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Life Care Center of Kansas City

3231 N 61st Street, Kansas City, KS 66104 · Wyandotte County · (913) 299-1770

82 certified beds, about 62 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1994

Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 175281 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on August 20, 2025, inspectors cited 13 health deficiencies (the Kansas average is 9.5, the national average 9.2).

Of 61 health citations since April 2022, 1 was rated as actual harm or immediate jeopardy to residents.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.48 hours per resident per day, against 4.07 across Kansas and 3.86 nationally. Registered nurses accounted for 0.46 of those hours.

52.2% of nursing staff left within the year CMS measured (Kansas average 48.1%).

CMS links it to Life Care Centers of America, an affiliated group of 194 nursing homes.

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.

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 61 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
41D
12E
6F
Potential for minimal harm
0A
0B
1C
August 20, 2025Standard inspection · 13 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) October 3, 2025
    Inspectors wroteThe facility identified a census of 57 residents. The facility had one kitchen. Based on observation, record review, and interviews, the facility failed to follow sanitary dietary standards related to overflowing trash and food storage. This deficient practice placed the residents at risk for food-borne illness.
  2. F
    Implement a program that monitors antibiotic use.
    F881 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) October 3, 2025
    Inspectors wroteThe facility identified a census of 57 residents. The sample included 14 residents. Based on observation, record review, and interviews, the facility failed to develop and implement the core elements of antibiotic stewardship to ensure an effective infection prevention and control program including antibiotic stewardship for the residents of the facility.
  3. E
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 3, 2025
    Inspectors wroteThe facility had a census of 57 residents. The sample included 15 residents, with four reviewed for accidents. Based on observation, record review, and interview, the facility failed to secure 44 E pressurized medical oxygen tanks in a safe, locked area, and out of reach of the eight cognitively impaired, independently mobile residents. The facility further failed to ensure R2's fall interventions were in place. This deficient practice placed the residents at risk for preventable accidents and injuries. Findings Included:- On 08/18/25 at 07:56 AM, an inspection of the facility’s oxygen storage room revealed that the door was not secured. An inspection of the room revealed 44 full E-supplemental oxygen cylinders in the storage racks. The door had a keypad and did not lock when the door was shut. [...]
  4. E
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 3, 2025
    Inspectors wroteThe facility reported a census of 57 residents. The facility identified four medication carts. Based on observations, record review, and interviews, the facility failed to secure medication at the nurse's station. This deficient practice placed the residents at risk for unnecessary medication and administration errors.
  5. D
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 3, 2025
    Inspectors wroteThe facility identified a census of 57 residents. The sample included 15 residents, with two reviewed for reasonable accommodation of needs related to assistive devices. Based on observation, record review, and interviews, the facility failed to ensure Resident (R)2's wheelchair foot pedals were utilized while being pushed. The facility additionally failed to ensure R43 had a way to communicate her needs due to her call lights being left out of reach. This deficient practice placed the residents at risk for preventable accidents and injuries.
  6. D
    Keep residents' personal and medical records private and confidential.
    F583 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 3, 2025
    Inspectors wroteThe facility identified a census of 57 residents. The sample included 15 residents, with one reviewed for privacy. Based on observation, record review, and interviews, the facility failed to secure protected health information (PHI) for Resident (R) 31. This deficient practice placed R31 at risk for decreased psychosocial well-being due to a lack of privacy. Findings Included: - On 08/18/25 at 07:39 AM, a walkthrough of the 100 Hall revealed an unattended nursing cart across the hallway from the nurse's station. An inspection of the cart revealed R2's PHI displayed on the cart. At 08/18/25 at 07:40 AM, Licensed Nurse (LN) H exited a room in the 100 Hall and locked the computer screen. On 08/20/25 at 11:01 AM, LN G stated the computer was to be locked when not attended by staff to protect health information. [...]
  7. D
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    F628 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 3, 2025
    Inspectors wroteThe facility identified a census of 57 residents. The sample included 15 residents, with two residents reviewed for the discharge process. Based on observation, record review, and interviews, the facility failed to provide a final summary of the resident's status at discharge for Resident (R) 64 and R1. This deficient practice placed R64 and R1 at risk of delayed care or uncommunicated care needs. Findings Included: [...]
  8. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 3, 2025
    Inspectors wroteThe facility identified a census of 57 residents. The sample included 15 residents, with two residents reviewed for activities of daily living (ADL) care. Based on observation, record review, and interviews, the facility failed to ensure that cleaning of her mouth was provided for Resident (R) 43, who required assistance from staff to complete the care. This deficient practice placed R43 at risk for complications, including discomfort related to poor personal hygiene.
  9. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 3, 2025
    Inspectors wroteThe facility identified a census of 57 residents. The sample included 15 residents, with two residents reviewed for treatment/services to prevent/heal pressure ulcers (localized injury to the skin and/or underlying tissue usually over a bony prominence, because of pressure, or pressure in combination with shear and/or friction). Based on observation, record review, and interviews, the facility failed to ensure pressure-reducing measures were placed on Resident (R) 58's bilateral lower extremities to prevent pressure ulcers. This placed R58 at increased risk for pressure ulcer development. [...]
  10. D
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 3, 2025
    Inspectors wroteThe facility identified a census of 57 residents. The sample included 15 residents, with two residents reviewed for position and mobility. Based on observation, record review, and interview, the facility failed to ensure Resident (R) 54 was given (ROM- the full movement potential of a joint, usually its range of flexion and extension) exercises to prevent contractures (abnormal permanent fixation of a joint or muscle) and help with R54's flaccid left hand. This deficient practice left R54 at risk for further decline and decreased range of motion or mobility.
