Federal inspection record · CMS data as of October 1, 2026
Sandstone Heights
440 State Street, Little River, KS · (620) 897-6266
- Certified beds
- 36
- Residents per day
- 26
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- October 1, 2008
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
★★★★★+1 star
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
★★★★★−1 star
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
Sandstone Heights carries 91.75 inspection points. That is fewer than 29% 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
20 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 (2)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
J
Protect each resident from the wrongful use of the resident's belongings or money.
Everything else, by area of care
Resident Assessment and Care Planning4D
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure each resident receives an accurate assessment.
- D
Plan the resident's discharge to meet the resident's goals and needs.
- D
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Infection Control4F
- F
Provide and implement an infection prevention and control program.
- F
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
- E
Implement a program that monitors antibiotic use.
- D
Provide and implement an infection prevention and control program.
Resident Rights2D
- D
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.
- D
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Pharmacy Service2E
- 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 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.
Quality of Life and Care2D
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Administration1F
- F
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Nutrition and Dietary1D
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nursing and Physician Services1F
- 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.
Environmental1F
- F
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspection history
2025-03-13
5 health deficiencies · 18 fire-safety deficiencies
Top issue: Administration (1 deficiency)
2023-06-15
9 health deficiencies · 8 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
2021-11-04
6 health deficiencies · 5 fire-safety deficiencies
Top issue: Infection Control (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 19 min of nursing staff time a day, 1 h 5 min of it from a registered nurse.
This home
4 h 19 min
Kansas average
4 h 8 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 51% of nursing staff and 25% 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
$67,763 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-03-13 | Fine | $41,262 |
| 2025-03-13 | Payment Denial · 40 day denial | $0 |
| 2024-01-16 | Fine | $26,501 |
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 days0.2 pts worse | 1.9 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.7 pts worse | 3.7 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7.1 pts better | 100.0% | 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 injury8.6 pts worse | 12.8% | 4.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms4.4 pts worse | 11.0% | 6.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.3 pts better | 4.5% | 4.8% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication5.6 pts worse | 29.0% | 23.4% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication25.2 pts worse | 42.9% | 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 worsened2.2 pts better | 12.3% | 14.5% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.9 pts worse | 20.3% | 17.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder14.5 pts worse | 15.9% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.5 pts worse | 4.3% | 2.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.3 pts worse | 25.9% | 21.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.7 pts worse | 6.1% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine19.5 pts better | 96.6% | 77.1% | 82.3% |
·
Who owns and runs it
15 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 |
|---|---|---|---|
| Rice County Hospital District No 2 | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Decker, James | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Decker, James | Adp Of The SNF · Individual | 0% | 2 facilities |
| Lehman, Abigail | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Look, Trey | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Look, Trey | Adp Of The SNF · Individual | 0% | 1 facilities |
| Olander, Randall | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Olander, Randall | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Schlosser, Todd | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Schlosser, Todd | Adp Of The SNF · Individual | 0% | 1 facilities |
| Turner, Nancy | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Wempe, John | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Whorton, Allen | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Whorton, Allen | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Willard, David | Managing Control - Governing Body · Individual | 0% | 1 facilities |
·
Fire safety
31 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.
- F
Provide properly protected cooking facilities.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Install corridor and hallway doors that block smoke.
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
Emergency Preparedness6F
- F
Address subsistence needs for staff and patients.
- F
Establish procedures for tracking staff and patients during an emergency.
- F
Establish roles under a Waiver declared by secretary.
- F
List the names and contact information of those in the facility.
- F
Address patient/client population and determine types of services needed.
- F
Develop and maintain an Emergency Preparedness Program (EP).
Gas, Vacuum, and Electrical Systems6F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure proper usage of power strips and extension cords.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
Miscellaneous5F
- F
Have simulated fire drills held at unexpected times.
- E
Provide a written emergency evacuation plan.
- F
Have simulated fire drills held at unexpected times.
- E
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
Have simulated fire drills held at unexpected times.
Egress2F
- F
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
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Services2F
- F
Have properly installed electrical wiring and gas equipment.
- D
Have properly installed electrical wiring and gas equipment.
Construction1F
- F
Use approved construction type or materials.
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