24 health deficiencies
Top issue: Resident Rights (7 deficiencies)
4 fire-safety deficiencies
Top issue: Emergency Preparedness (4 deficiencies)
Liberal, KS
1-star overall rating with 1-star inspections with $158,640 in total fines with 24 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
1501 S Holly Dr, Liberal, KS
(620) 624-0130
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
51
Certified beds
Average residents
41
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Frontline Management
Operator or chain grouping
Approved since
2002-12-04
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
9 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
RN hours / resident day
0.61
Registered nurse staffing · state 0.72 · national 0.68
LPN hours / resident day
0.34
Licensed practical nurse staffing · state 0.67 · national 0.87
Aide hours / resident day
2.69
Nurse aide staffing · state 2.69 · national 2.35
Total nurse hours
3.65
All reported nurse hours · state 4.07 · national 3.89
Licensed hours
0.96
RN + LPN hours · state 1.38 · national 1.54
Weekend hours
3.30
Weekend nurse staffing · state 3.58 · national 3.43
Weekend RN hours
0.43
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
0.63
CMS adjusted RN staffing hours
Adjusted total hours
3.77
CMS adjusted total nurse staffing hours
Case-mix index
1.32
Higher values indicate more complex resident acuity
RN turnover
50%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
53%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Program rank
8,727
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
25.84
Composite VBP score used to determine payment impact.
Payment multiplier
0.9839
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
3.24
Baseline 22.70% · Performance 20.58% · Measure score 3.24 · Achievement 1.84 · Improvement 3.24
Healthcare-associated infections
1.72
Baseline 6.96% · Performance 7.32% · Measure score 1.72 · Achievement 1.72 · Improvement 0
Total nurse turnover
3.04
Baseline 84.85% · Performance 63.64% · Measure score 3.04 · Achievement 0 · Improvement 3.04
Adjusted total nurse staffing
2.34
Baseline 3.46 hours · Performance 3.74 hours · Measure score 2.34 · Achievement 2.34 · Improvement 0.73
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.08% |
10.72%
0.6 pts better
|
No Different than the National Rate · Eligible stays 98 · Observed rate 9.18% · Lower 95% interval 7.28% |
| Discharge to community | 27.43% |
50.57%
23.1 pts worse
|
Worse than the National Rate · Eligible stays 97 · Observed rate 18.56% · Lower 95% interval 21.08% |
| Medicare spending per beneficiary | 1.1 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 74 · Denominator 74 |
| Falls with major injury | 2.7% |
0.77%
1.9 pts worse
|
Numerator 2 · Denominator 74 |
| Discharge self-care score | 19.35% |
53.69%
34.3 pts worse
|
Numerator 6 · Denominator 31 |
| Discharge mobility score | 22.58% |
50.94%
28.4 pts worse
|
Numerator 7 · Denominator 31 |
| Pressure ulcers or injuries, new or worsened | 4.05% |
2.29%
1.8 pts worse
|
Numerator 3 · Denominator 74 · Adjusted rate 2.85% |
| Healthcare-associated infections requiring hospitalization | 7.32% |
7.12%
0.2 pts worse
|
No Different than the National Rate · Eligible stays 66 · Observed rate 7.58% · Lower 95% interval 3.88% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 60 |
| Staff flu vaccination coverage | 28.57% |
42%
13.4 pts worse
|
Numerator 18 · Denominator 63 |
| Discharge function score | 19.35% |
56.45%
37.1 pts worse
|
Numerator 6 · Denominator 31 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 28 · Denominator 28 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 39.13% |
25.2%
13.9 pts better
|
Numerator 18 · Denominator 46 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.8 |
1.8
About the same
|
1.9
0.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 2.4 · Expected 2.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.9 |
2.2
1.3 pts better
|
1.8
0.9 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 1.0 · Expected 1.9 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 89.1% |
91.8%
2.7 pts worse
|
93.4%
4.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 94.4% · Q2 93.8% · Q3 74.4% · Q4 95.0% · 4Q avg 89.1% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 94.7% |
95.5%
0.8 pts worse
|
95.5%
0.8 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 94.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.4% |
4.4%
1 pts better
|
3.3%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 0.0% · Q3 5.1% · Q4 5.0% · 4Q avg 3.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.3% |
5.6%
3.3 pts better
|
11.4%
9.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 5.7% · Q4 2.6% · 4Q avg 2.3% |
| Percentage of long-stay residents who lose too much weight | 3.1% |
5.0%
1.9 pts better
|
5.4%
2.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 3.6% · Q3 5.6% · Q4 0.0% · 4Q avg 3.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 10.0% |
23.2%
13.2 pts better
|
19.6%
9.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 13.3% · Q3 7.9% · Q4 12.8% · 4Q avg 10.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 7.9% |
19.8%
11.9 pts better
|
16.7%
8.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 9.1% · Q3 15.4% · Q4 3.7% · 4Q avg 7.9% · 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 | 33.8% |