  11. D
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 3, 2025
    Inspectors wroteThe facility identified a census of 57 residents. The sample included 14 residents, with five residents reviewed for unnecessary medications. Based on observation, record review, and interviews, the facility failed to ensure the Consultant Pharmacist (CP) identified and reported irregularities regarding the lack of monitoring antihypertensive (a class of medication used to treat high blood pressure) medications for Resident R10. These deficient practices placed these residents at risk for adverse medication effects and unnecessary medications.
  12. D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 3, 2025
    Inspectors wroteThe facility identified a census of 57 residents. The sample included 14 residents with five residents reviewed for unnecessary medications. Based on observation, record review, and interviews, the facility failed to follow the pharmacist's recommendation for the monitoring of antihypertensive (a class of medication used to treat high blood pressure) medications for Resident R10. These deficient practices placed these residents at risk for adverse medication effects and unnecessary medications.
  13. D
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 3, 2025
    Inspectors wroteThe facility identified a census of 57 residents. The sample included 14 residents, with five reviewed for immunization status. Based on record reviews, and interviews, the facility failed to offer or obtain informed declinations or a physician-documented contraindication for the Pneumococcal Conjugate Vaccine (PCV20 - vaccination for bacterial infections), and pneumococcal (type of bacterial infection) vaccination for Resident (R) 1, R7, and R29. This placed the residents at increased risk for complications related to pneumonia.
July 10, 2024Complaint inspection · 1 citation
  1. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 10, 2024
    Inspectors wroteThe facility reported a census of 66 residents. The sample included three residents reviewed for elopement (when a cognitively impaired resident with little or poor safety awareness exited the facility without staff knowledge). Based on observation, record review, and interview, the facility failed to ensure Resident (R)1 received adequate supervision and appropriate interventions to prevent R1 from exiting the facility. This placed R1 at risk for accidents or injuries.
April 15, 2024Complaint inspection · 2 citations
  1. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 10, 2024
    Inspectors wroteThe facility identified a census of 63 residents. The sample included four residents. Based on observation, interview, and record review, the facility failed to accurately and thoroughly complete Minimum Data Sets (MDS) for Resident (R) 1. This placed the resident at risk for unidentified care needs.
  2. D
    Provide or obtain dental services for each resident.
    F791 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 10, 2024
    Inspectors wroteThe facility identified a census of 63 residents. The sample included three residents reviewed for dental services. Based on record review, interview, and observation, the facility failed to identify and respond to Resident (R)1's dental needs which resulted in tooth pain and untreated dental issues. This deficient practice placed R1 at risk for pain and other complications related to dental issues.
February 22, 2024Complaint inspection · 1 citation
  1. D
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 10, 2024
    Inspectors wroteThe facility identified a census of 69 residents. The sample included three residents. Based on record review, interview, and observation the facility failed to accommodate Resident (R) 1's need and preference for a transfer pole This placed R1 at risk of decreased mobility and impaired autonomy.
January 4, 2024Standard inspection · 26 citations
  1. F
    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
    F727 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) February 18, 2024
    Inspectors wroteThe facility identified a census of 67 residents. The sample included 17 residents. Based on record review and interview, the facility failed to provide a Registered Nurse (RN) for at least eight consecutive hours a day seven days a week. This placed the residents at risk for decreased quality of care.
  2. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) February 18, 2024
    Inspectors wroteThe facility identified a census of 67 residents with one kitchen. Based on observation, record review, and interviews, the facility failed to maintain sanitary dietary standards related to the storage of food. This deficient practice placed the residents at risk related to food-borne illnesses and food safety concerns.
  3. F
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) February 18, 2024
    Inspectors wroteThe facility identified a census of 67 residents. Based on observation, record review, and interviews, the facility failed to ensure proper infection control standards were followed related to the implementation of procedures to monitor and prevent Legionella disease (Legionella is a bacterium that can cause pneumonia in vulnerable populations) or other opportunistic waterborne pathogens, failed to ensure sanitary storage of respiratory equipment, failed to ensure adequate laundry temperatures for laundry including laundry from residents with infectious disease and on transmission-based precautions and failed to ensure staff performed hand hygiene between resident car. The facility further failed to ensure appropriate disposal of filled red biohazard boxes and failed to ensure the Infection Preventionist tracked and trended infections within the facility. [...]
  4. F
    Implement a program that monitors antibiotic use.
    F881 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) February 18, 2024
    Inspectors wroteThe facility identified a census of 67 residents. The sample included 17 residents. Based on observation, record review, and interviews, the facility failed to develop and implement the core elements of antibiotic stewardship to ensure an effective infection prevention and control program including antibiotic stewardship for the residents of the facility.
  5. E
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 18, 2024
    Inspectors wroteThe facility identified a census of 67 residents. The sample included 17 residents. Based on observation, record review, and interview, the facility failed to ensure the residents were provided a safe, clean, comfortable, and homelike environment. This placed the residents at risk for decreased psychosocial well-being and impaired safety and comfort for the affected residents.
  6. E
    Provide activities to meet all resident's needs.
    F679 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 18, 2024
