2112 Highway 36, Wathena, KS 66090 · Doniphan County · (785) 989-3141
60 certified beds, about 36 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1992
CMS Care Compare ratings, data as of September 1, 2026 · CCN 175216 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on September 25, 2024, inspectors cited 6 health deficiencies (the Kansas average is 9.5, the national average 9.2).
None of its 26 health citations since October 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 3.45 hours per resident per day, against 4.07 across Kansas and 3.86 nationally. Registered nurses accounted for 0.55 of those hours.
36.1% of nursing staff left within the year CMS measured (Kansas average 48.1%).
CMS links it to Recover-Care Healthcare, an affiliated group of 27 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 26 health citations on file.
Inspectors wroteThe facility identified a census of 39 residents. The facility had one main kitchen and one dining area. Based on record review and interview, the facility failed to ensure the director of food and nutrition services had the required qualifications of a certified dietary manager (CDM). This placed the residents at risk for unmet dietary and nutritional needs.
Inspectors wroteThe facility identified a census of 39 residents. The facility had one main kitchen. Based on observations, record review, and interviews, the facility failed to ensure the big cooler maintained an appropriate temperature range, failed to ensure staff consistently monitored cooler and freezer temperatures, and failed to ensure staff consistently monitored the dishwasher temperatures and chemical sanitation levels. The facility further failed to ensure adequate hand hygiene during meal service. This deficient practice placed residents at risk for food-borne illnesses.
Inspectors wroteThe facility identified a census of 39 residents. The sample included 12 residents. Based on interviews and record review, the facility failed to conduct a thorough facility-wide assessment to determine the resources necessary to care for residents competently during both day-to-day operations and emergencies. This failure affected all 39 residents residing in the facility. Findings Included: - An inspection of the Facility Assessment dated 08/01/24 provided by the facility revealed the following: The assessment failed to identify the specific staffing levels needed for each unit and identify the number of Registered Nurses (RN), Licensed Nurses (LPN), Certified Medication Aides (CMA), and Certified Nurse Aides (CNA) needed for each unit, patient acuity, and census. The assessment lacked the staffing levels required for each shift. [...]
Inspectors wroteThe facility identified a census of 39 residents. Based on observations, record review, and interviews, the facility failed to ensure staff followed Enhanced barrier precautions (EBP), and failed to ensure staff performed appropriate hand hygiene during medication pass. The facility further failed to assess, identify risks, and create a plan to address the risk for Legionella disease (Legionella is a bacterium that can cause pneumonia in vulnerable populations) or other opportunistic waterborne pathogens. This deficient practice placed the residents at risk for infectious diseases.
Inspectors wroteThe facility identified a census of 39 residents. Based on record review and interviews, the facility failed to ensure agency direct care staff had received the required infection control training. This placed the residents at risk for impaired care and decreased quality of life.
Inspectors wroteThe facility identified a census of 39 residents. The sample included 12 residents with three residents reviewed for hospitalization. Based on observation, record review, and interviews, the facility failed to provide a bed hold policy notice to Resident (R) 4 and R20 or their representatives when they transferred to the hospital. This deficient practice had the risk of impaired ability to return to the facility and to the previous room for R4 and R20.
Inspectors wroteThe facility identified a census of 41 residents. The sample include 13 residents. Based on observation, record review, and interviews, the facility failed to provide activities for the residents during weekends. This deficient practice placed the affected residents at risk for decreased psychosocial wellbeing. Findings Included: - A review of the Activity Calendar for April 2023 indicated Saturday activities listed were Resident Choice and Movies with a resident shopping trip on the 04/15/23. A review of Sunday activities revealed only Church and Leisure for the month. A review of January 2023, February 2023, and March 2023 calendars revealed the same activities pattern with little facility led groups. On 04/24/23 at 10:33AM, Resident Council members reported the facility used to have a volunteer come in on weekends to provide games and activities, but the volunteer stopped coming. [...]
