Above average — CMS composite of the measures below.
The next survey window likely opens around June 2027
Estimate from public CMS data, current as of October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Arma Operator, Llc during CMS and state inspections, most recent first.
Failure to provide individualized activities for a resident with severe intellectual disabilities and severe cognitive impairment. The resident’s MDS and care plan documented preferences for music, going outside, and religious activities, and that she was dependent on staff for all ADLs and needed cognitive stimulation and social interaction. However, the EMR lacked documentation of activities offered or participated in, observations showed her sitting without stimulation, and staff stated she had not received the expected 1:1 in-room activities and could not meaningfully participate in group activities.
A resident with hypokalemia had an order for potassium liquid three times daily, but staff diluted the medication into a house shake that the resident did not always finish. The CMA said she documented the dose as held or refused when the resident did not consume the full shake, but LNs were unaware the resident had not received the full dose, and the EMR lacked documentation showing the medication was not fully taken or that the MD was notified as required by policy.
Inaccurate PBJ staffing submission: The facility failed to electronically submit complete and accurate direct care staffing data to CMS through PBJ. Review of the PBJ Staffing Data Report showed excessively low weekend staffing for multiple quarters, but the nursing schedule and payroll data did not reflect lower weekend staffing than weekdays. An admin staff member stated corporate changed the PBJ report to code admin nurses' weekend hours as direct care, even though staffing levels were the same on weekends and weekdays.
Laundry Area Repairs and Maintenance Not Completed: Surveyors observed an unsealed, unfinished sheetrock patch on the laundry ceiling and a laundry exit door with missing door facing/jam exposing bare sheetrock. The laundry staff confirmed the unfinished repairs, and maintenance staff stated he was not aware the ceiling needed repair. The facility policy for handling clean linen and linen distribution lacked documentation of repair and maintenance in the laundry area.
A resident with polyosteoarthritis, anxiety, depression, muscle weakness, and unsteadiness, who depended on staff for most ADLs and used a wheelchair, was being transferred from a bedside commode to a chair using a Hoyer lift and sling. Two CNAs adjusted the sling to clean the resident and then raised the resident in the lift; one CNA operated the lift while the other turned away to dispose of wipes and move the commode. During this time, the resident complained of back pain, moved, and slipped through the buttocks opening of the sling, striking her head and back on the floor, resulting in a head abrasion, bruising, and ongoing pain. Documentation showed that required lift and transfer evaluations were not completed until weeks after the incident, MDS assessments did not reflect mechanical lift use, and no reassessment of the resident’s transfer status or anxiety related to the lift occurred immediately after the fall, despite facility policy requiring ongoing assessment of transfer needs and proper use of mechanical lifting devices.
A resident with severe cognitive impairment and osteoporosis, dependent on staff for transfers, was injured when two CNAs failed to use a mechanical lift as required by the care plan and instead attempted a manual transfer, resulting in the resident being lowered to the floor and sustaining fractures. The CNAs did not immediately report the incident, leading to a delay in assessment and care. Staff interviews confirmed the incident was concealed from nursing and administrative staff, constituting neglect and immediate jeopardy.
The facility was found to have significant deficiencies in food storage and sanitation practices. Observations revealed expired and undated food items, dirty kitchen equipment, and unsanitary conditions in resident snack areas. Staff interviews indicated a lack of adherence to facility policies on labeling and cleanliness, potentially leading to foodborne illness.
The facility failed to submit accurate staffing information to CMS due to the omission of an administrative nurse's direct care hours during weekends. Despite maintaining adequate staffing levels, the nurse's hours were not recorded because she did not clock in, leading to an inaccurate PBJ report for the 3rd and 4th quarters of 2024.
