Logan, KS

Logan Manor Community Health Services

1-star overall rating with 3-star inspections with 11 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle

415 N Washington St, Logan, KS

(785) 689-4201

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

1 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

36

Certified beds

Average residents

33

Average occupied residents

Ownership

Government

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

2005-01-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

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

Hours and turnover

RN hours / resident day

0.32

Registered nurse staffing · state 0.72 · national 0.68

LPN hours / resident day

0.57

Licensed practical nurse staffing · state 0.67 · national 0.87

Aide hours / resident day

3.16

Nurse aide staffing · state 2.69 · national 2.35

Total nurse hours

4.05

All reported nurse hours · state 4.07 · national 3.89

Licensed hours

0.89

RN + LPN hours · state 1.38 · national 1.54

Weekend hours

3.44

Weekend nurse staffing · state 3.58 · national 3.43

Weekend RN hours

0.17

Weekend registered nurse coverage · state 0.50 · national 0.47

Physical therapist

0.00

Reported PT staffing · state 0.04 · national 0.07

Adjusted RN hours

0.40

CMS adjusted RN staffing hours

Adjusted total hours

5.02

CMS adjusted total nurse staffing hours

Case-mix index

1.10

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

35%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

791

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

Performance score

63.75

Composite VBP score used to determine payment impact.

Payment multiplier

1.0184

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

6.07

Baseline 54.29% · Performance 38.89% · Measure score 6.07 · Achievement 6.07 · Improvement 4.73

Adjusted total nurse staffing

6.68

Baseline 5.06 hours · Performance 4.98 hours · Measure score 6.68 · Achievement 6.68 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission Not Available
10.72%
Not Available · Eligible stays 16 · 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 15 · 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 8 · Too few residents or stays to report publicly.
Falls with major injury Not Available
0.77%
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Discharge self-care score Not Available
53.69%
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Discharge mobility score Not Available
50.94%
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened Not Available
2.29%
Numerator Not Available · Denominator 8 · 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 11 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage 1.96%
8.2%
6.2 pts worse
Numerator 1 · Denominator 51
Staff flu vaccination coverage 15.69%
42%
26.3 pts worse
Numerator 8 · Denominator 51
Discharge function score Not Available
56.45%
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly.
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 4 · 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 1.7
1.8
0.1 pts better
1.9
0.2 pts better
Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.2 · Expected 1.4 · 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 2.8 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.2%
91.8%
7.4 pts better
93.4%
5.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 97.1% · 4Q avg 99.2%
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 10.3%
4.4%
5.9 pts worse
3.3%
7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 12.1% · Q3 13.3% · Q4 11.4% · 4Q avg 10.3% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 2.4%
5.6%
3.2 pts better
11.4%
9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 0.0% · Q4 0.0% · 4Q avg 2.4%
Percentage of long-stay residents who lose too much weight 2.5%
5.0%
2.5 pts better
5.4%
2.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 0.0% · Q3 3.4% · Q4 3.0% · 4Q avg 2.5%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 26.4%
23.2%
3.2 pts worse
19.6%
6.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 22.2% · Q2 25.0% · Q3 34.5% · Q4 24.2% · 4Q avg 26.4%
Percentage of long-stay residents who received an antipsychotic medication 30.3%
19.8%
10.5 pts worse
16.7%
13.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 26.1% · Q2 33.3% · Q3 29.2% · Q4 33.3% · 4Q avg 30.3% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 2.4%
0.0%
2.4 pts worse
0.1%
2.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 3.0% · Q3 3.3% · Q4 0.0% · 4Q avg 2.4%
Percentage of long-stay residents whose ability to walk independently worsened 12.5%
18.4%
5.9 pts better
16.3%
3.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 21.7% · Q2 9.1% · Q4 12.8% · 4Q avg 12.5% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 17.2%
18.8%
1.6 pts better
14.9%
2.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 22.2% · Q2 20.0% · Q3 7.7% · Q4 18.2% · 4Q avg 17.2% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.5%
1.8%
0.3 pts better
1.0%
0.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.0% · Q3 3.0% · Q4 0.0% · 4Q avg 1.5% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 1.6%
3.1%
1.5 pts better
1.7%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 3.2% · Q3 0.0% · Q4 0.0% · 4Q avg 1.6% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 13.4%
23.2%
9.8 pts better
19.8%
6.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 16.0% · Q3 12.3% · Q4 17.6% · 4Q avg 13.4%
Percentage of long-stay residents with pressure ulcers 6.1%
4.6%
1.5 pts worse
5.1%
1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 8.1% · Q3 8.4% · Q4 3.1% · 4Q avg 6.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 83.3%
75.6%
7.7 pts better
81.7%
1.6 pts better
Short Stay · 2024Q4-2025Q3 · 4Q avg 83.3%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-12-03 · Fire 2025-12-03

11 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

9 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Cycle 2 Health 2024-01-08 · Fire 2024-01-08