Inspectors wroteThe facility reported a census of 41 resident. Based on observations, record review, and interviews, the facility failed to ensure safe/secure storage for one of the two medication carts in the facility. This deficient practice placed the residents at risk for accidental medication ingestion or diversion. Findings Included: - On 04/25/2023 at 08:53AM the medication storage (treatment) cart was left unsecured in the 100's hallway. An inspection of the cart revealed Resident (R)12's Novolog (short-acting hormone which regulates blood sugar) Kwik pen injector medication and Lantus (long-acting hormone which regulates blood sugar) kwikpen injector medication, R24's prochlorperazine medication (used to treat migraines and nausea), R22's cyanocobalamin (vitamin b12 supplements) medication, and R6's Tylenol medication. The cart was secured by Licensed Nurse (LN) G at 09:00AM. [...]
Inspectors wroteThe facility identified a census of 41 residents. The sample included 13 residents with two residents reviewed for dignity. Based on observation, record review, and interviews, the facility failed to ensure Resident (R) 19 was treated with dignity. This deficient practice placed R19 at risk for negative psychosocial outcomes and decreased autonomy and dignity.
Inspectors wroteThe facility identified a census of 41 residents. The sample included 13 residents. Based on observation, record review, and interviews, the facility failed to notify the physician of Resident (R) 96's refusal to be weighed for weight loss monitoring. This deficient practice placed R96 at risk of miscommunication between facility and physician and a possible missed opportunity for healthcare services related to continued weight loss.
Inspectors wroteThe facility identified a census of 41 residents with 13 residents included in the sample. The facility identified two residents who discharged from Medicare Part A services. Based on interview and record review the facility failed to issue CMS (Center for Medicare/Medicaid Services) Skilled Nursing Facility Advance Beneficiary Notification (SNF ABN) form 10055 (the form used to notify Medicare A participants of potential financial liability when a Medicare Part A episode ends) with the required information for Resident (R) 34 and R247. This failure placed the residents at risk for decreased autonomy and impaired right to appeal.
Inspectors wroteThe facility identified a census of 41 residents. The sample included 13 residents. Based on observation, record review, and interviews, the facility failed to update the comprehensive care plan with current interventions related to a significant weight loss for Resident (R) 96. This deficient practice placed R96 at increased risk for continued weight loss due to uncommunicated care needs/goals.
Inspectors wroteThe facility identified a census of 41 residents. The sample included 13 residents. Based on observation, record review, and interviews, the facility failed to ensure staff implemented appropriate infection control practices during wound care for Resident (R) 246, who had a history of cellulitis (skin infection caused by bacteria characterized by heat, redness and swelling). This deficient practice placed R246 at risk of wound worsening and complications related to infections.
Inspectors wroteThe facility had a census of 39 residents. The sample included 13 residents with five residents reviewed for accidents. Based on observation, record review and interview the facility failed to secure rooms containing hazardous materials out of reach of the residents and ensure the proper usage of wheelchair foot pedals during transport for Residents (R)10 and R11. The facility additionally failed to implement individualized toileting interventions in response to repeated falls for R35. This deficient practice placed the residents at risk for preventable injuries and accidents. Findings Included: - On 04/24/23 at 07:40AM an inspection of the facility's Supplemental Oxygen storage room revealed the door securing the room was unlocked and accessible to the residents. [...]
Inspectors wroteThe facility identified a census of 41 residents. The sample included 13 residents with three reviewed for bowel and bladder management. Based on observation, record review, and interviews, the facility failed to implement individualized toileting interventions related to bowel and bladder incontinence for Residents (R)12, and R35. This deficient practice placed the residents at risk for complications related to incontinence. Findings Included: [...]
Inspectors wroteThe facility identified a census of 41 residents. The sample included 13 residents with five reviewed for nutrition. Based on observation, record review, and interviews, the facility failed to monitor weekly weights and ensure supplements for Resident (R) 96 who had a history of weight loss and failed to monitor the effectiveness of interventions for R35, who continued to lose weight. This deficient practice placed the residents at risk for continued unintended weight loss and malnutrition.
Inspectors wroteThe facility identified a census of 41 residents. The sample included 13 residents with two reviewed for respiratory care. Based on observation, record review, and interviews, the facility failed to store Resident (R)12 and R26's supplemental oxygen equipment (masks and tubing) in a sanitary manner. This deficient practice placed both residents at risk for complications related to respiratory care and infections. Findings Included: [...]
