17 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
13 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Salina, KS
2-star overall rating with 2-star inspections with $16,795 in total fines with 17 recent health deficiencies with 13 fire-safety deficiencies in the latest cycle
2825 Resort Drive, Salina, KS
(785) 825-2201
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
60
Certified beds
Average residents
42
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Midwest Health
Operator or chain grouping
Approved since
1997-11-28
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
0.87
Registered nurse staffing · state 0.72 · national 0.68
LPN hours / resident day
0.21
Licensed practical nurse staffing · state 0.67 · national 0.87
Aide hours / resident day
2.60
Nurse aide staffing · state 2.69 · national 2.35
Total nurse hours
3.68
All reported nurse hours · state 4.07 · national 3.89
Licensed hours
1.08
RN + LPN hours · state 1.38 · national 1.54
Weekend hours
3.20
Weekend nurse staffing · state 3.58 · national 3.43
Weekend RN hours
0.63
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.01
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
1.03
CMS adjusted RN staffing hours
Adjusted total hours
4.34
CMS adjusted total nurse staffing hours
Case-mix index
1.16
Higher values indicate more complex resident acuity
RN turnover
60%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
64%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Program rank
10,115
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
21.39
Composite VBP score used to determine payment impact.
Payment multiplier
0.9826
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 18.25% · Performance 23.03% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0.76
Baseline 5.78% · Performance 7.61% · Measure score 0.76 · Achievement 0.76 · Improvement 0
Total nurse turnover
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Adjusted total nurse staffing
5.65
Baseline 4.22 hours · Performance 4.69 hours · Measure score 5.65 · Achievement 5.65 · Improvement 2.50
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.89% |
10.72%
2.2 pts worse
|
No Different than the National Rate · Eligible stays 152 · Observed rate 14.47% · Lower 95% interval 9.7% |
| Discharge to community | 57% |
50.57%
6.4 pts better
|
No Different than the National Rate · Eligible stays 127 · Observed rate 54.33% · Lower 95% interval 45.99% |
| Medicare spending per beneficiary | 0.96 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 96.67% |
95.27%
1.4 pts better
|
Numerator 58 · Denominator 60 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 60 |
| Discharge self-care score | 40.82% |
53.69%
12.9 pts worse
|
Numerator 20 · Denominator 49 |
| Discharge mobility score | 46.94% |
50.94%
4 pts worse
|
Numerator 23 · Denominator 49 |
| Pressure ulcers or injuries, new or worsened | 1.67% |
2.29%
0.6 pts better
|
Numerator 1 · Denominator 60 · Adjusted rate 1.81% |
| Healthcare-associated infections requiring hospitalization | 7.61% |
7.12%
0.5 pts worse
|
No Different than the National Rate · Eligible stays 71 · Observed rate 8.45% · Lower 95% interval 4.65% |
| Staff COVID-19 vaccination coverage | 1.77% |
8.2%
6.4 pts worse
|
Numerator 2 · Denominator 113 |
| Staff flu vaccination coverage | 17.95% |
42%
24.1 pts worse
|
Numerator 14 · Denominator 78 |
| Discharge function score | 51.02% |
56.45%
5.4 pts worse
|
Numerator 25 · Denominator 49 |
| Transfer of health information to provider | 97.3% |
95.95%
1.3 pts better
|
Numerator 36 · Denominator 37 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 73.08% |
25.2%
47.9 pts better
|
Numerator 19 · Denominator 26 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.5 |
1.8
0.7 pts worse
|
1.9
0.6 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.5 · Observed 2.1 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.8 |
2.2
0.6 pts worse
|
1.8
1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.8 · Observed 2.3 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 87.7% |
91.8%
4.1 pts worse
|
93.4%
5.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 79.5% · Q2 89.5% · Q3 87.2% · Q4 94.9% · 4Q avg 87.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.4% |
95.5%
1.9 pts better
|
95.5%
1.9 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.4% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.0% |
4.4%
4.4 pts better
|
3.3%
3.3 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 who have depressive symptoms | 2.1% |
5.6%
3.5 pts better
|
11.4%
9.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 0.0% · Q3 2.7% · Q4 2.7% · 4Q avg 2.1% |
| Percentage of long-stay residents who lose too much weight | 0.0% |
5.0%
5 pts better
|
5.4%
5.4 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 received an antianxiety or hypnotic medication | 20.9% |
23.2%
2.3 pts better
|
19.6%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.2% · Q2 20.6% · Q3 18.2% · Q4 20.6% · 4Q avg 20.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 17.2% |
19.8%
2.6 pts better
|
16.7%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 14.8% · Q2 14.3% · Q3 19.4% · Q4 20.0% · 4Q avg 17.2% · 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 | 14.0% |
18.4%
4.4 pts better
|
16.3%
2.3 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 14.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 25.2% |
18.8%
6.4 pts worse
|
14.9%
10.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 34.4% · Q2 24.2% · Q3 21.9% · Q4 20.6% · 4Q avg 25.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.7% |
1.8%
0.9 pts worse
|
1.0%
1.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 3.3% · Q3 2.1% · Q4 2.1% · 4Q avg 2.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.3% |
3.1%
1.8 pts better
|
1.7%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.6% · Q4 2.6% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.2% |
23.2%
1 pts worse
|
19.8%
4.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.7% · Q2 25.2% · Q3 15.9% · Q4 37.2% · 4Q avg 24.2% |
| Percentage of long-stay residents with pressure ulcers | 6.8% |
4.6%
2.2 pts worse
|
5.1%
1.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 8.2% · Q3 10.7% · Q4 5.4% · 4Q avg 6.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 73.7% |
75.6%
1.9 pts worse
|
81.7%
8 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 78.6% · Q2 66.7% · Q3 77.5% · Q4 71.9% · 4Q avg 73.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.9% |
11.7%
2.2 pts worse
