1100 W 15th Street, Ottawa, KS 66067 · Franklin County · (785) 242-5399
75 certified beds, about 72 residents a day · For profit - Corporation · Medicare and Medicaid since 1995
CMS Care Compare ratings, data as of September 1, 2026 · CCN 175332 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on January 30, 2025, inspectors cited 15 health deficiencies (the Kansas average is 9.5, the national average 9.2).
Of 28 health citations since August 2021, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $8,278 in the last three years; the largest was $8,278, and the latest is dated January 27, 2026.
Nurses and nurse aides worked 3.56 hours per resident per day, against 4.07 across Kansas and 3.86 nationally. Registered nurses accounted for 0.59 of those hours.
58.2% of nursing staff left within the year CMS measured (Kansas average 48.1%).
CMS links it to The Ensign Group, an affiliated group of 344 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 28 health citations on file.
Inspectors wroteThe facility documented a census of 69 residents. The sample included three residents reviewed for accidents. Based on record review and interview, the facility failed to ensure an environment free from accident hazards for Resident (R) 1, who required staff assistance and a mechanical lift for safe transfers. As a result, R1 sustained a humerus (upper arm bone) fracture of her left arm.
Inspectors wroteThe facility identified a census of 72 residents. The facility had one main kitchen and one dining room. Based on observation, record review, and interview, the facility failed to ensure food was properly stored. The facility failed to ensure that the freezer was in proper working condition. The facility failed to ensure freezer temperatures remained at the required temperatures. The facility failed to ensure food temperatures were logged to ensure appropriate temperatures were reached before serving.
Inspectors wroteThe facility identified a census of 72 residents. The sample included 19 residents, four medication carts, and two medication rooms. Based on observation, record review, and interviews, the facility failed to properly store medications in two of the four medication carts. The facility also failed to label medication in one of the two medication carts. This placed the residents at risk for adverse outcomes or ineffective medication regimens.
Inspectors wroteThe facility identified a census of 72 residents. The sample included 19 residents, with Resident (R)28 reviewed for dignity. Based on observation, record review, and interview, the facility failed to ensure staff respected R28's privacy and dignity while in bed. This deficient practice placed R28 at risk of decreased self-esteem and decreased self-worth.
Inspectors wroteThe facility had a census of 72 residents. The sample included 19 residents, with five reviewed for accommodation of needs related to assistive devices. Based on observation, record review, and interview, the facility failed to utilize and ensure the appropriate use of foot pedals during wheelchair transports for Resident (R) 65 and R51. The facility additionally failed to ensure that R43, R24, and R8 call lights remained within their reach. This deficient practice placed the resident at risk for preventable accidents and injuries. Findings Included: - A review of R65's (severely cognitively impaired resident) EMR under Progress Notes revealed a Fall Committee Note completed on 07/22/24. The note indicated R65 had a minor injury fall on 07/19/24. The note revealed that R65 fell out of his wheelchair while being pushed in the hallway without foot pedals. [...]
Inspectors wroteThe facility identified a census of 72 residents. The sample included 19 residents, with four residents reviewed for hospitalization. Based on observation, record review, and interview, the facility failed to provide written notification of transfer to Resident (R) 28 and his representative for his facility-initiated transfers. This deficient practice placed R28 at risk for uninformed care choices.
Inspectors wroteThe facility identified a census of 72 residents. The sample included 19 residents, with four reviewed for 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 interviews, observations, and record reviews, the facility failed to ensure Resident (R) 19's low air-loss mattress was set to the appropriate weight settings per her current weight. The facility additionally failed to ensure R34's Wheelchair had a pressure-reducing cushion in place per her care-planned interventions. This deficient practice placed both residents at risk for complications related to skin breakdown and pressure ulcers.
Inspectors wroteThe facility identified a census of 72 residents. The sample included 19 residents, with two residents reviewed for positioning and mobility. Based on observation, record review, and interviews, the facility failed to ensure Resident (R) 24 was provided services and treatment to prevent worsening of contractures (abnormal permanent fixation of a joint or muscle) in his left hand. This deficient practice placed R24 at risk for discomfort and decreased range of motion (ROM - the full movement potential of a joint, usually its range of flexion and extension).
