Lakin, KS

Kearny County Hospital Ltcu

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

607 Court Pl, Lakin, KS

(620) 355-7836

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

1 / 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

Government

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1984-03-14

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

Staffing

Hours and turnover

RN hours / resident day

0.00

Registered nurse staffing

LPN hours / resident day

0.00

Licensed practical nurse staffing

Aide hours / resident day

0.00

Nurse aide staffing

Total nurse hours

0.00

All reported nurse hours

Licensed hours

0.00

RN + LPN hours

Weekend hours

0.00

Weekend nurse staffing

Weekend RN hours

0.00

Weekend registered nurse coverage

Physical therapist

0.00

Reported PT staffing

Adjusted RN hours

0.00

CMS adjusted RN staffing hours

Adjusted total hours

0.00

CMS adjusted total nurse staffing hours

Case-mix index

0.00

Higher values indicate more complex resident acuity

RN turnover

Annual RN turnover

Total nurse turnover

Annual nurse turnover

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
Number of hospitalizations per 1000 long-stay resident days	1.7	1.8 0.1 pts better	1.9 0.2 pts better	Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.3 · Expected 1.5 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.8	2.2 0.4 pts better	1.8 About the same	Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.6 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	87.5%	91.8% 4.3 pts worse	93.4% 5.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 70.8% · Q2 87.5% · Q3 95.2% · 4Q avg 87.5%
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	9.1%	4.4% 4.7 pts worse	3.3% 5.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 8.3% · Q3 14.3% · 4Q avg 9.1% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	1.5%	5.6% 4.1 pts better	11.4% 9.9 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 1.5%
Percentage of long-stay residents who lose too much weight	5.7%	5.0% 0.7 pts worse	5.4% 0.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 8.3% · Q3 9.5% · 4Q avg 5.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	8.0%	23.2% 15.2 pts better	19.6% 11.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 4.2% · Q3 14.3% · 4Q avg 8.0%
Percentage of long-stay residents who received an antipsychotic medication	18.0%	19.8% 1.8 pts better	16.7% 1.3 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 18.0% · 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% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	23.8%	18.4% 5.4 pts worse	16.3% 7.5 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 23.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	23.5%	18.8% 4.7 pts worse	14.9% 8.6 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 23.5% · 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% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	2.3%	3.1% 0.8 pts better	1.7% 0.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.2% · Q3 4.8% · 4Q avg 2.3% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	40.9%	23.2% 17.7 pts worse	19.8% 21.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 36.1% · Q2 53.6% · 4Q avg 40.9%
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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · 4Q avg 0.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-10-24 · Fire 2024-10-24

33 health deficiencies

Top issue: Resident Assessment and Care Planning (7 deficiencies)

14 fire-safety deficiencies

Top issue: Egress (4 deficiencies)

Cycle 2 Health 2022-12-07 · Fire 2022-12-07

7 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

3 fire-safety deficiencies

Top issue: Construction (1 deficiency)

Cycle 3 Health 2021-05-27 · Fire 2021-05-27

3 health deficiencies

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

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-10-24

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2024-12-24

F · Potential for more than minimal harm 2024-10-24

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2024-12-18

F · Potential for more than minimal harm 2024-10-24

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2024-12-18

F · Potential for more than minimal harm 2024-10-24

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-12-18

F · Potential for more than minimal harm 2024-10-24

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-12-18

F · Potential for more than minimal harm 2024-10-24

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-01-02

F · Potential for more than minimal harm 2024-10-24

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2024-12-23

F · Potential for more than minimal harm 2024-10-24

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-12-03

E · Potential for more than minimal harm 2024-10-24

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2024-12-23

E · Potential for more than minimal harm 2024-10-24

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 2024-12-23

D · Potential for more than minimal harm 2024-10-24

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-12-23

D · Potential for more than minimal harm 2024-10-24

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-12-23

D · Potential for more than minimal harm 2024-10-24

K781 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of portable space heaters.

Corrected 2024-12-23

D · Potential for more than minimal harm 2024-10-24

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-12-23

F · Potential for more than minimal harm 2022-12-07

K133 · Construction Deficiencies

Fire Safety

Install a two-hour-resistant firewall separation.

Corrected 2023-01-18

F · Potential for more than minimal harm 2022-12-07

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-02-25

F · Potential for more than minimal harm 2022-12-07

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-02-25

F · Potential for more than minimal harm 2021-05-27

K133 · Construction Deficiencies

Fire Safety

Install a two-hour-resistant firewall separation.

