Cycle 1
Health 2024-10-21 · Fire 2024-10-21
12 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
11 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Pittsburg, KS
Via Christi Village Pittsburg
3-star overall rating with 3-star inspections with $13,397 in total fines with 12 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
1502 E Centennial, Pittsburg, KS
(620) 235-0020
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
96
Certified beds
Average residents
74
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Ascension Living
Operator or chain grouping
Approved since
2003-07-03
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
19 facilities
Chain averages 3 overall / 3 health / 3 staffing / 3 quality stars
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
Hours and turnover
RN hours / resident day
0.54
Registered nurse staffing · state 0.72 · national 0.68
LPN hours / resident day
0.87
Licensed practical nurse staffing · state 0.67 · national 0.87
Aide hours / resident day
3.00
Nurse aide staffing · state 2.69 · national 2.35
Total nurse hours
4.41
All reported nurse hours · state 4.07 · national 3.89
Licensed hours
1.41
RN + LPN hours · state 1.38 · national 1.54
Weekend hours
3.94
Weekend nurse staffing · state 3.58 · national 3.43
Weekend RN hours
0.34
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.00
Reported PT staffing
Adjusted RN hours
0.58
CMS adjusted RN staffing hours
Adjusted total hours
4.68
CMS adjusted total nurse staffing hours
Case-mix index
1.29
Higher values indicate more complex resident acuity
RN turnover
86%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
85%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Value-based purchasing
Program rank
7,574
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
29.39
Composite VBP score used to determine payment impact.
Payment multiplier
0.9854
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
3.48
Baseline 17.60% · Performance 19.82% · Measure score 3.48 · Achievement 3.48 · Improvement 0
Healthcare-associated infections
0
Baseline 5.71% · Performance 8.31% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
3.85
Baseline 51.16% · Performance 47.96% · Measure score 3.85 · Achievement 3.85 · Improvement 0.72
Adjusted total nurse staffing
4.44
Baseline 3.98 hours · Performance 4.34 hours · Measure score 4.44 · Achievement 4.44 · Improvement 1.52
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.96% |
10.72%
0.8 pts better
|
No Different than the National Rate · Eligible stays 129 · Observed rate 7.75% · Lower 95% interval 7.54% |
| Discharge to community | 48.75% |
50.57%
1.8 pts worse
|
No Different than the National Rate · Eligible stays 103 · Observed rate 46.6% · Lower 95% interval 38.56% |
| Medicare spending per beneficiary | 0.83 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 103 · Denominator 103 |
| Falls with major injury | 2.91% |
0.77%
2.1 pts worse
|
Numerator 3 · Denominator 103 |
| Discharge self-care score | 58.06% |
53.69%
4.4 pts better
|
Numerator 36 · Denominator 62 |
| Discharge mobility score | 66.13% |
50.94%
15.2 pts better
|
Numerator 41 · Denominator 62 |
| Pressure ulcers or injuries, new or worsened | 3.88% |
2.29%
1.6 pts worse
|
Numerator 4 · Denominator 103 · Adjusted rate 5.45% |
| Healthcare-associated infections requiring hospitalization | 8.31% |
7.12%
1.2 pts worse
|
No Different than the National Rate · Eligible stays 79 · Observed rate 8.86% · Lower 95% interval 5.33% |
| Staff COVID-19 vaccination coverage | 1.03% |
8.2%
7.2 pts worse
|
Numerator 1 · Denominator 97 |
| Staff flu vaccination coverage | 89.92% |
42%
47.9 pts better
|
Numerator 116 · Denominator 129 |
| Discharge function score | 75.81% |
56.45%
19.4 pts better
|
Numerator 47 · Denominator 62 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 61 · Denominator 61 |
| Transfer of health information to patient | 95% |
96.28%
1.3 pts worse
|
Numerator 19 · Denominator 20 |
| Resident COVID-19 vaccinations up to date | 73.77% |
25.2%
48.6 pts better
|
Numerator 45 · Denominator 61 |
Quality measures
Resident outcomes and process scores
| 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 1.0 · Expected 1.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.7 |
2.2
0.5 pts better
|
1.8
0.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.4 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 88.4% |
91.8%
3.4 pts worse
|
93.4%
5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 88.7% · Q2 88.3% · Q3 89.1% · Q4 87.7% · 4Q avg 88.4% |
| 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 | 12.0% |
4.4%
7.6 pts worse
|
3.3%
8.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.9% · Q2 16.7% · Q3 10.9% · Q4 7.7% · 4Q avg 12.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 3.3% |
5.6%
2.3 pts better
|
11.4%
8.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 8.5% · Q3 1.6% · Q4 1.7% · 4Q avg 3.3% |
| Percentage of long-stay residents who lose too much weight | 8.4% |
5.0%
3.4 pts worse
|
5.4%
3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.3% · Q2 12.8% · Q3 6.7% · Q4 4.4% · 4Q avg 8.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 19.6% |
23.2%
3.6 pts better
|
19.6%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 14.5% · Q2 20.8% · Q3 26.7% · Q4 17.4% · 4Q avg 19.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 25.5% |
19.8%
5.7 pts worse
|
16.7%
