Russell Regional Hospital Ltcu
200 S Main Street, Russell, KS 67665 · Russell County · (785) 483-3131
23 certified beds, about 17 residents a day · Non profit - Corporation · Medicaid since 2002
CMS Care Compare ratings, data as of September 1, 2026 · CCN 17E619 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on September 16, 2025, inspectors cited 12 health deficiencies (the Kansas average is 9.5, the national average 9.2).
None of its 33 health citations since June 2022 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 33 health citations on file.
September 16, 2025Standard inspection, Complaint inspection · 12 citations
- F Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Inspectors wroteThe facility had a census of 19 residents. Based on record review and interview, the facility failed to submit complete and accurate staffing information through the Payroll Based Journal (PBJ) as required.
- F Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Inspectors wroteThe facility had a census of 19 residents. The sample included eight residents. Based on observation, record review, and interview, the facility failed to ensure the Medical Director attended the Quality Assessment and Assurance (QAA) Committee meetings at least quarterly as required.
- F Provide and implement an infection prevention and control program.
Inspectors wroteThe facility had a census of 19 residents. The sample included eight residents. Based on observation, record review, and interview, the facility failed to implement a water management program for Legionella disease (Legionella is a bacterium spread through mist, such as from air-conditioning units for large buildings. Adults over the age of 50 and people with weak immune systems, chronic lung disease, or heavy tobacco use are most at risk of developing a pneumonia caused by Legionella). Findings Included:- On 09/16/25 at 09:20 AM, Maintenance Staff U stated the last maintenance supervisor was no longer with the facility and the facility was unable to locate or retrieve the information regarding the legionella water testing or water management regarding if or when it had been completed, and the testing results. [...]
- F Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Inspectors wroteThe facility had a census of 19 residents. Based on record review and interview, the facility failed to ensure the staff member designated as the Infection Preventionist, who was responsible for the facility's Infection Prevention and Control Program, completed the specialized training in infection prevention and control.
- D Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Inspectors wroteThe facility had a census of 19 residents. The sample included eight residents, with five reviewed for unnecessary medications. Based on observations, interviews, and record review, the facility failed to ensure an appropriate indication, or a documented physician rationale, which included the unsuccessful attempts for nonpharmacological symptom management and risk versus benefits for the continued use of Resident (R) 7's antipsychotic (a medication used to treat any major mental disorder characterized by a gross impairment testing) medication.
- D Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Inspectors wroteThe facility had a census of 19 residents. Based on observation, record review, and interview, the facility failed to provide background checks for three Certified Nurse Aides (CNA), who had been employed with the facility since 2023 and 2024.
- D Respond appropriately to all alleged violations.
Inspectors wroteThe facility had a census of 18 residents. The sample included eight residents, with three reviewed for abuse. Based on observation, record review, and interview, the facility failed to ensure staff investigated potential allegations of abuse, including injuries of unknown origin, and report to the administrator immediately to investigate the allegation.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteThe facility had a census of 19 residents. The sample included eight residents, with four reviewed for accidents. Based on observation, record review, and interview, the facility failed to implement individualized person-centered interventions to prevent falls for one resident, Resident (R) 3, after a fall.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteThe facility had a census of 19 residents. The sample included eight residents. Based on observation, record review, and interview, the facility failed to complete a physical assessment on Resident (R) 1, who displayed signs of choking during the supper meal.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteThe facility had a census of 19 residents. The sample included eight residents, with four reviewed for accidents. Based on observation, record review, and interview, the facility failed to provide a safe environment when the facility failed to assess Resident (R) 8 for safe use of an electric recliner and failed to prevent a fall for R3 that resulted in skin tears.
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteThe facility had a census of 19 residents. The sample included eight residents, with five reviewed for unnecessary medication. Based on observation, record review, and interview, the facility failed to notify the physician when Resident (R) 1's blood sugar was out of the physician-ordered parameters and failed to hold R1's hypertension (high blood pressure) medication when her diastolic blood pressure was out of parameters.
- D Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteThe facility had a census of 19 residents. The sample included eight residents and one medication cart. Based on observation, interview, and record review, the facility failed to label Resident (R) 1's insulin (a hormone that lowers the level of glucose in the blood) flex pens when initially opened for use and when expired.