    Inspectors wroteThe facility identified a census of 67 residents. The sample included 17 residents. Based on observation, record review, and interviews, the facility failed to provide consistent weekend activities. This deficient practice placed the affected residents at risk for decreased psychosocial well-being and boredom.
  7. E
    Ensure the activities program is directed by a qualified professional.
    F680 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 18, 2024
    Inspectors wroteThe facility identified a census of 67 residents. The sample included 17 residents. Based on observation, record review, and interviews, the facility failed to provide a certified activity professional. This placed the affected residents at risk for decreased quality of life.
  8. E
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 18, 2024
    Inspectors wroteThe facility had a census of 67 residents. The sample included 17 residents with one resident reviewed for accidents and/or hazards. Based on observation, record review, and interview, the facility failed to secure hazardous materials when the facility failed to ensure a Sharps container (bin to place used needles and lancets) mounted on the side of a cart and stored in the hallway had a lid to prevent residents from reaching into the container. This deficient practice placed the 19 cognitively impaired independently mobile residents at risk for preventable injuries and accidents. The facility additionally failed to ensure R53's portable urinal was within reach resulting in a non-injury fall. This deficient practice placed R53 at risk for preventable falls and injuries. Findings Included: [...]
  9. E
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 18, 2024
    Inspectors wroteThe facility reported a census of 67 residents. The Facility had four medication carts and two medication rooms. Based on observations, record reviews, and interviews, the facility failed to ensure the safe storage and handling of Resident (R)55's insulin medication (a hormone that lowers the level of glucose in the blood). This deficient practice placed the resident at risk for diversion and ineffective medication regimen. Findings Included: - On 01/02/24 at 07:35 AM a walkthrough of the facility's South Hall revealed a treatment cart by the nurse's station. An inspection of the treatment cart revealed unsecured insulin medication stored in plastic bins on top of the cart. The plastic bins contained four insulin glargine (long-acting insulin medication) auto-injector pens that belonged to R55. At 07:38 AM Licensed Nurse (LN) G stated she just left the area briefly to put her coat up. [...]
  10. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 18, 2024
    Inspectors wroteThe facility identified a census of 67 residents. The sample included 17 residents with two reviewed for dignity. Based on observation, record review, and interviews, the facility failed to ensure Residents (R) R13 and R24 were treated in a dignified manner. This deficient practice placed the residents at risk for decreased psychosocial well-being.
  11. D
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 18, 2024
    Inspectors wroteThe facility identified a census of 67 residents. The sample included 17 residents with two reviewed for accommodation of needs-related activities of daily living (ADLs). Based on record review, interviews, and observations, the facility failed to identify and correct environmental challenges to Resident (R) 42's mobility. The facility additionally failed to provide R65 a call light in his room. This deficient practice placed both residents at risk for a decline in ADLs.
  12. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 18, 2024
    Inspectors wroteThe facility identified a census of 67 residents. The sample included 17 residents with five residents reviewed for nutrition. Based on record review, interviews, and observations, the facility failed to notify Resident (R)13's physician and representative regarding a weight loss and/or change in health condition. This placed R13 at risk for continued weight loss and malnutrition due to delayed physician and representative involvement.
  13. D
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 18, 2024
    Inspectors wroteThe facility identified a census of 67 residents. The sample included 17 residents. Based on observation, record review, and interview, the facility failed to provide written notification to the long-term care ombudsman (LTCO) for Resident (R) 28 and R6. The facility failed to provide notice of transfer as soon as practicable to R6 or their representative. This deficient practice had the risk of miscommunication between the facility and resident/family and possible missed opportunities for healthcare service for R28 and R6.
  14. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 18, 2024
    Inspectors wroteThe facility identified a census of 67 residents. The sample included 17 residents with 17 reviewed for care plan revisions. Based on observation, record review, and interviews, the facility failed to revise Resident (R)42's care plan to reflect the use of his personal knee braces. This deficient practice placed R42 at risk for impaired care due to uncommunicated care needs. Findings Included: - The Medical Diagnosis section within R42's Electronic Medical Records (EMR) included diagnoses of multiple sclerosis (MS- a progressive disease of the nerve fibers of the brain and spinal cord), major depressive disorder (major mood disorder), morbid obesity (severely overweight), sleep apnea (a disorder of sleep characterized by periods without respirations), and coronary atherosclerosis (mineral build-up on the walls of the heart's blood vessels). [...]
  15. D
    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
    F676 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 18, 2024
    Inspectors wroteThe facility identified a census of 67 residents. The sample included 17 residents with four reviewed for maintaining activities of daily living (ADL). Based on observation, record review, and interviews, the facility failed to provide the necessary level of assistance for Resident (R)65 during mealtime to maintain his abilities. This deficient practice placed R65 at risk for impaired nutrition and a decline in his ADL. Findings Included: [...]
  16. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 18, 2024
    Inspectors wrote- R46's Electronic Medical Record (EMR) from the Diagnoses tab documented diagnoses of dementia (a progressive mental disorder characterized by failing memory, and confusion), chronic pain, and muscle weakness. The admission Minimum Data Set (MDS) dated [DATE] documented a Brief Interview of Mental Status (BIMS) score of five which indicated severely impaired cognition. The MDS documented that R46 required extensive assistance from one staff member for activities of daily living (ADLs). The MDS documented R46 required supervision for bathing during the observation period. The Quarterly MDS dated 12/08/23 documented a BIMS score of zero which indicated severely impaired cognition. The MDS documented that R46 required partial/moderate assistance with bathing during the observation period. [...]