Inspectors wroteThe facility had a census of 72 residents. The sample included 19 residents, with two residents reviewed for accidents and/or hazards. Based on observation, record review, and interview, the facility failed to secure an electrical furnace closet out of reach of 30 cognitively impaired/independently mobile residents. The facility additionally failed to ensure Resident (R)19's care-planned fall interventions were in place. This deficient practice placed the identified residents at risk for preventable injuries and accidents. Findings Included: - On 01/28/25 at 07:05 AM, an initial walkthrough of the facility was completed. Upon inspection of the [NAME] Hall, it revealed a furnace closet next to the resident rooms. The closet double doors were locked but easily pulled open due to damage to the door's frame. [...]
Inspectors wroteThe facility identified a census of 72 residents. The sample included 19 residents, with two residents reviewed for bowel/bladder incontinence, a catheter (a flexible tube inserted through a narrow opening into a body cavity, particularly the bladder, for removing fluid), and urinary tract infection (UTI - an infection in any part of the urinary system). Based on observation, record review, and interviews, the facility failed to provide appropriate treatment for Resident (R) 67 with an indwelling catheter (a tube inserted into the bladder to drain urine into a collection bag) when the facility failed to prevent his catheter drainage bag from resting on the floor. This deficient practice placed R67 at risk for catheter-related complications.
Inspectors wroteThe facility identified a census of 72 residents. The sample included 19 residents, with two residents reviewed for respiratory care. Based on observation, record review, and interview, the facility failed to ensure Resident (R) 28 had his physician-ordered supplemental oxygen on as ordered. The facility failed to ensure R28's nasal cannula (NC - a thin hollow tube that assists in providing supplemental oxygen) was appropriately stored when not used. This deficient practice placed R28 at risk of respiratory complications and possible infection.
Inspectors wroteThe facility identified a census of 72 residents. The sample included 19, with one reviewed for competent staffing. Based on interviews and record reviews, the facility failed to ensure staff possessed the appropriate skills and knowledge to order Resident (R) 33's physician-ordered eyedrops. This deficient practice placed R33 at risk for impaired quality of care.
Inspectors wroteThe facility identified a census of 72 residents. The sample included 19 residents, with one reviewed for dementia (a progressive mental disorder characterized by failing memory and confusion) care. Based on interviews, record review, and observations, the facility failed to provide dementia-related behavioral services for Resident (R) 65 to promote his highest practicable level of well-being, resulting in numerous non-injury falls. This deficient practice placed R65 at risk for decreased quality of life, isolation, and impaired dignity. Findings Included: - The Medical Diagnosis section within R65's Electronic Medical Records (EMR) included diagnoses of Alzheimer's disease (progressive mental deterioration characterized by confusion and memory failure), dysphagia (difficulty swallowing), muscle weakness, cognitive-communication disorder, and a history of falls. [...]
Inspectors wroteThe facility identified a census of 72 residents. The sample included 19 residents, with five residents reviewed for unnecessary medications. Based on observation, record review, and interviews, the facility failed to ensure physician parameters were followed for a hypertensive medication (class of medication used to treat hypertension (high blood pressure) for Resident (R) 2. This deficient practice had the potential of unnecessary medication administration, thus leading to possible harmful side effects.
Inspectors wroteThe facility identified a census of 72 residents. The sample included 19 residents, with five sample residents reviewed for unnecessary medications. Based on observation, record review, and interview. The facility failed to ensure Resident (R) 8 had an adequate Centers for Medicare and Medicaid (CMS) approved indication for the use of an antipsychotic (a class of medications used to treat major mental conditions that cause a break from reality) medication. This deficient practice placed the resident at risk for unnecessary medication administration and related complications.
