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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D46 | E39 | F45 |
| Minimal | A· | B· | C1 |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Aug 10, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 19, 2025 | Fire safety | Fire Safety Standard | 20 | Potential harm | — | Open → |
| Mar 19, 2025 | Health | Health Complaint, Health Standard | 21 | Potential harm | — | Open → |
| Jan 28, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Sep 30, 2024 | Health | Health Complaint | 4 | Potential harm | — | Open → |
| Dec 28, 2023 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Oct 9, 2023 | Fire safety | Fire Safety Standard | 19 | Potential harm | — | Open → |
| Oct 9, 2023 | Health | Health Complaint, Health Standard | 22 | Actual harm | — | Open → |
| Apr 21, 2022 | Fire safety | Fire Safety Standard | 29 | Potential harm | — | Open → |
| Apr 21, 2022 | Health | Health Standard | 12 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Feb 20, 2024 | Civil money penalty (fine) | $4,893 | — | 175255|Fine|82189 |
| Feb 12, 2024 | Civil money penalty (fine) | $4,893 | — | 175255|Fine|82174 |
| Jan 22, 2024 | Civil money penalty (fine) | $14,679 | — | 175255|Fine|82132 |
| Jan 8, 2024 | Civil money penalty (fine) | $4,516 | — | 175255|Fine|82120 |
| Jan 2, 2024 | Civil money penalty (fine) | $3,846 | — | 175255|Fine|82081 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D46 | E39 | F45 |
| Minimal | A· | B· | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 10, 2026 | F-0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Aug 28, 2026 | Complaint |
| Mar 19, 2025 | E-0004 | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected May 16, 2025 | |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
27 facilities in 3 states. CMS chain ID 438.
Chain average overall rating (CMS): 2.6
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Midwest SNF Holdings LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Feb 28, 2025 |
| Mrcmm II LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Feb 28, 2025 |
| Bhnv 2 LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 28, 2025 |
| Kamna Holdings LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 28, 2025 |
| Kansas SNF Holdings LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 28, 2025 |
| Mad Family Holdings LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 28, 2025 |
| Natr Trust | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 28, 2025 |
| Nzm Holdings LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 28, 2025 |
| Rarmna Holdings LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 28, 2025 |
| Ratr Trust | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 28, 2025 |
| Recover-Care Healthcare LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 28, 2025 |
| Rnr Holdings LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 28, 2025 |
| Wetr Trust | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 28, 2025 |
| Avrohom Goldstein | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 28, 2025 |
| Miriam Halberstam | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 28, 2025 |
| Moshe Halberstam | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 28, 2025 |
| Zisha Margulies | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 28, 2025 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Midwest SNF Holdings LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Feb 28, 2025 |
| Mrcmm II LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Feb 28, 2025 |
| Bhnv 2 LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 28, 2025 |
| Kamna Holdings LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Merriam Gardens Healthcare & Rehabilitation Center 9700 W 62nd St, Merriam, KS 66203 CCN 175123 | 120 | Aug 12, 2026 | 842 IJ11 open | $61k | |
| Meadowbrook Rehabilitation Hospital 427 W Main Street, Gardner, KS 66030 CCN 175130 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| The Healthcare Resort of Topeka 6300 SW 6th Avenue, Topeka, KS 66615 CCN 175555 | 2.3 km | 70 | Dec 18, 2025 | 38 | — | |
| Rolling Hills Health Center 2400 SW Urish Road, Topeka, KS 66614 CCN 175165 | 2.4 km | 70 | Jul 29, 2025 | 761 IJ1 harm | $14k | |
| Topeka Presbyterian Manor 4712 SW 6th Ave, Topeka, KS 66606 CCN 175297 | 2.7 km | 68 | Jul 16, 2026 | 665 harm | $50k | |
| Tanglewood Nursing & Rehabilitation 5015 SW 28th Street, Topeka, KS 66614 CCN 175463SFF Candidate | 3 km | 54 | Oct 17, 2024 | 954 IJ1 harm | $227k | |
| Lexington Park Nursing & Post Acute Center 1031 SW Fleming Court, Topeka, KS 66604 CCN 175154 | 3 km | 90 | Apr 29, 2026 | 45 | — | |
| The Gardens at Aldersgate 3220 SW Albright Drive, Topeka, KS 66614 CCN 175340Abuse icon | 4.1 km | 175 | Jun 29, 2026 | 981 IJ3 harm | $57k | |
| Brighton Place West 331 SW Oakley Street, Topeka, KS 66606 CCN 175547 | 4.7 km | 50 | Aug 28, 2025 | 763 IJ1 harm | $11k | |
| Brewster Health Center 1001 SW 29th St, Topeka, KS 66611 CCN 175044 | 6.5 km | 97 | Jun 11, 2025 | 48 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 175255 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 175255 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Dec 11, 2023 | Civil money penalty (fine) | $9,440 | — | 175255|Fine|82045 |
| Nov 20, 2023 | Civil money penalty (fine) | $2,470 | — | 175255|Fine|82033 |
| Nov 13, 2023 | Civil money penalty (fine) | $2,117 | — | 175255|Fine|82023 |
| Oct 23, 2023 | Civil money penalty (fine) | $4,233 | — | 175255|Fine|82004 |
