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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G3 | H· | I· |
| Potential harm | D41 | E22 | F25 |
| Minimal | A· | B2 | C4 |
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 | |
|---|---|---|---|---|---|---|
| Jun 29, 2026 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Apr 1, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 7, 2026 | Fire safety | Fire Safety Standard | 15 | Potential harm | — | Open → |
| Jan 7, 2026 | Health | Health Standard | 16 | Potential harm | — | Open → |
| Jul 16, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 27, 2025 | Fire safety | Fire Safety Complaint | 1 | Potential harm | — | Open → |
| Dec 30, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 2, 2024 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| May 9, 2024 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Mar 7, 2024 | Health | Health Complaint | 1 | Immediate jeopardy | — | Open → |
| Feb 22, 2024 | Fire safety | Fire Safety Standard | 16 | Potential harm | — | Open → |
| Feb 22, 2024 | Health | Health Complaint, Health Standard | 24 | Actual harm | — | Open → |
| Aug 18, 2022 | Fire safety | Fire Safety Standard | 8 | Potential harm | — | Open → |
| Aug 18, 2022 | Health | Health Standard | 9 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Oct 2, 2024 | Civil money penalty (fine) | $23,520 | — | 175340|Fine|82438 |
| May 9, 2024 | Civil money penalty (fine) | $17,965 | — | 175340|Fine|82376 |
| Feb 22, 2024 | Civil money penalty (fine) | $15,132 | — | 175340|Fine|82323 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G3 | H· | I· |
| Potential harm | D41 | E22 | F25 |
| Minimal | A· | B2 | C4 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jun 29, 2026 | F-0602 | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 20, 2026 | Complaint |
| Jun 29, 2026 | 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 | E · Potential harm Pattern | Corrected Jul 20, 2026 | Complaint |
“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 |
|---|---|---|---|---|---|---|
| Rolling Hills Health Center 2400 SW Urish Road, Topeka, KS 66614 CCN 175165 | 1.8 km | 70 | Jul 29, 2025 | 761 IJ1 harm | $14k | |
| Plaza West Healthcare and Rehab 1570 SW Westport Drive, Topeka, KS 66604 CCN 175255 | 4.1 km | 151 | Aug 10, 2026 | 1321 harm | $51k | |
| Tanglewood Nursing & Rehabilitation 5015 SW 28th Street, Topeka, KS 66614 CCN 175463SFF Candidate | 4.3 km | 54 | Oct 17, 2024 | 954 IJ1 harm | $227k | |
| The Healthcare Resort of Topeka 6300 SW 6th Avenue, Topeka, KS 66615 CCN 175555 | 5.6 km | 70 | Dec 18, 2025 | 38 | — | |
| Topeka Presbyterian Manor 4712 SW 6th Ave, Topeka, KS 66606 CCN 175297 | 6.8 km | 68 | Jul 16, 2026 | 665 harm | $50k | |
| Lexington Park Nursing & Post Acute Center 1031 SW Fleming Court, Topeka, KS 66604 CCN 175154 | 6.9 km | 90 | Apr 29, 2026 | 45 | — | |
| Heritage Grove Estates 1610 SW 37th Street, Topeka, KS 66611 CCN 175171 | 8 km | 80 | Aug 6, 2026 | 542 IJ2 harm6 open | $9,113 | |
| Brewster Health Center 1001 SW 29th St, Topeka, KS 66611 CCN 175044 | 8.5 km | 97 | Jun 11, 2025 | 48 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 175340 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 175340 | 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
| Jun 29, 2026 | 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 Jul 20, 2026 | Complaint |
| Apr 1, 2026 | 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 May 1, 2026 | Complaint |
| Jan 7, 2026 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Mar 24, 2026 |
| Jan 7, 2026 | K-0161 | Use approved construction type or materials. Construction Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 24, 2026 |
| Jan 7, 2026 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 24, 2026 |
| Jan 7, 2026 | 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 Mar 24, 2026 |
| Jan 7, 2026 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 24, 2026 |
| Jan 7, 2026 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 24, 2026 |
| Jan 7, 2026 | 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 Mar 24, 2026 |
| Jan 7, 2026 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 24, 2026 |
| Jan 7, 2026 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 24, 2026 |
| Jan 7, 2026 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 24, 2026 |
| Jan 7, 2026 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 24, 2026 |
| Jan 7, 2026 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 24, 2026 |
| Jan 7, 2026 | 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 Mar 24, 2026 |
| Jan 7, 2026 | 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 Mar 24, 2026 |
| Jan 7, 2026 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 24, 2026 |
| Jan 7, 2026 | 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 Feb 20, 2026 |
| Jan 7, 2026 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 20, 2026 |
| Jan 7, 2026 | F-0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. Resident Rights Deficiencies · Resident rights & abuse/neglect | F · Potential harm Widespread | Corrected Feb 20, 2026 |
| Jan 7, 2026 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 20, 2026 |
| Jan 7, 2026 | F-0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 20, 2026 |
| Jan 7, 2026 | F-0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 20, 2026 |
| Jan 7, 2026 | 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 Feb 20, 2026 |
| Jan 7, 2026 | 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 Feb 20, 2026 |
| Jan 7, 2026 | 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 Feb 20, 2026 |
| Jan 7, 2026 | 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 Feb 20, 2026 |
| Jan 7, 2026 | 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 Feb 20, 2026 |
| Jan 7, 2026 | F-0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Feb 20, 2026 |
| Jan 7, 2026 | 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 Feb 20, 2026 |
| Jan 7, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Feb 20, 2026 |
| Jan 7, 2026 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Feb 20, 2026 |
| Jan 7, 2026 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 20, 2026 |
| Jul 16, 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 | Past non-compliance Jul 9, 2025 | Complaint |
| Jan 27, 2025 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 19, 2025 | Complaint |
| Dec 30, 2024 | 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 Jan 10, 2025 | Complaint |
| Oct 2, 2024 | 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 | G · Actual harm Isolated | Corrected Oct 23, 2024 | Complaint |
