Cycle 1
Health 2024-05-08 · Fire 2024-05-08
2 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
7 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Hutchinson, KS
Wesley Towers Inc
5-star overall rating with 4-star inspections with 2 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
700 Monterey Pl, Hutchinson, KS
(620) 663-9175
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
52
Certified beds
Average residents
44
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1996-09-01
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
Hours and turnover
RN hours / resident day
0.93
Registered nurse staffing · state 0.72 · national 0.68
LPN hours / resident day
0.72
Licensed practical nurse staffing · state 0.67 · national 0.87
Aide hours / resident day
2.41
Nurse aide staffing · state 2.69 · national 2.35
Total nurse hours
4.06
All reported nurse hours · state 4.07 · national 3.89
Licensed hours
1.65
RN + LPN hours · state 1.38 · national 1.54
Weekend hours
3.44
Weekend nurse staffing · state 3.58 · national 3.43
Weekend RN hours
0.54
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.06
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
1.20
CMS adjusted RN staffing hours
Adjusted total hours
5.25
CMS adjusted total nurse staffing hours
Case-mix index
1.06
Higher values indicate more complex resident acuity
RN turnover
40%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
36%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Value-based purchasing
Program rank
330
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
72.94
Composite VBP score used to determine payment impact.
Payment multiplier
1.0237
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
10
Baseline 19.55% · Performance 16.49% · Measure score 10 · Achievement 10 · Improvement 9
Healthcare-associated infections
8.98
Baseline 7.11% · Performance 5.15% · Measure score 8.98 · Achievement 8.98 · Improvement 8.77
Total nurse turnover
5.09
Baseline 39.39% · Performance 42.86% · Measure score 5.09 · Achievement 5.09 · Improvement 0
Adjusted total nurse staffing
5.10
Baseline 4.41 hours · Performance 4.53 hours · Measure score 5.10 · Achievement 5.10 · Improvement 0.36
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.06% |
10.72%
0.7 pts better
|
No Different than the National Rate · Eligible stays 206 · Observed rate 6.8% · Lower 95% interval 6.95% |
| Discharge to community | 62.23% |
50.57%
11.7 pts better
|
Better than the National Rate · Eligible stays 193 · Observed rate 68.91% · Lower 95% interval 57.57% |
| Medicare spending per beneficiary | 0.8 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 98.64% |
95.27%
3.4 pts better
|
Numerator 145 · Denominator 147 |
| Falls with major injury | 1.36% |
0.77%
0.6 pts worse
|
Numerator 2 · Denominator 147 |
| Discharge self-care score | 69.05% |
53.69%
15.4 pts better
|
Numerator 87 · Denominator 126 |
| Discharge mobility score | 79.37% |
50.94%
28.4 pts better
|
Numerator 100 · Denominator 126 |
| Pressure ulcers or injuries, new or worsened | 0.68% |
2.29%
1.6 pts better
|
Numerator 1 · Denominator 147 · Adjusted rate 0.95% |
| Healthcare-associated infections requiring hospitalization | 5.15% |
7.12%
2 pts better
|
No Different than the National Rate · Eligible stays 150 · Observed rate 1.33% · Lower 95% interval 2.89% |
| Staff COVID-19 vaccination coverage | Not Available |
8.2%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Staff flu vaccination coverage | 7.6% |
42%
34.4 pts worse
|
Numerator 13 · Denominator 171 |
| Discharge function score | 79.37% |
56.45%
22.9 pts better
|
Numerator 100 · Denominator 126 |
| Transfer of health information to provider | 93.33% |
95.95%
2.6 pts worse
|
Numerator 42 · Denominator 45 |
| Transfer of health information to patient | 95.06% |
96.28%
1.2 pts worse
|
Numerator 77 · Denominator 81 |
| Resident COVID-19 vaccinations up to date | 29.69% |
25.2%
4.5 pts better
|
Numerator 19 · Denominator 64 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.7 |
1.8
1.1 pts better
|
1.9
1.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.7 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.4 |
2.2
0.8 pts better
|
1.8
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.3 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 72.8% |
91.8%
19 pts worse
|
93.4%
20.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 92.1% · Q2 86.1% · Q3 78.4% · Q4 33.3% · 4Q avg 72.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 95.2% |
95.5%
0.3 pts worse
|
95.5%
0.3 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 95.2% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 6.8% |
4.4%
2.4 pts worse
|
3.3%
3.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 5.6% · Q3 10.8% · Q4 8.3% · 4Q avg 6.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.5% |
5.6%
4.1 pts better
|
11.4%
9.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 0.0% · Q3 0.0% · Q4 3.1% · 4Q avg 1.5% |
| Percentage of long-stay residents who lose too much weight | 6.0% |
5.0%
1 pts worse
|
5.4%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 12.1% · Q3 3.0% · Q4 6.5% · 4Q avg 6.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 16.4% |
23.2%
6.8 pts better
|
19.6%
3.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 19.4% · Q2 15.2% · Q3 17.6% · Q4 12.9% · 4Q avg 16.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 18.3% |
19.8%
1.5 pts better
|
16.7%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.7% · Q2 17.2% · Q3 21.4% · Q4 17.9% · 4Q avg 18.3% · 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 | 20.7% |