| E-0009 |
| Include a process for Emergency Preparedness collaboration. Emergency Preparedness Deficiencies · Emergency preparedness |
| F · Potential harm Widespread |
| Corrected May 16, 2025 |
| Mar 19, 2025 | E-0031 | Provide emergency officials' contact information. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected May 16, 2025 |
| Mar 19, 2025 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 16, 2025 |
| Mar 19, 2025 | K-0223 | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 16, 2025 |
| Mar 19, 2025 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 16, 2025 |
| Mar 19, 2025 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 16, 2025 |
| Mar 19, 2025 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Waiver granted May 16, 2025 |
| Mar 19, 2025 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 16, 2025 |
| Mar 19, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Waiver granted Apr 15, 2025 |
| Mar 19, 2025 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 16, 2025 |
| Mar 19, 2025 | K-0362 | Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 16, 2025 |
| Mar 19, 2025 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 16, 2025 |
| Mar 19, 2025 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 16, 2025 |
| Mar 19, 2025 | K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 16, 2025 |
| Mar 19, 2025 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 16, 2025 |
| Mar 19, 2025 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 16, 2025 |
| Mar 19, 2025 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 16, 2025 |
| Mar 19, 2025 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Waiver granted Apr 15, 2025 |
| Mar 19, 2025 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 16, 2025 |
| Mar 19, 2025 | F-0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 9, 2025 | Complaint |
| Mar 19, 2025 | F-0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected May 9, 2025 | Complaint |
| Mar 19, 2025 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 9, 2025 | Complaint |
| Mar 19, 2025 | F-0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 9, 2025 | Complaint |
| Mar 19, 2025 | F-0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected May 9, 2025 | Complaint |
| Mar 19, 2025 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 9, 2025 | Complaint |
| Mar 19, 2025 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected May 9, 2025 | Complaint |
| Mar 19, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected May 9, 2025 | Complaint |
| Mar 19, 2025 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 9, 2025 | Complaint |
| Mar 19, 2025 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 9, 2025 | Complaint |
| Mar 19, 2025 | F-0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 9, 2025 | Complaint |
| Mar 19, 2025 | F-0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision | F · Potential harm Widespread | Corrected May 9, 2025 | Complaint |
| Mar 19, 2025 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected May 9, 2025 | Complaint |
| Mar 19, 2025 | F-0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected May 9, 2025 | Complaint |
| Mar 19, 2025 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected May 9, 2025 | Complaint |
| Mar 19, 2025 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected May 9, 2025 | Complaint |
| Mar 19, 2025 | F-0761 | 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. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected May 9, 2025 | Complaint |
| Mar 19, 2025 | F-0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected May 9, 2025 | Complaint |
| Mar 19, 2025 | F-0849 | 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. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected May 9, 2025 | Complaint |
| Mar 19, 2025 | F-0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected May 9, 2025 | Complaint |
| Mar 19, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected May 9, 2025 | Complaint |
| Jan 28, 2025 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 21, 2025 | Complaint |
| Sep 30, 2024 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 29, 2024 | Complaint |
| Sep 30, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Oct 29, 2024 | Complaint |
| Sep 30, 2024 | F-0941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected Oct 29, 2024 | Complaint |
| Sep 30, 2024 | F-0942 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Oct 29, 2024 | Complaint |
| Dec 28, 2023 | F-0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 26, 2024 | Complaint |
| Dec 28, 2023 | F-0625 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 26, 2024 | Complaint |
| Dec 28, 2023 | F-0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 26, 2024 | Complaint |
| Oct 9, 2023 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Nov 6, 2023 | Complaint |
| Oct 9, 2023 | E-0004 | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Dec 19, 2023 |
| Oct 9, 2023 | K-0100 | Meet other general requirements. Construction Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 19, 2023 |
| Oct 9, 2023 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 19, 2023 |
| Oct 9, 2023 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 19, 2023 |
| Oct 9, 2023 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 19, 2023 |
| Oct 9, 2023 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 19, 2023 |
| Oct 9, 2023 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 19, 2023 |
