St. Luke Living Center
535 South Freeborn, Marion, KS 66861 · Marion County · (620) 382-2177
32 certified beds, about 29 residents a day · Government - Hospital district · Medicaid since 1974
Inside a hospital Certified for Medicaid
Overall
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 17A029 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on October 8, 2025, inspectors cited 7 health deficiencies (the Kansas average is 9.5, the national average 9.2).
None of its 22 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.
Nurses and nurse aides worked 4.19 hours per resident per day, against 4.07 across Kansas and 3.86 nationally. Registered nurses accounted for 1.08 of those hours.
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.
406/22
1102/24
710/25
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 22 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
13D
2E
5F
Potential for minimal harm
0A
0B
2C
October 8, 2025Standard inspection · 7 citations
- 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.
Inspectors wroteThe facility reported a census of 26 residents. The sample included 12 residents. Based on interviews, observation, and record review, the facility failed to ensure a safe, clean home-like environment in all areas of the facility including the resident rooms.
- D Ensure that residents are fully informed and understand their health status, care and treatments.
Inspectors wroteThe facility identified a census of 26 residents. The sample included 13 residents with five residents sampled for unnecessary medications. Based on observation, interview, and record review, the facility failed to inform R18 or her representative about the risk and benefits of taking an antianxiety (a class of medications that calm and relax people).
- D Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Inspectors wroteThe facility identified a census of 26 residents. The sample included 13 residents with five residents sampled for unnecessary medications. Based on observation, interview, and record review, the facility failed to attempt a gradual dose reduction (GDR) for Resident R)18's antipsychotic (a class of medications used to treat major mental conditions that cause a break from reality), medication.
- D Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspectors wroteThe facility reported a census of 26 residents. The sample included 13 residents with one resident reviewed for hospitalization. Based on interview and record review, the facility failed to provide Resident (R) 6 a written notification of transfer to the resident and/or his representative as soon as practicable and failed to send a copy of that notification to the ombudsman. The facility also failed to provide R6 or the responsible party with a bed hold.
- D Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspectors wroteThe facility identified a census of 26 residents. The sample included 13 residents with two sampled for baseline care plan. Based on observation, interview, and record review, the facility failed to complete a baseline care plan for Resident (R) 29.
- D Provide and implement an infection prevention and control program.
Inspectors wroteThe facility reported a census of 26 residents. The sample included 12 residents. Based on interviews, record reviews and observation, the facility staff failed to implement adequate and acceptable infection control practices when staff did not disinfect a glucometer (an instrument used to calculate blood glucose) after use.
- C Post nurse staffing information every day.
Inspectors wroteThe facility reported a census of 26 residents. The sample included 12 residents. Based on observation, interview, and record review, the facility failed to ensure the posted daily nurse staffing sheets included accurate and identifiable information to include the daily licensed and unlicensed staff actual hours.
February 22, 2024Standard inspection · 11 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteThe facility reported a census of 29 residents. Based on observation, interview, and record review, the facility failed to ensure foods were stored, prepared, and distributed in a manner to prevent foodborne illness to the residents.
- F Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Inspectors wroteThe facility reported a census of 29 residents. Based on interview and record review the facility failed to electronically submit to Centers for Medicare and Medicaid Services (CMS) with complete and accurate direct staffing information, based on payroll and other verifiable and auditable data in a uniform format according to specifications established by CMS (i.e., Payroll Base Journal (PBJ), related to licensed nursing staffing information, when the facility failed to accurately report Licensed Nurse Coverage for 24 hours a day on 12 days during the third quarter 2023. Findings Included: - Review of the 'Payroll Base Journal (PBJ) Staffing Data Report for fiscal year (FY) Quarter 3, 2023 (April 1-June 30) revealed lack of Licensed Nurse for the following 12 days: On 04/01 Saturday (SA). On 04/23 Sunday (SU). On 05/06 SA. On 05/07 SU. On 05/14 SU. On 05/27 SA. On 05/28 SU. On 06/20 SA. [...]
