Stanton County Health Care Facility Ltcu
404 N Chestnut, Johnson, KS 67855 · Stanton County · (620) 492-6250
25 certified beds, about 20 residents a day · Government - City/county · Medicaid since 1980
Inside a hospital Certified for Medicaid
Overall
2 of 5
Health inspections
3 of 5
Staffing
1 of 5
CMS note: This facility reported a high number of days without a registered nurse onsite.
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 17E445 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on August 28, 2025, inspectors cited 9 health deficiencies (the Kansas average is 9.5, the national average 9.2).
None of its 24 health citations since September 2021 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 5.27 hours per resident per day, against 4.07 across Kansas and 3.86 nationally. Registered nurses accounted for 1.23 of those hours.
13.3% of nursing staff left within the year CMS measured (Kansas average 48.1%).
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.
409/21
1108/23
908/25
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 24 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
16D
3E
5F
Potential for minimal harm
0A
0B
0C
August 28, 2025Standard inspection, Complaint inspection · 9 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 22 residents and one kitchen. The sample included 12 residents. Based on observation, record review, and interview, the facility failed to employ a full-time Certified Dietary Manager for 22 residents who reside in the facility and received their meals from the kitchen. This placed the residents at risk of not receiving adequate nutrition.
- F Provide and implement an infection prevention and control program.
Inspectors wroteThe facility had a census of 22 residents. The sample included 12 residents. Based on observation, record review, and interview, the facility failed to implement Enhanced Barrier Precautions (EBP- infection control interventions designed to reduce transmission of resistant organisms, which employ targeted gown and glove use during high contact care) for Resident (R) 1, who had an indwelling urinary catheter (tube placed in the bladder to drain urine into a collection bag) and shared use of a full body lift sling. This deficient practice placed the residents who reside in the facility at risk of infectious disease processes.
- E 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 22 residents. The sample included 12 residents, of whom six sampled residents were reviewed for unnecessary medications. Based on observation, record review, and interview, the facility failed to ensure that Resident (R) 2, R3, R16, and R18, were free from antipsychotic (a class of medications used to treat major mental conditions that cause a break from reality) medication use without an appropriate indication for use, a gradual dose reduction (GDR - tapering of a medication dose to determine if symptoms, conditions, or risks can be managed by a lower dose or if the dose or medication can be discontinued), or ensure the physician provided the risk versus benefit for the continued use of antipsychotic medications. These deficient practices placed R2, R3, R16, and R18 at risk of unnecessary medication administration and related complications.
- E 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 22 residents. The sample included 12 residents. Based on observation, record review, and interview, the facility failed to ensure the Consultant Pharmacist (CP) identified and reported to the Director of Nursing and the Medical Director for Residents (R) 2, R3, R16, and R18 for the appropriate use of antipsychotics (a class of medications used to treat major mental conditions that cause a break from reality). The facility furtherly failed to ensure the CP identified and reported to the Director of Nursing and the Medical Director the missed vital signs required for R10 and R11's heart medications. This placed the residents at risk for inappropriate use of medications and unnecessary medications.
- D Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspectors wroteThe facility identified a census of 22 residents. The sample included 12 residents, with two sampled residents reviewed for hospitalization. Based on observation, record review, and interview, the facility failed to ensure that Resident (R) 8 and R20 and their representative were provided a written notification of transfer upon the residents' transfer to the hospital. This placed R8 and R20 at risk of miscommunication between the facility and the resident's representative, and the possible missed opportunity for healthcare services.
- D Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Inspectors wroteThe facility had a census of 22 residents. The sample included 12 residents. Based on observation, record review, and interview, the facility failed to provide Resident (R) 3, who had a mental disorder and adjustment difficulties, with treatment and services to attain the highest practical mental and psychosocial well-being.
