Manhattan, KS

Stoneybrook Retirement Community

4-star overall rating with 4-star inspections with $13,783 in total fines with 3 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

2025 Little Kitten Avenue, Manhattan, KS

(785) 776-0065

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

60

Certified beds

Average residents

39

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Midwest Health

Operator or chain grouping

Approved since

1989-10-25

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.63

Registered nurse staffing

LPN hours / resident day

0.54

Licensed practical nurse staffing

Aide hours / resident day

2.40

Nurse aide staffing

Weekend hours

3.07

Weekend nurse staffing

RN turnover

29%

Annual RN turnover

Total nurse turnover

64%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 96.9%
91.8%
5.1 pts better
93.4%
3.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
95.5%
4.5 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2
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
Percentage of long-stay residents who have depressive symptoms 2.5%
5.6%
3.1 pts better
11.4%
8.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 3.0%
5.0%
2 pts better
5.4%
2.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 25.7%
23.2%
2.5 pts worse
19.6%
6.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 29.5%
19.8%
9.7 pts worse
16.7%
12.8 pts worse
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 4.4%
18.4%
14 pts better
16.3%
11.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 5.0%
18.8%
13.8 pts better
14.9%
9.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0%
1.8%
1.8 pts better
1.0%
1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 4.7%
3.1%
1.6 pts worse
1.7%
3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 20.7%
23.2%
2.5 pts better
19.8%
0.9 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 7.2%
4.6%
2.6 pts worse
5.1%
2.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 90.8%
75.6%
15.2 pts better
81.7%
9.1 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 20.9%
11.7%
9.2 pts worse
12.0%
8.9 pts worse
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 9.4%
2.2%
7.2 pts worse
1.6%
7.8 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 77.8%
73.5%
4.3 pts better
79.7%
1.9 pts worse
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 24.5%
23.0%
1.5 pts worse
23.9%
0.6 pts worse
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-06-24 · Fire 2024-06-24

3 health deficiencies

Top issue: Pharmacy Service (1 deficiency)

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2023-04-05 · Fire 2023-04-05

17 health deficiencies

Top issue: Quality of Life and Care (7 deficiencies)

12 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Cycle 3 Health 2021-09-27 · Fire 2021-09-27

9 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

11 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-06-24

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-08-07

F · Potential for more than minimal harm 2024-06-24

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-08-16

D · Potential for more than minimal harm 2024-06-24

K222 · Egress Deficiencies

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 2024-08-07

D · Potential for more than minimal harm 2024-06-24

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-08-07

F · Potential for more than minimal harm 2023-04-05

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-05-05

F · Potential for more than minimal harm 2023-04-05

K354 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Corrected 2023-05-05

F · Potential for more than minimal harm 2023-04-05

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2023-05-05

F · Potential for more than minimal harm 2023-04-05

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-05-05

F · Potential for more than minimal harm 2023-04-05

K901 · Electrical Deficiencies

Fire Safety

Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.

Corrected 2023-05-05

F · Potential for more than minimal harm 2023-04-05

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-05-05

E · Potential for more than minimal harm 2023-04-05

K163 · Construction Deficiencies

Fire Safety

Install noncombustible or limited-combustible interior walls.

Corrected 2023-05-05

E · Potential for more than minimal harm 2023-04-05

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2023-05-05

E · Potential for more than minimal harm 2023-04-05

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-05-05

E · Potential for more than minimal harm 2023-04-05

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2023-05-05

E · Potential for more than minimal harm 2023-04-05

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-05-05

E · Potential for more than minimal harm 2023-04-05

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-05-05

F · Potential for more than minimal harm 2021-09-27

K222 · Egress Deficiencies

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 2021-12-09

F · Potential for more than minimal harm 2021-09-27

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2021-12-09

F · Potential for more than minimal harm 2021-09-27

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2021-12-09

F · Potential for more than minimal harm 2021-09-27

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2021-12-09

F · Potential for more than minimal harm 2021-09-27

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2021-12-09

F · Potential for more than minimal harm 2021-09-27

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2021-12-09

F · Potential for more than minimal harm 2021-09-27

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2021-12-09

F · Potential for more than minimal harm 2021-09-27

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2021-12-09

E · Potential for more than minimal harm 2021-09-27

K321 · Smoke Deficiencies

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 2021-12-09

D · Potential for more than minimal harm 2021-09-27

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2021-12-09

D · Potential for more than minimal harm 2021-09-27

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2021-12-09

Inspection history

Recent health citations

D · Potential for more than minimal harm 2024-06-24

F625 · Resident Rights Deficiencies

Health

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.

