10 health deficiencies
Top issue: Pharmacy Service (3 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Dodge City, KS
3-star overall rating with 3-star inspections with 10 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
501 W Beeson Road, Dodge City, KS
(620) 227-7512
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
45
Certified beds
Average residents
33
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1991-05-01
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
0.58
Registered nurse staffing · state 0.72 · national 0.68
LPN hours / resident day
0.47
Licensed practical nurse staffing · state 0.67 · national 0.87
Aide hours / resident day
2.66
Nurse aide staffing · state 2.69 · national 2.35
Total nurse hours
3.71
All reported nurse hours · state 4.07 · national 3.89
Licensed hours
1.05
RN + LPN hours · state 1.38 · national 1.54
Weekend hours
3.50
Weekend nurse staffing · state 3.58 · national 3.43
Weekend RN hours
0.51
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
0.76
CMS adjusted RN staffing hours
Adjusted total hours
4.83
CMS adjusted total nurse staffing hours
Case-mix index
1.05
Higher values indicate more complex resident acuity
RN turnover
60%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
61%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Program rank
4,084
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
41.37
Composite VBP score used to determine payment impact.
Payment multiplier
0.9943
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Healthcare-associated infections
5.14
Baseline 5.78% · Performance 6.30% · Measure score 5.14 · Achievement 5.14 · Improvement 0
Total nurse turnover
0
Baseline 56.41% · Performance 67.44% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
7.27
Baseline 4.04 hours · Performance 5.15 hours · Measure score 7.27 · Achievement 7.27 · Improvement 5.85
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.58% |
10.72%
0.1 pts better
|
No Different than the National Rate · Eligible stays 49 · Observed rate 10.2% · Lower 95% interval 6.15% |
| Discharge to community | 55.25% |
50.57%
4.7 pts better
|
No Different than the National Rate · Eligible stays 35 · Observed rate 60% · Lower 95% interval 43.25% |
| Medicare spending per beneficiary | 0.73 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 80% |
95.27%
15.3 pts worse
|
Numerator 28 · Denominator 35 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 35 |
| Discharge self-care score | 69.23% |
53.69%
15.5 pts better
|
Numerator 18 · Denominator 26 |
| Discharge mobility score | 34.62% |
50.94%
16.3 pts worse
|
Numerator 9 · Denominator 26 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 35 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 6.3% |
7.12%
0.8 pts better
|
No Different than the National Rate · Eligible stays 25 · Observed rate 0% · Lower 95% interval 2.83% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 41 |
| Staff flu vaccination coverage | 19.51% |
42%
22.5 pts worse
|
Numerator 8 · Denominator 41 |
| Discharge function score | 73.08% |
56.45%
16.6 pts better
|
Numerator 19 · Denominator 26 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.3 |
1.8
0.5 pts better
|
1.9
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.3 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.7 |
2.2
0.5 pts worse
|
1.8
0.9 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.7 · Observed 2.3 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 48.9% |
91.8%
42.9 pts worse
|
93.4%
44.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 51.6% · Q2 51.6% · Q3 47.1% · Q4 45.7% · 4Q avg 48.9% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 88.2% |
95.5%
7.3 pts worse
|
95.5%
7.3 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 88.2% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.1% |
4.4%
1.3 pts better
|
3.3%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 3.2% · Q3 2.9% · Q4 0.0% · 4Q avg 3.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.6% |
5.6%
3 pts better
|
11.4%
8.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.6% · Q3 3.3% · Q4 3.2% · 4Q avg 2.6% |
| Percentage of long-stay residents who lose too much weight | 15.0% |
5.0%
10 pts worse
|
5.4%
9.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 13.8% · Q2 20.0% · Q3 11.8% · Q4 14.7% · 4Q avg 15.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 30.0% |
23.2%
6.8 pts worse
|
19.6%
10.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 41.9% · Q2 32.3% · Q3 29.4% · Q4 17.6% · 4Q avg 30.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 35.4% |
19.8%
15.6 pts worse
|
16.7%
18.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 40.7% · Q2 35.7% · Q3 31.0% · Q4 34.5% · 4Q avg 35.4% · 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 18.0% |
18.4%
0.4 pts better
|
16.3%
1.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q4 16.6% · 4Q avg 18.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 18.5% |
18.8%
0.3 pts better
|
14.9%
3.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.1% · Q2 20.7% · Q3 15.2% · Q4 15.2% · 4Q avg 18.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 6.4% |
1.8%
4.6 pts worse
|
1.0%
5.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.4% · Q2 7.6% · Q3 6.1% · Q4 5.8% · 4Q avg 6.4% · Used in QM five-star |
| 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 · Q1 3.4% · Q2 0.0% · Q3 8.8% · Q4 5.7% · 4Q avg 4.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 13.4% |
23.2%
9.8 pts better
|
19.8%
6.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.9% · Q2 20.2% · Q3 2.9% · Q4 16.2% · 4Q avg 13.4% |
| Percentage of long-stay residents with pressure ulcers | 2.0% |
4.6%
2.6 pts better
|
5.1%
3.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 0.0% · Q3 3.9% · Q4 0.0% · 4Q avg 2.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 15.4% |
75.6%
60.2 pts worse
|
81.7%
66.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 15.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 16.4% |
11.7%
4.7 pts worse
|
12.0%
4.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 16.4% · Observed 16.1% · Expected 11.0% · Used in QM five-star |
| 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 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 18.3% |
23.0%
4.7 pts better
|
23.9%
5.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 18.3% · Observed 19.4% · Expected 25.2% · Used in QM five-star |
Survey summary
Top issue: Pharmacy Service (3 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
No concentrated health issue counts in this cycle.
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Pharmacy Service (3 deficiencies)
7 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Fire safety
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-03-15
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-03-15
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 2025-03-15
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-03-15
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-03-15
Fire Safety
Have restrictions on the use of highly flammable decorations.
Corrected 2025-03-15
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-05-01
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-05-01
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-05-01
Fire Safety
Establish policies and procedures for volunteers.
Corrected 2021-07-09
Fire Safety
Create arrangements with other facilities to receive patients.
Corrected 2021-07-09
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 2021-07-09
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2021-07-09
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2021-07-09
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2021-07-09
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2021-07-09
Inspection history
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2025-03-08
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 2025-03-08
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-03-08
Health
Provide and implement an infection prevention and control program.
Corrected 2025-03-08
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 2025-03-08
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 2025-03-08
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-03-08
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-03-08
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 2025-03-08
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2025-03-08
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2021-07-06
Health
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected 2021-07-06
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 2021-07-06
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2021-07-06
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 2021-07-06
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Organization
Corporate Director · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Nearby options
Fort Dodge, KS
3-star overall rating with 2-star inspections with 12 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
Dodge City, KS
4-star overall rating with 3-star inspections with 10 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
Dodge City, KS
4-star overall rating with 4-star inspections with $29,773 in total fines with 3 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
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