Failure to Provide Individualized Activities
Penalty
Summary
The facility failed to develop an individualized activity plan for a resident with severe intellectual disabilities and severe cognitive impairment. The resident’s EMR documented a diagnosis of severe intellectual disabilities, and the Annual MDS documented that staff interviewed the resident and recorded that it was very important for her to listen to music she liked, go outside when the weather was nice, and somewhat important for her to participate in religious activities. The MDS also documented that she was dependent on staff for all ADLs. Her Activity CAA was not triggered, and her Quarterly MDS again documented severe cognitive impairment and dependence on staff for all ADLs. Her Care Plan documented that she was dependent on staff for activities, cognitive stimulation, and social interaction due to her cognitive deficits. The resident’s Recreation Assessment documented that she preferred to participate in activities once weekly in her room, but her EMR from 06/28/26 through 07/26/2026 lacked documentation of any activities offered or participated in. On observation, she sat in her wheelchair in the TV commons area with no visual or audible stimulation provided, and at another time she sat with her back toward the turned-on TV. CNA M stated she had not seen anyone do activities with the resident in her room and that she would go to Bingo at times but was unable to participate and usually fell asleep. Activity Staff Z stated she had not done any in-room activities with the resident and that the resident should have had 1:1 activities due to her cognitive impairment, but those had not taken place. LN H stated the resident had not received any 1:1 activity in her room, and Administrative Staff A stated the expectation was for dependent residents to have 1:1 activity when they were unable to participate in other activities.
Failure to Accurately Document and Monitor Potassium Administration
Penalty
Summary
The facility failed to ensure a resident remained free from unnecessary medications when staff did not monitor the resident’s consumption of potassium liquid and did not accurately record the total amount received. The resident had a diagnosis of hypokalemia and a physician’s order for potassium liquid 20 milliequivalents/15 milliliters by mouth three times daily, ordered on 07/15/2026. The resident’s MAR for July 2026 showed the medication was held eight times and refused one time since the order was received, but the EMR did not document that the resident failed to receive the full dose when the medication was mixed into a house shake. A CMA stated the potassium liquid had to be diluted before administration and that she mixed it into the resident’s house shake each morning, but the resident did not always finish the shake, so she could not document that the full medication dose was received. She stated she documented the medication as held or refused and notified the nurse when the resident did not consume the full dose. However, an LN stated she was unaware the resident had not received the full dose of potassium, and another LN also stated she was unaware of the missed portion of the medication. The administrative nurse stated staff were expected to administer medications as ordered and that when a resident did not receive the ordered dose, the physician should be notified. The facility’s refusal of treatment policy required documentation of the date and time of refusal, the medication refused, and the date and time the physician was notified.
Inaccurate PBJ Staffing Submission
Penalty
Summary
The facility failed to electronically submit complete and accurate direct care staffing information to CMS through Payroll-Based Journal (PBJ) reporting. Based on interview and record review, the facility did not accurately submit hourly staffing data for all nursing personnel, and the PBJ Staffing Data Report showed excessively low weekend staffing for Q4 of FY 2025 and Q1 and Q2 of FY 2026. Review of the nursing schedule and payroll data sheets for the cited time periods did not show discernibly excessively low weekend staffing compared with weekday staffing. On 07/28/2026, Administrative Staff A stated that the corporate office made changes to the PBJ report to code administrative nurses' hours as direct care when they worked weekends, and that the facility had the same staffing levels on weekends as during the week. The facility's PBJ policy stated that the community would submit payroll data in a uniform format to CMS, including staffing information for community, agency, and contract staff, and that direct care staff are those with direct interpersonal contact with residents.
Laundry Area Repairs and Maintenance Not Completed
Penalty
Summary
The facility failed to provide housekeeping and maintenance services to ensure a safe and sanitary environment in the laundry area. During a laundry tour, surveyors observed an approximate 18-inch by 18-inch unsealed and unfinished sheetrock patch on the ceiling with an approximate one foot by two-inch linear brown section surrounded by unfinished spackling compound. Surveyors also observed the laundry exit door with the door facing/jam missing on three sides, exposing irregular, unfinished bare sheetrock where laundry staff passed to transport laundry. Housekeeping/Laundry staff U confirmed the findings and stated the maintenance man should be responsible for the repairs, noting the unfinished ceiling repair had been started after roof leak damage but was not completed. Maintenance staff V later verified the findings and stated he was replacing door frames throughout the facility and was not aware of the need for repair of the laundry ceiling. The facility policy titled Handling of Clean Linen and Linen Distribution, dated 2026, lacked documentation of repair and maintenance in the laundry area.
