3 health deficiencies
Top issue: Administration (1 deficiency)
10 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Wakefield, KS
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
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
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
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
| 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
Top issue: Administration (1 deficiency)
10 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Nutrition and Dietary (1 deficiency)
10 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Quality of Life and Care (3 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Fire safety
Fire Safety
Use approved construction type or materials.
Corrected 2025-12-22
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
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-12-22
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-12-22
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-12-22
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-12-22
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-12-22
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-12-22
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-12-22
Fire Safety
Have restrictions on the use of highly flammable decorations.
Corrected 2025-12-22
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-01-25
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
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-01-25
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2024-01-25
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
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-01-25
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-01-25
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-01-25
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
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-01-25
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2022-06-24
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-06-24
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2022-06-24
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2022-06-24
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2022-06-24
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
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-06-24
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2022-06-24
Inspection history
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
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2025-10-24
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
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
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
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2023-12-15
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-08-16
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
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-05-16
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-05-16
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2022-05-16
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
Fine · fine $15,593
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
Corporate Officer · Individual
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