Cycle 1
Health 2023-10-30 · Fire 2023-10-30
18 health deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Salina, KS
Salina Presbyterian Manor
2-star overall rating with 2-star inspections with $22,451 in total fines with 18 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
2601 E Crawford Street, Salina, KS
(785) 825-1366
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
60
Certified beds
Average residents
56
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Presbyterian Manors Of Mid-America
Operator or chain grouping
Approved since
1994-07-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
13 facilities
Chain averages 4 overall / 4 health / 4 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
Hours and turnover
RN hours / resident day
0.89
Registered nurse staffing · state 0.72 · national 0.68
LPN hours / resident day
0.73
Licensed practical nurse staffing · state 0.67 · national 0.87
Aide hours / resident day
2.79
Nurse aide staffing · state 2.69 · national 2.35
Total nurse hours
4.40
All reported nurse hours · state 4.07 · national 3.89
Licensed hours
1.62
RN + LPN hours · state 1.38 · national 1.54
Weekend hours
4.04
Weekend nurse staffing · state 3.58 · national 3.43
Weekend RN hours
0.58
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.02
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
0.99
CMS adjusted RN staffing hours
Adjusted total hours
4.89
CMS adjusted total nurse staffing hours
Case-mix index
1.23
Higher values indicate more complex resident acuity
RN turnover
44%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
60%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Value-based purchasing
Program rank
1,949
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
52.79
Composite VBP score used to determine payment impact.
Payment multiplier
1.0074
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
7.29
Baseline 18.68% · Performance 18.05% · Measure score 7.29 · Achievement 7.29 · Improvement 3.30
Healthcare-associated infections
4.91
Baseline 6.23% · Performance 6.37% · Measure score 4.91 · Achievement 4.91 · Improvement 0
Total nurse turnover
0.74
Baseline 62.10% · Performance 60.64% · Measure score 0.74 · Achievement 0.74 · Improvement 0
Adjusted total nurse staffing
8.17
Baseline 4.83 hours · Performance 5.40 hours · Measure score 8.17 · Achievement 8.17 · Improvement 5.54
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.64% |
10.72%
0.1 pts better
|
No Different than the National Rate · Eligible stays 164 · Observed rate 7.93% · Lower 95% interval 6.86% |
| Discharge to community | 43.98% |
50.57%
6.6 pts worse
|
No Different than the National Rate · Eligible stays 139 · Observed rate 42.45% · Lower 95% interval 37.41% |
| Medicare spending per beneficiary | 1 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 71.67% |
95.27%
23.6 pts worse
|
Numerator 86 · Denominator 120 |
| Falls with major injury | 2.5% |
0.77%
1.7 pts worse
|
Numerator 3 · Denominator 120 |
| Discharge self-care score | 63.86% |
53.69%
10.2 pts better
|
Numerator 53 · Denominator 83 |
| Discharge mobility score | 62.65% |
50.94%
11.7 pts better
|
Numerator 52 · Denominator 83 |
| Pressure ulcers or injuries, new or worsened | 4.17% |
2.29%
1.9 pts worse
|
Numerator 5 · Denominator 120 · Adjusted rate 5.34% |
| Healthcare-associated infections requiring hospitalization | 6.37% |
7.12%
0.8 pts better
|
No Different than the National Rate · Eligible stays 103 · Observed rate 3.88% · Lower 95% interval 4.09% |
| Staff COVID-19 vaccination coverage | 2.65% |
8.2%
5.5 pts worse
|
Numerator 4 · Denominator 151 |
| Staff flu vaccination coverage | 9.09% |
42%
32.9 pts worse
|
Numerator 13 · Denominator 143 |
| Discharge function score | 67.47% |
56.45%
11 pts better
|
Numerator 56 · Denominator 83 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 64 · Denominator 64 |
| Transfer of health information to patient | 96.15% |
96.28%
0.1 pts worse
|
Numerator 25 · Denominator 26 |
| Resident COVID-19 vaccinations up to date | 32.76% |
25.2%
7.6 pts better
|
Numerator 19 · Denominator 58 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.6 |
1.8
0.2 pts better
|
1.9
0.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.4 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 3.8 |
2.2
1.6 pts worse
|
1.8
2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.8 · Observed 3.2 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.7% |
91.8%
5.9 pts better
|
93.4%
4.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 95.7% · Q3 97.6% · Q4 97.8% · 4Q avg 97.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 92.0% |
95.5%
3.5 pts worse
|
95.5%
