2025 Little Kitten Avenue, Manhattan, KS 66503 · Riley County · (785) 776-0065
60 certified beds, about 38 residents a day · For profit - Corporation · Medicare and Medicaid since 1989
CMS Care Compare ratings, data as of September 1, 2026 · CCN 175191 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on May 14, 2026, inspectors cited 9 health deficiencies (the Kansas average is 9.5, the national average 9.2).
Of 32 health citations since April 2023, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.76 hours per resident per day, against 4.07 across Kansas and 3.86 nationally. Registered nurses accounted for 0.53 of those hours.
69.4% of nursing staff left within the year CMS measured (Kansas average 48.1%).
CMS links it to Midwest Health, an affiliated group of 11 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 32 health citations on file.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide Registered Nurse (RN) coverage for eight consecutive hours a day, seven days a week.
Inspectors wroteBased on the interview and record review, the facility failed to notify the Office of the Long-Term Care Ombudsman (LTCO- a public official who works to resolve resident issues in nursing facilities) when Resident (R) 17 was transferred and admitted to the hospital.
Inspectors wroteBased on observation, record review, and interview, the facility failed to develop a comprehensive care plan for Resident (R)1 to address smoking safety.
Inspectors wroteBased on observation, record review, and interview, the facility failed to provide necessary activity of daily living services to maintain good personal hygiene, including bathing, for Resident (R)1 and R26.
Inspectors wroteBased on observation, record review, and interview, the facility nursing staff failed to provide adequate services to support nutrition when staff failed to consistently provide Resident (R) 5 her physician-ordered Boost Plus (nutritional drink).
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure Resident (R) 3's remained free from significant medication errors when staff administered seven units of insulin that had been discontinued.
Inspectors wroteBased on observation, interview, and record review, the facility failed to properly store medications when staff failed to discard Resident (R)11 insulin (a hormone that lowers the level of glucose in the blood) outdated flex pen and failed to label R3 and R6s' insulin flex pens when initially opened for use.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure a sanitary and comfortable environment to help prevent the development and transmission of communicable diseases and infections when staff failed to keep Resident (R) 3's urinary catheter tubing ( thin, flexible, hollow medical tube designed to be inserted into the bladder to drain, collect, or monitor urine) from dragging on the floor underneath his wheelchair. Staff also failed to disinfect a multi-use glucometer (an instrument used to calculate blood glucose) after using it to obtain a blood sugar reading for R3.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that essential equipment in the kitchen was maintained in a safe operating condition, with the ice machine's top panel held on with duct tape.
Inspectors wroteThe facility had a census of 35 residents. The sample included 12 residents. Based on observation, record review, and interview, the facility failed to provide Resident (R) 13 or his representative with written information regarding the facility bed hold policy when he was transferred to the hospital. This placed the resident at risk of not being permitted to return and resume residence in the nursing facility.
Inspectors wroteThe facility had a census of 35 residents. The sample included 12 residents. Based on observation, record review, and interview, the facility failed to assess Resident (R) 10's ability to smoke safely. This placed R10 at risk for injury during smoking.
Inspectors wroteThe facility had a census of 35 residents. The sample included 12 residents with five reviewed for unnecessary medications. Based on observation, interview, and record review the facility failed to obtain a stop date from the physician for the continued use of Ativan (antianxiety medication) as needed (PRN) for two residents, Resident (R)30 and R188. This placed the residents at risk for complications related to psychotropic (alters mood or thought) medications and unnecessary medications.
Inspectors wroteF655 [NAME] The facility had a census of 39 residents. The sample included three residents reviewed for quality of care. Based on record review and interview, the facility failed to develop a baseline care plan for Resident (R) 1, which addressed his immediate health needs including his below the knee amputation (surgical removal of a body part), surgical incision, and daily dressing changes. This placed the resident at risk for inappropriate care due to uncommunicated care needs.
Inspectors wroteThe facility had a census of 39 residents. The sample included three residents reviewed for quality of care. Based on record review and interview, the facility failed to ensure Resident (R) 1 received wound care as ordered for four days after a below the knee amputation (surgical removal of a body part). This placed the resident at risk for infection and decline.
