Federal inspection record · CMS data as of October 1, 2026
Memorial Hospital Ltcu (Village Manor)
705 N Brady Street, Abilene, KS · (785) 263-1431
- Certified beds
- 75
- Residents per day
- 70
- Ownership
- Government
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 1, 1993
1
How this home got 4 stars
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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Kansas.
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Staffing
★★★★★+1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★−1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Kansas homes
Memorial Hospital Ltcu (Village Manor) carries 48 inspection points. That is fewer than 67% of Kansas's 293 rated homes.
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
17 health citations on record since 2021. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
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.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Rights5D
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- 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.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Quality of Life and Care3E
- D
Provide medically-related social services to help each resident achieve the highest possible quality of life.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Pharmacy Service3D
- 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.
- D
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.
- 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.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Resident Assessment and Care Planning2D
- D
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Administration1F
- F
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Nutrition and Dietary1D
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspection history
2024-09-11
11 health deficiencies · 6 fire-safety deficiencies
Top issue: Resident Rights (4 deficiencies)
2023-02-08
5 health deficiencies · 9 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2021-08-04
1 health deficiencies · 11 fire-safety deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 4 h 35 min of nursing staff time a day, 43 min of it from a registered nurse.
This home
4 h 35 min
Kansas average
4 h 8 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 44% of nursing staff and 40% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident daysAbout the same | 1.7 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days2.3 pts worse | 4.3 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.6 pts better | 98.5% | 92.9% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine7 pts worse | 87.9% | 94.9% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury3.9 pts worse | 8.1% | 4.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms4.6 pts better | 2.0% | 6.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.7 pts better | 3.1% | 4.8% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication5.2 pts worse | 28.6% | 23.4% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication8 pts worse | 25.7% | 17.7% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened6.2 pts worse | 20.7% | 14.5% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased5.9 pts worse | 23.3% | 17.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder3 pts worse | 4.4% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.3 pts worse | 3.1% | 2.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.8 pts worse | 22.4% | 21.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.4 pts worse | 7.8% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine16.7 pts better | 93.8% | 77.1% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.7 pts better | 8.7% | 11.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.1 pts better | 1.5% | 1.6% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine12.8 pts better | 88.2% | 75.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission17.5 pts better | 4.8% | 22.3% | 23.4% |
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Who owns and runs it
9 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Biggs, James | Corporate Director · Individual | 0% | 1 facilities |
| Bowers, Tori | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Diehl, Karman | Corporate Director · Individual | 0% | 1 facilities |
| Haverly, Kimberly | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Holmes, Brian | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Holmes, Brian | Adp Of The SNF · Individual | 0% | 1 facilities |
| Salina Regional Health Center Inc | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Schwarting, Joseph | Corporate Director · Individual | 0% | 1 facilities |
| Wyatt, Kent | Corporate Director · Individual | 0% | 1 facilities |
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Fire safety
26 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke10F
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Install corridor and hallway doors that block smoke.
- F
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- F
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Install corridor and hallway doors that block smoke.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Install an approved automatic sprinkler system.
- F
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems5F
- E
Ensure proper usage of power strips and extension cords.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure proper usage of power strips and extension cords.
Services3F
- F
Have properly installed electrical wiring and gas equipment.
- F
Have properly installed electrical wiring and gas equipment.
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Miscellaneous3F
- F
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
Egress2F
- 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.
- 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.
Emergency Preparedness2F
- F
Address subsistence needs for staff and patients.
- F
Establish policies and procedures for volunteers.
Construction1F
- F
Meet other general requirements.
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Other homes nearby
-
Enterprise Estates Nuring Center
Enterprise, KS
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 27 min
- Fines
- $0
-
Chapman Valley Manor
Chapman, KS
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 43 min
- Fines
- $0
-
Holiday Resort Of Salina
Salina, KS · Midwest Health
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 58 min
- Fines
- $0