January 17, 2024Standard inspection · 13 citations
- F Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Inspectors wroteThe facility had a census of 19 residents. The sample included eight residents. Based on record review and interview, the facility failed to submit to the Center for Medicare and Medicaid Services (CMS) a Minimum Data Set (MDS) assessment within 92 days of the previous assessment for all 19 residents of the facility and one discharged resident. This placed the residents at risk for lack of oversight to ensure their needs were met.
- 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.
Inspectors wroteThe facility had a census of 19 residents. Based on record review and interview, the facility failed to provide the services of a Registered Nurse (RN) for at least eight consecutive hours a day, seven days a week, for the 19 residents who resided in the facility. This placed the facility and residents at risk for inadequate nurse guidance and leadership.
- F Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Inspectors wroteThe facility had a census of 19 residents. Based on observation, record review, and interview the facility failed to provide the services of a full-time certified dietary manager for the 19 residents who resided in the facility and received their meals from the kitchen, placing the residents at risk for inadequate nutrition.
- F Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Inspectors wroteThe facility had a census of 19 residents. Based on record review and interview, the facility failed to submit complete and accurate staffing information through the Payroll Based Journal (PBJ) as required. This deficient practice placed the residents at risk for unidentified and ongoing inadequate nurse staffing.
- F Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Inspectors wroteThe facility had a census of 19 residents. The sample included eight residents. Based on observation, record review and interview the facility failed to ensure the Medical Director attended the Quality Assessment and Assurance (QAA) Committee meetings at least quarterly as required. This placed the 19 residents who resided in the facility at risk for impaired quality of care.
- E Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteThe facility identified a census of 19 residents. The sample included eight residents with five residents reviewed for immunizations Resident (R)2, R5, R8, R12, and R119, to include pneumococcal (a disease that refers to a range of illnesses that affect various parts of the body and is caused by infection) vaccinations. Based on record review and interviews, the facility failed to provide the latest guidance from the Centers for Disease Control and Prevention (CDC) when they failed to offer, obtain an informed declination or a physician-documented contraindication for pneumococcal PCV 20- vaccination. This deficient practice placed the residents at risk of acquiring, spreading, and experiencing complications from the pneumococcal disease.
- D Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteThe facility had a census of 19 residents. The sample included eight residents with one reviewed for hospitalization. Based on observation, interview, and record review, the facility failed to notify the state Long Term Care (LTC) Ombudsman (a person who advocates for residents of nursing homes), as required, of Resident (R) 14's discharge from the facility. This placed the resident at risk for impaired rights and/or advocate involvement.
- D Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Inspectors wroteThe facility had a census of 19 residents. The sample included eight residents with one reviewed for hospitalization. Based on observation, interview, and record review, the facility failed to provide a bed hold notice, as required, to Resident (R) 14 or their representative upon discharge from the facility. This placed the resident at risk for impaired rights.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteThe facility had a census of 19 residents. The sample included eight residents. Based on observation, interview, and record review, the facility failed to ensure the stovetop burners in the activity room were disabled when not in use, placing one cognitively impaired, independently mobile resident at risk for injury.
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteThe facility had a census of 19 residents. The sample included eight residents, with five reviewed for unnecessary medications. Based on observation, interview, and record review, the facility failed to ensure the Consultant Pharmacist identified and reported the lack of an appropriate indication, or the required physician documentation, for Resident (R) 12's use of an antipsychotic medication (class of medications used to treat any major mental disorder characterized by a gross impairment in reality testing and other mental-emotional conditions). This placed the resident at risk for inappropriate use of an antipsychotic medication with side effects.
- 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.
Inspectors wroteThe facility had a census of 19 residents. The sample included eight residents, with five reviewed for unnecessary medications. Based on observations, interviews, and record review, the facility failed to ensure an appropriate indication, or a documented physician rationale which included the unsuccessful attempts for nonpharmacological symptom management and risk versus benefits for the continued use of Resident (R)12's antipsychotic (a medication used to treat any major mental disorder characterized by a gross impairment testing). This placed R12 at risk for unintended effects related to psychotropic (alters mood or thought) drug medications.
