Lincoln, KS

Lincoln Park Manor Inc

2-star overall rating with 3-star inspections with 10 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle

922 N 5th St, Lincoln, KS

(785) 524-4428

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

1 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1997-09-01

CMS approved date

Coverage

Medicare + 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

0.56

Registered nurse staffing · state 0.72 · national 0.68

LPN hours / resident day

0.68

Licensed practical nurse staffing · state 0.67 · national 0.87

Aide hours / resident day

2.94

Nurse aide staffing · state 2.69 · national 2.35

Total nurse hours

4.18

All reported nurse hours · state 4.07 · national 3.89

Licensed hours

1.24

RN + LPN hours · state 1.38 · national 1.54

Weekend hours

4.13

Weekend nurse staffing · state 3.58 · national 3.43

Weekend RN hours

0.29

Weekend registered nurse coverage · state 0.50 · national 0.47

Physical therapist

0.02

Reported PT staffing · state 0.04 · national 0.07

Adjusted RN hours

0.68

CMS adjusted RN staffing hours

Adjusted total hours

5.12

CMS adjusted total nurse staffing hours

Case-mix index

1.12

Higher values indicate more complex resident acuity

RN turnover

50%

Annual RN turnover · state 46% · national 45%

Total nurse turnover

38%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

1,308

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

57.72

Composite VBP score used to determine payment impact.

Payment multiplier

1.0129

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

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

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

5.92

Baseline 52.94% · Performance 39.47% · Measure score 5.92 · Achievement 5.92 · Improvement 4.29

Adjusted total nurse staffing

5.62

Baseline 4.21 hours · Performance 4.68 hours · Measure score 5.62 · Achievement 5.62 · Improvement 2.48

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	Not Available	10.72%	Not Available · Eligible stays 22 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 10 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	Not Available	1.02	Too few residents or stays to report publicly.
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 14 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 10 · 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 63
Staff flu vaccination coverage	1.79%	42% 40.2 pts worse	Numerator 2 · Denominator 112
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.2	1.8 0.4 pts worse	1.9 0.3 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 1.6 · Expected 1.4 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.5	2.2 0.3 pts worse	1.8 0.7 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.5 · Observed 2.0 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	74.3%	91.8% 17.5 pts worse	93.4% 19.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 69.7% · Q2 76.5% · Q3 77.1% · Q4 73.5% · 4Q avg 74.3%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	86.1%	95.5% 9.4 pts worse	95.5% 9.4 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 86.1%
Percentage of long-stay residents experiencing one or more falls with major injury	5.1%	4.4% 0.7 pts worse	3.3% 1.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 5.9% · Q3 2.9% · Q4 2.9% · 4Q avg 5.1% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	4.2%	5.6% 1.4 pts better	11.4% 7.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 3.4% · Q3 6.9% · Q4 3.2% · 4Q avg 4.2%
Percentage of long-stay residents who lose too much weight	1.9%	5.0% 3.1 pts better	5.4% 3.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 3.4% · Q3 0.0% · Q4 0.0% · 4Q avg 1.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	25.7%	23.2% 2.5 pts worse	19.6% 6.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 33.3% · Q2 20.7% · Q3 23.1% · Q4 26.1% · 4Q avg 25.7%
Percentage of long-stay residents who received an antipsychotic medication	30.2%	19.8% 10.4 pts worse	16.7% 13.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 25.0% · Q2 29.2% · 4Q avg 30.2% · 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	14.2%	18.4% 4.2 pts better	16.3% 2.1 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 14.2% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	26.2%	18.8% 7.4 pts worse	14.9% 11.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 34.6% · Q2 14.3% · Q3 23.1% · Q4 34.8% · 4Q avg 26.2% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	2.4%	1.8% 0.6 pts worse	1.0% 1.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.7% · Q3 3.2% · Q4 2.4% · 4Q avg 2.4% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	3.0%	3.1% 0.1 pts better	1.7% 1.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 5.9% · Q3 5.9% · Q4 0.0% · 4Q avg 3.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	36.5%	23.2% 13.3 pts worse	19.8% 16.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 16.9% · Q2 60.6% · Q3 38.1% · Q4 30.0% · 4Q avg 36.5%
Percentage of long-stay residents with pressure ulcers	3.7%	4.6% 0.9 pts better	5.1% 1.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 8.7% · Q4 5.7% · 4Q avg 3.7% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	45.0%	75.6% 30.6 pts worse	81.7% 36.7 pts worse	Short Stay · 2024Q4-2025Q3 · 4Q avg 45.0%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-08-20 · Fire 2025-08-20

