Federal inspection record · CMS data as of October 1, 2026

Medicalodges Leavenworth

1503 Ohio Street, Leavenworth, KS · (913) 772-1844

CMS overall rating

1 of 5

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Certified beds
45
Residents per day
27
Ownership
For-Profit
Chain
Medicalodges, Inc.
Medicare / Medicaid
Medicare + Medicaid
Certified since
February 4, 1987

1

How this home got 1 star

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Kansas.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    1 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Kansas homes

Medicalodges Leavenworth carries 157.5 inspection points. That is fewer than 8% of Kansas's 293 rated homes.

5★4★3★2★1★+9 homes above 20405102550100200inspection points → fewer is better on the leftThis home · 157.5 pts · 1★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Kansas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–27 pts
  • 4★ 27–49 pts
  • 3★ 49–71 pts
  • 2★ 71–114.38 pts
  • 1★ over 114.38 pts

Bars show every rated home in Kansas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

58 health citations on record since 2021. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 1 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 36 4 pts
E 11 8 pts
F 9 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 1 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (1)

  1. J

    Protect each resident from the wrongful use of the resident's belongings or money.

    July 29, 2025 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F602 · Not yet marked corrected

Everything else, by area of care

Quality of Life and Care19E
  1. D

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

    September 25, 2024 · Complaint · F686 · Corrected October 31, 2024

  2. D

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    September 25, 2024 · Complaint · F690 · Corrected October 31, 2024

  3. D

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

    September 25, 2024 · Complaint · F695 · Corrected October 31, 2024

  4. E

    Provide activities to meet all resident's needs.

    April 10, 2023 · Standard · F679 · Corrected May 9, 2023

  5. E

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    April 10, 2023 · Standard · F689 · Corrected May 9, 2023

  6. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    April 10, 2023 · Standard · F684 · Corrected June 15, 2023

  7. D

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

    April 10, 2023 · Standard · F686 · Corrected June 15, 2023

  8. D

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    April 10, 2023 · Standard · F688 · Corrected June 15, 2023

  9. D

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    April 10, 2023 · Standard · F690 · Corrected May 9, 2023

  10. D

    Provide for the safe, appropriate administration of IV fluids for a resident when needed.

    April 10, 2023 · Standard · F694 · Corrected May 9, 2023

  11. D

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

    April 10, 2023 · Standard · F695 · Corrected May 9, 2023

  12. D

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    April 10, 2023 · Standard · F698 · Corrected May 9, 2023

  13. D

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

    April 10, 2023 · Standard · F744 · Corrected May 9, 2023

  14. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    September 16, 2021 · Standard · F677 · Corrected October 31, 2021

  15. D

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

    September 16, 2021 · Standard · F686 · Corrected October 31, 2021

  16. D

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    September 16, 2021 · Standard · F688 · Corrected October 31, 2021

  17. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    September 16, 2021 · Standard · F689 · Corrected October 31, 2021

  18. D

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    September 16, 2021 · Standard · F690 · Corrected October 31, 2021

  19. D

    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.

    September 16, 2021 · Standard · F693 · Corrected October 31, 2021

Pharmacy Service11E
  1. E

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    September 25, 2024 · Complaint · F755 · Corrected October 31, 2024

  2. D

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    September 25, 2024 · Complaint · F756 · Corrected October 31, 2024

  3. D

    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.

    September 25, 2024 · Complaint · F758 · Corrected October 31, 2024

  4. D

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    April 10, 2023 · Standard · F756 · Corrected May 9, 2023

  5. D

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    April 10, 2023 · Standard · F757 · Corrected May 9, 2023

  6. D

    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.

    April 10, 2023 · Standard · F758 · Corrected June 15, 2023

  7. E

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    September 16, 2021 · Standard · F756 · Corrected October 31, 2021

  8. E

    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.

    September 16, 2021 · Standard · F758 · Corrected October 31, 2021

  9. E

    Ensure medication error rates are not 5 percent or greater.

    September 16, 2021 · Standard · F759 · Corrected October 31, 2021

  10. E

    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.

    September 16, 2021 · Standard · F761 · Corrected October 31, 2021

  11. D

    Ensure that residents are free from significant medication errors.

    September 16, 2021 · Standard · F760 · Corrected October 31, 2021

Resident Rights8F
  1. D

    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.

    June 10, 2026 · Complaint · F585 · Corrected July 10, 2026

  2. F

    Keep residents' personal and medical records private and confidential.

    April 10, 2023 · Standard · F583 · Corrected May 9, 2023

  3. D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    April 10, 2023 · Standard · F550 · Corrected May 9, 2023

  4. D

    Reasonably accommodate the needs and preferences of each resident.

    April 10, 2023 · Standard · F558 · Corrected May 9, 2023

  5. D

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    April 10, 2023 · Standard · F582 · Corrected May 9, 2023

  6. D

    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.