Resident Fall from Hoyer Lift Due to Inadequate Supervision and Incomplete Transfer Assessment
Penalty
Summary
The deficiency involves the facility’s failure to ensure an environment free from accident hazards and to provide adequate supervision during a mechanical lift transfer for a resident who required staff assistance and a Hoyer lift for safe transfers. The resident had multiple diagnoses including polyosteoarthritis, generalized anxiety disorder, major depressive disorder, muscle weakness, unsteadiness on feet, and a need for assistance with personal care. A Quarterly MDS showed intact cognition with a BIMS score of 14, no limb impairment, wheelchair use, and dependence on staff for most ADLs, but did not indicate use of a mechanical lift. A subsequent Significant Change MDS documented a BIMS score of 12, continued wheelchair use, dependence for most ADLs, and one fall with injury since the last assessment, but again did not indicate use of a mechanical lift. The Functional Abilities CAA documented dependence on staff for transfers, and the Fall CAA documented a fall and use of antianxiety and antidepressant medications. A Nursing: Lift and Transfer Evaluation dated earlier in the month was not completed, and no lift and transfer evaluation was documented until several weeks after the incident. The resident’s care plan, revised previously, documented an ADL self-care performance deficit related to activity intolerance, dementia, and impaired balance. An intervention for use of a commode with Hoyer lift transfer by two staff was resolved on the same date as the incident, and a new intervention instructed staff that the resident was to use a bedpan and was a Hoyer lift, with two staff, for transfers. Another intervention initiated that same day and later revised documented that the resident was a Hoyer lift for all transfers and that staff were to use a medium sling. On the evening of the incident, nursing documentation recorded that a CNA called the nurse to the resident’s room and reported that the resident had slid out of the Hoyer lift sling during a transfer. When the nurse entered the room, the resident was lying on her back with her legs over the top of the lift’s legs, and the sling remained attached to the Hoyer lift. The nurse noted a large bump on the back of the resident’s head and the resident’s report of back pain. Witness statements from the CNAs involved described that two CNAs were transferring the resident from a bedside commode back to her chair using a Hoyer lift. They reported adjusting the Hoyer sheet under the resident to clean her, then hooking the resident to the lift and raising her. One CNA operated the lift while the other cleaned the resident and then turned away to dispose of dirty wipes and move the commode. During this time, the resident complained of back pain, moved, and then slipped through the buttocks opening of the lift sheet, hitting her head and then her back on the floor. Another CNA’s statement confirmed that after the fall, the resident complained of head pain. Subsequent nursing notes documented an abrasion to the back of the resident’s head, ongoing soreness, pain all over, back and shoulder pain, and a red/purple bruise on the back of the head. The facility’s Safe Lifting and Movement of Residents policy required ongoing assessment of residents’ transfer needs by nursing in conjunction with rehabilitation, documentation of transferring and lifting needs in the care plan, and training of direct care staff in the use of mechanical lifting devices, but the resident’s lift and transfer evaluation was not completed until weeks after the fall. Interviews with staff described the expected safe procedure for Hoyer transfers, including a minimum of two staff, verification of correct sling size, one staff operating the lift while the other maintained constant contact and stabilized the resident, opening the lift legs for stability, locking the wheels when raising or lowering the resident, and attaching the sling using the same loops on all sides. The CNAs and administrative nurse interviewed stated that two staff were required for Hoyer transfers and that one staff member should maintain constant contact with the resident in the sling to prevent unnecessary movement. The resident later reported feeling nervous and anxious about using the Hoyer lift after the fall and stated that no staff asked if she was afraid of using it before or after the incident. The administrative nurse acknowledged that there was no transfer assessment performed after the fall until the Significant Change MDS was completed and that the resident was not reassessed for increased anxiety following the incident.