Inspectors wroteThe facility identified a census of 72 residents. The sample included 19 residents. Based on record review, observations, and interviews, the facility additionally failed to follow sanitary infection control practices related to oxygen equipment storage and Foley catheter care. These deficient practices placed the residents at risk for infectious diseases. Findings Included: - On 01/29/25 at 03:36 PM, Resident (R) 67 sat in his recliner in his room. R67's urinary catheter collection bag rested directly on the floor. Amber-colored urine was visible in his collection bag. On 01/28/25 at 10:40 AM, R28's supplemental oxygen nasal cannula was found resting on top of his bed. No plastic storage bag was observed in his room. On 01/30/25 at 12:04 PM, Certified Nurse's Aide (CNA) M stated all oxygen tubing and equipment should be stored inside clean plastic bags when not in use. [...]
Inspectors wroteThe facility reported a census of 72 residents with three selected for review for falls. Based on observation, interview and record review, the facility failed to ensure staff provided fall intervention as care planned for one Resident (R)2, of the three residents reviewed.
Inspectors wroteThe facility reported a census of 72 residents. Based on observation, interview and record review, the facility failed to prepare and serve food under sanitary conditions, to the residents of the facility, as exhibited by the failure to store and label food in the refrigerator, maintain a clean refrigerator for the resident's foods and failure to utilize pasteurized eggs (a process which kills harmful bacteria) for resident's who request soft-cooked eggs for breakfast.
Inspectors wroteThe facility reported a census of 72 residents. Based on observation, interview, and record review the facility failed to complete an accurate Minimum Data Set (MDS) for one Resident (R)64, regarding inaccurate discharge location.
Inspectors wroteThe facility reported a census of 72 residents with 20 selected for review including one reviewed for restorative nursing contracture management (abnormal permanent fixation of a joint). Based on observation, interview, and record review, the facility failed to provide restorative services of contracture management services for the one sampled Resident (R)31.
Inspectors wroteThe facility reported a census of 72 residents with 20 selected for review. Based on observation, interview, and record review, the facility failed to assess, monitor, and implement interventions to prevent further accidents/injuries for two residents, Resident (R)42 and R21, with bruises, and failed to ensure immediate appropriate interventions were implemented for R9 following falls to prevent further falls/injury.
Inspectors wroteThe facility reported a census of 72 residents. Based on observation interview and record review, the facility failed to maintain an effective infection control program with the failure to change out nasal cannula tubing per physician order for Resident (R)40, failed to administer eye drops in a sanitary manner for R4, and failed to dispose of a used contaminated needle properly. These practices failed to follow infection control standards to reduce the risk of causing or spreading infections or exposure to a blood borne pathogen (infectious microorganism in human blood that can cause disease in humans).
Inspectors wroteThe facility reported a census of 61 residents. Based on interview and record review the facility failed to use the services of a registered nurse for eight consecutive hours a day, on four days in a three-month period between 05/01/21 to 07/31/21. Findings Included: - Review of the facility schedules, from 05/01/21 to 08/09/21, daily staff postings, and hours worked summaries revealed the following: 1. A facility staffing schedule titled When to Work. Com dated 05/08/21, which scheduled a registered nurse on the 02:00PM to 10:00 PM shift. A facility staff posting sheet titled Nurse Staff information dated 05/08/21 documented one registered nurse for the 02:00PM to 10:00 PM shift. A Labor Hours Summary Report dated 05/08/21 documented 4.88 registered nurse hours. 2. A facility staffing schedule titled When to Work. Com dated 05/15/21 revealed no scheduled registered nurse. [...]
Inspectors wrote- Review of Resident (R)49's Physician Order Sheet, dated 07/30/21, revealed diagnoses of dementia (progressive mental disorder characterized by failing memory, confusion,) major depressive disorder (major mood disorder,) and macular degeneration (progressive deterioration of the retina.) The Annual Minimum Data Set (MDS) dated 12/26/2020 assessed the resident had severe cognitive impairment, required extensive assistance for activities of daily living (ADL), and had no impairment in range of motion in upper or lower extremities. The Activity of Daily Living [ADL] Functional/Rehabilitation Potential Care Area Assessment [CAA] did not trigger. The Care Plan reviewed 07/02/21 instructed staff the resident required the assistance of one staff for bathing, personal hygiene and dressing. [...]