| Oct 9, 2023 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 19, 2023 |
| Oct 9, 2023 | K-0354 | Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 19, 2023 |
| Oct 9, 2023 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 19, 2023 |
| Oct 9, 2023 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 19, 2023 |
| Oct 9, 2023 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 19, 2023 |
| Oct 9, 2023 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 19, 2023 |
| Oct 9, 2023 | K-0711 | Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 19, 2023 |
| Oct 9, 2023 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 19, 2023 |
| Oct 9, 2023 | K-0901 | Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. Electrical Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 19, 2023 |
| Oct 9, 2023 | K-0914 | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 19, 2023 |
| Oct 9, 2023 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 19, 2023 |
| Oct 9, 2023 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 19, 2023 |
| Oct 9, 2023 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 6, 2023 | Complaint |
| Oct 9, 2023 | F-0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 6, 2023 | Complaint |
| Oct 9, 2023 | F-0554 | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 6, 2023 | Complaint |
| Oct 9, 2023 | F-0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 6, 2023 | Complaint |
| Oct 9, 2023 | F-0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Nov 6, 2023 | Complaint |
| Oct 9, 2023 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 6, 2023 | Complaint |
| Oct 9, 2023 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Nov 6, 2023 | Complaint |
| Oct 9, 2023 | F-0679 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 6, 2023 | Complaint |
| Oct 9, 2023 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 6, 2023 | Complaint |
| Oct 9, 2023 | F-0687 | Provide appropriate foot care. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 6, 2023 |
| Oct 9, 2023 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Nov 6, 2023 | Complaint |
| Oct 9, 2023 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 6, 2023 | Complaint |
| Oct 9, 2023 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 6, 2023 | Complaint |
| Oct 9, 2023 | F-0699 | Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 6, 2023 | Complaint |
| Oct 9, 2023 | F-0726 | 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. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Nov 6, 2023 | Complaint |
| Oct 9, 2023 | F-0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 6, 2023 | Complaint |
| Oct 9, 2023 | F-0758 | 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. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Nov 6, 2023 | Complaint |
| Oct 9, 2023 | F-0761 | 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. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Nov 6, 2023 | Complaint |
| Oct 9, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Nov 6, 2023 | Complaint |
| Oct 9, 2023 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Nov 6, 2023 | Complaint |
| Oct 9, 2023 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | C · Minimal Widespread | Corrected Nov 6, 2023 | Complaint |
| Apr 21, 2022 | E-0007 | Address patient/client population and determine types of services needed. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jun 11, 2022 |
| Apr 21, 2022 | E-0009 | Include a process for Emergency Preparedness collaboration. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jun 11, 2022 |
| Apr 21, 2022 | E-0013 | Develop Emergency Preparedness policies and procedures. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jun 11, 2022 |
| Apr 21, 2022 | E-0026 | Establish roles under a Waiver declared by secretary. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jun 11, 2022 |
| Apr 21, 2022 | E-0030 | List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jun 11, 2022 |
| Apr 21, 2022 | E-0035 | Provide family notifications of emergency plan. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jun 11, 2022 |
| Apr 21, 2022 | E-0036 | Establish emergency prep training and testing. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jun 11, 2022 |
| Apr 21, 2022 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jun 11, 2022 |
| Apr 21, 2022 | K-0100 | Meet other general requirements. Construction Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 11, 2022 |
| Apr 21, 2022 | K-0163 | Install noncombustible or limited-combustible interior walls. Construction Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 11, 2022 |
| Apr 21, 2022 | K-0222 | 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. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 11, 2022 |
| Apr 21, 2022 | K-0300 | Meet other general requirements that are deficient. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 11, 2022 |
| Apr 21, 2022 | K-0311 | Have an enclosure around a vertical opening shaft. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 11, 2022 |
| Apr 21, 2022 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 11, 2022 |
| Apr 21, 2022 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 11, 2022 |
| Apr 21, 2022 | K-0343 | Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Waiver granted Jun 11, 2022 |
| Apr 21, 2022 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 11, 2022 |
| Apr 21, 2022 | K-0346 | Follow proper procedures when the fire alarm was out of service for more than 4 hours. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 11, 2022 |