18.4%
2.3 pts worse
|
16.3%
4.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.4% · Q2 25.6% · Q3 18.9% · Q4 7.7% · 4Q avg 20.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 19.7% |
18.8%
0.9 pts worse
|
14.9%
4.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 13.9% · Q2 30.3% · Q3 21.2% · Q4 13.3% · 4Q avg 19.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 4.9% |
1.8%
3.1 pts worse
|
1.0%
3.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.6% · Q2 5.8% · Q3 2.8% · Q4 0.0% · 4Q avg 4.9% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.4% |
3.1%
1.7 pts better
|
1.7%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 5.6% · Q3 0.0% · Q4 0.0% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.2% |
23.2%
1 pts better
|
19.8%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.9% · Q2 17.4% · Q3 36.2% · Q4 16.3% · 4Q avg 22.2% |
| Percentage of long-stay residents with pressure ulcers | 3.8% |
4.6%
0.8 pts better
|
5.1%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 7.9% · Q3 0.0% · Q4 3.4% · 4Q avg 3.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 52.6% |
75.6%
23 pts worse
|
81.7%
29.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 71.4% · Q2 51.4% · Q3 46.7% · Q4 39.1% · 4Q avg 52.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.1% |
11.7%
0.4 pts worse
|
12.0%
0.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 12.1% · Observed 10.3% · Expected 9.6% · 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 65.3% |
73.5%
8.2 pts worse
|
79.7%
14.4 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 65.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 17.3% |
23.0%
5.7 pts better
|
23.9%
6.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 17.3% · Observed 12.9% · Expected 17.8% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-11-21 · Fire 2022-11-21
4 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2 fire-safety deficiencies
Top issue: Construction (1 deficiency)
Cycle 3
Health 2021-03-11 · Fire 2021-03-11
1 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-05-08
E34 · Emergency Preparedness Deficiencies
Fire Safety
Provide a means of sharing information on occupancy/needs.
Corrected 2024-06-27
F · Potential for more than minimal harm
2024-05-08
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-06-27
F · Potential for more than minimal harm
2024-05-08
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-07-09
F · Potential for more than minimal harm
2024-05-08
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-06-27
F · Potential for more than minimal harm
2024-05-08
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-06-27
F · Potential for more than minimal harm
2024-05-08
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-07-09
E · Potential for more than minimal harm
2024-05-08
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-07-09
F · Potential for more than minimal harm
2022-11-21
K131 · Construction Deficiencies
Fire Safety
Meet requirements for sections of health care facilities separated by fire resistive construction.
Corrected 2022-12-28
F · Potential for more than minimal harm
2022-11-21
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-01-27
F · Potential for more than minimal harm
2021-03-11
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2021-04-26
E · Potential for more than minimal harm
2021-03-11
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2021-04-26
Inspection history
Recent health citations
F · Potential for more than minimal harm
2024-05-08
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 2024-05-31
E · Potential for more than minimal harm
2024-05-08
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-05-31
F · Potential for more than minimal harm
2022-11-21
F636 · Resident Assessment and Care Planning Deficiencies
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2022-12-16
F · Potential for more than minimal harm
2022-11-21
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 2022-12-16
D · Potential for more than minimal harm
2022-11-21
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2022-12-16
D · Potential for more than minimal harm
2022-11-21
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2022-12-16
F · Potential for more than minimal harm
2021-03-11
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 2021-03-26
Penalties and ownership
What sits behind the stars
Ownership
Hess, Ravonda
Operational/Managerial Control · Individual
Hess, Ravonda
Corporate Officer · Individual
Kensill, Susan
Corporate Officer · Individual
Mains, Mark
Corporate Officer · Individual
Security Bank Of Kansas City
Operational/Managerial Control · Organization
Security Bank Of Kansas City
5% Or Greater Security Interest · Organization
Wesley Towers, Inc.
5% Or Greater Direct Ownership Interest · Organization
Nearby options
Other facilities in reach
#1
Good Samaritan Society - Hutchinson Village
Hutchinson, KS
4-star overall rating with 4-star inspections with $8,590 in total fines with 4 recent health deficiencies with 13 fire-safety deficiencies in the latest cycle
#2
Hutchinson Operator, LLC
Hutchinson, KS
1-star overall rating with 2-star inspections with $70,179 in total fines with 9 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
#3
Diversicare Of Hutchinson
Hutchinson, KS
4-star overall rating with 4-star inspections with $8,376 in total fines with 7 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
Jump out