  17. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 18, 2024
    Inspectors wroteThe facility identified a census of 67 residents. The sample included 17 with two reviewed for pressure ulcers (localized injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure, or pressure in combination with shear and/or friction). Based on interviews, observations, and record reviews, the facility failed to ensure Resident (R)60's low air-loss mattress pump was set up to his appropriate weight requirements and failed to provide wound care per R60's ordered treatment. The facility additionally failed to assess R8's pressure wounds upon admission. This deficient practice placed R60 and R8 at risk for complications related to skin breakdown and pressure ulcers. Findings Included: [...]
  18. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 18, 2024
    Inspectors wroteThe facility identified a census of 67 residents. The sample included 17 residents with one reviewed for bowel and bladder management. Based on observation, record review, and interviews, the facility failed to assess ongoing patterns of incontinence to establish bowel and bladder patterns in order to identify measures to maintain or improve Resident (R)53's incontinence. This deficient practice placed R53 at risk for complications related to incontinence.
  19. D
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 18, 2024
    Inspectors wroteThe facility identified a census of 67 residents. The sample included 17 residents. Based on observation, record review, and interviews, the facility failed to complete weekly weight monitoring as ordered by the physician for Resident (R)60 and failed to weigh R13 weekly upon admission per acceptable standards of practice. This deficient practice placed both residents at risk for complications related to weight loss. Findings Included: - The Medical Diagnosis section within R60's Electronic Medical Records (EMR) included diagnoses of hemiplegia (paralysis of one side of the body), hemiparesis (muscular weakness of one half of the body), and osteomyelitis (local or generalized infection of the bone and bone marrow). A review of R60's admission Minimum Data Set (MDS) completed on 12/08/23 noted a Brief Interview for Mental Status (BIMS) score of 12 indicating moderate cognitive impairment. [...]
  20. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 18, 2024
    Inspectors wroteThe facility identified a census of 67 residents. The sample included 17 residents with two reviewed for respiratory care. Based on observation, record review, and interviews, the facility failed to maintain and store Resident (R)42's continuous positive airway pressure device (CPAP - ventilation device that blows a gentle stream of air into the nose to keep airway open during sleep) equipment in a sanitary manner. This deficient practice placed R42 at risk for complications related to respiratory infections. Findings Included: [...]
  21. D
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    F698 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 18, 2024
    Inspectors wroteThe facility identified a census of 67 residents. The sample included 17 residents with two residents reviewed for hemodialysis (a procedure using a machine to remove excess water, solutes, and toxins from the blood in people whose kidneys can no longer perform these functions naturally). Based on observation, record review, and interviews, the facility failed to monitor Resident (R) 55's access site for signs of infection, and bleeding, and failed to obtain communication from the dialysis center and assess post-dialysis. These deficient practices placed R55 at risk of potential adverse outcomes and physical complications related to dialysis.
  22. D
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 18, 2024
    Inspectors wroteThe facility identified a census of 67 residents. The sample included 17 residents with five sampled for unnecessary medications. Based on observation, record review, and interview, the facility failed to ensure the Consultant Pharmacist (CP) identified and reported the lack of blood pressure and pulse monitoring for Resident (R)32 before administration of Cozaar (an antihypertensive medication used to treat high blood pressure and heart failure) as ordered by the physician. The facility failed to ensure the CP identified and reported R28's blood pressure and pulse lacked monitoring as the physician ordered. The CP did not identify and report R55 was on an antipsychotic (class of medications used to treat major mental conditions that cause a break from reality) medication which lacked an appropriate indication for use or the required physician documentation. [...]
  23. D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 18, 2024
    Inspectors wroteThe facility identified a census of 67 residents. The sample included 17 residents with five sampled for unnecessary medications. Based on observation, record review, and interview, the facility failed to ensure that Resident (R) 32's physician-ordered blood pressure and pulse were monitored prior to the administration of Cozaar (an antihypertensive medication used to treat high blood pressure and heart failure). The facility failed to ensure R28's blood pressure and pulse were monitored as the physician ordered. This deficient practice placed R32 and R28 at risk for unnecessary medications and possible adverse side effects.
  24. D
    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.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 18, 2024
    Inspectors wroteThe facility had a census of 67 residents. The sample included 17 residents with five reviewed for unnecessary medications. Based on observation, record review, and interview the facility failed to ensure an appropriate indication or a documented physician rationale which included the multiple unsuccessful attempts for nonpharmacological symptom management and risk versus benefits for the continued use of an antipsychotic (class of medications used to treat a mental disorder characterized by gross impairment in reality testing) for Resident (R)55, who had a diagnosis of Alzheimer's and dementia (progressive mental disorder characterized by failing memory, confusion). This placed the resident at risk for unnecessary psychotropic (alters perception, mood, consciousness, cognition, or behavior) medications and related complications.
  25. D
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 18, 2024
    Inspectors wroteThe facility identified a census of 67 residents. The sample included 17 residents with five reviewed for hospitalization. Based on observation, record review, and interviews, the facility failed to prevent a significant medication error when Resident (R) 24 received twice the physician-ordered dose of Eliquis (medication used to thin the blood) from 11/30/23 to 01/02/24. The deficient practice placed R24 at risk for adverse effects including bleeding related to the medication error. Findings Included: [...]
  26. C
    Post nurse staffing information every day.
    F732 · Nursing and Physician Services · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) February 18, 2024