- D Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteThe facility had a census of 19 residents. The sample included eight residents. Based on observation, interview, and record review, the facility failed to label Resident (R)3's insulin (a hormone which allows cells throughout the body to uptake glucose) flex pen with the name, date opened, and discard date and failed to discard expired stock medication in one medication cart. This placed the affected residents at risk for ineffective medications.
- C Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Inspectors wroteThe facility had a census of 19 residents. The sample included eight residents. Based on record review and interview, the facility failed to ensure the most recent survey and complaint survey results were available for public review.
June 27, 2022Standard inspection · 8 citations
- F Provide and implement an infection prevention and control program.
Inspectors wroteThe facility had a census of 20 residents. The sample included 12 residents. Based on observation, record review and interview the facility failed to monitor and adhere to the use of facial masks. Placing the residents at risk for infection.
- E Ensure each resident receives an accurate assessment.
Inspectors wroteThe facility had a census of 20 residents. The sample included 12 residents with five resident reviewed for rehab and restorative services. Based on observation, record review, and interview the facility failed to provide an accurate assessment reflective of restorative needs and services for five of five sampled residents, Resident (R) 1, R10, R13, R18 and R19. This placed the residents at risk not to receive restorative services based on needs and function ability.
- E Provide care by qualified persons according to each resident's written plan of care.
Inspectors wroteThe facility had a census of 20 residents. The sample included 12 residents with five residents reviewed for rehab and restorative services. Based on observation, record review, and interview the facility failed to provide nursing supervision for the restorative program documentation and services for five of five sampled residents, Resident (R) 1, R10, R13, R18 and R19. This placed the residents at risk not to receive appropriate restorative services and accurate restorative assessments.
- D Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Inspectors wroteThe facility had a census of 20 residents. The sample included 12 residents with one reviewed for transmitting a Quarterly Minimum Data Set (MDS) (an assessment which contains resident specific information for payment and quality measure purposes). The facility failed to transmit the Quarterly MDS for Resident (R) 4 to Centers for Medicare Services (CMS).
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteThe facility had a census of 20 residents. The sample included 12 residents with four reviewed for pressure ulcers. Based on observation, record review and interview, the facility failed to complete an assessment for a redeveloped pressure ulcer and notify the physician for one of four sampled residents, Resident (R) 18. This placed the resident at risk for a worsened pressure ulcer and development of more skin issues.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteThe facility had a census of 20 residents. The sample included 12 residents. Based on observation, record review, and interview the facility failed to date an opened insulin (an injectable medication, a hormone used to move sugar from the blood into other body tissues) vial (small glass bottle) for one of one medication carts.
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteThe facility had a census of 20 residents. The sample included 12 residents with five reviewed for unnecessary medications. Based on observation, record review, and interview, the facility's consultant pharmacist failed to notify the Director of Nursing (DON), medical director, or physician of recommendations for a 14 day stop date or physician's rationale for extended use on as needed (PRN) psychotropic medications (medications used to treat mental illness, moods, behaviors) for two sampled residents, Resident (R) 10, and R18. This placed the residents at risk for unnecessary psychotropic medications and adverse side effects.
- 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.
Inspectors wroteThe facility had a census of 20 residents. The sample included 12 residents with five reviewed for unnecessary medications. Based on observation, record review and interview, the facility failed to ensure a 14 day stop date or physician's rationale for extended use for PRN (as needed) psychotropic medication (medications that affect a person's mental state) for two sampled residents, Residents (R) 10, and R18. This placed the residents at risk for unnecessary psychotropic medications and adverse medication side effects.
Fire safety inspections
37 fire safety citations on file: 7 on September 16, 2025, 19 on January 17, 2024, 11 on June 27, 2022.
Every fire safety citation37 citations
- F Conduct risk assessment and an All-Hazards approach.
- F Develop Emergency Preparedness policies and procedures.
- E Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.
- E Properly select, install, inspect, or maintain portable fire extinguishes.
- E Have properly installed electrical wiring and gas equipment.
- E Have restrictions on the use of highly flammable decorations.