Inspectors wroteThe facility had a census of 39 residents. The sample included three residents, with two reviewed for footcare. Based on observation, record review, and interview, the facility failed to provide footcare to two sampled resident, Resident (R) 2 and R3, who had diagnoses of diabetes mellitus (DM-when the body cannot use glucose, not enough insulin made, or the body cannot respond to the insulin) and required foot care from a licensed nurse. This placed the residents at risk for complications including poor hygiene, discomfort, and injuries.
Inspectors wroteThe facility had a census of 40 residents. The sample included 14 residents, with two reviewed for accidents. Based on observation, record review, and interview, the facility failed to ensure a safe, hazard free environment for Resident (R) 30, who had severe cognitive impairment and poor safety awareness. She was independently mobile and had a history of wandering throughout the facility. On 01/28/23 staff observed R30 at approximately 10:23 PM. Then, at 10:30 PM, staff noted the resident was not in her room and began a search for her. The facility staff searched every room and the perimeter outside of the facility but could not locate R30. At 11:23 PM, almost an hour after staff last saw the resident, staff located R30 on the floor in a closet, in the kitchen, which was supposed to be locked. [...]
Inspectors wroteThe facility had a census of 40 residents. The sample included 14 residents. Based on observation, record review, and interview, the facility's Quality Assessment and Assurance (QAA) program failed to make good faith efforts to identify multiple issues of concern for the 40 residents, who resided in the facility. This placed the residents at risk for decreased quality of care.
Inspectors wroteThe facility had a census of 40 residents. The sample included 14 residents. Based on observation, record review, and interview the facility failed to provide a sanitary environment to help prevent the development and transmission of communicable disease and infections when the facility failed to develop a water management plan to minimize the risk for development of Legionella (type of bacteria that can cause serious lung infections) or other waterborne pathogens (agents that cause disease or infection) from entering the facility water system. The facility staff further failed to assess and document washing machine temperatures. Staff failed to isolate Resident (R) 36 after exposure to his roommate's symptomatic COVID (highly contagious, potentially fatal respiratory infection). [...]
Inspectors wroteThe facility had a census of 40 residents. The sample included 14 residents. Based on interview and record review the facility failed to provide an Infection Preventionist (IP) designated to manage and monitor the facility's Infection Prevention and Control Program (IPCP) for the 40 residents who resided in the facility. This placed the residents at risk for infections and health problems.
Inspectors wroteThe facility had a census of 40 residents. The sample included 14 residents, with two reviewed for dignity. Based on observation, record review, and interview, the facility failed to promote care in a manner to maintain and enhance dignity and respect for two sampled residents, Resident (R) 33, who was unnecessarily exposed from the waist down, and R20, who was taken to the dining room with soiled pants. This placed the resident's at risk for undignified care and services. [...]
Inspectors wroteThe facility had a census of 40 residents. The sample included 14 residents. Based on observation, record review, and interview, the facility failed to notify Resident (R) 29's physician of his decline in respiratory status and extremely high blood pressures, which placed R20 at risk for delayed treatment.
Inspectors wroteThe facility had a census of 40 residents, with three reviewed for Center for Medicare and Medicaid Services (CMS) Beneficiary Liability notices. Based on record review and interview, the facility failed to provide the estimated cost and resident or representative's choice for continued skilled services for the three reviewed residents on the Advanced Beneficiary Notice the (ABN), CMS form 10055. (Resident (R) 31, R38, and R93). This placed the residents at risk for uninformed decisions regarding skilled services.
Inspectors wroteThe facility had a census of 40 residents. The sample included 14 residents. Based on observation, record review, and interview, the facility failed to develop a comprehensive care plan for Resident (R) 29, who had elevated blood pressure and treatment with antihypertensive (medications used to treat high blood pressure) medications. This placed R29 at risk for complications related to complications related to uncommunicated or unmet care needs.
Inspectors wroteThe facility had a census of 40 residents. The sample included 14 residents, with nine reviewed for activities of daily living (ADLs). Based on observation, record review, and interview, the facility failed to provide consistent bathing services for four sampled residents, Resident (R)17, R38, and R2. This placed the residents at risk for complications related to poor hygiene.