- F Provide and implement an infection prevention and control program.
Inspectors wroteThe facility reported a census of 29 residents. Based on interview and record review, the facility failed to maintain an infection prevention and control program to proactively monitor infections in the facility to help prevent the spread among the residents of the facility.
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteThe facility reported a census of 29 residents with 14 residents sampled, including one resident reviewed for dignity. Based on observation, interview, and record review, the facility failed to show respect and dignity to one Resident (R)25, while transporting the resident in a sit to stand mechanical lift from her bed to the bathroom with the blinds partially open.
- D Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspectors wroteThe facility reported a census of 29 residents, with 14 residents sampled. Based on observation, interview and record review, the facility failed to develop an individualized baseline plan of care for one Resident (R)130 regarding an indwelling urinary catheter (tube placed in the bladder to drain urine into a collection bag).
- 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 reported a census of 29 residents with 14 residents included in the sample. Based on observation, record review, and interview, the facility failed to review and revise the care plans for one Resident (R)4, regarding the use of an anti-depressant (medication used to treat depression) medication.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteThe facility reported a census of 29 residents with 14 selected for review, which included two residents reviewed for activities of daily living. Based on observation, interview, and record review, the facility failed to provide one Resident (R) 21, with shaving opportunities in the manner of his preference.
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteThe facility reported a census of 29 residents with 14 residents selected for review, which included two residents reviewed for hydration. Based on observation, interview, and record review, the facility failed to provide one Resident (R) 21, with access to fresh water throughout the day.
- D Implement a program that monitors antibiotic use.
Inspectors wroteThe facility reported a census of 29 residents with 14 residents selected for review. Based on observation, interview, and record review, the facility failed to ensure one Resident (R)9 received antibiotics appropriately for a urinary tract infection.
- D Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteThe facility reported a census of 29 residents. Based on interview and record review, the facility failed to ensure one Residents (R)13 was offered the influenza vaccine.
- C Post nurse staffing information every day.
Inspectors wroteThe facility reported a census of 29 residents. Based on interview and record review, the facility failed to post the Direct Care Staff Nursing Hours in a manner to reflect the scheduled hours and actual hours worked by staff as required.
June 21, 2022Standard inspection · 4 citations
- F Observe each nurse aide's job performance and give regular training.
Inspectors wroteThe facility reported a census of 19 residents. Based on interview and record review, the facility failed to provide direct care staff annual evaluations/performance reviews to determine strengths and weaknesses in providing resident care.
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteThe facility reported a census of 19 residents. Based on observation, record review and interview, the facility failed to store food under sanitary conditions to prevent the spread of food borne illnesses to residents of the facility.
- 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.
Inspectors wroteThe facility reported a census of 19 residents. Based on observation, interview and record review, the facility failed to provide housekeeping and maintenance services to maintain a sanitary, orderly, and comfortable interior for residents in the facility, on one of three halls.
- D Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Inspectors wroteThe facility reported a census of 19 residents with eight residents included in the sample. Based on observation, interview and record review, the facility failed to complete the triggered areas of the Minimum Data Set (MDS) of the Care Area Assessment (CAA), for three residents, including Resident (R)16, regarding Cognitive Loss/Dementia, Behavioral Symptoms, Psychotropic Drug Use, Psychosocial Well-Being and Mood State, R 17, regarding Cognitive Loss/Dementia, Behavioral Symptoms, Psychosocial Well-Being, Psychotropic Drug Use and Nutritional Status, and R 19, regarding Activities of Daily Living (ADL) Functional/Rehabilitation Potential and Psychotropic Drug Use.
Fire safety inspections
37 fire safety citations on file: 12 on October 8, 2025, 7 on February 22, 2024, 18 on June 21, 2022.
Every fire safety citation37 citations
- F Develop and maintain an Emergency Preparedness Program (EP).