- E Ensure proper usage of power strips and extension cords.
- F Conduct risk assessment and an All-Hazards approach.
- F Develop Emergency Preparedness policies and procedures.
- F Create arrangements with other facilities to receive patients.
- F List the names and contact information of those in the facility.
- F Establish emergency prep training and testing.
- F Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Properly provide smoke detection systems in areas open to corridors.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have simulated fire drills held at unexpected times.
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F Have generator or other power source capable of supplying service within 10 seconds.
- F Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
- E Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E Properly select, install, inspect, or maintain portable fire extinguishes.
- E Have properly installed electrical wiring and gas equipment.
- E To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E Have restrictions on the use of portable space heaters.
- E Ensure proper usage of power strips and extension cords.
- F Install emergency lighting that can last at least 1 1/2 hours.
- F Have properly located and lighted "Exit" signs.
- F Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- F Have properly installed electrical wiring and gas equipment.
- F Have simulated fire drills held at unexpected times.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Ensure gas and vacuum systems are inspected and tested as part of a maintenance program.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Meet requirements for sections of health care facilities separated by fire resistive construction.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Have proper medical gas storage and administration areas.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Kansas | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | not reported | 4.07 | 3.86 |
| Registered nurses | not reported | 0.71 | 0.69 |
| All nursing staff on weekends | not reported | 3.60 | 3.42 |
| Nurse aides | not reported | ||
| Licensed practical nurses | not reported | ||
| Nursing staff turnover (share who left in a year) | not reported | 48.1% | 45.8% |
| Registered nurse turnover | not reported | 42.0% | 42.9% |
| Administrators who left | not reported |
CMS note on this home's staffing data: This facility did not submit staffing data.
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 July to September 2025, nursing staff hours per resident were 5.18 on weekdays and 3.78 on weekends, 27% lower on weekends (nationally, weekends ran 16% lower). Contract or agency staff worked 14.3% of nursing hours, against 5.5% nationally.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jul to Sep 2025 | 4.78 | 0.25 | 5.18 | 3.78 | 14.3% | 55 of 92 | 19 |
| United States, Jul to Sep 2025 | 3.77 | 0.62 | 3.95 | 3.33 | 5.5% | 0.6% of days | |
| Kansas, Jul to Sep 2025 | 3.99 | 0.66 | 4.17 | 3.51 | 4.6% | 1.6% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Kansas | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 20.3 | 17.9 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 13.3 | 1.6 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 8.6 | 2.9 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 9.7 | 4.3 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 17.7 | 16.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.9 | 4.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 37.7 | 18.1 | 15.4 |
Owners and operators
Legal business name: Legal Business Name Not Available.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Ownership data not available |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 8 problems in this area, most recently on September 16, 2025: "Ensure each resident’s drug regimen must be free from unnecessary drugs."
- When is the care plan meeting, and can family attend it?Inspectors cited 5 problems in this area, most recently on September 16, 2025: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
- Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 4 problems in this area, most recently on September 16, 2025: "Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 4 problems in this area, most recently on September 16, 2025: "Provide and implement an infection prevention and control program."
Other nursing homes nearby
- Wheatland Nursing & Rehabilitation Center Russell, 0.2 mi · 5 of 5 stars · 9 citations
- Wilson Care and Rehab Wilson, 21.1 mi · 3 of 5 stars · 28 citations
- Via Christi Village Hays Ks LLC Hays, 23.6 mi · 1 of 5 stars · 49 citations
Common questions
- What is Russell Regional Hospital Ltcu's Medicare star rating?
- CMS rates Russell Regional Hospital Ltcu 1 out of 5 stars overall, with 2 for health inspections, 1 for staffing and 1 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Russell Regional Hospital Ltcu get at its last inspection?
- 12 health deficiencies at the standard inspection on September 16, 2025. The Kansas average is 9.5.
- Has Russell Regional Hospital Ltcu been fined?
- CMS lists no fines in the last three years.
- Does Russell Regional Hospital Ltcu accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Russell Regional Hospital Ltcu?
- CMS lists 1 owner or manager. Legal business name: Legal Business Name Not Available.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.