Inspectors wroteThe facility had a census of 40 residents. The sample included 14 residents with one resident reviewed for quality of care. Based on observation, interview, and record review, the facility failed to ensure staff provided assessment, ongoing monitoring, and physician involvement for Resident (R)29 who had elevated blood pressures out of physician ordered parameters and failed to identify the potential signs and symptoms of respiratory virus and provide appropriate follow up and screening. As a result, R29 was sent emergently to the acute hospital in distress, with a low oxygen saturation. This placed R29 at increased risk for physical complications, adverse outcomes, and delayed treatment.
Inspectors wroteThe facility had a census of 40 residents. The sample included 14 residents with two residents sampled for bowel and bladder and catheter (tube inserted into the bladder to drain urine). Based on observation, interview, and record review, the facility failed to provide assistance with Resident (R)20 for toileting and incontinence care, and failed to ensure R33, who had a history of urinary tract infection (UTI) received proper catheter cleansing technique. These deficient practices placed R20 and R33 at risk of complications and increased infections.
Inspectors wroteThe facility had a census of 40 residents. The sample included 14 residents. Based on observation, record review, and interview, the facility failed to replace Resident (R) 4's bilevel positive airway pressure (BiPaP -a machine that normalizes breathing by delivering pressurized air) mask, placing R4 at risk for respiratory infection.
Inspectors wroteThe facility had a census of 40 residents. The sample included 14 residents. Based on observation, record review and interview the facility failed to ensure the nurse possessed the skills and knowledge necessary to recognize and act upon Resident (R) 29's respiratory distress and elevated blood pressure. This placed R29 at risk for delayed treatment of medical concerns.
Inspectors wroteThe facility had a census of 40 residents. The sample included 14 residents, with six reviewed for behaviors. Based on observation, record review, and interview the facility failed to provide the necessary behavioral health care and services to attain or maintain the highest practicable physical, mental, and psychosocial wellbeing for one sampled resident, Resident (R) 4, who had behaviors of refusing showers and personal hygiene assistance. This placed the resident at risk for poor hygiene, infection and increased behaviors.
Inspectors wroteThe facility had a census of 40 residents. The sample included 14 residents. Based on observation, record review, and interview, the facility failed to identify and provide medically-related social services to attain or maintain the highest practicable physical, mental, and psychosocial well-being of one sampled resident, Resident (R) 4, who had behaviors of refusing showers and personal hygiene assistance. This placed the residnet at risk for impaired quality of life.
Inspectors wroteThe facility had a census of 40 residents. The sample included 14 residents. Based on observation, record review, and interview the facility staff failed to assess and record temperatures in the medication refrigerators in the medication room. This placed the residents, who received medications from the refrigerators, at risk for receiving less potent or unintended effects from the medications.
Inspectors wroteThe facility had a census of 40 residents. The sample included 14 residents in which two were reviewed for Hospice (specialized care to people who are near the end of life) services, Resident (R)1 and R30. Based on observation, record review, and interview, the facility failed to ensure communication and collaboration with the Hospice provider placing the residents at risk for uncommunicated and unmet end of life care needs.
32 fire safety citations on file: 16 on May 14, 2026, 4 on June 24, 2024, 12 on April 5, 2023.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
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) | 3.76 | 4.07 | 3.86 |
| Registered nurses | 0.53 | 0.71 | 0.69 |
| All nursing staff on weekends | 3.10 | 3.60 | 3.42 |
| Nurse aides | 2.59 | ||
| Licensed practical nurses | 0.64 | ||
| Nursing staff turnover (share who left in a year) | 69.4% | 48.1% | 45.8% |
| Registered nurse turnover | 71.4% | 42.0% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.21 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.03 on weekdays and 3.10 on weekends, 23% 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 3.72 in April to June 2025 to 3.76 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 | 3.76 | 0.53 | 4.03 | 3.10 | 0.0% | 2 of 90 | 38 |
| Oct to Dec 2025 | 3.29 | 0.50 | 3.47 | 2.82 | 0.0% | 3 of 92 | 43 |
| Jul to Sep 2025 | 3.56 | 0.63 | 3.76 | 3.07 | 0.0% | 2 of 92 | 39 |
| Apr to Jun 2025 | 3.72 | 0.62 | 3.93 | 3.18 | 0.0% | 2 of 91 | 37 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Kansas, Jan to Mar 2026 | 4.01 | 0.67 | 4.19 | 3.56 | 4.8% | 0.6% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Kansas, all employers | |||
| CNAs (nursing assistants) | $18.27 | $17.41 to $21.24 | 24,610 |
| LPNs and LVNs | $29.69 | $27.05 to $33.40 | 7,530 |
| Registered nurses | $38.14 | $35.24 to $45.53 | 33,800 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Kansas | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 10.7 | 17.9 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.2 | 1.6 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.5 | 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 short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 6.3 | 1.9 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 4.1 | 16.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.9 | 4.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 27.7 | 18.1 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 20.2 | 22.4 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 4.2 | 11.5 | 12.0 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Stoneybrook Retirement Community's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (49.0% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
49.0% this home
No different from the national rate
US median of homes 51.5% · Kansas: 42 better, 17 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 41 eligible stays.