|
12.0%
1.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.9% · Observed 12.2% · Expected 9.9% · 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 · 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 | 80.0% |
73.5%
6.5 pts better
|
79.7%
0.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 80.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 31.6% |
23.0%
8.6 pts worse
|
23.9%
7.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 31.6% · Observed 28.6% · Expected 21.5% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (4 deficiencies)
13 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Quality of Life and Care (5 deficiencies)
11 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Quality of Life and Care (5 deficiencies)
11 fire-safety deficiencies
Top issue: Smoke (7 deficiencies)
Fire safety
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-09-12
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-09-12
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 2025-09-12
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-09-12
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-09-12
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-09-12
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-09-12
Fire Safety
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected 2025-09-12
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-09-12
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2025-09-12
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-09-12
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-09-12
Fire Safety
Have restrictions on the use of highly flammable decorations.
Corrected 2025-09-12
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 2024-01-31
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-01-31
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-01-31
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-01-31
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-01-31
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-01-31
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-01-31
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-01-31
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-01-31
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2024-01-31
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-01-31
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 2022-06-24
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2022-06-24
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2022-06-24
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2022-06-24
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2022-06-24
Fire Safety
Provide properly protected cooking facilities.
Corrected 2022-06-24
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2022-06-24
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-06-24
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-06-24
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2022-06-24
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2022-06-24
Inspection history
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-09-26
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-09-26
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-08-07
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-08-07
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2025-08-07
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2025-08-07
Health
Keep all essential equipment working safely.
Corrected 2025-08-07
Health
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2025-08-07
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2025-08-07
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-08-07
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2025-08-07
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-08-07
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-08-07
Health
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected 2025-08-07
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-08-07
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 2025-08-07
Health
Post nurse staffing information every day.
Corrected 2025-08-07
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-10-30
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-10-30
Health
Provide and implement an infection prevention and control program.
Corrected 2024-01-05
Health
Keep all essential equipment working safely.
Corrected 2023-12-06
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 2023-12-06
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-12-06
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2023-12-06
Health
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Corrected 2023-12-06
Health
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2023-12-06
Health
Ensure that residents are free from significant medication errors.
Corrected 2023-09-27
Health
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected 2022-05-10
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2022-05-10
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-05-10
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-05-10
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 2022-05-10
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2022-05-10
Health
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2022-05-10
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 2022-05-10
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 2022-05-10
Health
Provide routine and 24-hour emergency dental care for each resident.
Corrected 2022-05-10
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-05-10
Health
Post nurse staffing information every day.
Corrected 2022-05-10
Penalties and ownership
Fine · fine $16,795
Fine
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
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
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Organization
Nearby options
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2-star overall rating with 2-star inspections with $22,451 in total fines with 18 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
Salina, KS
1-star overall rating with 1-star inspections with $126,993 in total fines with 17 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
Salina, KS
2-star overall rating with 3-star inspections with $31,753 in total fines with 2 recent health deficiencies with 15 fire-safety deficiencies in the latest cycle
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