10 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

9 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)

Cycle 2 Health 2023-12-19 · Fire 2023-12-19

15 health deficiencies

Top issue: Resident Rights (4 deficiencies)

6 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 3 Health 2022-05-26 · Fire 2022-05-26

12 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)

11 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-08-20

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2025-10-08

F · Potential for more than minimal harm 2025-08-20

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2025-09-22

F · Potential for more than minimal harm 2025-08-20

K926 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

Corrected 2025-10-08

E · Potential for more than minimal harm 2025-08-20

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2025-09-22

E · Potential for more than minimal harm 2025-08-20

K321 · Smoke Deficiencies

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 2025-09-22

E · Potential for more than minimal harm 2025-08-20

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-09-22

D · Potential for more than minimal harm 2025-08-20

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-09-22

D · Potential for more than minimal harm 2025-08-20

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-09-22

D · Potential for more than minimal harm 2025-08-20

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2025-09-22

F · Potential for more than minimal harm 2023-12-19

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2024-02-08

F · Potential for more than minimal harm 2023-12-19

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-02-08

F · Potential for more than minimal harm 2023-12-19

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2024-02-08

F · Potential for more than minimal harm 2023-12-19

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-02-08

E · Potential for more than minimal harm 2023-12-19

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-02-08

E · Potential for more than minimal harm 2023-12-19

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-02-08

F · Potential for more than minimal harm 2022-05-26

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2022-08-11

F · Potential for more than minimal harm 2022-05-26

E9 · Emergency Preparedness Deficiencies

Fire Safety

Include a process for Emergency Preparedness collaboration.

Corrected 2022-08-11

F · Potential for more than minimal harm 2022-05-26

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 2022-08-11

F · Potential for more than minimal harm 2022-05-26

K354 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Corrected 2022-08-11

F · Potential for more than minimal harm 2022-05-26

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2022-08-11

F · Potential for more than minimal harm 2022-05-26

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2022-08-11

F · Potential for more than minimal harm 2022-05-26

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2022-08-11

E · Potential for more than minimal harm 2022-05-26

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-08-11

E · Potential for more than minimal harm 2022-05-26

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2022-08-11

E · Potential for more than minimal harm 2022-05-26

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2022-08-11

E · Potential for more than minimal harm 2022-05-26

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2022-08-11

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-08-20

F801 · Nutrition and Dietary Deficiencies

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 2025-10-03

F · Potential for more than minimal harm 2025-08-20

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-10-03

E · Potential for more than minimal harm 2025-08-20

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 2025-10-03

E · Potential for more than minimal harm 2025-08-20

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 2025-10-03

D · Potential for more than minimal harm 2025-08-20

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2025-10-03

D · Potential for more than minimal harm 2025-08-20

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2025-10-03

D · Potential for more than minimal harm 2025-08-20

F605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Corrected 2025-10-03

D · Potential for more than minimal harm 2025-08-20

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 2025-10-03

D · Potential for more than minimal harm 2025-08-20

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-10-03

D · Potential for more than minimal harm 2025-08-20

F849 · Administration Deficiencies

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 2025-10-03

F · Potential for more than minimal harm 2023-12-19

F801 · Nutrition and Dietary Deficiencies

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 2024-01-31

F · Potential for more than minimal harm 2023-12-19

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 2024-01-31

F · Potential for more than minimal harm 2023-12-19

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 2024-01-31