7 health deficiencies
Top issue: Administration (2 deficiencies)
10 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Spearville, KS
4-star overall rating with 3-star inspections with $7,446 in total fines with 7 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
102 N Pine Street, Spearville, KS
(620) 385-2161
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
28
Certified beds
Average residents
13
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2022-09-07
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
RN hours / resident day
1.71
Registered nurse staffing · state 0.72 · national 0.68
LPN hours / resident day
0.51
Licensed practical nurse staffing · state 0.67 · national 0.87
Aide hours / resident day
4.17
Nurse aide staffing · state 2.69 · national 2.35
Total nurse hours
6.38
All reported nurse hours · state 4.07 · national 3.89
Licensed hours
2.21
RN + LPN hours · state 1.38 · national 1.54
Weekend hours
6.00
Weekend nurse staffing · state 3.58 · national 3.43
Weekend RN hours
1.51
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.01
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
2.07
CMS adjusted RN staffing hours
Adjusted total hours
7.75
CMS adjusted total nurse staffing hours
Case-mix index
1.13
Higher values indicate more complex resident acuity
RN turnover
17%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
35%
Annual nurse turnover · state 50% · national 46%
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | Not Available |
10.72%
|
Not Available · Eligible stays 15 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays 8 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Medicare spending per beneficiary | Not Available |
1.02
|
Too few residents or stays to report publicly. |
| Drug regimen review with follow-up | Not Available |
95.27%
|
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly. |
| Falls with major injury | Not Available |
0.77%
|
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly. |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | Not Available |
2.29%
|
Numerator Not Available · Denominator 6 · Adjusted rate Not Available · Too few residents or stays to report publicly. |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 9 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 4.76% |
8.2%
3.4 pts worse
|
Numerator 2 · Denominator 42 |
| Staff flu vaccination coverage | 16.98% |
42%
25 pts worse
|
Numerator 9 · Denominator 53 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| 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 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.0% |
4.4%
4.4 pts better
|
3.3%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 3.8% |
5.6%
1.8 pts better
|
11.4%
7.6 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 3.8% |
| Percentage of long-stay residents who lose too much weight | 6.1% |
5.0%
1.1 pts worse
|
5.4%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 6.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 5.9% |
23.2%
17.3 pts better
|
19.6%
13.7 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 5.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 15.4% |
19.8%
4.4 pts better
|
16.7%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 15.4% · 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 · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 21.1% |
18.4%
2.7 pts worse
|
16.3%
4.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 21.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 24.0% |
18.8%
5.2 pts worse
|
14.9%
9.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 24.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 4.7% |
1.8%
2.9 pts worse
|
1.0%
3.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 4.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.8% |
3.1%
0.7 pts worse
|
1.7%
2.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 3.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 33.1% |
23.2%
9.9 pts worse
|
19.8%
13.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 33.1% |
| Percentage of long-stay residents with pressure ulcers | 6.5% |
4.6%
1.9 pts worse
|
5.1%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 6.5% · Used in QM five-star |
Survey summary
Top issue: Administration (2 deficiencies)
10 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Quality of Life and Care (2 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Top issue: Quality of Life and Care (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-05-17
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-04-17
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-05-17
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-05-17
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-04-17
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-04-17
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-04-17
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2024-05-17
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-04-17
Fire Safety
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected 2024-04-17
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2022-09-07
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-09-07
Inspection history
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Not marked corrected
Health
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Not marked corrected
Health
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
Not marked corrected
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Not marked corrected
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Not marked corrected
Health
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Not marked corrected
Health
Ensure that residents are free from significant medication errors.
Not marked corrected
Health
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected 2024-05-01
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 2024-05-01
Health
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Corrected 2024-05-01
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-05-01
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-05-01
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2024-05-01
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-04-07
Penalties and ownership
Fine · fine $7,446
Fine
Operational/Managerial Control · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Nearby options
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