Federal inspection record · CMS data as of October 1, 2026
St Luke Living Center
535 South Freeborn, Marion, KS · (620) 382-2177
- Certified beds
- 32
- Residents per day
- 32
- Ownership
- Government
- Chain
- No chain reported
- Medicare / Medicaid
- Medicaid
- Certified since
- March 31, 1974
1
How this home got 4 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
★★★★★no change
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
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Kansas homes
St Luke Living Center carries 40 inspection points. That is fewer than 76% 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
22 health citations on record since 2022. 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.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Rights5E
- E
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Assessment and Care Planning4D
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- 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
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Infection Control4F
- D
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
- D
Implement a program that monitors antibiotic use.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Nursing and Physician Services3F
- C
Post nurse staffing information every day.
- C
Post nurse staffing information every day.
- F
Observe each nurse aide's job performance and give regular training.
Nutrition and Dietary2F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Quality of Life and Care2D
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide enough food/fluids to maintain a resident's health.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Administration1F
- F
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Inspection history
2025-10-08
7 health deficiencies · 12 fire-safety deficiencies
Top issue: Resident Rights (3 deficiencies)
2024-02-22
11 health deficiencies · 7 fire-safety deficiencies
Top issue: Infection Control (3 deficiencies)
2022-06-21
4 health deficiencies · 18 fire-safety deficiencies
Top issue: Nursing and Physician Services (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 41 min of nursing staff time a day, 30 min of it from a registered nurse.
This home
3 h 41 min
Kansas average
4 h 8 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
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 days1.5 pts better | 0.2 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days2.5 pts worse | 4.5 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6.1 pts better | 99.0% | 92.9% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.3 pts better | 96.2% | 94.9% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury4.2 pts better | 0.0% | 4.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms6.3 pts worse | 12.9% | 6.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.5 pts better | 3.3% | 4.8% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication0.5 pts worse | 23.9% | 23.4% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication8.6 pts worse | 26.3% | 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 worsened1.5 pts worse | 16.0% | 14.5% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.4 pts worse | 17.8% | 17.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.4 pts better | 0.0% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.7 pts better | 2.1% | 2.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence6.5 pts better | 15.1% | 21.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.1 pts better | 4.3% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine16.2 pts better | 93.3% | 77.1% | 82.3% |
·
Fire safety
37 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke13F
- F
Have properly installed hallway dispensers for alcohol-based hand rub.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Install corridor and hallway doors that block smoke.
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Install corridor and hallway doors that block smoke.
- F
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Properly select, install, inspect, or maintain portable fire extinguishes.
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Emergency Preparedness8F
- F
Establish roles under a Waiver declared by secretary.
- F
Develop and maintain an Emergency Preparedness Program (EP).
- F
Address subsistence needs for staff and patients.
- F
Establish policies and procedures for volunteers.
- F
Provide a means of sharing information on occupancy/needs.
- F
Develop and maintain an Emergency Preparedness Program (EP).
- F
Implement emergency and standby power systems.
- F
Address patient/client population and determine types of services needed.
Gas, Vacuum, and Electrical Systems5F
- F
Ensure proper usage of power strips and extension cords.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- D
Ensure proper usage of power strips and extension cords.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Have proper medical gas storage and administration areas.
Miscellaneous4F
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Construction3F
- F
Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.
- F
Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.
- F
Install a two-hour-resistant firewall separation.
Egress2F
- F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F
Have properly located and lighted "Exit" signs.
Services2F
- F
Have properly installed electrical wiring and gas equipment.
- F
Have properly installed electrical wiring and gas equipment.
·
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Salem Home
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Peabody Health And Rehab
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