18.4%
15.4 pts worse
|
16.3%
17.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 33.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 24.4% |
18.8%
5.6 pts worse
|
14.9%
9.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 48.5% · Q2 13.8% · Q3 13.9% · Q4 21.6% · 4Q avg 24.4% · 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 1.6% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.9% |
3.1%
0.2 pts better
|
1.7%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 0.0% · Q3 2.7% · Q4 5.6% · 4Q avg 2.9% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 20.8% |
23.2%
2.4 pts better
|
19.8%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 31.8% · Q2 26.0% · Q3 15.9% · Q4 11.2% · 4Q avg 20.8% |
| Percentage of long-stay residents with pressure ulcers | 7.9% |
4.6%
3.3 pts worse
|
5.1%
2.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 10.0% · Q3 11.1% · Q4 8.0% · 4Q avg 7.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 60.2% |
75.6%
15.4 pts worse
|
81.7%
21.5 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 55.6% · Q2 60.5% · Q3 50.0% · Q4 79.2% · 4Q avg 60.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.3% |
11.7%
3.4 pts better
|
12.0%
3.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.3% · Observed 7.9% · Expected 10.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.4% |
2.2%
0.8 pts better
|
1.6%
0.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.5% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 50.0% |
73.5%
23.5 pts worse
|
79.7%
29.7 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 50.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.3% |
23.0%
0.3 pts worse
|
23.9%
0.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 23.3% · Observed 23.8% · Expected 24.3% · Used in QM five-star |
Survey summary
Top issue: Resident Rights (7 deficiencies)
4 fire-safety deficiencies
Top issue: Emergency Preparedness (4 deficiencies)
Top issue: Quality of Life and Care (4 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2024-11-27
Fire Safety
Establish procedures for tracking staff and patients during an emergency.
Corrected 2024-11-27
Fire Safety
Establish policies and procedures for medical documentation.
Corrected 2024-11-27
Fire Safety
List the names and contact information of those in the facility.
Corrected 2024-11-27
Inspection history
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-10-07
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-10-07
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2024-10-07
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 2024-10-07
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-10-07
Health
Dispose of garbage and refuse properly.
Corrected 2024-10-07
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2024-10-07
Health
Keep all essential equipment working safely.
Corrected 2024-10-07
Health
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2024-10-07
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2024-10-07
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-10-07
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2024-10-07
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2024-10-07
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-10-07
Health
Provide and implement an infection prevention and control program.
Corrected 2024-10-07
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-10-07
Health
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected 2024-10-07
Health
Honor the resident's right to manage his or her financial affairs.
Corrected 2024-10-07
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2024-10-07
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-10-07
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 2024-10-07
Health
Plan the resident's discharge to meet the resident's goals and needs.
Corrected 2024-10-07
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-10-07
Health
Post nurse staffing information every day.
Corrected 2024-10-07
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-01-04
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 2022-12-07
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-12-07
Health
Keep residents' personal and medical records private and confidential.
Corrected 2022-12-07
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-12-07
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-12-07
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 2022-12-07
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2022-12-07
Health
Post nurse staffing information every day.
Corrected 2022-12-07
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2021-06-03
Penalties and ownership
Fine · fine $27,573
Fine
Fine · fine $131,067
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Individual
Corporate Officer · Individual
Nearby options
Liberal, KS
4-star overall rating with 3-star inspections with 7 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
Liberal, KS
2-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $78,434 in total fines with 16 recent health deficiencies with 20 fire-safety deficiencies in the latest cycle
Hugoton, KS
1-star overall rating with 1-star inspections with 18 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
Jump out