Cycle 1
Health 2025-09-11 · Fire 2025-09-11
10 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2 fire-safety deficiencies
Top issue: Services (1 deficiency)
Dodge City, KS
Manor Of The Plains
4-star overall rating with 3-star inspections with 10 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
200 Campus Drive, Dodge City, KS
(620) 225-1928
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
50
Certified beds
Average residents
30
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Presbyterian Manors Of Mid-America
Operator or chain grouping
Approved since
1994-07-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
13 facilities
Chain averages 4 overall / 4 health / 4 staffing / 3 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
Hours and turnover
RN hours / resident day
1.09
Registered nurse staffing · state 0.72 · national 0.68
LPN hours / resident day
0.22
Licensed practical nurse staffing · state 0.67 · national 0.87
Aide hours / resident day
3.39
Nurse aide staffing · state 2.69 · national 2.35
Total nurse hours
4.70
All reported nurse hours · state 4.07 · national 3.89
Licensed hours
1.32
RN + LPN hours · state 1.38 · national 1.54
Weekend hours
4.37
Weekend nurse staffing · state 3.58 · national 3.43
Weekend RN hours
0.73
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
1.30
CMS adjusted RN staffing hours
Adjusted total hours
5.58
CMS adjusted total nurse staffing hours
Case-mix index
1.15
Higher values indicate more complex resident acuity
RN turnover
64%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
43%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Value-based purchasing
Program rank
1,463
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
56.51
Composite VBP score used to determine payment impact.
Payment multiplier
1.0116
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
5.48
Baseline 20.90% · Performance 18.89% · Measure score 5.48 · Achievement 5.48 · Improvement 4.69
Healthcare-associated infections
4.37
Baseline 7.08% · Performance 6.53% · Measure score 4.37 · Achievement 4.37 · Improvement 2.15
Total nurse turnover
5.30
Baseline 62.50% · Performance 42.00% · Measure score 5.30 · Achievement 5.30 · Improvement 4.95
Adjusted total nurse staffing
7.46
Baseline 5.26 hours · Performance 5.2 hours · Measure score 7.46 · Achievement 7.46 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.15% |
10.72%
1.6 pts better
|
No Different than the National Rate · Eligible stays 86 · Observed rate 3.49% · Lower 95% interval 5.73% |
| Discharge to community | 49.98% |
50.57%
0.6 pts worse
|
No Different than the National Rate · Eligible stays 68 · Observed rate 52.94% · Lower 95% interval 39.09% |
| Medicare spending per beneficiary | 0.83 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 84.31% |
95.27%
11 pts worse
|
Numerator 43 · Denominator 51 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 51 |
| Discharge self-care score | 44.44% |
53.69%
9.2 pts worse
|
Numerator 20 · Denominator 45 |
| Discharge mobility score | 48.89% |
50.94%
2 pts worse
|
Numerator 22 · Denominator 45 |
| Pressure ulcers or injuries, new or worsened | 5.88% |
2.29%
3.6 pts worse
|
Numerator 3 · Denominator 51 · Adjusted rate 7.38% |
| Healthcare-associated infections requiring hospitalization | 6.53% |
7.12%
0.6 pts better
|
No Different than the National Rate · Eligible stays 44 · Observed rate 2.27% · Lower 95% interval 3.33% |
| Staff COVID-19 vaccination coverage | 2.97% |
8.2%
5.2 pts worse
|
Numerator 3 · Denominator 101 |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | 55.56% |
56.45%
0.9 pts worse
|
Numerator 25 · Denominator 45 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 96.88% |
96.28%
0.6 pts better
|
Numerator 31 · Denominator 32 |
| Resident COVID-19 vaccinations up to date | 30.77% |
25.2%
5.6 pts better
|
Numerator 8 · Denominator 26 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.1 |
1.8
0.7 pts better
|
1.9
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 0.9 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.4 |
2.2
0.2 pts worse
|
1.8
0.6 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 2.2 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
91.8%
8.2 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 78.3% |
95.5%
17.2 pts worse
|
95.5%
17.2 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 78.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 11.6% |
4.4%
7.2 pts worse
|
3.3%
8.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 13.0% · Q3 9.1% · Q4 13.6% · 4Q avg 11.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 9.7% |
5.6%
4.1 pts worse
|
11.4%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.0% · 4Q avg 9.7% |
| Percentage of long-stay residents who lose too much weight | 1.3% |
5.0%
3.7 pts better
|
5.4%
4.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q3 5.0% · Q4 0.0% · 4Q avg 1.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 26.0% |
23.2%
2.8 pts worse
|
19.6%
6.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q3 20.0% · Q4 25.0% · 4Q avg 26.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 16.7% |
19.8%
3.1 pts better
|
16.7%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q4 15.0% · 4Q avg 16.7% · 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% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 23.2% |
18.4%
4.8 pts worse
|
16.3%
6.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 23.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 20.0% |
18.8%
1.2 pts worse
|
14.9%
5.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 20.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.1% |
1.8%
0.7 pts better
|
1.0%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.5% |
3.1%
0.4 pts worse
|
1.7%
1.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q3 9.1% · Q4 0.0% · 4Q avg 3.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 29.9% |
