7 health deficiencies
Top issue: Infection Control (2 deficiencies)
9 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Conway Springs, KS
4-star overall rating with 4-star inspections with 7 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
412 S 8th Street, Conway Springs, KS
(620) 456-2285
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
45
Certified beds
Average residents
43
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Recover-Care Healthcare
Operator or chain grouping
Approved since
2008-09-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Staffing
RN hours / resident day
0.62
Registered nurse staffing
LPN hours / resident day
0.15
Licensed practical nurse staffing
Aide hours / resident day
2.53
Nurse aide staffing
Weekend hours
2.97
Weekend nurse staffing
RN turnover
60%
Annual RN turnover
Total nurse turnover
69%
Annual nurse turnover
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.0 |
1.8
0.8 pts better
|
1.9
0.9 pts better
|
Long Stay · 20240701-20250630 |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.3 |
2.2
0.9 pts better
|
1.8
0.5 pts better
|
Long Stay · 20240701-20250630 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 74.3% |
91.8%
17.5 pts worse
|
93.4%
19.1 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 73.8% |
95.5%
21.7 pts worse
|
95.5%
21.7 pts worse
|
Long Stay · 2024Q3-2025Q2 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.6% |
4.4%
1.8 pts better
|
3.3%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who have depressive symptoms | 0.7% |
5.6%
4.9 pts better
|
11.4%
10.7 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who lose too much weight | 1.6% |
5.0%
3.4 pts better
|
5.4%
3.8 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 22.9% |
23.2%
0.3 pts better
|
19.6%
3.3 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antipsychotic medication | 12.0% |
19.8%
7.8 pts better
|
16.7%
4.7 pts better
|
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 | 37.2% |
18.4%
18.8 pts worse
|
16.3%
20.9 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose need for help with daily activities has increased | 26.2% |
18.8%
7.4 pts worse
|
14.9%
11.3 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.7% |
1.8%
1.1 pts better
|
1.0%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a urinary tract infection | 1.4% |
3.1%
1.7 pts better
|
1.7%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 38.0% |
23.2%
14.8 pts worse
|
19.8%
18.2 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with pressure ulcers | 3.3% |
4.6%
1.3 pts better
|
5.1%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 49.2% |
75.6%
26.4 pts worse
|
81.7%
32.5 pts worse
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who had an outpatient emergency department visit | 0.0% |
11.7%
11.7 pts better
|
12.0%
12 pts better
|
Short Stay · 20240701-20250630 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 6.2% |
2.2%
4 pts worse
|
1.6%
4.6 pts worse
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 18.5% |
23.0%
4.5 pts better
|
23.9%
5.4 pts better
|
Short Stay · 20240701-20250630 |
Survey summary
Top issue: Infection Control (2 deficiencies)
9 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Quality of Life and Care (1 deficiency)
8 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Pharmacy Service (1 deficiency)
20 fire-safety deficiencies
Top issue: Smoke (8 deficiencies)
Fire safety
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 2024-07-10
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-06-21
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2024-07-10
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 2024-07-10
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-06-21
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-06-21
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-07-10
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-06-21
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-06-21
Fire Safety
Meet other general requirements.
Corrected 2023-01-30
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-01-30
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-01-30
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-01-30
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-01-30
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-01-30
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-01-30
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-01-30
Fire Safety
Create arrangements with other facilities to receive patients.
Corrected 2021-06-07
Fire Safety
List the names and contact information of those in the facility.
Corrected 2021-06-07
Fire Safety
Conduct testing and exercise requirements.
Corrected 2021-06-07
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2021-06-07
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 2021-06-07
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 2021-06-07
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2021-06-07
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2021-06-07
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2021-06-07
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2021-06-07
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2021-06-07
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2021-06-07
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2021-06-07
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2021-06-07
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2021-06-07
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2021-06-07
Fire Safety
Use approved construction type or materials.
Corrected 2021-06-07
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2021-06-07
Fire Safety
Provide properly protected cooking facilities.
Corrected 2021-06-07
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2021-06-07
Inspection history
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2024-05-30
Health
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected 2024-05-30
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-05-30
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-05-30
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-05-30
Health
Provide and implement an infection prevention and control program.
Corrected 2024-05-30
Health
Post nurse staffing information every day.
Corrected 2024-05-30
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-12-13
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-12-13
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2021-04-15
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
Clearwater, KS
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Wellington, KS
5-star overall rating with 5-star inspections with 5 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
Wellington, KS
4-star overall rating with 4-star inspections with 5 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
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