8.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.1% · Q2 25.0% · Q3 25.6% · Q4 23.7% · 4Q avg 25.5% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 1.2% |
0.0%
1.2 pts worse
|
0.1%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.7% · Q3 1.6% · Q4 1.5% · 4Q avg 1.2% |
| Percentage of long-stay residents whose ability to walk independently worsened | 25.4% |
18.4%
7 pts worse
|
16.3%
9.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.2% · Q2 24.6% · Q3 17.4% · Q4 35.3% · 4Q avg 25.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 21.7% |
18.8%
2.9 pts worse
|
14.9%
6.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.8% · Q2 25.0% · Q3 11.4% · Q4 30.2% · 4Q avg 21.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.4% |
1.8%
1.4 pts better
|
1.0%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.5% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.6% |
3.1%
0.5 pts worse
|
1.7%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 0.0% · Q3 3.1% · Q4 9.4% · 4Q avg 3.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.5% |
23.2%
0.7 pts better
|
19.8%
2.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.5% · Q2 20.6% · Q3 13.7% · Q4 35.2% · 4Q avg 22.5% |
| Percentage of long-stay residents with pressure ulcers | 2.3% |
4.6%
2.3 pts better
|
5.1%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 2.8% · Q3 0.0% · Q4 1.8% · 4Q avg 2.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 64.7% |
75.6%
10.9 pts worse
|
81.7%
17 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 54.7% · Q2 78.7% · Q3 73.9% · Q4 49.4% · 4Q avg 64.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.9% |
11.7%
1.8 pts better
|
12.0%
2.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.9% · Observed 9.1% · Expected 10.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.3% |
2.2%
0.9 pts better
|
1.6%
0.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 2.1% · Q3 0.0% · Q4 0.0% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 83.3% |
73.5%
9.8 pts better
|
79.7%
3.6 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 83.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 37.5% |
23.0%
14.5 pts worse
|
23.9%
13.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 37.5% · Observed 33.3% · Expected 21.2% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-12-19 · Fire 2022-12-19
13 health deficiencies
Top issue: Pharmacy Service (4 deficiencies)
11 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Cycle 3
Health 2021-05-13 · Fire 2021-05-13
4 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
13 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-10-21
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-12-02
F · Potential for more than minimal harm
2024-10-21
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-12-02
E · Potential for more than minimal harm
2024-10-21
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 2024-12-02
E · Potential for more than minimal harm
2024-10-21
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-12-03
E · Potential for more than minimal harm
2024-10-21
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-12-02
E · Potential for more than minimal harm
2024-10-21
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-12-02
E · Potential for more than minimal harm
2024-10-21
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-12-03
E · Potential for more than minimal harm
2024-10-21
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-12-02
D · Potential for more than minimal harm
2024-10-21
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-12-02
D · Potential for more than minimal harm
2024-10-21
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-12-02
D · Potential for more than minimal harm
2024-10-21
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 2024-12-02
F · Potential for more than minimal harm
2022-12-19
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-04-15
F · Potential for more than minimal harm
2022-12-19
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-04-15
F · Potential for more than minimal harm
2022-12-19
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-04-15
F · Potential for more than minimal harm
2022-12-19
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-04-15
F · Potential for more than minimal harm
2022-12-19
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-04-15
E · Potential for more than minimal harm
2022-12-19
K161 · Construction Deficiencies
Fire Safety
Use approved construction type or materials.
Corrected 2023-04-15
E · Potential for more than minimal harm
2022-12-19
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 2023-04-15
E · Potential for more than minimal harm
2022-12-19
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-04-15
E · Potential for more than minimal harm
2022-12-19
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-04-15
E · Potential for more than minimal harm
2022-12-19
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-04-15
D · Potential for more than minimal harm
2022-12-19
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-04-15
F · Potential for more than minimal harm
2021-05-13
E4 · Emergency Preparedness Deficiencies
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2021-07-09
F · Potential for more than minimal harm
2021-05-13
K131 · Construction Deficiencies
Fire Safety
Meet requirements for sections of health care facilities separated by fire resistive construction.
