10 health deficiencies
Top issue: Pharmacy Service (3 deficiencies)
7 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Junction City, KS
2-star overall rating with 1-star inspections with abuse icon flag with 10 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
1417 W Ash St, Junction City, KS
(785) 762-2162
Overall
2 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
100
Certified beds
Average residents
61
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1981-03-01
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
0.81
Registered nurse staffing · state 0.72 · national 0.68
LPN hours / resident day
0.64
Licensed practical nurse staffing · state 0.67 · national 0.87
Aide hours / resident day
2.43
Nurse aide staffing · state 2.69 · national 2.35
Total nurse hours
3.88
All reported nurse hours · state 4.07 · national 3.89
Licensed hours
1.45
RN + LPN hours · state 1.38 · national 1.54
Weekend hours
3.51
Weekend nurse staffing · state 3.58 · national 3.43
Weekend RN hours
0.56
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
0.91
CMS adjusted RN staffing hours
Adjusted total hours
4.39
CMS adjusted total nurse staffing hours
Case-mix index
1.21
Higher values indicate more complex resident acuity
RN turnover
25%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
38%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Program rank
4,197
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
40.95
Composite VBP score used to determine payment impact.
Payment multiplier
0.9939
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
6.49
Baseline 20.66% · Performance 18.42% · Measure score 6.49 · Achievement 6.49 · Improvement 5.66
Healthcare-associated infections
0
Baseline 7.43% · Performance 8.34% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
6.09
Baseline 53.85% · Performance 38.81% · Measure score 6.09 · Achievement 6.09 · Improvement 4.69
Adjusted total nurse staffing
3.80
Baseline 4.09 hours · Performance 4.16 hours · Measure score 3.80 · Achievement 3.80 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.06% |
10.72%
0.3 pts worse
|
No Different than the National Rate · Eligible stays 120 · Observed rate 10.83% · Lower 95% interval 7.51% |
| Discharge to community | 51.8% |
50.57%
1.2 pts better
|
No Different than the National Rate · Eligible stays 102 · Observed rate 48.04% · Lower 95% interval 42.89% |
| Medicare spending per beneficiary | 0.7 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 71 · Denominator 71 |
| Falls with major injury | 1.41% |
0.77%
0.6 pts worse
|
Numerator 1 · Denominator 71 |
| Discharge self-care score | 62.07% |
53.69%
8.4 pts better
|
Numerator 36 · Denominator 58 |
| Discharge mobility score | 51.72% |
50.94%
0.8 pts better
|
Numerator 30 · Denominator 58 |
| Pressure ulcers or injuries, new or worsened | 2.82% |
2.29%
0.5 pts worse
|
Numerator 2 · Denominator 71 · Adjusted rate 3.16% |
| Healthcare-associated infections requiring hospitalization | 8.34% |
7.12%
1.2 pts worse
|
No Different than the National Rate · Eligible stays 62 · Observed rate 9.68% · Lower 95% interval 4.95% |
| Staff COVID-19 vaccination coverage | 10.45% |
8.2%
2.2 pts better
|
Numerator 14 · Denominator 134 |
| Staff flu vaccination coverage | 68.39% |
42%
26.4 pts better
|
Numerator 132 · Denominator 193 |
| Discharge function score | 67.24% |
56.45%
10.8 pts better
|
Numerator 39 · Denominator 58 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 25 · Denominator 25 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 64.1% |
25.2%
38.9 pts better
|
Numerator 25 · Denominator 39 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.2 |
1.8
0.6 pts better
|
1.9
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.2 · Expected 1.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.5 |
2.2
0.7 pts better
|
1.8
0.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.4 · Expected 1.5 · Used in QM five-star |
| 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 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| 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 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.5% |
4.4%
0.1 pts worse
|
3.3%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 5.0% · Q3 4.8% · Q4 3.4% · 4Q avg 4.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.4% |
5.6%
5.2 pts better
|
11.4%
11 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.8% · 4Q avg 0.4% |
| Percentage of long-stay residents who lose too much weight | 2.7% |
5.0%
2.3 pts better
|
5.4%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 3.7% · Q3 0.0% · Q4 3.6% · 4Q avg 2.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 13.4% |
23.2%
9.8 pts better
|
19.6%
6.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.5% · Q2 13.8% · Q3 13.6% · Q4 10.7% · 4Q avg 13.4% |
| 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 · Q1 20.5% · Q2 15.6% · Q3 15.4% · Q4 10.3% · 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 · 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 | 16.6% |
18.4%
1.8 pts better
|
16.3%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.9% · Q2 23.2% · Q3 6.2% · Q4 15.5% · 4Q avg 16.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 24.3% |
18.8%
5.5 pts worse
|
14.9%
9.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.4% · Q2 25.5% · Q3 21.8% · Q4 20.8% · 4Q avg 24.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.7% |
1.8%
0.9 pts worse
|
1.0%
1.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 4.9% · Q3 0.0% · Q4 1.4% · 4Q avg 2.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.0% |
3.1%
0.1 pts better
|
1.7%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 0.0% · Q3 1.8% · Q4 5.1% · 4Q avg 3.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.9% |
23.2%
1.7 pts worse
|
19.8%
5.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.3% · Q2 21.6% · Q3 30.2% · Q4 19.6% · 4Q avg 24.9% |
| Percentage of long-stay residents with pressure ulcers | 7.7% |
4.6%
3.1 pts worse
|
5.1%
2.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 4.1% · Q3 10.0% · Q4 9.7% · 4Q avg 7.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 95.7% |
75.6%
20.1 pts better
|
81.7%
14 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 91.9% · Q2 97.6% · Q3 97.8% · Q4 94.6% · 4Q avg 95.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.6% |
11.7%
1.1 pts better
|
12.0%
1.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.6% · Observed 10.9% · Expected 11.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.0% |
2.2%
1.2 pts better
|
1.6%
0.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q2 0.0% · Q3 0.0% · Q4 3.7% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 96.0% |
73.5%
22.5 pts better
|
79.7%
16.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 96.0% |
| 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 · Adjusted 18.5% · Observed 18.2% · Expected 23.4% · Used in QM five-star |
Survey summary
Top issue: Pharmacy Service (3 deficiencies)
7 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Top issue: Infection Control (1 deficiency)
7 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Pharmacy Service (3 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-09-26
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-09-26
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-09-26
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-09-26
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-09-26
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-09-26
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2025-09-26
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-12-21
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-12-21
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-12-21
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-12-21
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-12-21
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-12-21
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-12-21
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2022-06-14
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2022-06-14
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2022-06-14
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-06-14
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-06-14
Inspection history
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-11-14
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 2025-08-25
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2025-08-25
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 2025-08-25
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-08-25
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-08-25
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 2025-08-25
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-08-25
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 2025-08-25
Health
Provide and implement an infection prevention and control program.
Corrected 2025-08-25
Health
Provide and implement an infection prevention and control program.
Corrected 2023-11-29
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-11-29
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2023-11-29
Health
Provide routine and 24-hour emergency dental care for each resident.
Corrected 2023-11-29
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-05-16
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-05-16
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2022-05-16
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2022-05-16
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 2022-05-16
Penalties and ownership
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
Corporate Director · Individual
W-2 Managing Employee · Individual
Corporate Director · Individual
Corporate Director · Individual
W-2 Managing Employee · Individual
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