    Inspectors wroteThe facility identified a census of 67 residents. The sample included 17 residents. Based on observation, record review, and interview, the facility failed to ensure nurse staffing data was posted daily. The facility further failed to maintain the posted daily nurse staffing data for a minimum of 18 months.
April 6, 2022Standard inspection · 18 citations
  1. G
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) May 6, 2022
    Inspectors wroteThe facility identified a census of 53 residents. The sample included 16 residents with one resident sampled for stasis ulcers (a wound on the leg or ankle caused by abnormal or damaged veins). Based on observations, record reviews, and interviews, the facility failed to adequately assess and identify Resident (R)27's risk for skin injuries and place specialized interventions to prevent development of skin complications. The facility further failed to provide the physician ordered wound treatments for R27 when the facility consistently omitted the primary dressing component from R27's daily wound care order and omitted the topical agent as prescribed. Subsequently, R27's wound deteriorated, became infected, and required surgical repair.
  2. E
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 6, 2022
    Inspectors wroteThe facility identified a census of 53 residents. Based on observation, record review, and interview, the facility failed to ensure that resident's rights and dignity were respected by staff when Resident (R)6 was not offered to eat in the dining room at meals, and staff failed to provide drinks and meals to all residents at the table when meals were served to R17, R205, and five unidentified resident at the table; staff placed clothing protectors on residents from behind without asking the resident if they wanted one; and staff failed to provide privacy while providing cares for R21, which left these residents at risk for decreased self-esteem and decreased self-worth.
  3. E
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 6, 2022
    Inspectors wroteThe facility identified at census of 53 residents. The sample included 16 residents with 16 residents was reviewed for comprehensive care planning. Based on observation, record review, and interview, the facility failed to implement comprehensive care plans for Residents (R)30, R44, R49, R13, and R205. This deficient practice placed the residents at risk for not receiving proper cares/assistance in a timely manner. -The electronic medical record (EMR) indicated the following diagnosis for R30: muscle weakness, major depressive disorder (major mood disorder). hypertensive heart disease (chronic high blood pressure), insomnia (difficulty falling asleep), traumatic brain injury (TBI), constipation, and abnormalities of gait and coordination. [...]
  4. E
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 6, 2022
    Inspectors wroteThe facility identified a census of 53 residents. The sample included 16 residents with 11 reviewed for bathing. Based on observations, record reviews, and interviews, the facility failed to provide consistent bathing per the residents' preferences and bathing schedules for Residents (R) 30, R44, R49, R225, R6, R17, R27, R39 and R45. This deficient practice placed the residents at risk for poor hygiene and impaired psychosocial well-being. Findings Included: -The electronic medical record (EMR) indicated the following diagnosis for R30: muscle weakness, major depressive disorder (major mood disorder). hypertensive heart disease (chronic high blood pressure), insomnia (difficulty falling asleep), traumatic brain injury (TBI), constipation, and abnormalities of gait and coordination. [...]
  5. E
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 6, 2022
    Inspectors wroteThe facility identified a census of 53 residents and three medication carts. Based on observation, record review, and interview, the facility failed to properly date five individual insulin (a hormone which regulates blood sugar) pens in one of the three medication carts. This deficient practice left the residents being administered these insulins at risk for adverse consequences or less effective medication treatment.
  6. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 6, 2022
    Inspectors wroteThe facility identified 53 residents. The sample included 16 residents. Based on observation, record review, and interview, the facility failed to maintain a sanitary and clean wound field when providing wound care for R3, failed to ensure that facility staff properly dated, stored and cleaned supplemental oxygen (O2) equipment for resident (R)6, R23, and R49, failed to ensure that facility staff did proper hand hygiene while passing meal trays to residents, failed to ensure that facility staff properly transported clean laundry to residents, and failed to ensure that staff sanitized/cleaned a mechanical lift (a machine that assists in the transfer of a resident) after use. These deficient practices placed the residents at risk for increased infection and transmission of communicable disease.
  7. D
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 6, 2022
    Inspectors wroteThe facility identified at census of 53 residents. The sample included 16 residents. One resident was sampled for reasonable accommodations of resident needs and preferences. Based on observation, record review, and interview, the facility failed to ensure that resident (R)13's call light was within reach and able to call for assistance with personal cares. This deficient practice left R13 vulnerable for not receiving proper cares/assistance in a timely manner.
  8. D
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    F644 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 6, 2022
    Inspectors wroteThe facility identified a census of 53. The sample included 16 residents. Based on interview and record review, the facility failed to ensure a Level II Pre-admission Screening and Resident Review (PASRR) for Individuals with Mental disorders and Individuals with Intellectual Disability was completed for Resident (R) 42. This placed the resident at risk for decreased or inadequate care and services related to his mental health diagnoses and intellectual disabilities.
  9. D
    Provide activities to meet all resident's needs.
    F679 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 6, 2022
    Inspectors wroteThe facility identified a census of 53 residents. The sample included 16 residents; three residents reviewed for activities. Based on observations, record reviews, and interviews, the facility failed to consistently provide activities for Resident (R) 205, R6, and R17. This deficient practice had the risk for a decline in physical, mental, and psychosocial well-being and independence.
  10. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 6, 2022
    Inspectors wroteThe facility identified a census of 53 residents. The sample included 16 residents; three residents sampled for pressure ulcer (localized injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure, or pressure in combination with shear and/or friction) review. Based on observations, record reviews, and interviews, the facility failed to ensure prevention of cross-contamination during wound care for Resident (R) 3 and failed to ensure heel protectors were worn at all times as ordered for R21 who had a history of heel wounds. This deficient practice had the risk for prolonged wound healing, development or worsening of wounds, and unwarranted physical complications for R3 and R21.