10 health deficiencies

Top issue: Pharmacy Service (4 deficiencies)

15 fire-safety deficiencies

Top issue: Smoke (6 deficiencies)

Cycle 3 Health 2022-06-16 · Fire 2022-06-16

5 health deficiencies

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

3 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-12-03

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2026-02-26

F · Potential for more than minimal harm 2025-12-03

K291 · Egress Deficiencies

Fire Safety

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

Corrected 2026-01-20

F · Potential for more than minimal harm 2025-12-03

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2026-01-20

F · Potential for more than minimal harm 2025-12-03

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2026-01-23

F · Potential for more than minimal harm 2025-12-03

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2026-02-10

F · Potential for more than minimal harm 2025-12-03

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 2026-02-08

E · Potential for more than minimal harm 2025-12-03

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 2026-01-23

E · Potential for more than minimal harm 2025-12-03

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2026-01-19

E · Potential for more than minimal harm 2025-12-03

K753 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of highly flammable decorations.

Corrected 2026-01-20

F · Potential for more than minimal harm 2024-01-08

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2024-03-25

F · Potential for more than minimal harm 2024-01-08

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 2024-03-25

F · Potential for more than minimal harm 2024-01-08

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-03-25

F · Potential for more than minimal harm 2024-01-08

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-03-25

F · Potential for more than minimal harm 2024-01-08

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-03-25

F · Potential for more than minimal harm 2024-01-08

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2024-02-07

F · Potential for more than minimal harm 2024-01-08

K901 · Electrical Deficiencies

Fire Safety

Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.

Corrected 2024-03-25

F · Potential for more than minimal harm 2024-01-08

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-03-25

E · Potential for more than minimal harm 2024-01-08

K291 · Egress Deficiencies

Fire Safety

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

Corrected 2024-03-25

E · Potential for more than minimal harm 2024-01-08

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-03-25

E · Potential for more than minimal harm 2024-01-08

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-03-25

E · Potential for more than minimal harm 2024-01-08

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-03-25

E · Potential for more than minimal harm 2024-01-08

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-03-25

D · Potential for more than minimal harm 2024-01-08

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2024-03-25

D · Potential for more than minimal harm 2024-01-08

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 2024-03-25

F · Potential for more than minimal harm 2022-06-16

K354 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-08-25

F · Potential for more than minimal harm 2022-06-16

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2022-08-25

E · Potential for more than minimal harm 2022-06-16

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2022-08-25

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-12-03

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 2026-01-02

E · Potential for more than minimal harm 2025-12-03

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 2026-01-02

E · Potential for more than minimal harm 2025-12-03

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 2026-01-02

D · Potential for more than minimal harm 2025-12-03

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 2026-01-02

D · Potential for more than minimal harm 2025-12-03

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 2026-01-02

D · Potential for more than minimal harm 2025-12-03

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2026-01-02

D · Potential for more than minimal harm 2025-12-03

F628 · Resident Rights Deficiencies

Health

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Corrected 2026-01-02

D · Potential for more than minimal harm 2025-12-03

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 2026-01-02

D · Potential for more than minimal harm 2025-12-03

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 2026-01-02

D · Potential for more than minimal harm 2025-12-03

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 2026-01-02

D · Potential for more than minimal harm 2025-07-02

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 2025-07-29

F · Potential for more than minimal harm 2024-01-08

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 2024-01-26

F · Potential for more than minimal harm 2024-01-08

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 2024-01-26

F · Potential for more than minimal harm 2024-01-08

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-01-26

E · Potential for more than minimal harm 2024-01-08

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 2024-01-26

D · Potential for more than minimal harm 2024-01-08

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 2024-01-26

D · Potential for more than minimal harm 2024-01-08

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 2024-01-26

D · Potential for more than minimal harm 2024-01-08

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 2024-01-26

D · Potential for more than minimal harm 2024-01-08

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 2024-01-26

D · Potential for more than minimal harm 2024-01-08

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-01-26

C · Minimal harm 2024-01-08

F576 · Resident Rights Deficiencies

Health

Ensure residents have reasonable access to and privacy in their use of communication methods.

Corrected 2024-01-26

F · Potential for more than minimal harm 2022-06-16

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 2022-07-01

D · Potential for more than minimal harm 2022-06-16

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2022-07-01

D · Potential for more than minimal harm 2022-06-16

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 2022-07-01

D · Potential for more than minimal harm 2022-06-16

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-07-01

D · Potential for more than minimal harm 2022-06-16

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-07-01

Penalties and ownership

What sits behind the stars

Ownership

City Of Logan

Operational/Managerial Control · Organization

0% 1 facilities 1989-11-01
Mccomb, Teresa

Corporate Officer · Individual

0% 1 facilities 2015-01-16
Mccomb, Teresa

W-2 Managing Employee · Individual

0% 1 facilities 2014-01-16
Vanlaeys, Tim

Corporate Director · Individual

0% 1 facilities 2010-04-01

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