| Apr 21, 2022 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 11, 2022 |
| Apr 21, 2022 | K-0354 | Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 11, 2022 |
| Apr 21, 2022 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 11, 2022 |
| Apr 21, 2022 | K-0371 | Have properly sized and located compartments to protect residents from smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 11, 2022 |
| Apr 21, 2022 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 11, 2022 |
| Apr 21, 2022 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 11, 2022 |
| Apr 21, 2022 | K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 11, 2022 |
| Apr 21, 2022 | K-0781 | Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 11, 2022 |
| Apr 21, 2022 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 11, 2022 |
| Apr 21, 2022 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 11, 2022 |
| Apr 21, 2022 | K-0926 | Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 11, 2022 |
| Apr 21, 2022 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 2, 2022 |
| Apr 21, 2022 | F-0552 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 2, 2022 |
| Apr 21, 2022 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 2, 2022 |
| Apr 21, 2022 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 2, 2022 |
| Apr 21, 2022 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 2, 2022 |
| Apr 21, 2022 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 2, 2022 |
| Apr 21, 2022 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 2, 2022 |
| Apr 21, 2022 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jun 2, 2022 |
| Apr 21, 2022 | F-0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jun 2, 2022 |
| Apr 21, 2022 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jun 2, 2022 |
| Apr 21, 2022 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Jun 2, 2022 |
| Apr 21, 2022 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Jun 2, 2022 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.34 (case-mix index 1.56).
| Feb 28, 2025 |
| Kansas SNF Holdings LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 28, 2025 |
| Mad Family Holdings LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 28, 2025 |
| Natr Trust | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 28, 2025 |
| Nzm Holdings LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 28, 2025 |
| Rarmna Holdings LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 28, 2025 |
| Ratr Trust | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 28, 2025 |
| Recover-Care Healthcare LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 28, 2025 |
| Rnr Holdings LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 28, 2025 |
| Wetr Trust | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 28, 2025 |
| Avrohom Goldstein | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 28, 2025 |
| Miriam Halberstam | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 28, 2025 |
| Moshe Halberstam | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 28, 2025 |
| Zisha Margulies | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 28, 2025 |
| Mrc SNF Management LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 26, 2019 |
| Glenn Hagen | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 1, 2019 |
| Debbie Lyda | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 28, 2025 |
| Zisha Margulies | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 28, 2025 |
| James Rider | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 28, 2025 |
| Bhnv Property Holdings 2 LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Feb 28, 2025 |
| Kansas SNF Holdings LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Feb 28, 2025 |
| Mad Family Holdings LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Feb 28, 2025 |
| Mrc SNF Management LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Feb 10, 2025 |
| Natr Trust | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Feb 28, 2025 |
| Nzm Property Holdings 2 LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Feb 28, 2025 |
| Rarmna Holdings LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Feb 28, 2025 |
| Ratr Trust | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Feb 28, 2025 |
| Rnr Holdings LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Feb 28, 2025 |
| Wetr Trust | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Feb 28, 2025 |
| Glenn Hagen | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 26, 2025 |
| James Rider | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 10, 2025 |
| 42 |
| Sep 16, 2025 |
692 IJ1 harm |
| $87k |
| Pinnacle Park Nursing & Rehab Center 2936 Georgia Avenue, Salina, KS 67401 CCN 175184 | 60 | Jun 10, 2026 | 34 | — |
| Kenwood View Healthcare and Rehabilitation Center 900 Elmhurst Blvd, Salina, KS 67401 CCN 175200 | 82 | Dec 30, 2024 | 923 harm | — |
| Wathena Healthcare & Rehabilitation Center 2112 Highway 36, Wathena, KS 66090 CCN 175216 | 60 | Sep 25, 2024 | 55 | — |
| Louisburg Healthcare and Rehabilitation Center 1200 S Broadway St, Louisburg, KS 66053 CCN 175238 | 60 | Aug 26, 2025 | 515 IJ1 harm | $19k |
| Belleville Healthcare and Rehabilitation Center 2626 Wesleyan Dr, Belleville, KS 66935 CCN 175246 | 62 | Jul 28, 2026 | 593 harm1 open | $20k |
| Shawnee Gardens Healthcare & Rehab Center 6416 Long Street, Shawnee, KS 66216 CCN 175267 | 130 | Aug 5, 2026 | 672 IJ5 harm | $81k |