23.2%
6.7 pts worse
|
19.8%
10.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.5% · Q3 25.8% · Q4 16.3% · 4Q avg 29.9% |
| Percentage of long-stay residents with pressure ulcers | 3.0% |
4.6%
1.6 pts better
|
5.1%
2.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q3 4.8% · Q4 0.0% · 4Q avg 3.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 78.1% |
75.6%
2.5 pts better
|
81.7%
3.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 88.9% · Q2 90.5% · Q3 81.1% · Q4 52.5% · 4Q avg 78.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.7% |
11.7%
About the same
|
12.0%
0.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.7% · Observed 9.4% · Expected 9.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 4.3% |
2.2%
2.1 pts worse
|
1.6%
2.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 6.5% · Q3 3.7% · Q4 2.9% · 4Q avg 4.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 77.3% |
73.5%
3.8 pts better
|
79.7%
2.4 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 77.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 18.7% |
23.0%
4.3 pts better
|
23.9%
5.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 18.7% · Observed 13.2% · Expected 16.8% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-09-20 · Fire 2023-09-20
5 health deficiencies
Top issue: Pharmacy Service (3 deficiencies)
2 fire-safety deficiencies
Top issue: Services (1 deficiency)
Cycle 3
Health 2021-12-16 · Fire 2021-12-16
5 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-09-11
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-12-19
F · Potential for more than minimal harm
2025-09-11
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-12-19
F · Potential for more than minimal harm
2023-09-20
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-10-13
E · Potential for more than minimal harm
2023-09-20
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-10-13
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-09-11
F730 · Nursing and Physician Services Deficiencies
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2025-10-15
F · Potential for more than minimal harm
2025-09-11
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 2025-10-15
F · Potential for more than minimal harm
2025-09-11
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 2025-10-15
D · Potential for more than minimal harm
2025-09-11
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 2025-10-15
D · Potential for more than minimal harm
2025-09-11
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 2025-10-15
D · Potential for more than minimal harm
2025-09-11
F676 · Quality of Life and Care Deficiencies
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2025-10-15
D · Potential for more than minimal harm
2025-09-11
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 2025-10-15
D · Potential for more than minimal harm
2025-09-11
F693 · Quality of Life and Care Deficiencies
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2025-10-15
D · Potential for more than minimal harm
2025-09-11
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-10-15
C · Minimal harm
2025-09-11
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 2025-10-15
D · Potential for more than minimal harm
2023-09-20
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-10-26
D · Potential for more than minimal harm
2023-09-20
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 2023-10-26
D · Potential for more than minimal harm
2023-09-20
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 2023-10-26
D · Potential for more than minimal harm
2023-09-20
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-10-26
C · Minimal harm
2023-09-20
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 2023-10-26
J · Immediate jeopardy
2021-12-16
F803 · Nutrition and Dietary Deficiencies
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2022-01-12
F · Potential for more than minimal harm
2021-12-16
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 2022-01-12
F · Potential for more than minimal harm
2021-12-16
F908 · Environmental Deficiencies
Health
Keep all essential equipment working safely.
Corrected 2022-01-12
D · Potential for more than minimal harm
2021-12-16
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 2022-01-12
D · Potential for more than minimal harm
2021-12-16
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 2022-01-12
Penalties and ownership
What sits behind the stars
Ownership
Presbyterian Manors Inc
5% Or Greater Direct Ownership Interest · Organization
Brennecke, Gary
Corporate Director · Individual
Cook, James
Corporate Director · Individual
Cumberland, Richard
Corporate Director · Individual
Harris, Daniel
Corporate Director · Individual
Hind, Sherry
Corporate Officer · Individual
Korbe, Jerry
W-2 Managing Employee · Individual
Mckell, Elizabeth
Corporate Director · Individual
Miller, Joan
Corporate Officer · Individual
Morrison, Aaron
Corporate Director · Individual
Nelson, Eleanor
Corporate Director · Individual
Ott, Ray
Corporate Director · Individual
Owens, Melanie
Corporate Officer · Individual
Presbyterian Manors Of Mid-America Inc
Operational/Managerial Control · Organization
Shogren, Bruce
Corporate Officer · Individual
Taylor, William
Corporate Officer · Individual
Wedel, Randy
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
Trinity Manor
Dodge City, KS
4-star overall rating with 4-star inspections with $29,773 in total fines with 3 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
#2
Kansas Soldiers Home
Fort Dodge, KS
3-star overall rating with 2-star inspections with 12 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#3
Sunporch Of Dodge City
Dodge City, KS
3-star overall rating with 3-star inspections with 10 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
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