- D Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Inspectors wroteThe facility identified a census of 22 residents. The sample included 12 residents, with five residents reviewed for dementia care. Based on observation, record review, and interview, the facility failed to ensure staff provided the necessary person-centered activities and interventions to address Resident (R) 11's dementia (a progressive mental disorder characterized by failing memory, confusion) diagnosis. This deficient practice placed R11 at risk of ineffective treatment and decreased quality of care.
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteThe facility had a census of 22 residents. The sample included 12 residents. Based on observation, record review, and interview, the facility failed to identify the missed vital signs required for R10 metoprolol succinate (an extended-release, beta-blocker used to treat high blood pressure) medication and R11's digoxin (a medication used to treat CHF and heart rhythm problems) medication. This placed the residents at risk for unnecessary 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 22 residents. The Sample included 12 residents. Based on observation, record review, and interview, the facility failed to store drugs and biologicals for Resident (R) 4 according to policy in the medication cart. This placed the resident at risk for an ineffective medication regimen.
August 10, 2023Standard inspection · 11 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 23 residents. Based on observation, record review, and interview, the facility failed to provide Registered Nurse (RN) coverage eight hours a day, seven days a week, that placed all the residents who reside at the facility at risk of lack of assessments and inappropriate 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 23 residents. The facility identified one central kitchen with one dining area. Based on observation, interview, and record review, the facility failed to provide sanitary food preparation and storage of food to prevent the spread of food borne illness to the residents of the facility.
- 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 23 residents. Based on interview and record review, the facility failed to submit complete and accurate staffing information to the federal regulatory agency through Payroll Based Journaling (PBJ), when the facility failed to accurately report the 24 hour per day, seven days per week Registered Nurse/Licensed Nurse coverage.
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteThe facility had a census of 23 residents. The sample included 12 residents, with two residents reviewed for dignity. Based on observation, interview, and record review, the facility failed to provide dignity for one Resident (R10), by having an uncovered urinary collection bag visible to guests and other residents, placing the resident at risk for embarrassment and an undignified living environment.
- 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 reported a census of 23 residents with 12 included in the sample that included one resident for hospitalization. Based on interview and record review, the facility failed to send a copy of the facility- initiated hospitalization transfer/discharge notice to the representative of the Office of the State Long-Term Ombudsman for Resident (R) 22, who required hospitalization.
- 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 reported a census of 23 residents with 12 residents included in the sample. Based on interview and record review, the facility failed to provide a copy of the facility bed hold policy to Resident (R) 22 and/or his representative, with a written notice specifying the duration and cost of the bed hold policy, at the time of the resident's transfer to the hospital.
- D Assess the resident when there is a significant change in condition
Inspectors wroteThe facility reported a census of 23 residents with 12 residents included in the sample. Based on observation, interview, and record review, the facility failed to complete a significant change comprehensive assessment for two residents, that experienced a consistent pattern of change. Resident (R) 12 following a fall, changes in medication and use of oxygen, and for R 22, following a return from the hospital following a fall with fracture and a pressure ulcer developed in the hospital.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteThe facility identified a census of 23 residents with 12 selected for review. Based on observation, record review, and interview, the facility failed to develop a comprehensive person-centered care plan for Resident (R)7, regarding splint application/care.
- 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 23 residents with 12 residents sampled. Based on interview and record review, the facility failed to review and revise the care plans for two residents, Resident (R)9 and R18, regarding discontinued medications.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteThe facility reported a census of 23 residents with 12 residents selected for review, which included one resident sampled for accidents. Based on observation, interview and record review, the facility failed to provide a safe environment when staff operated a mechanical lift with only one staff member present for Resident (R)7. This placed R7 at increased risk for falls and potential for injury from falls.
- D Provide and implement an infection prevention and control program.
Inspectors wroteThe facility reported a census of 23 residents with 12 residents included in the sample, that included one resident reviewed for urinary catheter. Based on observation, interview, and record review, the facility failed to provide necessary services to decrease the risk of a urinary tract infection when the staff failed to ensure Resident (R) 10's urinary catheter drainage bag did not come in direct contact with the floor. In addition, the facility failed to provide necessary infection control techniques, related to R16's perineal care, when staff failed to change gloves during incontinence cares.