    April 10, 2023 · Standard · F584 · Corrected May 9, 2023

  7. D

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    April 10, 2023 · Standard · F623 · Corrected May 9, 2023

  8. C

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

    April 10, 2023 · Standard · F576 · Corrected May 9, 2023

Infection Control7F
  1. F

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    September 25, 2024 · Complaint · F882 · Corrected October 31, 2024

  2. E

    Provide and implement an infection prevention and control program.

    September 25, 2024 · Complaint · F880 · Corrected October 31, 2024

  3. F

    Provide and implement an infection prevention and control program.

    April 10, 2023 · Standard · F880 · Corrected June 15, 2023

  4. D

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    April 10, 2023 · Standard · F883 · Corrected June 15, 2023

  5. F

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    September 16, 2021 · Standard · F882 · Corrected October 31, 2021

  6. E

    Provide and implement an infection prevention and control program.

    September 16, 2021 · Standard · F880 · Corrected October 31, 2021

  7. E

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    September 16, 2021 · Standard · F883 · Corrected October 31, 2021

Nursing and Physician Services4F
  1. F

    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.

    September 25, 2024 · Complaint · F727 · Corrected October 31, 2024

  2. F

    Observe each nurse aide's job performance and give regular training.

    September 25, 2024 · Complaint · F730 · Corrected October 31, 2024

  3. F

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    September 25, 2024 · Complaint · F947 · Corrected October 31, 2024

  4. F

    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.

    April 10, 2023 · Standard · F727 · Corrected May 9, 2023

Resident Assessment and Care Planning4D
  1. D

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    April 10, 2023 · Standard · F655 · Corrected May 9, 2023

  2. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    April 10, 2023 · Standard · F656 · Corrected May 9, 2023

  3. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    April 10, 2023 · Standard · F657 · Corrected May 9, 2023

  4. D

    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

    April 10, 2023 · Standard · F661 · Corrected May 9, 2023

Nutrition and Dietary2F
  1. F

    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.

    September 25, 2024 · Complaint · F801 · Corrected October 31, 2024

  2. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    September 16, 2021 · Standard · F812 · Corrected October 31, 2021

Administration2D
  1. D

    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.

    September 25, 2024 · Complaint · F849 · Corrected October 31, 2024

  2. D

    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.

    April 10, 2023 · Standard · F849 · Corrected May 9, 2023

Inspection history

  1. 2024-09-25

    14 health deficiencies · 10 fire-safety deficiencies

    Top issue: Nursing and Physician Services (3 deficiencies)

  2. 2023-04-10

    29 health deficiencies · 6 fire-safety deficiencies

    Top issue: Quality of Life and Care (10 deficiencies)

  3. 2021-09-16

    15 health deficiencies · 12 fire-safety deficiencies

    Top issue: Quality of Life and Care (6 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 4 h 21 min of nursing staff time a day, 39 min of it from a registered nurse.

This home

4 h 21 min

Kansas average

4 h 8 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 88% of nursing staff and 90% of registered nurses left in the past year, along with 1 administrator.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$8,281 in federal fines on record over the past three years.

DatePenaltyAmount
2025-07-29Fine$8,281

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.8 pts worse89.1%92.9%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.9 pts better96.8%94.9%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1.5 pts better2.7%4.2%3.2%
Percentage of long-stay residents who have depressive symptoms6.6 pts better0.0%6.6%13.5%
Percentage of long-stay residents who lose too much weight4.2 pts worse9.0%4.8%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication3.3 pts worse26.7%23.4%19.5%
Percentage of long-stay residents who received an antipsychotic medication4.2 pts better13.5%17.7%15.4%
Percentage of long-stay residents who were physically restrainedAbout the same0.0%0.0%0.1%
Percentage of long-stay residents whose ability to walk independently worsened2 pts better12.5%14.5%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased8.4 pts worse25.8%17.4%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder1.4 pts better0.0%1.4%0.7%
Percentage of long-stay residents with a urinary tract infection4.5 pts worse7.3%2.8%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.8 pts better17.8%21.6%18.3%
Percentage of long-stay residents with pressure ulcers2.5 pts worse6.9%4.4%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine4.6 pts better81.7%77.1%82.3%
Percentage of short-stay residents who newly received an antipsychotic medication1.6 pts better0.0%1.6%1.5%

