Kiowa Hospital District Manor
1020 Main Street, Kiowa, KS 67070 · Barber County · (620) 825-4117
29 certified beds, about 22 residents a day · Government - Hospital district · Medicaid since 1998
Certified for Medicaid
Overall
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 17E597 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on September 4, 2025, inspectors cited 4 health deficiencies (the Kansas average is 9.5, the national average 9.2).
Of 10 health citations since February 2022, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 6.34 hours per resident per day, against 4.07 across Kansas and 3.86 nationally. Registered nurses accounted for 0.57 of those hours.
46.2% 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.
302/22
301/24
409/25
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
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 10 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
6D
0E
2F
Potential for minimal harm
0A
0B
1C
September 4, 2025Standard inspection · 4 citations
- J Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteThe facility identified a census of 21 residents. The sample included 12 residents, with six residents reviewed for accidents. Based on observation, interview, and record review, the facility failed to ensure an environment free of accident hazards for Resident (R)6, when Certified Medication Aide (CMA) R transported R6 in the facility van without safely securing the resident with a seatbelt in her wheelchair. On 05/08/25 CMA R abruptly applied the brakes to avoid a collision, causing R6 to slide out of her chair and fall on the floor, with her leg bent behind her. R6 cried out in pain as Emergency Medical Services (EMS) and facility staff removed R6 from the van. EMS transported R6 to the hospital via ambulance and R6 had severe pain, though the X-rays revealed no injuries. [...]
- 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 21 residents, and one main kitchen. Based on observation, record review, and interview, the facility failed to prepare and serve food under sanitary conditions to prevent the potential for food borne bacteria. This placed the residents at risk for food borne illnesses.
- D Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspectors wroteThe facility reported a census of 21 residents. The sample included 12 residents with one resident reviewed for hospitalization. Based on interview and record review, the facility failed to provide Resident (R) 5 a written notification of transfer to the resident and/or his representative as soon as practicable. This placed the resident at risk of impaired rights related to transfer and discharge.
- C Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Inspectors wroteThe facility reported a census of 21 residents. Based on interview and record review, the facility failed to electronically submit accurate staffing information through Payroll-Based Journaling (PBJ).
January 4, 2024Standard inspection, Complaint inspection · 3 citations
- F Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Inspectors wroteThe facility reported a census of 26 residents. Based on interview and record review, the facility failed to submit complete and accurate staffing information to the Federal regulatory agency through Payroll-Based Journaling (PBJ) when the facility failed to accurately submit hourly staffing data for all nursing personnel.
- D Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteThe facility had a census of 26 residents, which included 12 residents, that included one resident reviewed for accommodation of needs. Based on observation, record review, and interview, the facility failed to provide reasonable accommodations related to an appropriately sized mechanical lift sling for Resident (R)4.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wrote- R10's Electronic Health Record (EHR) revealed the resident had diagnoses that included dementia (a progressive mental disorder characterized by failing memory, confusion) and major depressive disorder (a mood disorder categorized as mental health problems, feelings of sadness, helplessness, guilt, wanting to die were more intense and persistent than what may normally be felt from time to time). The 11/10/23 Annual Minimum Data Set (MDS) documented a Brief Interview for Mental Status (BIMS) score of three, which indicated severely impaired cognition. The resident was dependent on staff for cares. The 11/10/23 Cognitive Loss / Dementia Care Area Assessment CAA, documented that the resident had impaired cognitive function with cognitive decline noted related to her diagnosis of dementia. [...]
February 16, 2022Standard inspection · 3 citations
- D Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteThe facility census totaled 19 residents with eight residents included in the sample. Based on observation, interview, and record review the facility failed to provide written notice to the State Ombudsman of the 12/13/21 facility-initiated hospitalization transfer of Resident (R) 9.
- D 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.
Inspectors wroteThe facility census totaled 19 residents with eight residents included in the sample. Based on observation, interview, and record review the facility failed to provide Resident (R) 9 or her representative with a bed hold policy upon transfer to the hospital.