Inspectors wroteThe facility identified a census of 41 residents. The sample included 13 residents with five residents reviewed for unnecessary medication. Based on observation, record review, and interviews, the facility failed to notify the medical provider of Resident (R)11's repeated refusals for his lab draws related to his valproic acid levels (also known as Depakote- medication used to treat seizure disorders). This deficient practice placed R11 at risk for unnecessary medicals and adverse medication effects (unintended harmful reaction to a drug administered at normal dosage). Findings Included: [...]
Inspectors wroteThe facility identified a census of 41 residents. The sample include 13 residents. Based on observation, record review, and interviews, the facility failed to provide mail services on Saturdays. Findings Included: - On 04/24/23 at 10:31AM, Resident Council members reported that facility does not provide mail services for the residents on Saturdays. The council reported that most of the mail they received was on Monday due to no one passing it over the weekend. On 04/26/23 at 02:15PM Activities Coordinator (AC) Z reported that she was responsible for delivering the mail to the residents but does not work every weekend. She stated staff should have been providing the mail to the residents on weekend. She stated that the direct care staff should have pulled out greeting cards and presents for the residents and delivered it to them. [...]
Inspectors wroteThe facility identified a census of 34 residents. The facility had one main kitchen. Based on observations, record reviews, and interviews, the facility failed to ensure that food items were properly stored in a safe and sanitary manner after the original sealed package had been opened, and the food item was not placed in a sealed container/storage bag with the proper labeling and date. This deficient practice had the risk to spread food-borne illness to residents and staff.
Inspectors wroteThe facility identified a census of 34 residents. The sample included 12 residents; three residents on 14-day isolation (transmission-based precautions [infection control precautions in health care] taken after admission to prevent potential spread of COVID-19 [an acute respiratory illness in humans caused by coronavirus, capable of producing severe symptoms and in some cases death]) on the 200 hall. Based on observations, record reviews, and interviews, the facility failed to ensure appropriate hand hygiene with meal tray pass, appropriate personal protective equipment (PPE) usage in isolation room and failed to ensure prevention of cross-contamination during cleaning of an isolation room. This deficient practice increased the risk of infection and illness to the affected residents.
Inspectors wroteThe facility identified a census of 34 residents. The sample included 12 residents; one resident sampled for hospitalization. Based on observations, record reviews, and interviews, the facility failed to notify the state ombudsman of transfers and failed to provide a written notification of transfers to Resident (R) 3 or to his family/durable power of attorney (DPOA- legal document that named a person to make healthcare decisions when the resident was no longer able to) in a practicable amount of time. This deficient practice had the risk of miscommunication between facility and resident/family and possible missed opportunity for healthcare services.
Inspectors wroteThe facility identified a census of 41 residents. The sample included 12 residents. Based on observations, record reviews, and interviews, the facility failed to ensure accurate assessment and documentation on the Minimum Data Set (MDS) for documentation of anticoagulant (medication used to prevent blood from thickening or clotting) use for Resident (R) 23. This deficient practice had the risk for miscommunication related to anticoagulation status.
Inspectors wroteThe facility identified a census of 34 residents. The sample included 12 residents. Based on record reviews and interviews, the facility failed to ensure availability of physician ordered pain medication for Resident (R) 182. This deficient practice had the risk for unwarranted physical pain and complications.
Inspectors wroteThe facility identified a census of 34 residents. The sample included 12 residents; five residents sampled for unnecessary medication review. Based on observations, record reviews, and interviews, the facility failed to ensure the Consultant Pharmacist (CP) identified and reported to facility isosorbide mononitrate (antihypertensive medication, used to treat hypertension- high blood pressure) given outside of parameters, lack of heart rate documentation for isosorbide mononitrate with set heart rate parameters, lack of blood pressure/heart rate parameters for metoprolol tartrate (antihypertensive medication) which was occasionally held for Resident (R) 23; failed to ensure the CP identified and reported metoprolol succinate (antihypertensive medication) was held without set parameters for R7; [...]