- F Establish roles under a Waiver declared by secretary.
- F Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.
- F Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.
- F Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F Have properly located and lighted "Exit" signs.
- F Have properly installed hallway dispensers for alcohol-based hand rub.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Install corridor and hallway doors that block smoke.
- F Have properly installed electrical wiring and gas equipment.
- F Have simulated fire drills held at unexpected times.
- F Ensure proper usage of power strips and extension cords.
- F Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Install corridor and hallway doors that block smoke.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Have generator or other power source capable of supplying service within 10 seconds.
- D Ensure proper usage of power strips and extension cords.
- F Develop and maintain an Emergency Preparedness Program (EP).
- F Address patient/client population and determine types of services needed.
- F Address subsistence needs for staff and patients.
- F Establish policies and procedures for volunteers.
- F Provide a means of sharing information on occupancy/needs.
- F Implement emergency and standby power systems.
- F Install a two-hour-resistant firewall separation.
- F Provide properly protected cooking facilities.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Properly select, install, inspect, or maintain portable fire extinguishes.
- F Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- 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 Have generator or other power source capable of supplying service within 10 seconds.
- F 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) | 4.19 | 4.07 | 3.86 |
| Registered nurses | 1.08 | 0.71 | 0.69 |
| All nursing staff on weekends | 3.66 | 3.60 | 3.42 |
| Nurse aides | 2.79 | ||
| Licensed practical nurses | 0.32 | ||
| 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 expects 3.24 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 4.40 on weekdays and 3.66 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 14.7% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.12 in April to June 2025 to 4.19 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 | 4.19 | 1.08 | 4.40 | 3.66 | 14.7% | 0 of 90 | 29 |
| Oct to Dec 2025 | 5.41 | 1.31 | 5.74 | 4.56 | 14.9% | 0 of 92 | 25 |
| Jul to Sep 2025 | 0.01 | 0.00 | 0.00 | 0.01 | 100.0% | 92 of 92 | 25 |
| Apr to Jun 2025 | 5.12 | 1.30 | 5.40 | 4.39 | 8.6% | 0 of 91 | 24 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Kansas, Jan to Mar 2026 | 4.01 | 0.67 | 4.19 | 3.56 | 4.8% | 0.6% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Kansas | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 21.4 | 17.9 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.6 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.3 | 2.9 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.0 | 4.3 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 18.1 | 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 | 26.5 | 18.1 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.0 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 4.8 | 2.1 | 1.8 |
Owners and operators
Legal business name: Legal Business Name Not Available.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Ownership data not available |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 5 problems in this area, most recently on October 8, 2025: "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."
- When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on October 8, 2025: "Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted"
- 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 October 8, 2025: "Provide and implement an infection prevention and control program."
- How many nurses and aides work each shift, nights and weekends included?Inspectors cited 3 problems in this area, most recently on October 8, 2025: "Post nurse staffing information every day."
Other nursing homes nearby
- Parkside Homes Hillsboro, 10.6 mi · 2 of 5 stars · 42 citations
- Salem Home Hillsboro, 10.6 mi · 5 of 5 stars · 14 citations
- Peabody Health and Rehab Peabody, 13.3 mi · 4 of 5 stars · 23 citations
- Access Mental Health Peabody, 13.3 mi · not rated · 45 citations
- Bethesda Home Goessel, 19.3 mi · 5 of 5 stars · 5 citations
- Legacy at Herington Herington, 23.5 mi · 1 of 5 stars · 44 citations
Common questions
- What is St. Luke Living Center's Medicare star rating?
- CMS rates St. Luke Living Center 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did St. Luke Living Center get at its last inspection?
- 7 health deficiencies at the standard inspection on October 8, 2025. The Kansas average is 9.5.
- Has St. Luke Living Center been fined?
- CMS lists no fines in the last three years.
- Does St. Luke Living Center 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 St. Luke Living Center?
- 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.