Fowler Residential Care
401 E 6th, Fowler, KS 67844 · Meade County · (620) 646-5215
20 certified beds, about 16 residents a day · Government - Hospital district · Medicare and Medicaid since 2012
CMS Care Compare ratings, data as of September 1, 2026 · CCN 175526 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on February 26, 2025, inspectors cited 2 health deficiencies (the Kansas average is 9.5, the national average 9.2).
Of 9 health citations since August 2021, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $8,021 in the last three years; the largest was $8,021, and the latest is dated April 30, 2024.
Nurses and nurse aides worked 5.50 hours per resident per day, against 4.07 across Kansas and 3.86 nationally. Registered nurses accounted for 1.91 of those hours.
37.0% of nursing staff left within the year CMS measured (Kansas average 48.1%).
Health inspections
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.
Where its citations fall on CMS's grid
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 9 health citations on file.
February 26, 2025Standard inspection · 2 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteThe facility reported a census of 16 residents. Based on observation, interview, and record review, the facility failed to store, prepare, and serve food to prevent possible food-borne illness among the facility's residents.
- E Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteThe facility reported a census of 16 residents. The sample included eight residents. Based on interview and record review, the facility failed to ensure the correct and complete Beneficiary Protection Notification forms were issued to two of three residents reviewed, Resident (R) 3 and R11.
April 30, 2024Complaint inspection · 1 citation
- J Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteThe facility reported a census of 16 residents with two residents identified and reviewed for elopement. Based on interview, observation, and record review, the facility failed to provide adequate supervision to prevent one cognitively impaired Resident (R) 1, who was identified with an elopement risk and had a known history of elopement, from leaving the facility unsupervised and without staff knowledge. The facility staff last saw R1 on 04/21/24 sometime between 10:00 PM and 11:00 PM. On 04/22/24 at around 03:00 AM, facility staff were unable to locate R1. After searching and notifying Administrative Staff, Law Enforcement, and R1's family, the facility learned R1 was with his sibling in another state, over five hours away. [...]
May 10, 2023Standard inspection · 2 citations
- E Make sure that a working call system is available in each resident's bathroom and bathing area.
Inspectors wroteThe facility census totaled 14 residents with seven residents residing on hall 100, and one bath house used to bathe those seven residents on that hall. Based on observation, interview, and record review the facility failed to ensure call light accessibility to these seven residents when they received showers in this one bath house. The shower area lacked a cord on the call light located next to the shower making it inaccessible to residents receiving showers and staff providing showers, in case of emergency.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteThe facility reported a census of 14 residents and identified 1 with cognitive impairment and self-mobile. Based on interview, observation and record review the facility failed to ensure a safe environment for the one resident with the failure to secure hazardous chemicals in the facility's beauty shop.
August 30, 2021Standard inspection · 4 citations
- E Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteThe facility reported a census of 15 residents, with eight residents included in the sample, and five reviewed for unnecessary medications. Based on observation, interview, and record review the facility failed to follow-up on the recommendations made by the pharmacist for Resident (R)1, R4, R7 and R14 medications.
- E 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.
Inspectors wroteThe facility had a census of 15 residents with eight residents in the sample and five residents reviewed for unnecessary medications. Based on observation, interview, and record review the facility failed to ensure four of five residents did not receive unnecessary medications when the facility failed to ensure the physician responded to a Gradual Dose Reduction (GDR) recommendation to be completed on psychotropic medications (any medication capable of affecting the mind, emotions, and behavior) for Residents (R)1, R4, R7 and R14.
- D 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.
Inspectors wroteThe facility census totaled 15 residents with eight included in the sample. Based on observation, interview, and record review the facility failed to remove expired medications from the refrigerator to include two single dose vaccination injections: one Influenza vaccine (flu vaccine) with an expiration date 06/30/21 and one single dose injection Pneumococcal-13 (pneumonia vaccine) with an expiration date 07/21.
- C Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Inspectors wroteThe facility had a census of 15 residents with eight residents in the sample. Based on interview and record review the facility failed to ensure the infection preventionist completed specialized training in infection control and prevention. This had the potential of affecting all residents in the facility.
Fire safety inspections
5 fire safety citations on file: 2 on February 26, 2025, 1 on May 10, 2023, 2 on August 30, 2021.
Every fire safety citation5 citations
- E Inspect, test, and maintain automatic sprinkler systems.
- E Ensure proper usage of power strips and extension cords.