Corrected 2021-07-09
F · Potential for more than minimal harm
2021-05-13
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2021-07-09
F · Potential for more than minimal harm
2021-05-13
K346 · Smoke Deficiencies
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2021-07-09
F · Potential for more than minimal harm
2021-05-13
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2021-07-09
F · Potential for more than minimal harm
2021-05-13
K354 · Smoke Deficiencies
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2021-07-09
F · Potential for more than minimal harm
2021-05-13
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2021-07-09
F · Potential for more than minimal harm
2021-05-13
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2021-07-09
F · Potential for more than minimal harm
2021-05-13
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2021-06-11
F · Potential for more than minimal harm
2021-05-13
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2021-07-09
F · Potential for more than minimal harm
2021-05-13
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2021-06-11
F · Potential for more than minimal harm
2021-05-13
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2021-07-09
E · Potential for more than minimal harm
2021-05-13
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 2021-07-09
Inspection history
Recent health citations
E · Potential for more than minimal harm
2024-10-21
F553 · Resident Rights Deficiencies
Health
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected 2024-12-05
E · Potential for more than minimal harm
2024-10-21
F908 · Environmental Deficiencies
Health
Keep all essential equipment working safely.
Corrected 2024-12-05
E · Potential for more than minimal harm
2024-10-21
F921 · Environmental Deficiencies
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-12-05
D · Potential for more than minimal harm
2024-10-21
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 2024-12-05
D · Potential for more than minimal harm
2024-10-21
F657 · Resident Assessment and Care Planning Deficiencies
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 2024-12-05
D · Potential for more than minimal harm
2024-10-21
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 2024-12-05
D · Potential for more than minimal harm
2024-10-21
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-12-05
D · Potential for more than minimal harm
2024-10-21
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-12-05
D · Potential for more than minimal harm
2024-10-21
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-12-05
D · Potential for more than minimal harm
2024-10-21
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-12-05
D · Potential for more than minimal harm
2024-10-21
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 2024-12-05
D · Potential for more than minimal harm
2024-10-21
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-12-05
J · Immediate jeopardy
2024-05-06
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-05-06
D · Potential for more than minimal harm
2024-03-07
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-03-23
F · Potential for more than minimal harm
2022-12-19
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-01-19
D · Potential for more than minimal harm
2022-12-19
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 2023-01-19
D · Potential for more than minimal harm
2022-12-19
F558 · Resident Rights Deficiencies
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-01-19
D · Potential for more than minimal harm
2022-12-19
F657 · Resident Assessment and Care Planning Deficiencies
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 2023-01-19
D · Potential for more than minimal harm
2022-12-19
F679 · Quality of Life and Care Deficiencies
Health
Provide activities to meet all resident's needs.
Corrected 2023-01-19
D · Potential for more than minimal harm
2022-12-19
F688 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2023-01-19
D · Potential for more than minimal harm
2022-12-19
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 2023-01-19
D · Potential for more than minimal harm
2022-12-19
F744 · Quality of Life and Care Deficiencies
Health
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected 2023-01-19
D · Potential for more than minimal harm
2022-12-19
F756 · Pharmacy Service Deficiencies
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 2023-01-19
D · Potential for more than minimal harm
2022-12-19
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 2023-01-19
D · Potential for more than minimal harm
2022-12-19
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 2023-01-19
G · Actual harm
2021-05-13
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 2021-05-27
F · Potential for more than minimal harm
2021-05-13
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2021-05-27
E · Potential for more than minimal harm
2021-05-13
F657 · Resident Assessment and Care Planning Deficiencies
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 2021-05-27
D · Potential for more than minimal harm
2021-05-13
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2021-05-27
Penalties and ownership
What sits behind the stars
$13,397
2024-05-06
Fine
Fine · fine $13,397
Fine
Ownership
Nearby options
Other facilities in reach
#1
Pittsburg Care And Rehab
Pittsburg, KS
3-star overall rating with 3-star inspections with 5 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
#2
Medicalodges Frontenac
Frontenac, KS
1-star overall rating with 2-star inspections with $16,858 in total fines with 12 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
#3
Arma Operator, LLC
Arma, KS
2-star overall rating with 2-star inspections with abuse icon flag with $21,645 in total fines with 2 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
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