Federal inspection record · CMS data as of October 1, 2026
Lakepoint El Dorado, LLC
1313 S High Street, El Dorado, KS · (316) 320-4140
- Certified beds
- 75
- Residents per day
- 54
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 1, 1981
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Kansas.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Kansas homes
Lakepoint El Dorado, LLC carries 99.5 inspection points. That is fewer than 25% of Kansas's 293 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Kansas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–27 pts
- 4★ 27–49 pts
- 3★ 49–71 pts
- 2★ 71–114.38 pts
- 1★ over 114.38 pts
Bars show every rated home in Kansas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
25 health citations on record since 2021. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (3)
-
J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
J
Respond appropriately to all alleged violations.
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Everything else, by area of care
Pharmacy Service7E
- E
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- E
Ensure medication error rates are not 5 percent or greater.
- E
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.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
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.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
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.
Quality of Life and Care7E
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide care or services that was trauma informed and/or culturally competent.
- E
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Assessment and Care Planning4D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Rights2E
- E
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- E
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.
Administration1D
- D
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.
Infection Control1E
- E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspection history
2024-12-18
13 health deficiencies · 11 fire-safety deficiencies
Top issue: Pharmacy Service (5 deficiencies)
2023-02-16
6 health deficiencies · 7 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2021-08-17
6 health deficiencies · 13 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 35 min of nursing staff time a day, 41 min of it from a registered nurse.
This home
3 h 35 min
Kansas average
4 h 8 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 39% of nursing staff and 0% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$24,852 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-07-24 | Fine | $13,456 |
| 2024-01-30 | Fine | $11,396 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.2 pts worse | 1.9 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.4 pts better | 1.6 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7.1 pts better | 100.0% | 92.9% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.5 pts better | 98.4% | 94.9% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.9 pts better | 2.3% | 4.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms5.1 pts worse | 11.7% | 6.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight3 pts worse | 7.8% | 4.8% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication10.5 pts better | 12.9% | 23.4% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication14.2 pts better | 3.5% | 17.7% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened20 pts worse | 34.5% | 14.5% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased11.7 pts worse | 29.1% | 17.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.9 pts better | 0.5% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.4 pts better | 2.4% | 2.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence7.3 pts worse | 28.9% | 21.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.4 pts better | 2.0% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine20.7 pts better | 97.8% | 77.1% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.3 pts worse | 12.7% | 11.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.6 pts better | 0.0% | 1.6% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine16.7 pts better | 92.1% | 75.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.1 pts better | 21.2% | 22.3% | 23.4% |
·
Who owns and runs it
3 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Harrison, Warner | 5% Or Greater Direct Ownership Interest · Individual | 97% | 3 facilities |
| Harrison, Warner | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Manhattan Retirement Foundation Inc. | Operational/Managerial Control · Organization | 0% | 3 facilities |
·
Fire safety
31 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke10F
- F
Provide properly protected cooking facilities.
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Install corridor and hallway doors that block smoke.
- F
Provide properly protected cooking facilities.
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Provide properly protected cooking facilities.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Gas, Vacuum, and Electrical Systems6F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure proper usage of power strips and extension cords.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure proper usage of power strips and extension cords.
- F
Have proper medical gas storage and administration areas.
Emergency Preparedness5F
- E
Develop Emergency Preparedness policies and procedures.
- F
Develop and maintain an Emergency Preparedness Program (EP).
- F
Address patient/client population and determine types of services needed.
- F
List the names and contact information of those in the facility.
- F
Develop and maintain an Emergency Preparedness Program (EP).
Egress4F
- F
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.
- F
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- F
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.
- F
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.
Miscellaneous3F
- F
Provide a written emergency evacuation plan.
- F
Provide a written emergency evacuation plan.
- F
Have simulated fire drills held at unexpected times.
Services2F
- F
Have properly installed electrical wiring and gas equipment.
- F
Have properly installed electrical wiring and gas equipment.
Construction1E
- E
Use approved construction type or materials.
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Other homes nearby
-
El Dorado Care And Rehab
El Dorado, KS · Mission Health Communities
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 34 min
- Fines
- $33,505
-
Lakepoint Augusta, LLC
Augusta, KS
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 18 min
- Fines
- $10,361
-
Life Care Center Of Andover
Andover, KS · Life Care Centers Of America · Special Focus · Abuse icon
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 54 min
- Fines
- $105,917