6 health deficiencies
Top issue: Infection Control (1 deficiency)
9 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Pretty Prairie, KS
5-star overall rating with 4-star inspections with 6 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
601 E Main Street, Pretty Prairie, KS
(620) 459-6822
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
43
Certified beds
Average residents
39
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2006-04-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
0.84
Registered nurse staffing · state 0.72 · national 0.68
LPN hours / resident day
0.55
Licensed practical nurse staffing · state 0.67 · national 0.87
Aide hours / resident day
3.73
Nurse aide staffing · state 2.69 · national 2.35
Total nurse hours
5.12
All reported nurse hours · state 4.07 · national 3.89
Licensed hours
1.39
RN + LPN hours · state 1.38 · national 1.54
Weekend hours
3.82
Weekend nurse staffing · state 3.58 · national 3.43
Weekend RN hours
0.38
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.01
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
0.74
CMS adjusted RN staffing hours
Adjusted total hours
4.52
CMS adjusted total nurse staffing hours
Case-mix index
1.55
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
20%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Program rank
1,648
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
55.02
Composite VBP score used to determine payment impact.
Payment multiplier
1.0100
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Healthcare-associated infections
1.02
Baseline 5.86% · Performance 7.53% · Measure score 1.02 · Achievement 1.02 · Improvement 0
Total nurse turnover
8.67
Baseline 31.25% · Performance 28.26% · Measure score 8.67 · Achievement 8.67 · Improvement 4.17
Adjusted total nurse staffing
6.83
Baseline 3.98 hours · Performance 5.02 hours · Measure score 6.83 · Achievement 6.83 · Improvement 5.27
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.18% |
10.72%
0.5 pts worse
|
No Different than the National Rate · Eligible stays 44 · Observed rate 11.36% · Lower 95% interval 6.89% |
| Discharge to community | 47.57% |
50.57%
3 pts worse
|
No Different than the National Rate · Eligible stays 27 · Observed rate 48.15% · Lower 95% interval 32.67% |
| Medicare spending per beneficiary | 0.9 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 93.94% |
95.27%
1.3 pts worse
|
Numerator 31 · Denominator 33 |
| Falls with major injury | 3.03% |
0.77%
2.3 pts worse
|
Numerator 1 · Denominator 33 |
| Discharge self-care score | 53.57% |
53.69%
0.1 pts worse
|
Numerator 15 · Denominator 28 |
| Discharge mobility score | 64.29% |
50.94%
13.4 pts better
|
Numerator 18 · Denominator 28 |
| Pressure ulcers or injuries, new or worsened | 6.06% |
2.29%
3.8 pts worse
|
Numerator 2 · Denominator 33 · Adjusted rate 7.62% |
| Healthcare-associated infections requiring hospitalization | 7.53% |
7.12%
0.4 pts worse
|
No Different than the National Rate · Eligible stays 25 · Observed rate 8% · Lower 95% interval 3.48% |
| Staff COVID-19 vaccination coverage | 1.23% |
8.2%
7 pts worse
|
Numerator 1 · Denominator 81 |
| Staff flu vaccination coverage | 48.31% |
42%
6.3 pts better
|
Numerator 43 · Denominator 89 |
| Discharge function score | 67.86% |
56.45%
11.4 pts better
|
Numerator 19 · Denominator 28 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 10% |
25.2%
15.2 pts worse
|
Numerator 2 · Denominator 20 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.3 |
1.8
0.5 pts worse
|
1.9
0.4 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 1.8 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 3.6 |
2.2
1.4 pts worse
|
1.8
1.8 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.6 · Observed 2.9 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.5% |
91.8%
6.7 pts better
|
93.4%
5.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 97.0% · Q2 97.0% · Q3 100.0% · Q4 100.0% · 4Q avg 98.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
95.5%
4.5 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.5% |
4.4%
0.1 pts worse
|
3.3%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 3.0% · Q3 6.1% · Q4 5.9% · 4Q avg 4.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 18.9% |
5.6%
13.3 pts worse
|
11.4%
7.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.7% · Q2 18.8% · Q3 22.6% · Q4 24.2% · 4Q avg 18.9% |
| Percentage of long-stay residents who lose too much weight | 3.6% |
5.0%
1.4 pts better
|
5.4%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 5.0% · Q3 0.0% · Q4 4.3% · 4Q avg 3.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 1.1% |
23.2%
22.1 pts better
|
19.6%
18.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 4.7% |
19.8%
15.1 pts better
|
16.7%
12 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 4.7% · 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% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 12.3% |
18.4%
6.1 pts better
|
16.3%
4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 14.4% · Q4 15.7% · 4Q avg 12.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 24.4% |
18.8%
5.6 pts worse
|
14.9%
9.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.4% · Q2 14.3% · Q3 39.1% · Q4 26.1% · 4Q avg 24.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.6% |
1.8%
0.8 pts worse
|
1.0%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 2.5% · Q3 2.6% · Q4 2.5% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.9% |
3.1%
0.8 pts worse
|
1.7%
2.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 6.2% · Q3 0.0% · Q4 2.9% · 4Q avg 3.9% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 32.9% |
23.2%
9.7 pts worse
|
19.8%
13.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 33.9% · Q2 29.3% · Q3 40.1% · Q4 29.1% · 4Q avg 32.9% |
| Percentage of long-stay residents with pressure ulcers | 6.7% |
4.6%
2.1 pts worse
|
5.1%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 4.4% · Q3 9.4% · Q4 9.1% · 4Q avg 6.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 74.2% |
75.6%
1.4 pts worse
|
81.7%
7.5 pts worse
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 74.2% |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3.0% |
2.2%
0.8 pts worse
|
1.6%
1.4 pts worse
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 3.0% · Used in QM five-star |
Survey summary
Top issue: Infection Control (1 deficiency)
9 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Quality of Life and Care (3 deficiencies)
6 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Top issue: Pharmacy Service (2 deficiencies)
16 fire-safety deficiencies
Top issue: Emergency Preparedness (9 deficiencies)
Fire safety
Fire Safety
Use approved construction type or materials.
Corrected 2025-05-02
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 2025-05-02
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-04-08
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-05-02
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-05-02
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-05-05
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-05-05
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-05-02
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-05-05
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 2023-07-25
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-07-25
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-07-25
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-07-25
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-07-25
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2023-07-25
Fire Safety
Develop Emergency Preparedness policies and procedures.
Corrected 2022-01-13
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2022-01-13
Fire Safety
Establish policies and procedures for volunteers.
Corrected 2022-01-13
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2022-01-13
Fire Safety
Develop a communication plan.
Corrected 2022-01-13
Fire Safety
List the names and contact information of those in the facility.
Corrected 2022-01-13
Fire Safety
Provide emergency officials' contact information.
Corrected 2022-01-13
Fire Safety
Establish emergency prep training and testing.
Corrected 2022-01-13
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2022-01-13
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 2022-01-13
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2022-01-13
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2022-01-13
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2022-01-13
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-01-13
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2022-01-13
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2022-01-13
Inspection history
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-04-11
Health
Provide and implement an infection prevention and control program.
Corrected 2025-04-11
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-04-11
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-04-11
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 2025-04-11
Health
Post nurse staffing information every day.
Corrected 2025-04-11
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-07-10
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-07-10
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 2023-07-10
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-07-10
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 2023-07-10
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-07-10
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2021-12-17
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2021-12-17
Health
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2021-12-17
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2021-12-17
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 2021-12-17
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2021-12-17
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
W-2 Managing Employee · Individual
Corporate Director · Individual
W-2 Managing Employee · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
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