- D Provide and implement an infection prevention and control program.
Inspectors wroteThe facility had a census of 19 residents with 8 residents in the sample. Based on observation, interview, and record review the facility failed to perform blood sugar testing on two residents, Residents (R) 12 and R5 in a sanitary manner when Licensed Nurse (LN) C failed to clean the facility glucometer (instrument used to calculate blood glucose) after using it on the first resident and/or before testing the second resident.
Fire safety inspections
19 fire safety citations on file: 5 on September 4, 2025, 11 on January 4, 2024, 3 on February 16, 2022.
Every fire safety citation19 citations
- F Establish procedures for tracking staff and patients during an emergency.
- F Provide properly protected cooking facilities.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D Install corridor and hallway doors that block smoke.
- F Establish an Emergency Preparedness Program (EP).
- F Develop Emergency Preparedness policies and procedures.
- F Develop a communication plan.
- F Have properly installed hallway dispensers for alcohol-based hand rub.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.
- F Have simulated fire drills held at unexpected times.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Install properly constructed windows in hallway walls or doors.
- E Have properly installed electrical wiring and gas equipment.
- E Ensure proper usage of power strips and extension cords.
- F 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.
- F Have simulated fire drills held at unexpected times.
- D Provide properly protected cooking facilities.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
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) | 6.34 | 4.07 | 3.86 |
| Registered nurses | 0.57 | 0.71 | 0.69 |
| All nursing staff on weekends | 5.77 | 3.60 | 3.42 |
| Nurse aides | 4.41 | ||
| Licensed practical nurses | 1.36 | ||
| Nursing staff turnover (share who left in a year) | 46.2% | 48.1% | 45.8% |
| Registered nurse turnover | 20.0% | 42.0% | 42.9% |
| Administrators who left | 0 |
CMS expects 2.86 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 6.57 on weekdays and 5.77 on weekends, 12% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 6.07 in April to June 2025 to 6.34 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 | 6.34 | 0.57 | 6.57 | 5.77 | 0.0% | 0 of 90 | 22 |
| Oct to Dec 2025 | 7.07 | 0.58 | 7.45 | 6.12 | 0.0% | 0 of 92 | 21 |
| Jul to Sep 2025 | 6.73 | 0.94 | 7.05 | 5.92 | 0.0% | 0 of 92 | 21 |
| Apr to Jun 2025 | 6.07 | 0.74 | 6.43 | 5.16 | 0.1% | 0 of 91 | 23 |
| 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 | 7.1 | 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 | 7.1 | 2.9 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.7 | 4.3 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 10.5 | 16.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 0.0 | 4.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 10.5 | 18.1 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.9 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.2 | 2.1 | 1.8 |
Owners and operators
Legal business name: Legal Business Name Not Available.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Ownership data not available |
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 do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 4 problems in this area, most recently on September 4, 2025: "Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies."
- 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 September 4, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 2 problems in this area, most recently on September 4, 2025: "Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data."
- 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 September 4, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
Other nursing homes nearby
- Beadles Nursing Home Alva, 17.9 mi · 2 of 5 stars · 4 citations
- Beadles New Beginnings Alva, 19 mi · 5 of 5 stars · 4 citations
- Attica Long Term Care Facility Attica, 20.8 mi · 3 of 5 stars · 18 citations
Common questions
- What is Kiowa Hospital District Manor's Medicare star rating?
- CMS rates Kiowa Hospital District Manor 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 Kiowa Hospital District Manor get at its last inspection?
- 4 health deficiencies at the standard inspection on September 4, 2025. The Kansas average is 9.5.
- Has Kiowa Hospital District Manor been fined?
- CMS lists no fines in the last three years.
- Does Kiowa Hospital District Manor accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Kiowa Hospital District Manor?
- CMS lists 1 owner or manager. Legal business name: Legal Business Name Not Available.
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.