3.5 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 92.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.6% |
4.4%
3.8 pts better
|
3.3%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.2% · 4Q avg 0.6% · 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 | 5.3% |
5.0%
0.3 pts worse
|
5.4%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 6.1% · Q3 3.1% · Q4 12.5% · 4Q avg 5.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 9.6% |
23.2%
13.6 pts better
|
19.6%
10 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 11.1% · Q3 11.8% · Q4 9.4% · 4Q avg 9.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 19.1% |
19.8%
0.7 pts better
|
16.7%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.0% · Q2 22.2% · Q3 13.8% · Q4 15.4% · 4Q avg 19.1% · 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 | 23.5% |
18.4%
5.1 pts worse
|
16.3%
7.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.2% · Q2 26.9% · Q3 22.3% · Q4 28.7% · 4Q avg 23.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 33.9% |
18.8%
15.1 pts worse
|
14.9%
19 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 39.4% · Q2 42.9% · Q3 30.3% · Q4 19.2% · 4Q avg 33.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.8% |
1.8%
1 pts worse
|
1.0%
1.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 2.4% · Q3 2.3% · Q4 1.9% · 4Q avg 2.8% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.6% |
3.1%
2.5 pts better
|
1.7%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.6% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 23.8% |
23.2%
0.6 pts worse
|
19.8%
4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.6% · Q2 29.8% · Q3 25.9% · Q4 26.7% · 4Q avg 23.8% |
| Percentage of long-stay residents with pressure ulcers | 5.8% |
4.6%
1.2 pts worse
|
5.1%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.7% · Q2 4.5% · Q3 5.8% · Q4 4.3% · 4Q avg 5.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 84.3% |
75.6%
8.7 pts better
|
81.7%
2.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 80.6% · Q2 87.3% · Q3 79.3% · Q4 91.1% · 4Q avg 84.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 16.8% |
11.7%
5.1 pts worse
|
12.0%
4.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 16.8% · Observed 15.0% · Expected 9.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.3% |
2.2%
0.9 pts better
|
1.6%
0.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.6% · Q4 2.9% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 66.7% |
73.5%
6.8 pts worse
|
79.7%
13 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 66.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 17.5% |
23.0%
5.5 pts better
|
23.9%
6.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 17.5% · Observed 14.0% · Expected 19.0% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-03-28 · Fire 2022-03-28
8 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Cycle 3
Health 2020-09-24 · Fire 2020-09-24
0 health deficiencies
No concentrated health issue counts in this cycle.
2 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2023-10-30
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-01-22
F · Potential for more than minimal harm
2023-10-30
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-01-22
F · Potential for more than minimal harm
2023-10-30
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-01-22
F · Potential for more than minimal harm
2023-10-30
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-01-22
F · Potential for more than minimal harm
2023-10-30
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-01-22
F · Potential for more than minimal harm
2023-10-30
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-01-22
F · Potential for more than minimal harm
2022-03-28
K222 · Egress Deficiencies
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 2022-06-06
F · Potential for more than minimal harm
2022-03-28
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-06-06
F · Potential for more than minimal harm
2022-03-28
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-06-06
D · Potential for more than minimal harm
2022-03-28
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-06-06
D · Potential for more than minimal harm
2022-03-28
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2022-06-06
F · Potential for more than minimal harm
2020-09-24
K223 · Egress Deficiencies
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2020-02-19
F · Potential for more than minimal harm
2020-09-24
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2020-02-19
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-08-11
F726 · Nursing and Physician Services Deficiencies
Health
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.
