5 health deficiencies
Top issue: Administration (1 deficiency)
18 fire-safety deficiencies
Top issue: Emergency Preparedness (5 deficiencies)
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
440 State Street, Little River, KS
(620) 897-6266
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
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
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
| 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
Top issue: Administration (1 deficiency)
18 fire-safety deficiencies
Top issue: Emergency Preparedness (5 deficiencies)
Top issue: Resident Assessment and Care Planning (3 deficiencies)
8 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 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
Address subsistence needs for staff and patients.
Corrected 2025-04-29
Fire Safety
Establish procedures for tracking staff and patients during an emergency.
Corrected 2025-04-29
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2025-04-29
Fire Safety
List the names and contact information of those in the facility.
Corrected 2025-05-01
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2025-04-29
Fire Safety
Use approved construction type or materials.
Corrected 2025-05-13
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
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
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-05-09
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-05-13
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-04-30
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 2025-05-13
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-05-01
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-05-09
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2025-04-29
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2023-07-31
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-07-31
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-07-31
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-07-31
Fire Safety
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected 2023-07-31
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-07-31
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2023-07-31
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-07-31
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2021-12-22
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2021-12-22
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2021-12-22
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
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2021-12-22
Inspection history
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-05-21
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
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
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
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
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2024-01-29
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
Health
Provide and implement an infection prevention and control program.
Corrected 2023-07-20
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
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
Health
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2023-07-20
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-07-20
Health
Plan the resident's discharge to meet the resident's goals and needs.
Corrected 2023-07-20
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
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-07-20
Health
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2021-12-10
Health
Implement a program that monitors antibiotic use.
Corrected 2021-12-10
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2021-12-10
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
Health
Provide and implement an infection prevention and control program.
Corrected 2021-12-10
Penalties and ownership
Fine · fine $41,262
Fine
Payment Denial · denial start 2025-04-11 · 40 days
40 day denial
Fine · fine $26,501
Fine
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
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