12 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
10 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Marquette, KS
1-star overall rating with 1-star inspections with abuse icon flag with $40,765 in total fines with 12 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
202 S Washington Street, Marquette, KS
(785) 546-2211
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Beds
36
Certified beds
Average residents
27
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2007-05-01
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
0.85
Registered nurse staffing · state 0.72 · national 0.68
LPN hours / resident day
0.61
Licensed practical nurse staffing · state 0.67 · national 0.87
Aide hours / resident day
3.23
Nurse aide staffing · state 2.69 · national 2.35
Total nurse hours
4.69
All reported nurse hours · state 4.07 · national 3.89
Licensed hours
1.46
RN + LPN hours · state 1.38 · national 1.54
Weekend hours
4.02
Weekend nurse staffing · state 3.58 · national 3.43
Weekend RN hours
0.55
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
0.99
CMS adjusted RN staffing hours
Adjusted total hours
5.44
CMS adjusted total nurse staffing hours
Case-mix index
1.18
Higher values indicate more complex resident acuity
RN turnover
38%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
50%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Program rank
3,356
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
44.75
Composite VBP score used to determine payment impact.
Payment multiplier
0.9979
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
0
Performance 7.86% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.
Total nurse turnover
6.49
Baseline 51.22% · Performance 37.14% · Measure score 6.49 · Achievement 6.49 · Improvement 4.84
Adjusted total nurse staffing
6.93
Baseline 4.44 hours · Performance 5.05 hours · Measure score 6.93 · Achievement 6.93 · Improvement 4.05
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.37% |
10.72%
0.4 pts better
|
No Different than the National Rate · Eligible stays 33 · Observed rate 6.06% · Lower 95% interval 6.8% |
| Discharge to community | 48.85% |
50.57%
1.7 pts worse
|
No Different than the National Rate · Eligible stays 28 · Observed rate 42.86% · Lower 95% interval 35.19% |
| Medicare spending per beneficiary | 1.1 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 30 · Denominator 30 |
| Falls with major injury | 6.67% |
0.77%
5.9 pts worse
|
Numerator 2 · Denominator 30 |
| Discharge self-care score | 42.31% |
53.69%
11.4 pts worse
|
Numerator 11 · Denominator 26 |
| Discharge mobility score | 38.46% |
50.94%
12.5 pts worse
|
Numerator 10 · Denominator 26 |
| Pressure ulcers or injuries, new or worsened | 6.67% |
2.29%
4.4 pts worse
|
Numerator 2 · Denominator 30 · Adjusted rate 7.76% |
| Healthcare-associated infections requiring hospitalization | 7.86% |
7.12%
0.7 pts worse
|
No Different than the National Rate · Eligible stays 29 · Observed rate 10.34% · Lower 95% interval 4.24% |
| Staff COVID-19 vaccination coverage | 2% |
8.2%
6.2 pts worse
|
Numerator 1 · Denominator 50 |
| Staff flu vaccination coverage | 15.38% |
42%
26.6 pts worse
|
Numerator 10 · Denominator 65 |
| Discharge function score | 46.15% |
56.45%
10.3 pts worse
|
Numerator 12 · Denominator 26 |
| 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 13 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.6 |
1.8
1.8 pts worse
|
1.9
1.7 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.6 · Observed 2.8 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 4.9 |
2.2
2.7 pts worse
|
1.8
3.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 4.9 · Observed 4.1 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.1% |
91.8%
6.3 pts better
|
93.4%
4.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 92.6% · Q3 100.0% · Q4 100.0% · 4Q avg 98.1% |
| 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 | 17.5% |
4.4%
13.1 pts worse
|
3.3%
14.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.9% · Q2 25.9% · Q3 8.7% · Q4 7.7% · 4Q avg 17.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.1% |
5.6%
3.5 pts better
|
11.4%
9.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.2% · Q3 4.5% · Q4 0.0% · 4Q avg 2.1% |
| Percentage of long-stay residents who lose too much weight | 2.6% |
5.0%
2.4 pts better
|
5.4%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q4 0.0% · 4Q avg 2.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 19.8% |
23.2%
3.4 pts better
|
19.6%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.0% · Q2 20.0% · Q4 15.0% · 4Q avg 19.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 25.7% |
19.8%
5.9 pts worse
|
16.7%
9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.7% · 4Q avg 25.7% · 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 | 29.4% |
18.4%
11 pts worse
|
16.3%
13.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 29.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 28.9% |
18.8%
10.1 pts worse
|
14.9%
14 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.3% · 4Q avg 28.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 8.1% |
1.8%
6.3 pts worse
|
1.0%
7.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.2% · Q2 7.5% · Q3 11.8% · Q4 8.5% · 4Q avg 8.1% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 6.1% |
3.1%
3 pts worse
|
1.7%
4.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.0% · Q3 4.5% · Q4 15.4% · 4Q avg 6.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 33.6% |
23.2%
10.4 pts worse
|
19.8%
13.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 35.7% · Q2 24.9% · Q4 26.3% · 4Q avg 33.6% |
| Percentage of long-stay residents with pressure ulcers | 6.9% |
4.6%
2.3 pts worse
|
5.1%
1.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.2% · Q2 6.6% · Q3 8.0% · Q4 5.8% · 4Q avg 6.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 93.9% |
75.6%
18.3 pts better
|
81.7%
12.2 pts better
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 93.9% |
| 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 |
Survey summary
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
10 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Nutrition and Dietary (2 deficiencies)
14 fire-safety deficiencies
Top issue: Smoke (7 deficiencies)
Top issue: Pharmacy Service (3 deficiencies)
10 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Fire safety
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-04-17
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2025-04-17
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 2025-04-17
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-04-17
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-04-17
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-04-17
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-04-16
Fire Safety
Establish emergency prep training and testing.
Corrected 2025-04-17
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-04-17
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-04-17
Fire Safety
Use approved construction type or materials.
Corrected 2023-10-02
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-10-02
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 2023-10-02
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-10-02
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-10-02
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-10-02
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-10-02
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-10-02
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-10-02
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-10-02
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-10-02
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-10-02
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-10-02
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2023-10-02
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2021-11-24
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2021-11-24
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2021-11-24
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2021-11-24
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2021-11-24
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2021-11-24
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2021-11-24
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2021-11-24
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2021-11-24
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2021-11-24
Inspection history
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-05-31
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-04-17
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-04-17
Health
Provide and implement an infection prevention and control program.
Corrected 2025-04-17
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-04-17
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2025-04-17
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-04-17
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2025-04-17
Health
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.
Corrected 2025-04-17
Health
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2025-04-17
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 2025-04-17
Health
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.
Corrected 2025-04-17
Health
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.
Corrected 2023-07-20
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2023-07-20
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 2023-07-20
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2023-07-20
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2021-11-25
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 2021-11-25
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2021-11-25
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2021-11-25
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2021-11-25
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 2021-11-25
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2021-11-25
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 2021-11-25
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2021-11-25
Penalties and ownership
Fine · fine $14,075
Fine
Fine · fine $26,690
Fine
5% Or Greater Direct Ownership Interest · Organization
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
W-2 Managing Employee · Individual
Nearby options
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Little River, KS
3-star overall rating with 2-star inspections with $67,763 in total fines with 5 recent health deficiencies with 18 fire-safety deficiencies in the latest cycle
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