Little River, KS

Sandstone Heights

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

440 State Street, Little River, KS

(620) 897-6266

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

36

Certified beds

Average residents

24

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

2008-10-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

1.08

Registered nurse staffing

LPN hours / resident day

0.65

Licensed practical nurse staffing

Aide hours / resident day

2.90

Nurse aide staffing

Weekend hours

4.19

Weekend nurse staffing

RN turnover

33%

Annual RN turnover

Total nurse turnover

53%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 3.8
1.8
2 pts worse
1.9
1.9 pts worse
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 5.9
2.2
3.7 pts worse
1.8
4.1 pts worse
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
91.8%
8.2 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents experiencing one or more falls with major injury 14.8%
4.4%
10.4 pts worse
3.3%
11.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 2.7%
5.6%
2.9 pts better
11.4%
8.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 2.8%
5.0%
2.2 pts better
5.4%
2.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 17.8%
23.2%
5.4 pts better
19.6%
1.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 38.8%
19.8%
19 pts worse
16.7%
22.1 pts worse
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose ability to walk independently worsened 20.4%
18.4%
2 pts worse
16.3%
4.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 20.5%
18.8%
1.7 pts worse
14.9%
5.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 8.8%
1.8%
7 pts worse
1.0%
7.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 8.1%
3.1%
5 pts worse
1.7%
6.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 32.2%
23.2%
9 pts worse
19.8%
12.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 3.9%
4.6%
0.7 pts better
5.1%
1.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 98.1%
75.6%
22.5 pts better
81.7%
16.4 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who newly received an antipsychotic medication 12.5%
2.2%
10.3 pts worse
1.6%
10.9 pts worse
Short Stay · 2024Q4-2025Q3

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-13 · Fire 2025-03-13

5 health deficiencies

Top issue: Administration (1 deficiency)

18 fire-safety deficiencies

Top issue: Emergency Preparedness (5 deficiencies)

Cycle 2 Health 2023-06-15 · Fire 2023-06-15

9 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

8 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 3 Health 2021-11-04 · Fire 2021-11-04

6 health deficiencies

Top issue: Infection Control (3 deficiencies)

5 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-03-13

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2025-04-29

F · Potential for more than minimal harm 2025-03-13

E18 · Emergency Preparedness Deficiencies

Fire Safety

Establish procedures for tracking staff and patients during an emergency.

Corrected 2025-04-29

F · Potential for more than minimal harm 2025-03-13

E26 · Emergency Preparedness Deficiencies

Fire Safety

Establish roles under a Waiver declared by secretary.

Corrected 2025-04-29

F · Potential for more than minimal harm 2025-03-13

E30 · Emergency Preparedness Deficiencies

Fire Safety

List the names and contact information of those in the facility.

Corrected 2025-05-01

F · Potential for more than minimal harm 2025-03-13

E7 · Emergency Preparedness Deficiencies

Fire Safety

Address patient/client population and determine types of services needed.