| May 9, 2024 | 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 | G · Actual harm Isolated | Corrected Jun 1, 2024 | Complaint |
| Mar 7, 2024 | 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 | J · Immediate jeopardy Isolated | Corrected Mar 19, 2024 | Complaint |
| Feb 22, 2024 | 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 Mar 19, 2024 | Complaint |
| Feb 22, 2024 | E-0001 | Establish an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected May 2, 2024 |
| Feb 22, 2024 | E-0007 | Address patient/client population and determine types of services needed. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Apr 26, 2024 |
| Feb 22, 2024 | E-0030 | List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Apr 26, 2024 |
| Feb 22, 2024 | E-0034 | Provide a means of sharing information on occupancy/needs. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Apr 26, 2024 |
| Feb 22, 2024 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 26, 2024 |
| Feb 22, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 26, 2024 |
| Feb 22, 2024 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 26, 2024 |
| Feb 22, 2024 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 2, 2024 |
| Feb 22, 2024 | 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 Apr 26, 2024 |
| Feb 22, 2024 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 2, 2024 |
| Feb 22, 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 Mar 19, 2024 | Complaint |
| Feb 22, 2024 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 19, 2024 | Complaint |
| Feb 22, 2024 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 19, 2024 | Complaint |
| Feb 22, 2024 | 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 Mar 19, 2024 | Complaint |
| Feb 22, 2024 | 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 Mar 19, 2024 | Complaint |
| Feb 22, 2024 | 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 Mar 19, 2024 | Complaint |
| Feb 22, 2024 | 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 Mar 19, 2024 | Complaint |
| Feb 22, 2024 | 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 Mar 19, 2024 | Complaint |
| Feb 22, 2024 | 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 Mar 19, 2024 | Complaint |
| Feb 22, 2024 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 19, 2024 | Complaint |
| Feb 22, 2024 | 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 Mar 19, 2024 | Complaint |
| Feb 22, 2024 | F-0730 | Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Staffing & supervision | F · Potential harm Widespread | Corrected Mar 19, 2024 | Complaint |
| Feb 22, 2024 | F-0742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 19, 2024 | Complaint |
| Feb 22, 2024 | 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 Mar 19, 2024 | Complaint |
| Feb 22, 2024 | F-0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 19, 2024 | Complaint |
| Feb 22, 2024 | 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 Mar 19, 2024 | Complaint |
| Feb 22, 2024 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Mar 19, 2024 | Complaint |
| Feb 22, 2024 | 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 Mar 19, 2024 | Complaint |
| Feb 22, 2024 | 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 Mar 19, 2024 | Complaint |
| Feb 22, 2024 | 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 Mar 19, 2024 | Complaint |
| Feb 22, 2024 | 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 | F · Potential harm Widespread | Corrected Mar 19, 2024 | Complaint |
| Feb 22, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Mar 19, 2024 | Complaint |
| Feb 22, 2024 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Mar 19, 2024 | Complaint |
| Feb 22, 2024 | K-0161 | Use approved construction type or materials. Construction Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Apr 26, 2024 |
| Feb 22, 2024 | 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 | C · Minimal Widespread | Corrected Apr 26, 2024 |
| Feb 22, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Apr 26, 2024 |
| Feb 22, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Apr 26, 2024 |
| Feb 22, 2024 | K-0753 | Have restrictions on the use of highly flammable decorations. Miscellaneous Deficiencies · Environment & life safety | B · Minimal Pattern | Corrected Apr 26, 2024 |
| Feb 22, 2024 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | B · Minimal Pattern | Corrected Apr 26, 2024 |
| Aug 18, 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 Nov 17, 2022 |
| Aug 18, 2022 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 17, 2022 |
| Aug 18, 2022 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 17, 2022 |
| Aug 18, 2022 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 17, 2022 |
| Aug 18, 2022 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 17, 2022 |
| Aug 18, 2022 | 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 Nov 17, 2022 |
| Aug 18, 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 Nov 17, 2022 |
| Aug 18, 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 Nov 17, 2022 |
| Aug 18, 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 Sep 23, 2022 |
| Aug 18, 2022 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 23, 2022 |
| Aug 18, 2022 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 23, 2022 |
| Aug 18, 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 Sep 23, 2022 |
| Aug 18, 2022 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 23, 2022 |
| Aug 18, 2022 | 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 | E · Potential harm Pattern | Corrected Sep 23, 2022 |
| Aug 18, 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 Sep 23, 2022 |
| Aug 18, 2022 | 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 Sep 23, 2022 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.93 (case-mix index 1.51).
| 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 | Jul 1, 2021 |
| Traci Cuevas | 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 |
| Matthew Rhunke | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 22, 2024 |
| 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 7, 2025 |
| Natr Trust | 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 |
| Traci Cuevas | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 2, 2025 |
| Matthew Rhunke | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 24, 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 |
| Plaza West Healthcare and Rehab 1570 SW Westport Drive, Topeka, KS 66604 CCN 175255 | 151 | Aug 10, 2026 | 1321 harm | $51k |