602 Crestview Drive, Enterprise, KS 67441 · Dickinson County · (785) 263-8278
40 certified beds, about 28 residents a day · Non profit - Other · Medicare and Medicaid since 2004
CMS Care Compare ratings, data as of September 1, 2026 · CCN 175475 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on November 17, 2025, inspectors cited 11 health deficiencies (the Kansas average is 9.5, the national average 9.2).
None of its 32 health citations since June 2022 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.34 hours per resident per day, against 4.07 across Kansas and 3.86 nationally. Registered nurses accounted for 0.50 of those hours.
51.5% of nursing staff left within the year CMS measured (Kansas average 48.1%).
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 32 health citations on file.
Inspectors wroteThe facility had a census of 27 residents. The sample included 12 residents. Based on observation and record review, the facility failed to ensure the required annual performance reviews were completed for the three members reviewed.
Inspectors wroteThe facility had a census of 27 residents. The sample included 12 residents. Based on observation, interview, and record review, the facility failed to maintain a Quality Assurance Assessment and Assurance committee (QA&A) that met quarterly and had the required membership in attendance.
Inspectors wroteThe facility had a census of 27 residents. The sample included 12 residents. Based on observation, interview, and record review, the facility failed to implement Enhanced Barrier Precautions (EBP- infection control interventions designed to reduce transmission of resistant organisms, which employ targeted gown and glove use during high contact care) for Resident (R) 4 and R21 urinary catheter care (tube placed in the bladder to drain urine into a collection bag). The facility also failed to have a structured Infection Control program.
Inspectors wroteThe facility had a census of 27 residents. The sample included 12 residents, with five residents sampled for unnecessary medication. Based on observation, interview, and record review, the facility failed to ensure Resident (R) 8 obtain an approved diagnosis for the use of Risperidone (an antipsychotic-class of medications used to treat major mental conditions which cause a break from reality) for dementia (progressive mental disorder characterized by failing memory, confusion) or the physician's rationale for why this specific drug was necessary to treat the condition.
Inspectors wroteThe facility had a census of 27 residents. The sample included 12 residents. Based on interviews and record review, the facility failed to notify the State Long Term Care Ombudsman (LTCO) of Resident (R) 30's facility-initiated discharge to the hospital.
Inspectors wroteThe facility had a census of 27 residents. The sample included 12 residents. Based on observation, interview, and record review, the facility failed to revise and update the care plan with Enhanced Barrier Precautions for Resident (R) 4 and R21 urinary catheters (a tube inserted into the bladder to drain the urine into a collection bag). The facility also failed to revise and update R3's falls care plan.
Inspectors wroteThe facility had a census of 27 residents. The sample included 12 residents. Based on observation, interview, and record review, the facility failed to provide physician-ordered interventions to treat or prevent pressure wounds for Resident (R) 8 when staff failed to apply a pressure relief air overlay device on R8's bed.
Inspectors wroteThe facility had a census of 27 residents. The sample included 12 residents, with one reviewed for side rails. Based on observation, interview, and record review, the facility failed to assess the actual rail being used to assure safety for Resident (R) 7.
Inspectors wroteThe facility had a census of 27 residents. The sample included 12 residents. Based on observation, interview, and record review the facility's nursing staff failed to follow physician orders to obtain adequate blood samples for Resident (R) 6 's laboratory testing and further failed to obtain physician involvement for direction related to continued Coumadin (anticoagulant-blood thinning drug) and Lovenox (anticoagulant-blood thinning drug) administration without the required monitoring.
Inspectors wroteThe facility had a census of 27 residents. The sample included 12 residents, with five residents reviewed for unnecessary drugs. Based on observation, interview, and record review, the facility failed to ensure the consult pharmacist notified the physician or the director of nursing of the need for further documentation regarding the continued use of Risperidone (antipsychotic medication- a class of medications used to treat major mental conditions that cause a break from reality) for Resident (R) 8 related to the unapproved diagnosis.
Inspectors wroteThe facility had a census of 27 residents. The sample included 12 residents. Based on observation, interview, and record review, the facility failed to obtain adequate blood samples for Resident (R) 6 's laboratory testing and further failed to obtain physician involvement for direction related to continued Coumadin (anticoagulant-blood thinning drug) and Lovenox (anticoagulant-blood thinning drug) administration without the required monitoring.
Inspectors wroteThe facility had a census of 31 residents. The sample included 14 residents. Based on record review and interview, the facility failed to implement a water management program for waterborne pathogens including the Legionella disease (Legionella is a bacterium spread through mist, such as from air-conditioning units for large buildings. Adults over the age of 50 and people with weak immune systems, chronic lung disease, or heavy tobacco use are most at risk of developing pneumonia caused by legionella). This placed the residents in the facility at risk for infectious disease.