10.6% this home
No different from the national rate
US median of homes 10.7% · Kansas: 3 better, 0 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 43 eligible stays.
6.7% this home
No different from the national rate
US median of homes 7.1% · Kansas: 3 better, 0 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 27 eligible stays.
57.1% this home
Median of homes: Kansas55.7% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 21 residents counted.
0.0% this home
Median of homes: Kansas0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 34 residents counted.
16.5% this home
Median of homes: Kansas2.1% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 34 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Kansas99.3% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 1 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: STONEYBROOK NURSING FACILITY OPERATIONS LLC. CMS links this home to Midwest Health, a group of 11 nursing homes averaging 3.9 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Stoneybrook Nursing Facility Operations LLC | 5% or greater direct ownership interest | Organization | 100% | 06/27/2003 |
| Floyd C Eaton III Trust 2012 | 5% or greater indirect ownership interest | Organization | 12/31/2013 | |
| James Brett Klausman Trust 2012 | 5% or greater indirect ownership interest | Organization | 12/31/2013 | |
| Jamie N Eaton Trust 2012 | 5% or greater indirect ownership interest | Organization | 12/31/2013 | |
| Klaton Holdings Company Inc | 5% or greater indirect ownership interest | Organization | 06/27/2003 | |
| Michael Graham Klausman Trust 2012 | 5% or greater indirect ownership interest | Organization | 12/31/2013 | |
| Stoneybrook Nursing Facility Inc. | 5% or greater indirect ownership interest | Organization | 06/27/2003 | |
| Eaton, Floyd | Indirect ownership interest | Individual | 06/27/2003 | |
| Klausman, James | Indirect ownership interest | Individual | 06/27/2003 | |
| Burke, Rebecca | W-2 managing employee | Individual | 01/27/2021 | |
| Eaton, Floyd | Corporate director | Individual | 06/27/2003 | |
| Klausman, James | Corporate director | Individual | 06/27/2003 | |
| Midwest Health, Inc. 06122001 | Operational/managerial control | Organization | 01/01/2010 | |
| Stoneybrook Nursing Facility Operations LLC | Operational/managerial control | Organization | 12/09/2024 | |
| Eaton, Floyd | Operational/managerial control | Individual | 11/07/2024 | |
| Klausman, James | Operational/managerial control | Individual | 11/07/2024 | |
| Floyd C Eaton III Trust 2012 | Adp of the SNF | Organization | 12/17/2024 | |
| James Brett Klausman Trust 2012 | Adp of the SNF | Organization | 12/17/2024 | |
| Jamie N Eaton Trust 2012 | Adp of the SNF | Organization | 12/17/2024 | |
| Klaton Holdings Company Inc | Adp of the SNF | Organization | 12/17/2024 | |
| Michael Graham Klausman Trust 2012 | Adp of the SNF | Organization | 12/17/2024 | |
| Midwest Health, Inc. 06122001 | Adp of the SNF | Organization | 12/17/2024 | |
| Stoneybrook Nursing Facility Inc. | Adp of the SNF | Organization | 12/17/2024 | |
| Stoneybrook Nursing Facility Operations LLC | Adp of the SNF | Organization | 12/17/2024 | |
| Burke, Rebecca | Adp of the SNF | Individual | 12/17/2024 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.