  11. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 6, 2022
    Inspectors wroteThe facility identified a census of 53. The sample included 16 residents with two residents reviewed for elopement. Based on observation, interviews, and record review, the facility failed to ensure a safe environment for Resident (R)42, when R42 eloped (when a cognitively impaired resident leaves the facility without staff knowledge or supervision) from the facility. This placed R42 at risk for injuries from accidents or hazards. The facility further failed to implement care planned interventions aimed to protect R225 and R205 from injuries related to falls and failed to thoroughly investigate and determine the root cause of falls for R205. This placed the residents at increased risk for injury related to falls.
  12. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 6, 2022
    Inspectors wroteThe facility identified a census of 53 residents. The sample included 16 residents with three reviewed for catheter and incontinence care. Based on observations, record reviews, and interviews, the facility failed to provide consistent incontinence care for Resident's (R) 30 and R44, and catheter care for R225. This deficient practice placed the resident at risk for infections and impaired psychosocial well-being. Findings Included: -The electronic medical record (EMR) indicated the following diagnosis for R30: muscle weakness, major depressive disorder (major mood disorder). hypertensive heart disease (chronic high blood pressure), insomnia (difficulty falling asleep), traumatic brain injury (TBI), constipation, and abnormalities of gait and coordination. [...]
  13. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 6, 2022
    Inspectors wroteThe facility identified a census of 53 residents. The sample included 16 residents, with three residents reviewed for respiratory care. Based on observation, record review, and interviews, the facility failed to provide necessary respiratory care and services for Resident (R) 6, R23, and R49 when the facility failed to date and store oxygen tubing (device used to deliver supplemental oxygen or increased airflow to a patient or person in need of respiratory help) for R6, and failed to clean, date and store the equipment in accordance with professional standards of practice for R23 and R49. These deficient practice placed the resident's at risk for respiratory infection and/or illness.
  14. D
    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
    F740 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 6, 2022
    Inspectors wroteThe facility identified a census of 53 residents. The sample included 16 residents with one resident reviewed for behavioral health. Based on record review, and interviews, the facility failed to provide an environment that promoted Resident (R)42's emotional and psychosocial well-being when the facility failed to develop and implement person-centered plan of care to support R42's behavioral health needs. The facility failed to identify and implement individualized interventions specific to R42's mental health diagnoses and his behaviors and failed to identify triggers or stressors which contributed to behavioral manifestations. The facility further failed to evaluate the care and services for effectiveness related to R42's behaviors. This deficient practice placed R42 at risk for impaired psychosocial wellbeing and inadequate behavioral health care.
  15. D
    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
    F744 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 6, 2022
    Inspectors wroteThe facility identified a census of 53 residents. The sample included 16 residents. Based on observation, record review, and interviews, the facility failed to provide the needed dementia (progressive mental disorder characterized by failing memory, confusion) care and services for Resident (R) 13, which placed her at risk for increased behaviors, confusion. decline in ability to maintain the highest practicable mental and psychosocial well-being. This deficient practice placed her at risk of increased confusion, isolation, and lack of appropriate activities and interaction.
  16. D
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 6, 2022
    Inspectors wroteThe facility identified a census of 53 residents. The sample included 16 residents; six sampled for unnecessary medication review. Based on observations, record review, and interviews, the facility failed to ensure the Consultant Pharmacist (CP) identified and reported the lack of behavior monitoring for R39, R13, and R27 who received psychotropic (any drug that affects brain activities associated with mental processes and behavior) medications including antipsychotic (class of medications used to treat psychosis and other mental emotional conditions), medications; and the lack of an indication for administration for Lasix (diuretic- medication to promote the formation and excretion of urine) for R13. This deficient practice had the risk for unnecessary medication use and physical complications for all residents affected.
  17. D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 6, 2022
    Inspectors wroteThe facility identified a census of 53 residents. The sample included 16 residents; six sampled for unnecessary medication review. Based on observations, record review, and interviews, the facility failed to provide consistent bowel monitoring and failed to obtain an order to administer an as needed (PRN) laxative (medication used to loosen stool or stimulate a bowel movement) for Resident (R) 45; failed to ensure carvedilol (antihypertensive- medication used to treat hypertension [high blood pressure]) was not given outside ordered parameters for R205; failed to ensure an indication for administration for Lasix (diuretic- medication to promote the formation and excretion of urine) was documented for R13. This deficient practice had the risk for unnecessary medication use and physical complications.
  18. D
    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.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 6, 2022
    Inspectors wroteThe facility identified a census of 53 residents. The sample included 16 residents; six sampled for unnecessary medication review. Based on observations, record review, and interviews, the facility failed to ensure an as needed (PRN) psychotropic (any drug that affects brain activities associated with mental processes and behavior) medication had a 14-day stop date or a documented rationale for extended duration for R39 and facility failed to provide behavior monitoring for R39, R13, and R27 who received psychotropic medications, including antipsychotic (class of medications used to treat psychosis and other mental emotional conditions) medications. This deficient practice had the risk for unnecessary medication use and physical complications for all residents affected.

