8 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
10 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Burlington, KS
3-star overall rating with 3-star inspections with 8 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
601 Cross Street, Burlington, KS
(620) 364-2117
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
77
Certified beds
Average residents
67
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Life Care Centers Of America
Operator or chain grouping
Approved since
1996-06-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
194 facilities
Chain averages 4 overall / 3 health / 3 staffing / 5 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
0.33
Registered nurse staffing · state 0.72 · national 0.68
LPN hours / resident day
0.79
Licensed practical nurse staffing · state 0.67 · national 0.87
Aide hours / resident day
2.57
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
1.11
RN + LPN hours · state 1.38 · national 1.54
Weekend hours
3.38
Weekend nurse staffing · state 3.58 · national 3.43
Weekend RN hours
0.15
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.04
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
0.35
CMS adjusted RN staffing hours
Adjusted total hours
3.99
CMS adjusted total nurse staffing hours
Case-mix index
1.26
Higher values indicate more complex resident acuity
RN turnover
33%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
46%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Program rank
12,838
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
10.16
Composite VBP score used to determine payment impact.
Payment multiplier
0.9809
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Healthcare-associated infections
0
Baseline 7.47% · Performance 8.28% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
0.9
Baseline 52.27% · Performance 60.00% · Measure score 0.9 · Achievement 0.9 · Improvement 0
Adjusted total nurse staffing
2.15
Baseline 3.29 hours · Performance 3.69 hours · Measure score 2.15 · Achievement 2.15 · Improvement 1.09
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.5% |
10.72%
0.2 pts better
|
No Different than the National Rate · Eligible stays 47 · Observed rate 8.51% · Lower 95% interval 7.1% |
| Discharge to community | 47.15% |
50.57%
3.4 pts worse
|
No Different than the National Rate · Eligible stays 36 · Observed rate 41.67% · Lower 95% interval 34.56% |
| Medicare spending per beneficiary | 1.25 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 69.23% |
95.27%
26 pts worse
|
Numerator 27 · Denominator 39 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 39 |
| Discharge self-care score | 62.96% |
53.69%
9.3 pts better
|
Numerator 17 · Denominator 27 |
| Discharge mobility score | 70.37% |
50.94%
19.4 pts better
|
Numerator 19 · Denominator 27 |
| Pressure ulcers or injuries, new or worsened | 2.56% |
2.29%
0.3 pts worse
|
Numerator 1 · Denominator 39 · Adjusted rate 2.85% |
| Healthcare-associated infections requiring hospitalization | 8.28% |
7.12%
1.2 pts worse
|
No Different than the National Rate · Eligible stays 30 · Observed rate 13.33% · Lower 95% interval 4.81% |
| Staff COVID-19 vaccination coverage | 9.09% |
8.2%
0.9 pts better
|
Numerator 8 · Denominator 88 |
| Staff flu vaccination coverage | 38.98% |
42%
3 pts worse
|
Numerator 46 · Denominator 118 |
| Discharge function score | 70.37% |
56.45%
13.9 pts better
|
Numerator 19 · Denominator 27 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 59.26% |
25.2%
34.1 pts better
|
Numerator 16 · Denominator 27 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.8 |
1.8
About the same
|
1.9
0.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.9 · Expected 2.0 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 3.0 |
2.2
0.8 pts worse
|
1.8
1.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.0 · Observed 3.5 · Expected 1.9 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 94.8% |
91.8%
3 pts better
|
93.4%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 93.2% · Q2 98.4% · Q3 95.3% · Q4 92.2% · 4Q avg 94.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 95.5% |
95.5%
About the same
|
95.5%
About the same
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 95.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.0% |
4.4%
0.4 pts better
|
3.3%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 3.3% · Q3 6.2% · Q4 3.1% · 4Q avg 4.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 11.8% |
5.6%
6.2 pts worse
|
11.4%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 11.7% · Q3 18.6% · Q4 9.7% · 4Q avg 11.8% |
| Percentage of long-stay residents who lose too much weight | 3.7% |
5.0%
1.3 pts better
|
5.4%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 9.4% · Q3 0.0% · Q4 1.9% · 4Q avg 3.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 26.5% |
23.2%
3.3 pts worse
|
19.6%
6.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.6% · Q2 25.0% · Q3 27.6% · Q4 23.6% · 4Q avg 26.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 15.4% |
19.8%
4.4 pts better
|
16.7%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 27.0% · Q2 22.5% · Q3 5.4% · Q4 7.1% · 4Q avg 15.4% · 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 | 6.7% |
18.4%
11.7 pts better
|
16.3%
9.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.4% · Q3 14.5% · Q4 6.3% · 4Q avg 6.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 11.2% |
18.8%
7.6 pts better
|
14.9%
3.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.4% · Q2 5.9% · Q3 16.7% · Q4 11.5% · 4Q avg 11.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.8% |
1.8%
1 pts better
|
1.0%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.8% · Q3 1.5% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.8% |