September 23, 2021Standard inspection · 4 citations
- E 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 24 residents with 12 included in the sample. Based on observation, interview, and record review the facility failed to ensure the dignity of four residents when facility staff stood over resident's while assisting the residents to eat during the breakfast meal. (Resident (R) 16, R18, R7, and R13).
- 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 census totaled 24 residents with 12 included in the sample. Based on observation, interview, and record review the facility failed to revise Resident (R) 8's care plan with new fall interventions after each of four falls experienced by R8 in the last year.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteThe facility census totaled 24 residents with 12 included in the sample. Based on observation, interview, and record review the facility failed to ensure a safe environment for Resident (R) 8 by the failure to determine causal factors and develop interventions to prevent further falls after each of four falls experienced by R8 in the last year.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteThe facility census totaled 24 residents, with 12 residents in the sample, and one resident reviewed for respiratory care. Based on observation, interview, and record review the facility failed to ensure the resident's oxygen (O2) tubing and cannula remained sanitary when facility staff failed to store the O2 tubing and cannula in a pouch on the concentrator when not in use, change out Resident (R) 10's oxygen (O2) tubing per physician orders, and did not provide a humidifier bottle for her oxygen concentrator.
Fire safety inspections
12 fire safety citations on file: 5 on August 28, 2025, 4 on August 10, 2023, 3 on September 23, 2021.
Every fire safety citation12 citations
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have properly installed electrical wiring and gas equipment.
- F Have simulated fire drills held at unexpected times.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E Ensure proper usage of power strips and extension cords.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- F Have generator or other power source capable of supplying service within 10 seconds.
- F Establish roles under a Waiver declared by secretary.
- F Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- F Provide a written emergency evacuation plan.
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) | 5.27 | 4.07 | 3.86 |
| Registered nurses | 1.23 | 0.71 | 0.69 |
| All nursing staff on weekends | 4.88 | 3.60 | 3.42 |
| Nurse aides | 3.70 | ||
| Licensed practical nurses | 0.34 | ||
| Nursing staff turnover (share who left in a year) | 13.3% | 48.1% | 45.8% |
| Registered nurse turnover | 0.0% | 42.0% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.20 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 5.43 on weekdays and 4.88 on weekends, 10% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.54 in April to June 2025 to 5.27 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 | 5.27 | 1.23 | 5.43 | 4.88 | 0.0% | 12 of 90 | 20 |
| Oct to Dec 2025 | 4.94 | 1.10 | 5.15 | 4.42 | 0.0% | 2 of 92 | 22 |
| Jul to Sep 2025 | 5.79 | 1.46 | 6.15 | 4.88 | 0.4% | 0 of 92 | 22 |
| Apr to Jun 2025 | 5.54 | 1.43 | 5.90 | 4.62 | 6.1% | 0 of 91 | 23 |
| 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 | 6.6 | 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 | 1.1 | 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 long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 7.3 | 16.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.3 | 4.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 30.9 | 18.1 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.6 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 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 August 28, 2025: "Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 5 problems in this area, most recently on August 28, 2025: "Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder."
- When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on August 10, 2023: "Assess the resident when there is a significant change in condition"
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on August 28, 2025: "Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures."
Other nursing homes nearby
- Western Prairie Senior Living LLC Ulysses, 21.9 mi · 5 of 5 stars · 21 citations
Common questions
- What is Stanton County Health Care Facility Ltcu's Medicare star rating?
- CMS rates Stanton County Health Care Facility Ltcu 2 out of 5 stars overall, with 3 for health inspections, 1 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Stanton County Health Care Facility Ltcu get at its last inspection?
- 9 health deficiencies at the standard inspection on August 28, 2025. The Kansas average is 9.5.
- Has Stanton County Health Care Facility Ltcu been fined?
- CMS lists no fines in the last three years.
- Does Stanton County Health Care Facility 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 Stanton County Health Care Facility 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.