Fire safety inspections

31 fire safety citations on file: 7 on August 20, 2025, 10 on January 4, 2024, 14 on April 6, 2022.

Every fire safety citation31 citations
  1. F
    Have simulated fire drills held at unexpected times.
    K 712 · August 20, 2025 · Corrected (the home has a date of correction)
  2. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · August 20, 2025 · Corrected (the home has a date of correction)
  3. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · August 20, 2025 · Corrected (the home has a date of correction)
  4. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · August 20, 2025 · Corrected (the home has a date of correction)
  5. E
    Install corridor and hallway doors that block smoke.
    K 363 · August 20, 2025 · Corrected (the home has a date of correction)
  6. E
    Ensure proper usage of power strips and extension cords.
    K 920 · August 20, 2025 · Corrected (the home has a date of correction)
  7. D
    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
    K 223 · August 20, 2025 · Corrected (the home has a date of correction)
  8. F
    Develop and maintain an Emergency Preparedness Program (EP).
    E 4 · January 4, 2024 · Corrected (the home has a date of correction)
  9. F
    Include a process for Emergency Preparedness collaboration.
    E 9 · January 4, 2024 · Corrected (the home has a date of correction)
  10. F
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · January 4, 2024 · Corrected (the home has a date of correction)
  11. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · January 4, 2024 · Corrected (the home has a date of correction)
  12. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · January 4, 2024 · Corrected (the home has a date of correction)
  13. F
    Have simulated fire drills held at unexpected times.
    K 712 · January 4, 2024 · Corrected (the home has a date of correction)
  14. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · January 4, 2024 · Corrected (the home has a date of correction)
  15. F
    Ensure proper usage of power strips and extension cords.
    K 920 · January 4, 2024 · Corrected (the home has a date of correction)
  16. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · January 4, 2024 · Corrected (the home has a date of correction)
  17. D
    Install corridor and hallway doors that block smoke.
    K 363 · January 4, 2024 · Corrected (the home has a date of correction)
  18. F
    Provide properly protected cooking facilities.
    K 324 · April 6, 2022 · Corrected (the home has a date of correction)
  19. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · April 6, 2022 · Corrected (the home has a date of correction)
  20. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · April 6, 2022 · Corrected (the home has a date of correction)
  21. F
    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
    K 354 · April 6, 2022 · Corrected (the home has a date of correction)
  22. F
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · April 6, 2022 · Corrected (the home has a date of correction)
  23. F
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · April 6, 2022 · Corrected (the home has a date of correction)
  24. F
    Install smoke barrier doors that can resist smoke for at least 20 minutes.
    K 374 · April 6, 2022 · Corrected (the home has a date of correction)
  25. F
    Have simulated fire drills held at unexpected times.
    K 712 · April 6, 2022 · Corrected (the home has a date of correction)
  26. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · April 6, 2022 · Corrected (the home has a date of correction)
  27. F
    Ensure proper usage of power strips and extension cords.
    K 920 · April 6, 2022 · Corrected (the home has a date of correction)
  28. E
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · April 6, 2022 · Corrected (the home has a date of correction)
  29. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · April 6, 2022 · Corrected (the home has a date of correction)
  30. E
    Install corridor and hallway doors that block smoke.
    K 363 · April 6, 2022 · Corrected (the home has a date of correction)
  31. E
    Have properly installed electrical wiring and gas equipment.
    K 511 · April 6, 2022 · Corrected (the home has a date of correction)

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.

