Wakefield, KS

Wakefield Care And Rehab

4-star overall rating with 4-star inspections with $15,593 in total fines with 3 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle

509 Grove Street, Wakefield, KS

(785) 461-5417

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

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

45

Certified beds

Average residents

43

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Mission Health Communities

Operator or chain grouping

Approved since

1993-11-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

1.04

Registered nurse staffing

LPN hours / resident day

0.31

Licensed practical nurse staffing

Aide hours / resident day

2.63

Nurse aide staffing

Weekend hours

3.41

Weekend nurse staffing

RN turnover

11%

Annual RN turnover

Total nurse turnover

28%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.0
1.8
0.8 pts better
1.9
0.9 pts better
Long Stay · 20240701-20250630
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
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.7%
91.8%
6.9 pts better
93.4%
5.3 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 4.5%
4.4%
0.1 pts worse
3.3%
1.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 26.4%
5.6%
20.8 pts worse
11.4%
15 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 1.4%
5.0%
3.6 pts better
5.4%
4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 25.8%
23.2%
2.6 pts worse
19.6%
6.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 33.3%
19.8%
13.5 pts worse
16.7%
16.6 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 6.6%
18.4%
11.8 pts better
16.3%
9.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 12.4%
18.8%
6.4 pts better
14.9%
2.5 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 2.7%
3.1%
0.4 pts better
1.7%
1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 25.7%
23.2%
2.5 pts worse
19.8%
5.9 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 3.4%
4.6%
1.2 pts better
5.1%
1.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 98.3%
75.6%
22.7 pts better
81.7%
16.6 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who newly received an antipsychotic medication 8.0%
2.2%
5.8 pts worse
1.6%
6.4 pts worse
Short Stay · 2024Q4-2025Q3

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-09-10 · Fire 2025-09-10

3 health deficiencies

Top issue: Administration (1 deficiency)

10 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 2 Health 2023-11-20 · Fire 2023-11-20

3 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

10 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 3 Health 2022-04-13 · Fire 2022-04-13

6 health deficiencies

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

8 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-09-10

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2025-12-22

F · Potential for more than minimal harm 2025-09-10

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 2025-12-22

F · Potential for more than minimal harm 2025-09-10

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-12-22

F · Potential for more than minimal harm 2025-09-10

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-12-22

F · Potential for more than minimal harm 2025-09-10

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-12-22

F · Potential for more than minimal harm 2025-09-10

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2025-12-22

F · Potential for more than minimal harm 2025-09-10

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2025-12-22

F · Potential for more than minimal harm 2025-09-10

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-12-22

E · Potential for more than minimal harm 2025-09-10

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-12-22

E · Potential for more than minimal harm 2025-09-10

K753 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of highly flammable decorations.

Corrected 2025-12-22

F · Potential for more than minimal harm 2023-11-20

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2024-01-25

F · Potential for more than minimal harm 2023-11-20

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 2024-01-25

F · Potential for more than minimal harm 2023-11-20

K291 · Egress Deficiencies

Fire Safety

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

Corrected 2024-01-25

F · Potential for more than minimal harm 2023-11-20

K311 · Smoke Deficiencies

Fire Safety

Have an enclosure around a vertical opening shaft.

Corrected 2024-01-25

F · Potential for more than minimal harm 2023-11-20

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 2024-01-25

F · Potential for more than minimal harm 2023-11-20

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-01-25

F · Potential for more than minimal harm 2023-11-20

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-01-25

F · Potential for more than minimal harm 2023-11-20

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-01-25

F · Potential for more than minimal harm 2023-11-20

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 2024-01-25

F · Potential for more than minimal harm 2023-11-20

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-01-25

F · Potential for more than minimal harm 2022-04-13

K291 · Egress Deficiencies

Fire Safety

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

Corrected 2022-06-24

F · Potential for more than minimal harm 2022-04-13

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-06-24

F · Potential for more than minimal harm 2022-04-13

K354 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-06-24

F · Potential for more than minimal harm 2022-04-13

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2022-06-24

F · Potential for more than minimal harm 2022-04-13

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2022-06-24

E · Potential for more than minimal harm 2022-04-13

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 2022-06-24

E · Potential for more than minimal harm 2022-04-13

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2022-06-24

E · Potential for more than minimal harm 2022-04-13

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2022-06-24

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-09-10

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 2025-10-24

D · Potential for more than minimal harm 2025-09-10

F628 · Resident Rights Deficiencies

Health

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Corrected 2025-10-24

D · Potential for more than minimal harm 2025-09-10

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 2025-10-24

F · Potential for more than minimal harm 2023-11-20

F801 · Nutrition and Dietary Deficiencies

Health

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Corrected 2023-12-15

D · Potential for more than minimal harm 2023-11-20

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 2023-12-15

D · Potential for more than minimal harm 2023-11-20

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2023-12-15

K · Immediate jeopardy 2023-08-21

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2023-08-16

J · Immediate jeopardy 2023-08-21

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 2023-08-16

D · Potential for more than minimal harm 2022-04-13

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-05-16

D · Potential for more than minimal harm 2022-04-13

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2022-05-16

D · Potential for more than minimal harm 2022-04-13

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2022-05-16

D · Potential for more than minimal harm 2022-04-13

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 2022-05-16

Penalties and ownership

What sits behind the stars

$15,593 2023-08-21

Fine

Fine · fine $15,593

Fine

Ownership

Coronado Operator, LLC

5% Or Greater Direct Ownership Interest · Organization

100% 15 facilities 2019-10-01
Barres, LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 40 facilities 2019-10-01
Curis Holdings, LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 16 facilities 2019-10-01
Lindeman, Stuart

Operational/Managerial Control · Individual

0% 40 facilities 2019-10-01
Mission Health Communities, LLC

Operational/Managerial Control · Organization

0% 28 facilities 2019-10-01
Scott, Christopher

Operational/Managerial Control · Individual

0% 1 facilities 2019-10-01
T And C Capital Assets, LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 39 facilities 2019-10-01
Thomas, Tina

Operational/Managerial Control · Individual

0% 15 facilities 2019-10-01
Wakefield Operator LLC

Operational/Managerial Control · Organization

0% 1 facilities 2019-10-01
Windward Health Partners LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 40 facilities 2019-10-01
Yoakum, Jamie

Operational/Managerial Control · Individual

0% 36 facilities 2024-07-24
Yoakum, Jamie

Corporate Officer · Individual

0% 36 facilities 2024-07-24

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#3

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