Sabetha Manor
1441 Oregon Street, Sabetha, KS 66534 · Nemaha County · (785) 284-3411
40 certified beds, about 24 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1993
CMS Care Compare ratings, data as of September 1, 2026 · CCN 175241 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on January 22, 2026, inspectors cited 3 health deficiencies (the Kansas average is 9.5, the national average 9.2).
None of its 16 health citations since November 2022 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.92 hours per resident per day, against 4.07 across Kansas and 3.86 nationally. Registered nurses accounted for 0.61 of those hours.
29.6% of nursing staff left within the year CMS measured (Kansas average 48.1%).
CMS links it to Americare Senior Living, an affiliated group of 23 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.
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 16 health citations on file.
January 22, 2026Standard inspection · 3 citations
- 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 24 residents and one kitchen. The sample included 12 residents. Based on observation, interview, and record review, the facility failed to employ a full-time Certified Dietary Manager for the residents who reside in the facility and receive their meals from the kitchen.
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteThe facility had a census of 24 residents. The sample included 12 residents. Based on observation, interview, and record review, the facility failed to store, prepare, and serve food in a sanitary manner for the residents who reside in the facility and receive meals from the facility kitchen.
- 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.
Inspectors wroteThe facility had a census of 24 residents. The sample included 12 residents. Based on observation, interview, and record review, the facility failed to store drugs and biological medications appropriately in the medication cart and medication room.
July 17, 2025Complaint inspection · 1 citation
- E Protect each resident from the wrongful use of the resident's belongings or money.
Inspectors wroteThe facility identified a census of 26 residents. The sample included four residents, with four residents reviewed for misappropriation of medications. Based on observations, record review, and interviews, the facility failed to ensure Resident (R) 1, R2, R3, and R4 remained free from misappropriation of medications. This deficient practice had the risk for missed medications and further misappropriation of medications for the affected residents.
July 2, 2024Complaint inspection · 1 citation
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteThe facility identified a census of 29 residents. The sample included three residents. Based on observation, record review, and interviews, the facility failed to report an allegation of abuse between staff and Resident (R) 1 and an injury of unknown origin for R1 to the State Agency (SA) as required. This deficient practice placed R1 at risk for unidentified and ongoing abuse.
March 20, 2024Standard inspection, Complaint inspection · 9 citations
- 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 25 residents. Based on observation, record review, and interview, the facility failed to provide Registered Nurse (RN) coverage eight consecutive hours a day, seven days a week and failed to employ a full-time Director of Nursing (DON) placing all residents who resided in the facility at risk for decreased quality of care.
- 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 25 residents. The sample included 12 residents and one kitchen. Based on observation, record review, and interview, the facility failed to employ a full-time certified dietary manager for the 25 residents who resided in the facility and received meals from the facility kitchen. This placed the residents at risk for inadequate nutrition.
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteThe facility had a census of 25 residents. Based on observation, record review, and interview, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety when staff stored unlabeled, undated, expired food in the refrigerators. This placed the 25 residents who received their meals from the facility's kitchen at risk for foodborne illness.
- 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 25 residents. Based on observation, interview, and record review, the facility failed to submit complete and accurate staffing information through Payroll Based Journaling (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 25 residents. The sample included 12 residents. Based on observation, record review and interview the facility failed to have the required members participate and attend Quality Assurance and Performance Improvement (QAPI) meetings at least quarterly for the quality assurance program. This placed the 25 residents who resided in the facility at risk for decreased quality of care.
- 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 25 residents. The sample included 12 residents. Based on observation, record review, and interview, the facility failed to ensure the facility employed a designated staff person for the Infection Preventionist (IP) who was responsible for the facility's Infection Prevention and Control Program (IPCP) and who completed the specialized training in infection prevention and control. This placed the residents at increased risk for infections.
- E Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteThe facility had a census of 25 residents. The sample included 12 residents. Based on observation, record review, and interview the facility failed to check the food temperatures of pureed (an eating plan where all the foods have a soft, pudding-like consistency) foods and the regular breakfast food items before serving to ensure the appropriate food temperature for food safety and palatability. This placed the residents at risk for food-borne illness and impaired palatability.
- 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 25 residents. The sample included 12 residents with one reviewed for hospitalization. Based on observation, record review, and interview, the facility failed to provide a written notice for a facility-initiated transfer to Resident (R) 14, or her representative, when she was transferred to the hospital and failed to notify the Office of the Long-Term Care Ombudsman (LTCO-a public official who works to resolve resident issues in nursing facilities) of the discharge. This placed the resident at risk for uninformed care choices.
- 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 25 residents. The sample included 12 residents with one reviewed for hospitalization. Based on observation, record review, and interview, the facility failed to provide Resident (R)14 or his representative with written information regarding the facility bed hold policy when R14 was transferred to the hospital. This placed R14 at risk of not being permitted to return and resume residence in the nursing facility.
November 15, 2022Standard inspection · 2 citations
- 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 26 residents. The sample included 12 residents. Based on observation, record review and interview the facility failed to employ a full time certified dietary manager to plan and supervise the preparation of meals for the 26 residents who resided in the facility and received their meals from the facility kitchen.
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteThe facility had a census of 26 residents. Based on observation, record review and interview, the facility failed to wear hair coverings in one of one kitchens, placing the residents at risk for food borne illness.
