7 health deficiencies
Top issue: Infection Control (2 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Liberal, KS
4-star overall rating with 3-star inspections with 7 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
315 W 15th Street, Liberal, KS
(620) 629-6291
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
18
Certified beds
Average residents
6
Average occupied residents
Ownership
Government
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1987-07-31
CMS approved date
Coverage
Medicare
Participation flags
Staffing
RN hours / resident day
3.15
Registered nurse staffing
LPN hours / resident day
1.03
Licensed practical nurse staffing
Aide hours / resident day
3.68
Nurse aide staffing
Weekend hours
7.93
Weekend nurse staffing
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.2% |
75.6%
22.6 pts better
|
81.7%
16.5 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.3% |
11.7%
2.4 pts better
|
12.0%
2.7 pts better
|
Short Stay · 20240701-20250630 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
2.2%
2.2 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 100.0% |
73.5%
26.5 pts better
|
79.7%
20.3 pts better
|
Short Stay · 2024Q3-2025Q2 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.4% |
23.0%
2.6 pts better
|
23.9%
3.5 pts better
|
Short Stay · 20240701-20250630 |
Survey summary
Top issue: Infection Control (2 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
No concentrated health issue counts in this cycle.
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Top issue: Administration (1 deficiency)
6 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Fire safety
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2024-07-26
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-07-26
Fire Safety
List the names and contact information of those in the facility.
Corrected 2024-07-26
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-07-26
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-07-26
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-07-26
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-07-26
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-07-26
Fire Safety
Ensure gas and vacuum systems are inspected and tested as part of a maintenance program.
Corrected 2022-07-06
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 2022-07-20
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2018-02-01
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2018-02-01
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2018-01-22
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2018-01-12
Fire Safety
Provide emergency officials' contact information.
Corrected 2018-02-01
Fire Safety
Establish emergency prep training and testing.
Corrected 2018-01-23
Inspection history
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-07-17
Health
Dispose of garbage and refuse properly.
Corrected 2024-07-17
Health
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected 2024-07-17
Health
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2024-07-17
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2024-07-17
Health
Provide and implement an infection prevention and control program.
Corrected 2024-07-17
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-07-17
Health
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2019-10-07
Penalties and ownership
W-2 Managing Employee · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
W-2 Managing Employee · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
W-2 Managing Employee · Individual
Nearby options
Liberal, KS
1-star overall rating with 1-star inspections with $158,640 in total fines with 24 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
Liberal, KS
2-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $78,434 in total fines with 16 recent health deficiencies with 20 fire-safety deficiencies in the latest cycle
Hugoton, KS
1-star overall rating with 1-star inspections with 18 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
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