·

Who owns and runs it

35 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Medicalodges Inc5% Or Greater Direct Ownership Interest · Organization100%19 facilities
Avery, ScottOperational/Managerial Control · Individual0%3 facilities
Avery, ScottAdp Of The SNF · Individual0%3 facilities
Blue Hair Health CareOperational/Managerial Control · Organization0%1 facilities
Blue Hair Health CareAdp Of The SNF · Organization0%1 facilities
Burke, PatrickOperational/Managerial Control · Individual0%4 facilities
Burke, PatrickAdp Of The SNF · Individual0%4 facilities
Butler, RichardCorporate Director · Individual0%35 facilities
Christmas, KevinCorporate Officer · Individual0%6 facilities
Coover, TeresaCorporate Officer · Individual0%17 facilities
Cox, GarenCorporate Director · Individual0%19 facilities
Cox, GarenTrustee Of The SNF · Individual0%19 facilities
Daniels, JanaCorporate Officer · Individual0%6 facilities
Dillon, WilliamCorporate Officer · Individual0%6 facilities
Doll, GayleCorporate Director · Individual0%19 facilities
Fisher, KristynCorporate Officer · Individual0%5 facilities
Grover, BridgetCorporate Director · Individual0%5 facilities
Hines, ScottCorporate Director · Individual0%19 facilities
Hines, ScottCorporate Officer · Individual0%19 facilities
Hines, ScottOperational/Managerial Control · Individual0%19 facilities
Hines, ScottTrustee Of The SNF · Individual0%19 facilities
Kelly, ElizabethCorporate Officer · Individual0%6 facilities
Lager, ShannonCorporate Director · Individual0%18 facilities
Lager, ShannonCorporate Officer · Individual0%18 facilities
Lantz, KathleenCorporate Officer · Individual0%19 facilities
Listwan, SamanthaCorporate Officer · Individual0%6 facilities
Marshall, CarolCorporate Director · Individual0%19 facilities
Mcbride, TravisCorporate Officer · Individual0%19 facilities
Medicalodges IncOperational/Managerial Control · Organization0%19 facilities
Medicalodges IncAdp Of The SNF · Organization0%19 facilities
Ott, RonCorporate Director · Individual0%19 facilities
Rohling Mccord, CatherineCorporate Officer · Individual0%19 facilities
Rohling Mccord, CatherineTrustee Of The SNF · Individual0%19 facilities
Schertz, AmberCorporate Officer · Individual0%6 facilities
Waechter Harmon, LoriCorporate Officer · Individual0%15 facilities

·

Fire safety

28 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke9F
  1. F

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

    September 25, 2024 · K345 · Corrected December 4, 2024

  2. F

    Inspect, test, and maintain automatic sprinkler systems.

    September 25, 2024 · K353 · Corrected December 4, 2024

  3. F

    Install corridor and hallway doors that block smoke.

    April 10, 2023 · K363 · Corrected June 10, 2023

  4. D

    Inspect, test, and maintain automatic sprinkler systems.

    April 10, 2023 · K353 · Corrected June 10, 2023

  5. F

    Inspect, test, and maintain automatic sprinkler systems.

    September 16, 2021 · K353 · Corrected December 23, 2021

  6. E

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    September 16, 2021 · K321 · Corrected December 23, 2021

  7. E

    Install corridor and hallway doors that block smoke.

    September 16, 2021 · K363 · Corrected December 23, 2021

  8. E

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

    September 16, 2021 · K374 · Corrected December 23, 2021

  9. D

    Properly select, install, inspect, or maintain portable fire extinguishes.

    September 16, 2021 · K355 · Corrected December 23, 2021

Egress8F
  1. F

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

    September 25, 2024 · K223 · Corrected December 4, 2024

  2. E

    Meet other general requirements.

    September 25, 2024 · K200 · Corrected December 4, 2024

  3. E

    Provide large enough exits.

    September 25, 2024 · K231 · Corrected December 4, 2024

  4. E

    Have properly located and lighted "Exit" signs.

    September 25, 2024 · K293 · Corrected December 4, 2024

  5. F

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

    April 10, 2023 · K291 · Corrected June 10, 2023

  6. D

    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.

    April 10, 2023 · K222 · Corrected June 10, 2023

  7. F

    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.

    September 16, 2021 · K222 · Corrected December 23, 2021

  8. F

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

    September 16, 2021 · K291 · Corrected December 23, 2021

Gas, Vacuum, and Electrical Systems5F
  1. F

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

    September 25, 2024 · K914 · Corrected December 4, 2024

  2. E

    Have proper medical gas storage and administration areas.

    September 25, 2024 · K923 · Corrected December 4, 2024

  3. F

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

    September 16, 2021 · K914 · Corrected December 23, 2021

  4. F

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

    September 16, 2021 · K918 · Corrected December 23, 2021

  5. E

    Ensure proper usage of power strips and extension cords.

    September 16, 2021 · K920 · Corrected December 23, 2021

Miscellaneous3F
  1. F

    Have simulated fire drills held at unexpected times.

    September 25, 2024 · K712 · Corrected December 4, 2024

  2. D

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

    April 10, 2023 · K761 · Corrected June 10, 2023

  3. F

    Have simulated fire drills held at unexpected times.

    September 16, 2021 · K712 · Corrected December 23, 2021

Services3F
  1. E

    Have properly installed electrical wiring and gas equipment.

    September 25, 2024 · K511 · Corrected December 4, 2024

  2. F

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    April 10, 2023 · K521 · Corrected June 10, 2023

  3. E

    Have properly installed electrical wiring and gas equipment.

    September 16, 2021 · K511 · Corrected December 23, 2021

·

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