Inspectors wroteThe facility identified a census of 34 residents. The sample included 12 residents; five residents sampled for unnecessary medication review. Based on observations, record reviews, and interviews, the facility failed to ensure isosorbide mononitrate (antihypertensive medication, used to treat hypertension- high blood pressure) was not given outside of parameters, failed to ensure heart rate documentation for isosorbide mononitrate with set heart rate parameters, failed to ensure blood pressure/heart rate parameters for metoprolol tartrate (antihypertensive medication) which was occasionally held for Resident (R) 23; failed to ensure metoprolol succinate (antihypertensive medication) had set blood pressure/heart rate parameters which was held without set ordered parameters and failed to obtain ordered laboratory services for R7; [...]
29 fire safety citations on file: 10 on September 25, 2024, 6 on April 26, 2023, 13 on October 20, 2021.
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) | 3.45 | 4.07 | 3.86 |
| Registered nurses | 0.55 | 0.71 | 0.69 |
| All nursing staff on weekends | 3.11 | 3.60 | 3.42 |
| Nurse aides | 2.03 | ||
| Licensed practical nurses | 0.87 | ||
| Nursing staff turnover (share who left in a year) | 36.1% | 48.1% | 45.8% |
| Registered nurse turnover | 57.1% | 42.0% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.86 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 3.59 on weekdays and 3.11 on weekends, 13% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.53 in April to June 2025 to 3.45 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 | 3.45 | 0.55 | 3.59 | 3.11 | 0.2% | 0 of 90 | 36 |
| Oct to Dec 2025 | 3.71 | 0.71 | 3.83 | 3.39 | 0.1% | 0 of 92 | 34 |
| Jul to Sep 2025 | 3.57 | 0.66 | 3.73 | 3.16 | 0.0% | 0 of 92 | 39 |
| Apr to Jun 2025 | 3.53 | 0.62 | 3.69 | 3.13 | 0.0% | 0 of 91 | 40 |
| 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. If you work here, your report helps start one.
| 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 | 20.7 | 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 | 0.8 | 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 | 2.6 | 1.9 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 15.4 | 16.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.0 | 4.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 11.1 | 18.1 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 21.4 | 22.4 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 6.8 | 11.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.4 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.0 | 2.1 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Wathena Healthcare & Rehabilitation Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (47.2% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
47.2% 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. 54 eligible stays.
10.9% 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. 79 eligible stays.
8.8% 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. 50 eligible stays.
48.3% 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. 29 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. 41 residents counted.
2.2% 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. 41 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. 7 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: RECOVER-CARE WATHENA LLC. CMS links this home to Recover-Care Healthcare, a group of 27 nursing homes averaging 2.5 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Mrcmm LLC | Direct ownership interest | Organization | 02/28/2025 | |
| Mrc SNF Management LLC | Operational/managerial control | Organization | 04/01/2017 | |
| Gaul, Bradley | Operational/managerial control | Individual | 02/28/2025 | |
| Young, David | Operational/managerial control | Individual | 04/06/2022 | |
| Bk 5 Hud Facilities LLC | Adp of the SNF | Organization | 11/28/2025 | |
| Kansas SNF Holdings LLC | Adp of the SNF | Organization | 02/28/2025 | |
| Mad Family Holdings LLC | Adp of the SNF | Organization | 02/28/2025 | |
| Mrc SNF Management LLC | Adp of the SNF | Organization | 02/26/2025 | |
| Natr Trust | Adp of the SNF | Organization | 02/28/2025 | |
| Rarmna Holdings LLC | Adp of the SNF | Organization | 02/28/2025 | |
| Ratr Trust | Adp of the SNF | Organization | 02/28/2025 | |
| Rnr Holdings LLC | Adp of the SNF | Organization | 02/28/2025 | |
| Wetr Trust | Adp of the SNF | Organization | 02/28/2025 | |
| Gaul, Bradley | Adp of the SNF | Individual | 04/08/2025 | |
| Young, David | Adp of the SNF | Individual | 02/26/2025 |
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.