3.1%
2.3 pts better
|
1.7%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 0.0% · Q3 0.0% · Q4 1.6% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.5% |
23.2%
1.3 pts worse
|
19.8%
4.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.5% · Q2 11.2% · Q3 34.2% · Q4 28.5% · 4Q avg 24.5% |
| Percentage of long-stay residents with pressure ulcers | 1.1% |
4.6%
3.5 pts better
|
5.1%
4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 4.1% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 70.8% |
75.6%
4.8 pts worse
|
81.7%
10.9 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 81.8% · Q2 68.5% · Q3 66.7% · Q4 64.5% · 4Q avg 70.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 18.0% |
11.7%
6.3 pts worse
|
12.0%
6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 18.0% · Observed 17.5% · Expected 10.8% · 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 · Q1 0.0% · Q2 0.0% · Q3 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 | 64.3% |
73.5%
9.2 pts worse
|
79.7%
15.4 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 64.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.2% |
23.0%
1.8 pts better
|
23.9%
2.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.2% · Observed 20.0% · Expected 22.5% · Used in QM five-star |
Survey summary
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
10 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Quality of Life and Care (3 deficiencies)
12 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Top issue: Environmental (1 deficiency)
14 fire-safety deficiencies
Top issue: Smoke (7 deficiencies)
Fire safety
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 2025-02-27
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 2025-02-27
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-01-21
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-01-21
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-02-27
Fire Safety
Have restrictions on the use of highly flammable decorations.
Corrected 2025-02-27
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-02-27
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-02-27
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-02-27
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-02-27
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-04-13
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-04-12
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-04-13
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-04-13
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-04-13
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-04-21
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-04-21
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-04-13
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-04-13
Fire Safety
Have restrictions on the use of highly flammable decorations.
Corrected 2023-04-13
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-04-13
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 2023-04-13
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2021-09-28
Fire Safety
Create arrangements with other facilities to receive patients.
Corrected 2021-09-28
Fire Safety
Include a process for Emergency Preparedness collaboration.
Corrected 2021-09-28
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2021-09-28
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2021-09-28
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2021-08-19
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2021-09-28
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2021-09-28
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2021-09-28
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2021-09-28
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 2021-09-28
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2021-09-28
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2021-09-28
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2021-09-28
Inspection history
Health
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected 2025-01-16
Health
Provide and implement an infection prevention and control program.
Corrected 2025-01-16
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-01-16
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-01-16
Health
Respond appropriately to all alleged violations.
Corrected 2025-01-16
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2025-01-16
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2025-01-16
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 2025-01-16
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-10-13
Health
Provide and implement an infection prevention and control program.
Corrected 2023-08-11
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-02-28
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-02-28
Health
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected 2023-02-28
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-02-28
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 2023-02-28
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 2023-02-28
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2023-02-28
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 2023-02-28
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2021-08-06
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 2021-08-06
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 2021-08-06
Health
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2021-08-06
Health
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected 2021-08-06
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
Operational/Managerial Control · Organization
Corporate Officer · Individual
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