star inspections with $51,670 in total fines with 8 recent health deficiencies with 15 fire-safety deficiencies in the latest cycle
Newton, KS
2-star overall rating with 2-star inspections with 14 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
Newton, KS
4-star overall rating with 4-star inspections with 6 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
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