Corrected 2025-04-29

F · Potential for more than minimal harm 2025-03-13

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2025-05-13

F · Potential for more than minimal harm 2025-03-13

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 2025-05-01

F · Potential for more than minimal harm 2025-03-13

K321 · Smoke Deficiencies

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 2025-04-29

F · Potential for more than minimal harm 2025-03-13

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-05-09

F · Potential for more than minimal harm 2025-03-13

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-05-13

F · Potential for more than minimal harm 2025-03-13

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-04-30

F · Potential for more than minimal harm 2025-03-13

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2025-05-02

F · Potential for more than minimal harm 2025-03-13

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-05-05

F · Potential for more than minimal harm 2025-03-13

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-05-05

F · Potential for more than minimal harm 2025-03-13

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-05-13

F · Potential for more than minimal harm 2025-03-13

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-05-01

E · Potential for more than minimal harm 2025-03-13

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2025-05-09

E · Potential for more than minimal harm 2025-03-13

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2025-04-29

F · Potential for more than minimal harm 2023-06-15

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2023-07-31

F · Potential for more than minimal harm 2023-06-15

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-07-31

F · Potential for more than minimal harm 2023-06-15

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-07-31

F · Potential for more than minimal harm 2023-06-15

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-07-31

F · Potential for more than minimal harm 2023-06-15

K926 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

Corrected 2023-07-31

E · Potential for more than minimal harm 2023-06-15

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2023-07-31

D · Potential for more than minimal harm 2023-06-15

K362 · Smoke Deficiencies

Fire Safety

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

Corrected 2023-07-31

D · Potential for more than minimal harm 2023-06-15

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2023-07-31

F · Potential for more than minimal harm 2021-11-04

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2021-12-22

F · Potential for more than minimal harm 2021-11-04

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2021-12-22

F · Potential for more than minimal harm 2021-11-04

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2021-12-22

F · Potential for more than minimal harm 2021-11-04

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2021-12-22

F · Potential for more than minimal harm 2021-11-04

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2021-12-22

Inspection history

Recent health citations

G · Actual harm 2025-03-13

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 2025-05-21

F · Potential for more than minimal harm 2025-03-13

F851 · Administration Deficiencies

Health

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Corrected 2025-04-02

D · Potential for more than minimal harm 2025-03-13

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 2025-04-02

D · Potential for more than minimal harm 2025-03-13

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 2025-04-02

D · Potential for more than minimal harm 2025-03-13

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 2025-04-02

J · Immediate jeopardy 2024-01-16

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2024-01-29

F · Potential for more than minimal harm 2023-06-15

F727 · Nursing and Physician Services Deficiencies

Health

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.

Corrected 2023-07-20

F · Potential for more than minimal harm 2023-06-15

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-07-20

F · Potential for more than minimal harm 2023-06-15

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2023-07-20

E · Potential for more than minimal harm 2023-06-15

F761 · Pharmacy Service Deficiencies

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 2023-07-20

D · Potential for more than minimal harm 2023-06-15

F557 · Resident Rights Deficiencies

Health

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Corrected 2023-07-20

D · Potential for more than minimal harm 2023-06-15

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2023-07-20

D · Potential for more than minimal harm 2023-06-15

F660 · Resident Assessment and Care Planning Deficiencies

Health

Plan the resident's discharge to meet the resident's goals and needs.

Corrected 2023-07-20

D · Potential for more than minimal harm 2023-06-15

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 2023-07-20

D · Potential for more than minimal harm 2023-06-15

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2023-07-20

F · Potential for more than minimal harm 2021-11-04

F882 · Infection Control Deficiencies

Health

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Corrected 2021-12-10

E · Potential for more than minimal harm 2021-11-04

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2021-12-10

D · Potential for more than minimal harm 2021-11-04

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 2021-12-10

D · Potential for more than minimal harm 2021-11-04

F761 · Pharmacy Service Deficiencies

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 2021-12-10

D · Potential for more than minimal harm 2021-11-04

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2021-12-10

Penalties and ownership

What sits behind the stars

$41,262 2025-03-13

Fine

Fine · fine $41,262

Fine

$0 2025-03-13

Payment Denial

Payment Denial · denial start 2025-04-11 · 40 days

40 day denial

$26,501 2024-01-16

Fine

Fine · fine $26,501

Fine

Ownership

Rice County Hospital District No 2

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 1989-07-01
Decker, James

Operational/Managerial Control · Individual

0% 2 facilities 2003-01-01
Look, Trey

Operational/Managerial Control · Individual

0% 1 facilities 2022-01-01
Olander, Randall

Operational/Managerial Control · Individual

0% 1 facilities 2015-07-13
Schlosser, Todd

Operational/Managerial Control · Individual

0% 1 facilities 2017-07-01
Whorton, Allen

Operational/Managerial Control · Individual

0% 1 facilities 2025-02-01

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