Corrected 2025-06-27
F · Potential for more than minimal harm
2025-08-11
F835 · Administration Deficiencies
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2025-06-27
J · Immediate jeopardy
2025-01-15
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-12-17
G · Actual harm
2024-12-10
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-12-06
F · Potential for more than minimal harm
2023-10-30
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-12-05
F · Potential for more than minimal harm
2023-10-30
F868 · Administration Deficiencies
Health
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2023-12-05
E · Potential for more than minimal harm
2023-10-30
F726 · Nursing and Physician Services Deficiencies
Health
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.
Corrected 2023-12-05
E · Potential for more than minimal harm
2023-10-30
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2023-12-05
D · Potential for more than minimal harm
2023-10-30
F625 · Resident Rights Deficiencies
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 2023-12-05
D · Potential for more than minimal harm
2023-10-30
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-12-05
D · Potential for more than minimal harm
2023-10-30
F657 · Resident Assessment and Care Planning Deficiencies
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 2023-12-05
D · Potential for more than minimal harm
2023-10-30
F661 · Resident Assessment and Care Planning Deficiencies
Health
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2023-12-05
D · Potential for more than minimal harm
2023-10-30
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-12-05
D · Potential for more than minimal harm
2023-10-30
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-12-05
D · Potential for more than minimal harm
2023-10-30
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-12-05
D · Potential for more than minimal harm
2023-10-30
F690 · Quality of Life and Care Deficiencies
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 2023-12-05
D · Potential for more than minimal harm
2023-10-30
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-12-05
D · Potential for more than minimal harm
2023-10-30
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2023-12-05
D · Potential for more than minimal harm
2023-10-30
F756 · Pharmacy Service Deficiencies
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 2023-12-05
D · Potential for more than minimal harm
2023-10-30
F758 · Pharmacy Service Deficiencies
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 2023-12-05
F · Potential for more than minimal harm
2022-03-28
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-05-03
D · Potential for more than minimal harm
2022-03-28
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-05-03
D · Potential for more than minimal harm
2022-03-28
F756 · Pharmacy Service Deficiencies
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 2022-05-03
D · Potential for more than minimal harm
2022-03-28
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2022-05-03
D · Potential for more than minimal harm
2022-03-28
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2022-05-03
C · Minimal harm
2022-03-28
F732 · Nursing and Physician Services Deficiencies
Health
Post nurse staffing information every day.
Corrected 2022-05-03
Penalties and ownership
What sits behind the stars
$14,433
2025-01-15
Fine
Fine · fine $14,433
Fine
$8,018
2024-12-10
Fine
Fine · fine $8,018
Fine
Ownership
Presbyterian Manors Inc
5% Or Greater Direct Ownership Interest · Organization
Brennecke, Gary
Corporate Director · Individual
Cook, James
Corporate Director · Individual
Cumberland, Richard
Corporate Director · Individual
Harris, Daniel
Corporate Director · Individual
Hind, Sherry
Corporate Officer · Individual
Mckell, Elizabeth
Corporate Director · Individual
Miller, Joan
Corporate Officer · Individual
Morrison, Aaron
Corporate Director · Individual
Nelson, Eleanor
Corporate Director · Individual
Ott, Ray
Corporate Director · Individual
Owens, Melanie
Corporate Officer · Individual
Presbyterian Manors Of Mid-America Inc
Operational/Managerial Control · Organization
Radatz, Bradley
W-2 Managing Employee · Individual
Shogren, Bruce
Corporate Officer · Individual
Taylor, William
Corporate Officer · Individual
Wedel, Randy
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
Holiday Resort Of Salina
Salina, KS
2-star overall rating with 2-star inspections with $16,795 in total fines with 17 recent health deficiencies with 13 fire-safety deficiencies in the latest cycle
#2
Kenwood View Healthcare And Rehabilitation Center
Salina, KS
2-star overall rating with 3-star inspections with $31,753 in total fines with 2 recent health deficiencies with 15 fire-safety deficiencies in the latest cycle
#3
Smoky Hill Rehabilitation Center
Salina, KS
1-star overall rating with 1-star inspections with $126,993 in total fines with 17 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
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