Inspectors wroteThe facility had a census of 31 residents. The sample included 14 residents. Based on observation, record review, and interview, the facility failed to properly store medication and biologicals in one of two medication rooms. This placed the residents at risk of ineffective medication.
Inspectors wroteThe facility identified a census of 31 residents. The sample included 14 residents with five residents reviewed for immunizations to include pneumococcal (a disease that refers to a range of illnesses that affect various parts of the body and are caused by infection) vaccinations. Based on record review and interviews, the facility failed to follow the latest guidance from the Centers for Disease Control and Prevention (CDC) when they failed to offer, obtain an informed declination, or a physician-documented contraindication for pneumococcal PCV20 vaccination. This deficient practice placed the residents at risk of acquiring, spreading, and experiencing complications from the pneumococcal disease.
Inspectors wroteThe facility had a census of 31 residents. The sample included 14 residents. Based on observation, record review, and interview, the facility failed to develop a comprehensive care plan for two residents, Resident (R) 4, for her diagnosis of chronic obstructive pulmonary disease (COPD- a progressive and irreversible condition characterized by diminished lung capacity and difficulty or discomfort in breathing), supplemental oxygen use and R5's care related to a diagnosis of diabetes mellitus (DM-when the body cannot use glucose, not enough insulin made or the body cannot respond to the insulin. This placed the residents at risk for impaired care due to uncommunicated care needs. - The Electronic Medical Record (EMR) for R4 documented diagnoses of COPD and shortness of breath. [...]
Inspectors wroteThe facility had a census of 31 residents. The sample included 14 residents with seven reviewed for behaviors. Based on observation, record review, and interview, the facility failed to revise the care plan with person-centered interventions for behavioral triggers for one resident, Resident (R) 14, who had a diagnosis of post-traumatic stress disorder (PTSD-psychiatric disorder characterized by an acute emotional response to a traumatic event or situation involving severe environmental stress, such as natural disaster, military combat, serious automobile accident, airplane crash or physical torture). This placed the resident at risk for decreased quality of life due to uncommunicated care needs
Inspectors wroteThe facility had a census of 31 residents. The sample included 14 residents, with one reviewed for edema (swelling resulting from an excessive accumulation of fluid in the body tissues). Based on observation, record review, and interview, the facility failed to notify the physician as ordered for Resident (R)3's weight increase. This placed the resident at risk for complications related to edema.
Inspectors wroteThe facility had a census of 31 residents. The sample included 14 residents, with two reviewed for respiratory care. Based on observation, record review, and interview, the facility failed to provide adequate respiratory care and services for Residents (R) 3 and R4 when staff failed to store their oxygen tubing and cannula in a sanitary manner when not in use. This placed the residents at increased risk for an infection.
Inspectors wroteThe facility had a census of 31 residents. The sample included 14 residents, with seven reviewed for behaviors. Based on observation, record review, and interview, the facility failed to complete a trauma informed care assessment for Resident (R)14, who had a diagnosis of post -traumatic stress disorder (PTSD-psychiatric disorder characterized by an acute emotional response to a traumatic event or situation involving severe environmental stress, such as natural disaster, military combat, serious automobile accident, airplane crash or physical torture). This placed the resident at risk for unmet behavioral and mental health needs.
Inspectors wroteThe facility had a census of 31 residents. The sample included 14 residents. Based on observation, record review, and interview, the facility failed to notify Resident (R) 5's physician of elevated blood sugar per the physician ordered parameters and failed to initiate R19's prescribed bowel treatment which placed both resident at risk for impaired care and adverse medications effects.
Inspectors wroteThe facility had a census of 31 residents. The sample included 14 residents. Based on observation, record review, and interview, the facility failed to ensure an appropriate indication, or a documented physician rationale which included the multiple attempts for nonpharmacological symptom management and risk versus benefits to continue the use of an antipsychotic (class of medications used to treat major mental conditions which cause a break from reality) for Resident (R) 9 who had a diagnosis of dementia (a progressive mental disorder characterized by failing memory, confusion), R7 who had diagnoses of dementia and depression (a mood disorder that causes a persistent feeling of sadness and loss of interest) and R19 with a diagnosis of depression. This placed the residents at risk for unnecessary psychotropic (alters mood or thoughts) medications and related complications.
Inspectors wroteThe facility reported a census of 34 residents. Based on interview and record review, the facility failed to ensure principles of antibiotic stewardship were followed to ensure antibiotics were used in a safe and effective manner to prevent unnecessary side effects of antibiotics and antibiotic resistance in an ongoing, proactive manner.