Failure to Follow Care Plan and Report Incident Results in Resident Injury
Penalty
Summary
A deficiency occurred when two certified nurse aides (CNAs) failed to follow a resident's care plan, which required the use of a full-body mechanical lift with two staff for all transfers due to the resident's inability to bear weight and significant cognitive impairment. Instead, the CNAs attempted a stand and pivot transfer from a shower chair to a wheelchair, during which the resident's knees buckled and she was lowered to the floor. The CNAs then attempted to lift the resident from the floor without the mechanical lift, were unsuccessful, and subsequently used the mechanical lift to transfer her to the wheelchair. The incident was not reported to the licensed nurse on duty at the time, and the CNAs only reported that the resident bent her leg and complained of pain during the transfer. The resident, who had diagnoses including age-related osteoporosis and severe cognitive impairment, was dependent on staff for all activities of daily living and was at high risk for falls. Following the unreported incident, the resident began to complain of leg pain, and subsequent assessments by nursing staff revealed swelling and abnormal positioning of the left knee. X-rays later confirmed fractures in both the left femur and right fibula. The delay in accurate reporting and assessment resulted in a delay in appropriate medical intervention and follow-up care for the resident. Multiple staff interviews and witness statements confirmed that the CNAs were aware they had not followed the care plan and actively chose not to report the incident to nursing staff or administration, with one CNA instructing the other to keep the incident secret. Other staff who later learned of the incident also delayed reporting it to administration. The facility's policies required immediate reporting of such events and adherence to care plans, but these were not followed, resulting in neglect and immediate jeopardy to the resident.
Deficiencies in Food Storage and Sanitation Practices
Penalty
Summary
The facility failed to maintain proper food storage and sanitation practices, as evidenced by multiple observations of expired and undated food items. During an initial tour, it was noted that several food items, including salad dressings, pickle relish, and turkey lunch meat, were beyond their safe use dates. Additionally, numerous opened food items lacked open dates, making it impossible to determine their expiration. Dietary staff confirmed these items should have been dated to ensure safe consumption. Further inspection of the kitchen environment revealed significant cleanliness issues. The trash can near the stove was dirty, and the rolling door window used for serving food was covered in dust and grime. The steam table and other kitchen equipment, such as the refrigerator and oven, were found to have accumulations of grime, rust-like discolorations, and sticky substances. The ice machine's drainpipe was improperly placed, lacking a necessary air gap to prevent contamination. The resident snack areas also exhibited poor food management practices. Refrigerators contained undated opened food items, and the freezer had frost accumulation. The fruit bowl had spoiled fruit, and the snack unit contained food debris. Interviews with staff indicated that dietary and housekeeping were responsible for maintaining these areas, yet the facility's policies on labeling and cleanliness were not followed, leading to unsanitary conditions that could contribute to foodborne illness.
Inaccurate Staffing Report Due to Omission of Administrative Nurse's Hours
Penalty
Summary
The facility failed to electronically submit complete and accurate direct care staffing information to the Centers for Medicare and Medicaid Services (CMS) for the 3rd and 4th quarters of 2024. This deficiency was due to the omission of hours worked by an administrative salaried nurse who provided direct care during weekends. The Payroll Based Journal (PBJ) documentation indicated low staffing on weekends, which was inaccurate as the administrative nurse did not clock in when covering for call-ins or open positions. Despite maintaining a nursing direct care staffing level of over 3.1 hours per patient day, the facility's report to CMS did not reflect this due to the exclusion of the administrative nurse's hours. The administrative nurse confirmed that her hours were not included in the PBJ report because she did not use a time clock, and the business office was responsible for submitting the PBJ information. The administrative staff also acknowledged the limitation of the bookkeeping system, which prevented the inclusion of the administrative nurse's direct care hours in the report. Consequently, the corporate office submitted an incomplete PBJ report to CMS, failing to meet the specifications established by CMS for accurate and verifiable staffing data.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Arma
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Medicalodges Frontenac | 6.3 mi | ★★★★★ | 0 | 0 |
| Pittsburg Care And Rehab | 11.1 mi | ★★★★★ | 8 | 0 |
| Via Christi Village Pittsburg | 11.1 mi | ★★★★★ | 0 | 0 |
| Medicalodges Pittsburg | 12 mi | — | 0 | 0 |
| Medicalodges Fort Scott | 19.9 mi | ★★★★★ | 8 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release October 2026) and official state health department websites.