Corrected 2024-07-27

D · Potential for more than minimal harm 2024-06-24

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-07-27

D · Potential for more than minimal harm 2024-06-24

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2024-07-27

D · Potential for more than minimal harm 2023-11-14

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2023-12-14

D · Potential for more than minimal harm 2023-11-14

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-12-14

D · Potential for more than minimal harm 2023-11-14

F687 · Quality of Life and Care Deficiencies

Health

Provide appropriate foot care.

Corrected 2023-12-14

J · Immediate jeopardy 2023-04-05

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-01-31

F · Potential for more than minimal harm 2023-04-05

F865 · Administration Deficiencies

Health

Have a plan that describes the process for conducting QAPI and QAA activities.

Corrected 2023-05-19

F · Potential for more than minimal harm 2023-04-05

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-05-19

F · Potential for more than minimal harm 2023-04-05

F882 · Infection Control Deficiencies

Health

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Corrected 2023-05-19

D · Potential for more than minimal harm 2023-04-05

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2023-05-19

D · Potential for more than minimal harm 2023-04-05

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2023-05-19

D · Potential for more than minimal harm 2023-04-05

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2023-05-19

D · Potential for more than minimal harm 2023-04-05

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-05-19

D · Potential for more than minimal harm 2023-04-05

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2023-05-19

D · Potential for more than minimal harm 2023-04-05

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-05-19

D · Potential for more than minimal harm 2023-04-05

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2023-05-19

D · Potential for more than minimal harm 2023-04-05

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2023-05-19

D · Potential for more than minimal harm 2023-04-05

F726 · Nursing and Physician Services Deficiencies

Health

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2023-05-19

D · Potential for more than minimal harm 2023-04-05

F740 · Quality of Life and Care Deficiencies

Health

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Corrected 2023-05-19

D · Potential for more than minimal harm 2023-04-05

F745 · Quality of Life and Care Deficiencies

Health

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Corrected 2023-05-19

D · Potential for more than minimal harm 2023-04-05

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2023-05-19

D · Potential for more than minimal harm 2023-04-05

F849 · Administration Deficiencies

Health

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Corrected 2023-05-19

E · Potential for more than minimal harm 2021-09-27

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2021-10-27

D · Potential for more than minimal harm 2021-09-27

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2021-10-27

D · Potential for more than minimal harm 2021-09-27

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2021-10-27

D · Potential for more than minimal harm 2021-09-27

F727 · Nursing and Physician Services Deficiencies

Health

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.

Corrected 2021-10-27

D · Potential for more than minimal harm 2021-09-27

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2021-10-27

D · Potential for more than minimal harm 2021-09-27

F849 · Administration Deficiencies

Health

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Corrected 2021-10-27

Penalties and ownership

What sits behind the stars

$13,783 2023-04-05

Fine

Fine · fine $13,783

Fine

Ownership

Stoneybrook Nursing Facility Operations LLC

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 2003-06-27
Burke, Rebecca

W-2 Managing Employee · Individual

0% 1 facilities 2021-01-27
Eaton, Floyd

Operational/Managerial Control · Individual

0% 10 facilities 2024-11-07
Eaton, Floyd

Corporate Director · Individual

0% 10 facilities 2003-06-27
Floyd C Eaton Iii Trust 2012

5% Or Greater Indirect Ownership Interest · Organization

0% 10 facilities 2013-12-31
James Brett Klausman Trust 2012

5% Or Greater Indirect Ownership Interest · Organization

0% 10 facilities 2013-12-31
Jamie N Eaton Trust 2012

5% Or Greater Indirect Ownership Interest · Organization

0% 10 facilities 2013-12-31
Klaton Holdings Company Inc

5% Or Greater Indirect Ownership Interest · Organization

0% 3 facilities 2003-06-27
Klausman, James

Operational/Managerial Control · Individual

0% 10 facilities 2024-11-07
Klausman, James

Corporate Director · Individual

0% 10 facilities 2003-06-27
Michael Graham Klausman Trust 2012

5% Or Greater Indirect Ownership Interest · Organization

0% 10 facilities 2013-12-31
Midwest Health, Inc. 06122001

Operational/Managerial Control · Organization

0% 10 facilities 2010-01-01
Stoneybrook Nursing Facility Inc.

5% Or Greater Indirect Ownership Interest · Organization

0% 1 facilities 2003-06-27
Stoneybrook Nursing Facility Operations LLC

Operational/Managerial Control · Organization

0% 1 facilities 2024-12-09

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#3

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