12 health deficiencies
Top issue: Resident Rights (5 deficiencies)
12 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Coffeyville, KS
2-star overall rating with 1-star inspections with $173,640 in total fines with 12 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
2921 W 1st Street, Coffeyville, KS
(620) 251-5190
Overall
2 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
100
Certified beds
Average residents
63
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Medicalodges, Inc.
Operator or chain grouping
Approved since
1994-05-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Staffing
RN hours / resident day
0.80
Registered nurse staffing
LPN hours / resident day
0.88
Licensed practical nurse staffing
Aide hours / resident day
2.85
Nurse aide staffing
Weekend hours
3.93
Weekend nurse staffing
RN turnover
23%
Annual RN turnover
Total nurse turnover
40%
Annual nurse turnover
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 |
| 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 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 47.0% |
91.8%
44.8 pts worse
|
93.4%
46.4 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 90.4% |
95.5%
5.1 pts worse
|
95.5%
5.1 pts worse
|
Long Stay · 2024Q3-2025Q2 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 6.1% |
4.4%
1.7 pts worse
|
3.3%
2.8 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
5.6%
5.6 pts better
|
11.4%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who lose too much weight | 6.9% |
5.0%
1.9 pts worse
|
5.4%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 38.5% |
23.2%
15.3 pts worse
|
19.6%
18.9 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antipsychotic medication | 21.9% |
19.8%
2.1 pts worse
|
16.7%
5.2 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| 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 |
| Percentage of long-stay residents whose ability to walk independently worsened | 22.3% |
18.4%
3.9 pts worse
|
16.3%
6 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose need for help with daily activities has increased | 23.2% |
18.8%
4.4 pts worse
|
14.9%
8.3 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.4% |
1.8%
0.4 pts better
|
1.0%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a urinary tract infection | 4.1% |
3.1%
1 pts worse
|
1.7%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 28.3% |
23.2%
5.1 pts worse
|
19.8%
8.5 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with pressure ulcers | 4.0% |
4.6%
0.6 pts better
|
5.1%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 55.9% |
75.6%
19.7 pts worse
|
81.7%
25.8 pts worse
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.9% |
11.7%
3.8 pts better
|
12.0%
4.1 pts better
|
Short Stay · 20240701-20250630 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.8% |
2.2%
0.6 pts worse
|
1.6%
1.2 pts worse
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 66.7% |
73.5%
6.8 pts worse
|
79.7%
13 pts worse
|
Short Stay · 2024Q3-2025Q2 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 19.9% |
23.0%
3.1 pts better
|
23.9%
4 pts better
|
Short Stay · 20240701-20250630 |
Survey summary
Top issue: Resident Rights (5 deficiencies)
12 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Freedom from Abuse and Neglect and Exploitation (5 deficiencies)
17 fire-safety deficiencies
Top issue: Smoke (8 deficiencies)
Top issue: Quality of Life and Care (8 deficiencies)
16 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Fire safety
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-07-11
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-07-15
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-07-11
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2024-07-11
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 2024-07-11
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-07-11
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-07-11
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-07-11
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-07-15
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2024-07-11
Fire Safety
Have restrictions on the use of highly flammable decorations.
Corrected 2024-07-11
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-07-11
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2022-07-08
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 2022-07-08
Fire Safety
Provide properly protected cooking facilities.
Corrected 2022-07-08
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-07-08
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2022-07-08
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-07-08
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2022-07-08
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2022-07-08
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2022-07-08
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2022-07-08
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2022-07-08
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-06-08
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2022-07-08
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2022-07-08
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 2022-07-08
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-07-08
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2022-07-08
Fire Safety
Provide emergency officials' contact information.
Corrected 2020-02-14
Fire Safety
Conduct testing and exercise requirements.
Corrected 2020-02-14
Fire Safety
Implement emergency and standby power systems.
Corrected 2020-02-14
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2020-02-14
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2020-02-14
Fire Safety
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Corrected 2020-02-14
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2020-02-14
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2020-02-14
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2020-02-14
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2020-02-14
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2020-02-14
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 2020-02-14
Fire Safety
Provide properly protected cooking facilities.
Corrected 2020-02-14
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2020-02-14
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2020-02-14
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2020-02-14
Inspection history
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-09-30
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-07-23
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-07-23
Health
Respond appropriately to all alleged violations.
Corrected 2024-07-23
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-06-03
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-06-03
Health
Provide and implement an infection prevention and control program.
Corrected 2024-06-03
Health
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2024-06-03
Health
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected 2024-06-03
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2024-06-03
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-06-03
Health
Honor the resident's right to manage his or her financial affairs.
Corrected 2024-06-03
Health
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected 2024-06-03
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-06-03
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-06-03
Health
Post nurse staffing information every day.
Corrected 2024-06-03
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-07-13
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-08-20
Health
Provide and implement an infection prevention and control program.
Corrected 2022-08-20
Health
Implement a program that monitors antibiotic use.
Corrected 2022-08-20
Health
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected 2022-08-20
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2022-08-20
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2022-08-20
Health
Assess the resident when there is a significant change in condition
Corrected 2022-08-20
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 2022-08-20
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-08-20
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2022-08-20
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2022-08-20
Health
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2022-08-20
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2022-08-20
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2022-08-20
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-08-20
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 2022-08-20
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2022-08-20
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2020-03-24
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 2020-03-24
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2020-03-24
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 2020-03-24
Health
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2020-03-24
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2020-03-24
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2020-03-24
Health
Provide activities to meet all resident's needs.
Corrected 2020-03-24
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2020-03-24
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 2020-03-24
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2020-03-24
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2020-03-24
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 2020-03-24
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2020-03-24
Health
Provide or obtain dental services for each resident.
Corrected 2020-03-24
Penalties and ownership
Fine · fine $84,124
Fine
Fine · fine $24,065
Fine
Fine · fine $24,065
Fine
Fine · fine $31,327
Fine
Fine · fine $10,059
Fine
Payment Denial · denial start 2023-07-11 · 2 days
2 day denial
5% Or Greater Direct Ownership Interest · Organization
Corporate Director · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Officer · Individual
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Cherryvale, KS
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