- F Have simulated fire drills held at unexpected times.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have simulated fire drills held at unexpected times.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| April 30, 2024 | Fine | $8,021 |
| April 30, 2024 | Payment Denial | 6 days from May 17, 2024 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
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) | 5.50 | 4.07 | 3.86 |
| Registered nurses | 1.91 | 0.71 | 0.69 |
| All nursing staff on weekends | 4.39 | 3.60 | 3.42 |
| Nurse aides | 3.18 | ||
| Licensed practical nurses | 0.41 | ||
| Nursing staff turnover (share who left in a year) | 37.0% | 48.1% | 45.8% |
| Registered nurse turnover | 14.3% | 42.0% | 42.9% |
| Administrators who left | 0 |
CMS expects 2.72 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
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 5.94 on weekdays and 4.39 on weekends, 26% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 19.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.42 in April to June 2025 to 5.50 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 | 5.50 | 1.91 | 5.94 | 4.39 | 19.3% | 0 of 90 | 16 |
| Oct to Dec 2025 | 4.67 | 1.63 | 5.07 | 3.64 | 19.2% | 0 of 92 | 18 |
| Jul to Sep 2025 | 5.00 | 1.72 | 5.31 | 4.21 | 29.1% | 0 of 92 | 17 |
| Apr to Jun 2025 | 5.42 | 1.85 | 5.75 | 4.60 | 46.3% | 0 of 91 | 17 |
| 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.
Quality measures
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 | 16.4 | 17.9 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.3 | 1.6 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 4.5 | 2.9 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.5 | 4.3 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 7.2 | 16.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 9.1 | 4.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 15.6 | 18.1 | 15.4 |
Owners and operators
Legal business name: FOWLER HOSPITAL DISTRICT.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Knott, Cheryl | Managing control - governing body | Individual | 05/20/2015 | |
| McDowell, Karen | Managing control - governing body | Individual | 05/16/2025 | |
| Milford, Kevin | Managing control - governing body | Individual | 05/20/2015 | |
| Milford, Pam | Managing control - governing body | Individual | 05/16/2025 | |
| Milford, Kevin | Corporate director | Individual | 05/09/2014 | |
| Knott, Cheryl | Corporate officer | Individual | 05/09/2014 | |
| Fowler Hospital District | Operational/managerial control | Organization | 05/07/2012 | |
| Benton, Gilbert | Operational/managerial control | Individual | 04/17/2014 | |
| Knott, Cheryl | Operational/managerial control | Individual | 05/20/2015 | |
| McDowell, Karen | Operational/managerial control | Individual | 05/16/2025 | |
| Milford, Kevin | Operational/managerial control | Individual | 05/20/2015 | |
| Milford, Pam | Operational/managerial control | Individual | 05/16/2025 | |
| Norman, Gregg | Operational/managerial control | Individual | 05/16/2025 | |
| Schowengerdt, Andrew | Operational/managerial control | Individual | 07/07/2022 | |
| Whitney, Barbara | Operational/managerial control | Individual | 08/15/2015 | |
| Fowler Hospital District | Adp of the SNF | Organization | 05/07/2012 | |
| Benton, Gilbert | Adp of the SNF | Individual | 04/17/2014 | |
| Knott, Cheryl | Adp of the SNF | Individual | 05/20/2015 | |
| McDowell, Karen | Adp of the SNF | Individual | 05/16/2025 | |
| Milford, Kevin | Adp of the SNF | Individual | 05/20/2015 | |
| Milford, Pam | Adp of the SNF | Individual | 05/17/2020 | |
| Norman, Gregg | Adp of the SNF | Individual | 05/16/2025 | |
| Schowengerdt, Andrew | Adp of the SNF | Individual | 07/07/2022 | |
| Whitney, Barbara | Adp of the SNF | Individual | 08/15/2015 |
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.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on August 30, 2021: "Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on April 30, 2024: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on February 26, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on February 26, 2025: "Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered."
Other nursing homes nearby
- Meade District Hosp Ltcu Dba Lone Tree Retirement Meade, 10.1 mi · 5 of 5 stars · 18 citations
- Minneola District Hospital Ltcu Minneola, 10.7 mi · 1 of 5 stars · 23 citations
- Bethel Home Montezuma, 20 mi · 5 of 5 stars · 14 citations
Common questions
- What is Fowler Residential Care's Medicare star rating?
- CMS rates Fowler Residential Care 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Fowler Residential Care get at its last inspection?
- 2 health deficiencies at the standard inspection on February 26, 2025. The Kansas average is 9.5.
- Has Fowler Residential Care been fined?
- Yes. CMS lists 1 fine totaling $8,021 in the last three years.
- Does Fowler Residential Care accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Fowler Residential Care?
- CMS lists 24 owners and managers. Legal business name: FOWLER HOSPITAL DISTRICT.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.