Inspectors wroteThe facility reported a census of 61 residents with 17 selected for review. Based on observation, interview, and record review the facility failed to review and revise the care plan for Residents, (R)49 for refusal of nail care.
Inspectors wroteThe facility reported a census of 61 residents with 17 residents sampled, including four residents reviewed for activities. Based on interview, record review, and observation, the facility failed to provide an ongoing program of individualized activities for Resident (R)12.
Inspectors wroteThe facility reported a census of 61 residents. The sample contained 17 residents with one resident reviewed for non-pressure related skin issues. Based on observation, interview, and record, review the facility failed to implement care planned skin protection interventions of pressure reducing boots on both feet and repositioning every two to three hours for one resident, Resident (R) 29.
Inspectors wroteThe facility reported a census of 61 residents with 17 selected for review, which included two residents selected for pressure ulcers. Based on observation, interview, and record review, the facility failed to ensure sanitary dressing changes for one Resident (R)8 of the two residents reviewed.
20 fire safety citations on file: 5 on January 30, 2025, 6 on March 29, 2023, 9 on August 9, 2021.
| Date | Penalty | Amount or length |
|---|---|---|
| January 27, 2026 | Fine | $8,278 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Kansas | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.56 | 4.07 | 3.86 |
| Registered nurses | 0.59 | 0.71 | 0.69 |
| All nursing staff on weekends | 3.22 | 3.60 | 3.42 |
| Nurse aides | 2.49 | ||
| Licensed practical nurses | 0.48 | ||
| Nursing staff turnover (share who left in a year) | 58.2% | 48.1% | 45.8% |
| Registered nurse turnover | 45.5% | 42.0% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.40 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.70 on weekdays and 3.22 on weekends, 13% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 5.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.88 in April to June 2025 to 3.56 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 | 3.56 | 0.59 | 3.70 | 3.22 | 5.8% | 0 of 90 | 72 |
| Oct to Dec 2025 | 3.46 | 0.61 | 3.56 | 3.20 | 3.5% | 0 of 92 | 76 |
| Jul to Sep 2025 | 3.81 | 0.80 | 3.96 | 3.43 | 1.5% | 0 of 92 | 70 |
| Apr to Jun 2025 | 3.88 | 0.59 | 4.08 | 3.38 | 4.5% | 0 of 91 | 68 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Kansas, Jan to Mar 2026 | 4.01 | 0.67 | 4.19 | 3.56 | 4.8% | 0.6% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Kansas, all employers | |||
| CNAs (nursing assistants) | $18.27 | $17.41 to $21.24 | 24,610 |
| LPNs and LVNs | $29.69 | $27.05 to $33.40 | 7,530 |
| Registered nurses | $38.14 | $35.24 to $45.53 | 33,800 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Kansas | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 7.8 | 17.9 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.5 | 1.6 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 2.9 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.4 | 4.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.2 | 1.9 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 7.9 | 16.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.2 | 4.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 2.4 | 18.1 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 24.6 | 22.4 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 7.4 | 11.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.3 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.3 | 2.1 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Rock Creek of Ottawa's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (61.6% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
61.6% this home
Better than the national rate
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. 190 eligible stays.
10.7% 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. 218 eligible stays.
6.7% this home
No different from the national rate
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. 122 eligible stays.
73.1% this home
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. 130 residents counted.
1.2% 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. 162 residents counted.
3.1% 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. 162 residents counted.
98.3% this home
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. 59 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: OTTAWA HEALTHCARE LLC. CMS links this home to The Ensign Group, a group of 344 nursing homes averaging 3.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Bohrer, Tracy | W-2 managing employee | Individual | 11/01/2018 | |
| Bunker, Derek | Corporate officer | Individual | 07/11/2018 | |
| Burnam, Soon | Corporate officer | Individual | 07/11/2018 | |
| Guschl, James | Corporate officer | Individual | 11/01/2018 | |
| Bohrer, Tracy | Operational/managerial control | Individual | 11/01/2018 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.