Inspectors wroteThe facility identified a census of 34 residents. Based on record review and interview, the facility failed to ensure the staff person designated as the Infection Preventionist, who was responsible for the facility's Infection Prevention and Control Program, completed the specialized training in infection prevention and control. This placed the residents at risk for lack of identification and treatment of infections.
Inspectors wroteThe facility identified a census of 34 residents. The sample included 12 residents. Two residents were sampled for elopement. Based on observation, record review and interview the facility failed to provide adequate supervision for cognitively impaired Resident (R) 15 to prevent an elopement (when a cognitively impaired resident leaves the facility without staff supervision or knowledge). The facility failed to determine a root cause analysis for falls and failed to ensure preventive measures where in place to prevent further falls for resident (R)17, and R13. And the facility lacked a recent smoking assessment for R20. This placed R15 at risk for accidents and related injuries and put R17, R13, and R20 at risk for injury and or/harm.
Inspectors wroteThe facility identified a census of 34 residents. The facility had seven residents in quarantine due to a positive COVID-19 (a highly contagious severe acute respiratory illness) virus status. The sample included 12 residents. Based on observation, record review and interview, the facility failed to ensure staff properly donned (put on) the required personal protective equipment (PPE-gowns, gloves, mask, and eye protection) and disposed of PPE after use, failed to monitor resident's temperature and respiratory status daily during an outbreak of the COVID-19, and failed to ensure that staff appropriately sanitized, cleaned, and maintained designated resident COVID-19 quarantine areas. This placed facility residents at risk for possible COVID-19 transmission and severe respiratory complications.
Inspectors wroteThe facility identified a census of 34 residents. The sample included 12 residents. Resident (R)15 was sampled for reporting of an alleged violation. Based on observation, record review and interview, the facility failed to ensure that an incident of potential neglect was reported to the state agency in the required timeframe and failed to submit the incident investigation in the required timeframe. This placed R15 at risk for ongoing neglect and inadequate cares.
Inspectors wroteThe facility identified a census of 34 residents. The sample included 12 residents with 12 residents reviewed for development of comprehensive care plan. Based on observation, record review, and interviews, the facility failed to develop person-centered comprehensive care plans for Resident (R) 13 related to dementia (progressive mental disorder characterized by failing memory, confusion) care and services. This deficient practice placed them at risk for increased behaviors, confusion, and decline in ability to maintain the highest practicable mental and psychosocial well-being.
Inspectors wroteThe facility identified a census of 34 residents. The sample included 12 residents. Based on observation, record review, and interviews, the facility failed to revise the person-centered care plan with appropriate interventions to prevent future falls for Resident (R) 13 and R17, which placed these residents at risk for future falls and related injuries.
Inspectors wroteThe facility identified a census of 34 residents. The sample included 12 residents with five residents reviewed for unnecessary medication. Based on observation, record review, and interviews, the facility failed to ensure the Consultant Pharmacist (CP) identified and reported irregularities for Resident (R) 23 for lack of appropriate diagnosis for medication administration. [...]
Inspectors wroteThe facility identified a census of 34 residents. The sample included 12 residents with five residents reviewed for unnecessary medication. Based on observation, record review, and interviews, the facility failed to ensure appropriate diagnosis for medication administration for Resident (R) 23, and failed to ensure consitent bowel monitoring was completed for R13, which placed R23 and R13 at risk for the potential of unnecessary medication administration thus leading to possible harmful side effects.
Inspectors wroteThe facility identified a census of 34 residents. The sample included 12 residents with five residents reviewed for unnecessary medication. Based on observation, record review, and interviews, the facility failed to ensure physician documentation of risk versus benefit for continued use it of an as needed (PRN) antipsychotic medication (class of medications used to treat psychosis (any major mental disorder characterized by a gross impairment testing) and other mental emotional conditions) and antianxiety medication (class of medications that calm and relax people with excessive anxiety, (mental or emotional reaction characterized by apprehension, uncertainty and irrational fear) nervousness, or tension) for R23. This deficient practice placed R23 at risk for the potential of unnecessary medication administration thus leading to possible harmful side effects.
