5 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
12 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Pittsburg, KS
3-star overall rating with 3-star inspections with 5 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
1005 E Centennial Drive, Pittsburg, KS
(620) 231-1120
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
86
Certified beds
Average residents
56
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Mission Health Communities
Operator or chain grouping
Approved since
1991-05-15
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
40 facilities
Chain averages 3 overall / 3 health / 3 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
RN hours / resident day
0.73
Registered nurse staffing · state 0.72 · national 0.68
LPN hours / resident day
0.35
Licensed practical nurse staffing · state 0.67 · national 0.87
Aide hours / resident day
2.09
Nurse aide staffing · state 2.69 · national 2.35
Total nurse hours
3.18
All reported nurse hours · state 4.07 · national 3.89
Licensed hours
1.09
RN + LPN hours · state 1.38 · national 1.54
Weekend hours
2.98
Weekend nurse staffing · state 3.58 · national 3.43
Weekend RN hours
0.61
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.03
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
0.81
CMS adjusted RN staffing hours
Adjusted total hours
3.49
CMS adjusted total nurse staffing hours
Case-mix index
1.24
Higher values indicate more complex resident acuity
RN turnover
11%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
43%
Annual nurse turnover · state 50% · national 46%
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.47% |
10.72%
0.8 pts worse
|
No Different than the National Rate · Eligible stays 37 · Observed rate 16.22% · Lower 95% interval 7.88% |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays 17 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Medicare spending per beneficiary | 1.13 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | Not Available |
95.27%
|
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly. |
| Falls with major injury | Not Available |
0.77%
|
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly. |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | Not Available |
2.29%
|
Numerator Not Available · Denominator 17 · 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 15 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 67 |
| Staff flu vaccination coverage | 50.98% |
42%
9 pts better
|
Numerator 52 · Denominator 102 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 5 · 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
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.0 |
1.8
0.2 pts worse
|
1.9
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 1.8 · Expected 1.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.1 |
2.2
0.1 pts better
|
1.8
0.3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 2.2 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 92.4% |
91.8%
0.6 pts better
|
93.4%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 86.0% · Q2 94.1% · Q3 96.3% · Q4 92.9% · 4Q avg 92.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 81.5% |
95.5%
14 pts worse
|
95.5%
14 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 81.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.5% |
4.4%
3.9 pts better
|
3.3%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.8% · 4Q avg 0.5% · Used in QM five-star |
| 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents who lose too much weight | 9.4% |
5.0%
4.4 pts worse
|
5.4%
4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.9% · Q2 11.1% · Q3 6.1% · Q4 9.8% · 4Q avg 9.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 31.4% |
23.2%
8.2 pts worse
|
19.6%
11.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.4% · Q2 28.3% · Q3 32.7% · Q4 34.0% · 4Q avg 31.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 38.1% |
19.8%
18.3 pts worse
|
16.7%
21.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 39.4% · Q2 43.3% · Q3 37.1% · Q4 33.3% · 4Q avg 38.1% · 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% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 14.4% |
18.4%
4 pts better
|
16.3%
1.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 25.5% · Q2 6.0% · Q3 9.3% · Q4 15.7% · 4Q avg 14.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 10.6% |
18.8%
8.2 pts better
|
14.9%
4.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.8% · Q2 2.4% · Q3 13.3% · Q4 18.8% · 4Q avg 10.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 3.0% |
1.8%
1.2 pts worse
|
1.0%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 5.1% · Q3 2.7% · Q4 1.0% · 4Q avg 3.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.9% |
3.1%
1.2 pts better
|
1.7%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 0.0% · Q3 3.7% · Q4 1.9% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 21.1% |
23.2%
2.1 pts better
|
19.8%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.3% · Q2 25.4% · Q3 16.0% · Q4 19.4% · 4Q avg 21.1% |
| Percentage of long-stay residents with pressure ulcers | 9.3% |
4.6%
4.7 pts worse
|
5.1%
4.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 9.9% · Q3 9.4% · Q4 12.3% · 4Q avg 9.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 48.5% |
75.6%
27.1 pts worse
|
81.7%
33.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 25.0% · Q2 57.1% · 4Q avg 48.5% |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
2.2%
2.2 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 15.0% |
73.5%
58.5 pts worse
|
79.7%
64.7 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 15.0% |
Survey summary
Top issue: Nutrition and Dietary (1 deficiency)
12 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Quality of Life and Care (9 deficiencies)
14 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (4 deficiencies)
Top issue: Quality of Life and Care (5 deficiencies)
14 fire-safety deficiencies
Top issue: Smoke (7 deficiencies)
Fire safety
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 2024-07-18
Fire Safety
Have an alternate power supply for its alarm system.
Corrected 2024-07-18
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-08-08
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-08-08
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-08-08
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-08-08
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-07-18
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-07-18
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 2024-07-18
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-07-18
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2024-07-18
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-07-18
Fire Safety
Conduct testing and exercise requirements.
Corrected 2022-11-17
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 2022-11-17
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2022-11-17
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-11-17
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-11-17
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2022-11-17
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2022-11-17
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-11-17
Fire Safety
Use approved construction type or materials.
Corrected 2022-11-17
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2022-11-17
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2022-11-17
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2022-11-17
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2022-11-17
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2022-11-17
Fire Safety
Implement emergency and standby power systems.
Corrected 2021-09-21
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 2021-09-21
Fire Safety
Provide properly protected cooking facilities.
Corrected 2021-09-21
Fire Safety
Have an alternate power supply for its alarm system.
Corrected 2021-09-21
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2021-09-21
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2021-09-21
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2021-09-21
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2021-09-21
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2021-09-21
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2021-09-21
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2021-09-21
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2021-09-21
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2021-09-21
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2021-09-21
Inspection history
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-06-26
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-06-26
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-06-26
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-06-26
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-06-26
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-07-10
Health
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.
Corrected 2022-10-14
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2022-10-14
Health
Ensure that residents are free from significant medication errors.
Corrected 2022-10-14
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-10-14
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2022-10-14
Health
Provide and implement an infection prevention and control program.
Corrected 2022-10-14
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 2022-10-14
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 2022-10-14
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-10-14
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2022-10-14
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2022-10-14
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2022-10-14
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2022-10-14
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2022-10-14
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-10-14
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-10-14
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-10-14
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-10-14
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 2022-10-14
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-10-14
Health
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Corrected 2022-10-14
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2022-10-14
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2022-10-14
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2021-03-24
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2021-03-24
Health
Keep all essential equipment working safely.
Corrected 2021-03-24
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 2021-03-24
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2021-03-24
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2021-03-24
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2021-03-24
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2021-03-24
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 2021-03-24
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2021-03-24
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
Corporate Officer · Individual
Nearby options
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1-star overall rating with 2-star inspections with $16,858 in total fines with 12 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
Arma, KS
2-star overall rating with 2-star inspections with abuse icon flag with $21,645 in total fines with 2 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
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