Corrected 2021-07-15

F · Potential for more than minimal harm 2021-05-27

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2021-08-06

F · Potential for more than minimal harm 2021-05-27

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2021-08-06

E · Potential for more than minimal harm 2021-05-27

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2021-08-06

Inspection history

Recent health citations

G · Actual harm 2024-10-24

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 2024-12-06

F · Potential for more than minimal harm 2024-10-24

F636 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Corrected 2024-12-06

F · Potential for more than minimal harm 2024-10-24

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-12-06

F · Potential for more than minimal harm 2024-10-24

F727 · Nursing and Physician Services Deficiencies

Health

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Corrected 2024-12-06

F · Potential for more than minimal harm 2024-10-24

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-12-06

F · Potential for more than minimal harm 2024-10-24

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2024-12-06

F · Potential for more than minimal harm 2024-10-24

F835 · Administration Deficiencies

Health

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Corrected 2024-12-06

F · Potential for more than minimal harm 2024-10-24

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 2024-12-06

F · Potential for more than minimal harm 2024-10-24

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2024-12-06

F · Potential for more than minimal harm 2024-10-24

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-12-06

F · Potential for more than minimal harm 2024-10-24

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2024-12-06

F · Potential for more than minimal harm 2024-10-24

F882 · Infection Control Deficiencies

Health

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Corrected 2024-12-06

F · Potential for more than minimal harm 2024-10-24

F947 · Nursing and Physician Services Deficiencies

Health

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Corrected 2024-12-06

E · Potential for more than minimal harm 2024-10-24

F578 · Resident Rights Deficiencies

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 2024-12-06

E · Potential for more than minimal harm 2024-10-24

F584 · Resident Rights Deficiencies

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 2024-12-06

E · Potential for more than minimal harm 2024-10-24

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2024-12-06

E · Potential for more than minimal harm 2024-10-24

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 2024-12-06

E · Potential for more than minimal harm 2024-10-24

F638 · Resident Assessment and Care Planning Deficiencies

Health

Assure that each resident’s assessment is updated at least once every 3 months.

Corrected 2024-12-06

E · Potential for more than minimal harm 2024-10-24

F640 · Resident Assessment and Care Planning Deficiencies

Health

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Corrected 2024-12-06

E · Potential for more than minimal harm 2024-10-24

F657 · Resident Assessment and Care Planning Deficiencies

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 2024-12-06

E · Potential for more than minimal harm 2024-10-24

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-12-06

E · Potential for more than minimal harm 2024-10-24

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 2024-12-06

E · Potential for more than minimal harm 2024-10-24

F883 · Infection Control Deficiencies

Health

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

Corrected 2024-12-06

D · Potential for more than minimal harm 2024-10-24

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 2024-12-06

D · Potential for more than minimal harm 2024-10-24

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2024-12-06

D · Potential for more than minimal harm 2024-10-24

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-12-06

D · Potential for more than minimal harm 2024-10-24

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2024-12-06

D · Potential for more than minimal harm 2024-10-24

F712 · Nursing and Physician Services Deficiencies

Health

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

Corrected 2024-12-06

D · Potential for more than minimal harm 2024-10-24

F744 · Quality of Life and Care Deficiencies

Health

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Corrected 2024-12-06

D · Potential for more than minimal harm 2024-10-24

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 2024-12-06

D · Potential for more than minimal harm 2024-10-24

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 2024-12-06

D · Potential for more than minimal harm 2024-10-24

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2024-12-06

C · Minimal harm 2024-10-24

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2024-12-06

F · Potential for more than minimal harm 2022-12-07

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2023-01-11

F · Potential for more than minimal harm 2022-12-07

F868 · Administration Deficiencies

Health

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Corrected 2023-01-11

D · Potential for more than minimal harm 2022-12-07

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2023-01-11

D · Potential for more than minimal harm 2022-12-07

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2023-01-11

D · Potential for more than minimal harm 2022-12-07

F690 · Quality of Life and Care Deficiencies

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 2023-01-11

D · Potential for more than minimal harm 2022-12-07

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 2023-01-11

D · Potential for more than minimal harm 2022-12-07

F758 · Pharmacy Service Deficiencies

Health

Corrected 2023-01-11

K · Immediate jeopardy 2021-05-27

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 2021-06-04

F · Potential for more than minimal harm 2021-05-27

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2021-06-07

D · Potential for more than minimal harm 2021-05-27

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2021-06-02

Penalties and ownership

What sits behind the stars

$4,893 2024-02-20

Fine

Fine · fine $4,893

Fine

$4,893 2024-02-12

Fine

Fine · fine $4,893

Fine

$14,679 2024-01-22

Fine

Fine · fine $14,679

Fine

$4,893 2024-01-08

Fine

Fine · fine $4,893

Fine

$4,545 2024-01-02

Fine

Fine · fine $4,545

Fine

$13,635 2023-12-11

Fine

Fine · fine $13,635

Fine

$12,587 2023-11-06

Fine

Fine · fine $12,587

Fine

$9,440 2023-09-18

Fine

Fine · fine $9,440

Fine

Ownership

Nearby options

Other facilities in reach

Garden Valley Retirement Village

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

Overall: 5 / 5
Health: 5 / 5
Staffing: 3 / 5
Fines: $9,978