Inspectors wroteThe facility identified a census of 34 residents. Base on observation, record review, and interviews, the facility failed to maintain the required 15 months of posted staffing for nursing coverage and failed to post the current nursing hours daily as required. Findings Included: - Review of the facility's posted nursing hours from 03/06/21 through 03/06/22 (12 months) revealed the facility lacked the required records for multiple occasions in 2021 (3/6, 3/7, 3/8, 3/9, 3/10, 3/11, 3/12, 3/15 thru 4/16, 4/17, 4/18 thru 5/5, 5/6, 5/7 thru 5/25, 5/27, 5/28 thru 8/1, 8/3 thru 8/24, and 8/26 thru 12/31) and multiple occasions for 2022 (1/1 thru 5/8, 5/9, and 5/11 thru 6/6). The facility provided three staff posting forms with no dates listed. On 06/02/22 at 07:58 AM the posted nursing staffing sheet was dated 05/09/22. [...]
34 fire safety citations on file: 9 on November 17, 2025, 1 on June 5, 2024, 14 on January 17, 2024, 10 on June 7, 2022.
| Date | Penalty | Amount or length |
|---|---|---|
| February 6, 2024 | Payment Denial | 81 days from May 6, 2024 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Kansas | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.34 | 4.07 | 3.86 |
| Registered nurses | 0.50 | 0.71 | 0.69 |
| All nursing staff on weekends | 4.26 | 3.60 | 3.42 |
| Nurse aides | 2.93 | ||
| Licensed practical nurses | 0.91 | ||
| Nursing staff turnover (share who left in a year) | 51.5% | 48.1% | 45.8% |
| Registered nurse turnover | 80.0% | 42.0% | 42.9% |
| Administrators who left | 2 |
CMS expects 3.24 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.38 on weekdays and 4.26 on weekends, 3% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 14.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.65 in April to June 2025 to 4.34 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.34 | 0.50 | 4.38 | 4.26 | 14.2% | 0 of 90 | 28 |
| Oct to Dec 2025 | 4.49 | 0.54 | 4.62 | 4.16 | 13.7% | 0 of 92 | 26 |
| Jul to Sep 2025 | 3.83 | 0.46 | 3.99 | 3.43 | 6.3% | 0 of 92 | 28 |
| Apr to Jun 2025 | 3.65 | 0.57 | 3.78 | 3.32 | 30.0% | 0 of 91 | 29 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Kansas, Jan to Mar 2026 | 4.01 | 0.67 | 4.19 | 3.56 | 4.8% | 0.6% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Kansas, all employers | |||
| CNAs (nursing assistants) | $18.27 | $17.41 to $21.24 | 24,610 |
| LPNs and LVNs | $29.69 | $27.05 to $33.40 | 7,530 |
| Registered nurses | $38.14 | $35.24 to $45.53 | 33,800 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Kansas | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 17.9 | 17.9 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 4.0 | 1.6 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 2.9 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.0 | 4.3 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 7.3 | 16.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.2 | 4.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 38.0 | 18.1 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.4 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 6.0 | 2.1 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Enterprise Estates Nuring Center's Medicare short-stay residents. How to read these, and what Medicare pays for.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
US median of homes 51.5% · Kansas: 42 better, 17 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 21 eligible stays.
10.1% this home
No different from the national rate
US median of homes 10.7% · Kansas: 3 better, 0 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 28 eligible stays.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
US median of homes 7.1% · Kansas: 3 better, 0 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 17 eligible stays.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Kansas55.7% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 12 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Kansas0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 16 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Kansas2.1% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 16 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Kansas99.3% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 8 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: ENTERPRISE COMMUNITY NURSING HOME INC..
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Karl, Larry | 5% or greater direct ownership interest | Individual | 02/01/1975 | |
| Anderson, Francis | Corporate director | Individual | 05/21/2008 | |
| Black, Pamela | Corporate director | Individual | 07/10/2017 | |
| Cochran, Lesley | Corporate director | Individual | 09/15/2022 | |
| Flippo, Scott | Corporate director | Individual | 09/15/2019 | |
| Jones, Christopher | Corporate director | Individual | 09/01/1990 | |
| Karl, Larry | Corporate director | Individual | 02/01/1975 | |
| Mohr, Harold | Corporate director | Individual | 05/19/2010 | |
| Sheets, Audrey | Corporate director | Individual | 07/01/2017 | |
| Anderson, Francis | Corporate officer | Individual | 05/21/2007 | |
| Cochran, Lesley | Corporate officer | Individual | 09/15/2022 | |
| Flippo, Scott | Corporate officer | Individual | 09/15/2019 | |
| Jones, Christopher | Corporate officer | Individual | 09/01/1990 | |
| Karl, Larry | Corporate officer | Individual | 02/01/1975 | |
| Sheets, Audrey | Corporate officer | Individual | 07/01/2017 | |
| Black, Pamela | Operational/managerial control | Individual | 07/10/2017 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.