Fire safety inspections
18 fire safety citations on file: 4 on January 22, 2026, 5 on March 20, 2024, 9 on November 15, 2022.
Every fire safety citation18 citations
- E Use approved construction type or materials.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Have properly installed electrical wiring and gas equipment.
- E Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- F Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Properly select, install, inspect, or maintain portable fire extinguishes.
- E Have properly installed electrical wiring and gas equipment.
- F Develop and maintain an Emergency Preparedness Program (EP).
- F Meet other general requirements.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- F Have simulated fire drills held at unexpected times.
- F Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Have properly installed electrical wiring and gas equipment.
- D Properly select, install, inspect, or maintain portable fire extinguishes.
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) | 3.92 | 4.07 | 3.86 |
| Registered nurses | 0.61 | 0.71 | 0.69 |
| All nursing staff on weekends | 3.76 | 3.60 | 3.42 |
| Nurse aides | 2.55 | ||
| Licensed practical nurses | 0.77 | ||
| Nursing staff turnover (share who left in a year) | 29.6% | 48.1% | 45.8% |
| Registered nurse turnover | not reported | 42.0% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.18 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 3.99 on weekdays and 3.76 on weekends, 6% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 11.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.08 in April to June 2025 to 3.92 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 | 3.92 | 0.61 | 3.99 | 3.76 | 11.5% | 0 of 90 | 24 |
| Oct to Dec 2025 | 3.81 | 0.42 | 3.89 | 3.60 | 7.9% | 0 of 92 | 27 |
| Jul to Sep 2025 | 3.92 | 0.36 | 4.02 | 3.68 | 6.9% | 0 of 92 | 25 |
| Apr to Jun 2025 | 4.08 | 0.40 | 4.21 | 3.76 | 8.2% | 0 of 91 | 26 |
| 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
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
| 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.
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 | 23.7 | 17.9 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.1 | 1.6 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.1 | 2.9 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 11.1 | 4.3 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 11.1 | 16.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.7 | 4.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 31.6 | 18.1 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.9 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.3 | 2.1 | 1.8 |
Owners and operators
Legal business name: SABETHA NURSING LLC. CMS links this home to Americare Senior Living, a group of 23 nursing homes averaging 3.7 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| R H Montgomery Properties, Inc | 5% or greater direct ownership interest | Organization | 04/01/2002 | |
| Sabetha Nursing LLC | 5% or greater direct ownership interest | Organization | 01/01/2003 | |
| Montgomery, Richard | 5% or greater direct ownership interest | Individual | 08/01/1981 | |
| Montgomery, Anna | 5% or greater indirect ownership interest | Individual | 50% | 01/01/2013 |
| Hatlestad, Steven | Contracted managing employee | Individual | 04/01/2002 | |
| Montgomery, Richard | Contracted managing employee | Individual | 04/01/2002 | |
| Schade, Kyle | Contracted managing employee | Individual | 03/01/2021 | |
| Henninger, Carol | W-2 managing employee | Individual | 02/01/2014 | |
| Montgomery, Richard | Corporate officer | Individual | 08/01/1981 | |
| Reiker, James | Corporate officer | Individual | 04/02/2002 | |
| Schade, Kyle | Corporate officer | Individual | 03/01/2021 | |
| Americare Systems, Inc. | Operational/managerial control | Organization | 04/01/2002 | |
| Crosson, Clay | Operational/managerial control | Individual | 04/02/2002 | |
| Hatlestad, Steven | Operational/managerial control | Individual | 04/01/2002 | |
| Montgomery, Richard | Operational/managerial control | Individual | 04/01/2002 |
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.
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 7 problems in this area, most recently on January 22, 2026: "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."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 2 problems in this area, most recently on July 17, 2025: "Protect each resident from the wrongful use of the resident's belongings or money."
- Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 2 problems in this area, most recently on March 20, 2024: "Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on March 20, 2024: "Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights."
Other nursing homes nearby
- Apostolic Christian Home Sabetha, 0.5 mi · 3 of 5 stars · 30 citations
- Crestview Nursing & Residential Living Seneca, 14.2 mi · 5 of 5 stars · 6 citations
- Life Care Center of Seneca Seneca, 15 mi · 4 of 5 stars · 15 citations
- Maple Heights Nursing & Rehabilitative Center Hiawatha, 15.7 mi · 3 of 5 stars · 26 citations
- Falls City Care Center Falls City, 16 mi · 1 of 5 stars · 17 citations
- Falls City Nursing and Rehabilitation Center Falls City, 16.2 mi · 2 of 5 stars · 7 citations
- Colonial Acres of Humboldt Humboldt, 20 mi · 2 of 5 stars · 15 citations
- Eastridge Centralia, 20.7 mi · 2 of 5 stars · 12 citations
Common questions
- What is Sabetha Manor's Medicare star rating?
- CMS rates Sabetha Manor 4 out of 5 stars overall, with 3 for health inspections, 5 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Sabetha Manor get at its last inspection?
- 3 health deficiencies at the standard inspection on January 22, 2026. The Kansas average is 9.5.
- Has Sabetha Manor been fined?
- CMS lists no fines in the last three years.
- Does Sabetha Manor 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 Sabetha Manor?
- CMS lists 15 owners and managers, and links the home to Americare Senior Living. Legal business name: SABETHA NURSING LLC.
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.