Federal inspection record · CMS data as of October 1, 2026
Rock Creek Of Ottawa
1100 W 15th Street, Ottawa, KS · (785) 242-5399
- Certified beds
- 75
- Residents per day
- 74
- Ownership
- For-Profit
- Chain
- The Ensign Group
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 1, 1995
1
How this home got 2 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.
-
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.
-
Quality measures
★★★★★no change
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
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Kansas homes
Rock Creek Of Ottawa carries 81 inspection points. That is fewer than 34% 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
28 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.
Harm and immediate-jeopardy citations (1)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Quality of Life and Care13E
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- 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.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 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.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 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.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide activities to meet all resident's needs.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Pharmacy Service3E
- 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.
- D
Ensure each resident’s drug regimen must be free from unnecessary 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.
Resident Rights3D
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Nutrition and Dietary2F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nursing and Physician Services2F
- D
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
- 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.
Infection Control2D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Resident Assessment and Care Planning2D
- D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspection history
2025-01-30
16 health deficiencies · 5 fire-safety deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
2023-03-29
5 health deficiencies · 6 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2021-08-09
7 health deficiencies · 9 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 32 min of nursing staff time a day, 33 min of it from a registered nurse.
This home
3 h 32 min
Kansas average
4 h 8 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 54% of nursing staff and 54% 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
Fines and payment denials
$8,278 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-01-27 | Fine | $8,278 |
6
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 days0.4 pts worse | 2.1 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts better | 1.8 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6.3 pts better | 99.2% | 92.9% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine5.1 pts better | 100.0% | 94.9% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.9 pts better | 3.3% | 4.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms42.2 pts worse | 48.8% | 6.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.3 pts worse | 5.1% | 4.8% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication1.3 pts better | 22.1% | 23.4% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication16 pts better | 1.7% | 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 worsened9.4 pts better | 5.1% | 14.5% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased11.1 pts better | 6.3% | 17.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.4 pts better | 1.0% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.8 pts better | 0.0% | 2.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence6.3 pts worse | 27.9% | 21.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.9 pts worse | 6.3% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine20.9 pts better | 98.0% | 77.1% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3.3 pts better | 8.1% | 11.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.4 pts better | 1.2% | 1.6% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine20.5 pts better | 95.9% | 75.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.6 pts worse | 23.9% | 22.3% | 23.4% |
·
Who owns and runs it
5 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 |
|---|---|---|---|
| Bohrer, Tracy | W-2 Managing Employee · Individual | 0% | 2 facilities |
| Bohrer, Tracy | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Bunker, Derek | Corporate Officer · Individual | 0% | 1 facilities |
| Burnam, Soon | Corporate Officer · Individual | 0% | 353 facilities |
| Guschl, James | Corporate Officer · Individual | 0% | 1 facilities |
·
Fire safety
20 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke9F
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
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
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Properly provide smoke detection systems in areas open to corridors.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Gas, Vacuum, and Electrical Systems4F
- F
Ensure proper usage of power strips and extension cords.
- F
Ensure proper usage of power strips and extension cords.
- F
Ensure proper usage of power strips and extension cords.
- E
Ensure proper storage of liquid oxygen.
Miscellaneous3F
- F
Have restrictions on the use of highly flammable decorations.
- F
Have simulated fire drills held at unexpected times.
- D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Egress2E
- E
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.
- E
Have properly located and lighted "Exit" signs.
Construction1F
- F
Use approved construction type or materials.
Services1D
- D
Have properly installed electrical wiring and gas equipment.
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Other homes nearby
-
Baldwin Healthcare & Rehab Center, LLC
Baldwin City, KS · Recover-Care Healthcare
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 44 min
- Fines
- $0
-
Wellsville Manor
Wellsville, KS
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- —
- Fines
- $0
-
Richmond Healthcare & Rehab Center
Richmond, KS · Recover-Care Healthcare
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 55 min
- Fines
- $0