MeasureThis homeKansasUnited States
All nursing staff (RN, LPN and aides)3.484.073.86
Registered nurses0.460.710.69
All nursing staff on weekends2.973.603.42
Nurse aides2.13
Licensed practical nurses0.89
Nursing staff turnover (share who left in a year)52.2%48.1%45.8%
Registered nurse turnover50.0%42.0%42.9%
Administrators who left2

CMS expects 2.89 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 3.68 on weekdays and 2.97 on weekends, 19% 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 3.53 in April to June 2025 to 3.48 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.480.463.682.97 0.0%0 of 9062
Oct to Dec 20253.710.463.943.12 0.0%1 of 9260
Jul to Sep 20253.850.454.063.30 0.0%0 of 9259
Apr to Jun 20253.530.463.733.01 0.0%0 of 9164
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Kansas, Jan to Mar 20264.010.674.193.564.8%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

Staff pay at this home

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.

Official wage estimates for Kansas

JobMedianMiddle halfEmployed
Kansas, all employers
CNAs (nursing assistants)$18.27$17.41 to $21.2424,610
LPNs and LVNs$29.69$27.05 to $33.407,530
Registered nurses$38.14$35.24 to $45.5333,800
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

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.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeKansasUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
6.017.913.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.01.60.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.42.91.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
4.24.33.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.91.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
4.816.214.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
0.54.44.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
6.118.115.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
5.222.423.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
18.311.512.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.51.81.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
3.92.11.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Life Care Center of Kansas City's Medicare short-stay residents. How to read these, and what Medicare pays for.

Went home or back to the community

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.

Potentially preventable readmissions

10.8% 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. 30 eligible stays.

Infections that led to a hospital stay

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. 15 eligible stays.

Self-care and mobility at discharge

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. 14 residents counted.

Falls with major injury

0.0% this home

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. 24 residents counted.

New or worsened pressure ulcers

0.0% this home

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. 24 residents counted.

Medication list given at discharge

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. 7 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.

Owners and operators

Legal business name: CONSOLIDATED RESOURCES HEALTH CARE FUND I LP. CMS links this home to Life Care Centers of America, a group of 194 nursing homes averaging 3.4 stars overall.

NameRoleTypeShareSince
Fund I Investments Limited Partnership5% or greater direct ownership interestOrganization96%08/23/1995
Developers Investment Company IncIndirect ownership interestOrganization08/23/1995
Eklund, AmberManaging control - governing bodyIndividual08/16/2024
Jones, MaryManaging control - governing bodyIndividual02/28/2022
Kabuti, CarolineManaging control - governing bodyIndividual09/06/2016
Cross, CindyCorporate officerIndividual04/21/1994
Fletcher, ToddCorporate officerIndividual11/02/2020
Henry, TerryCorporate officerIndividual08/16/1999
Lay, LisaCorporate officerIndividual02/09/2018
Swanker, RichardCorporate officerIndividual04/01/2011
Thurmond, JoanCorporate officerIndividual09/22/2000
Ziegler, JamesCorporate officerIndividual08/16/1999
Consolidated Resources Health Care Fund I LPOperational/managerial controlOrganization03/01/1990
Hcf IncOperational/managerial controlOrganization08/23/1995
Life Care Centers of America, Inc.Operational/managerial controlOrganization03/01/1990
Akkulugari, ShyamOperational/managerial controlIndividual05/08/2021
Eklund, AmberOperational/managerial controlIndividual08/16/2024
Jones, MaryOperational/managerial controlIndividual02/28/2022
Kabuti, CarolineOperational/managerial controlIndividual09/06/2016
Preston, AubreyOperational/managerial controlIndividual03/06/2025
Crhc LLCGeneral partnership interestOrganization01/01/2017
Hcf IncGeneral partnership interestOrganization08/23/1995
Developers Investment Company IncLimited partnership interestOrganization08/23/1995
Fund I Investments Limited PartnershipLimited partnership interestOrganization08/23/1995
Hcf IncLimited partnership interestOrganization08/23/1995
Fund I Investments Limited PartnershipAdp of the SNFOrganization09/30/2000
Life Care Centers of America, Inc.Adp of the SNFOrganization03/18/2025
Akkulugari, ShyamAdp of the SNFIndividual04/07/2025
Jones, MaryAdp of the SNFIndividual03/18/2025
Preston, ForrestAdp of the SNFIndividual09/30/2000

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.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 25 problems in this area, most recently on August 20, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  2. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 12 problems in this area, most recently on August 20, 2025: "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."
  3. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 11 problems in this area, most recently on August 20, 2025: "Reasonably accommodate the needs and preferences of each resident."
  4. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 5 problems in this area, most recently on August 20, 2025: "Implement a program that monitors antibiotic use."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.97 hours per resident per day, below the Kansas average of 3.60.
  6. How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.

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Common questions

What is Life Care Center of Kansas City's Medicare star rating?
CMS rates Life Care Center of Kansas City 3 out of 5 stars overall, with 2 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Life Care Center of Kansas City get at its last inspection?
13 health deficiencies at the standard inspection on August 20, 2025. The Kansas average is 9.5.
Has Life Care Center of Kansas City been fined?
CMS lists no fines in the last three years.
Does Life Care Center of Kansas City 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 Life Care Center of Kansas City?
CMS lists 30 owners and managers, and links the home to Life Care Centers of America. Legal business name: CONSOLIDATED RESOURCES HEALTH CARE FUND I LP.

Sources

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