Average — CMS composite of the measures below.
A standard survey is most likely before around December 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Chase County Care And Rehab during CMS and state inspections, most recent first.
Surveyors found unsanitary conditions in the kitchen food prep and dry storage areas, including a stainless-steel prep table with rust and peeling paint, missing trim/door facing exposing unsealed sheetrock, and four broken floor tiles. Dietary staff confirmed the surfaces needed maintenance and were not sanitizable, which was inconsistent with the facility’s sanitation policy for keeping food service areas clean and in good repair.
Unsafe Environmental Conditions in Utility, Laundry, and Storage Areas: The facility had damaged walls, ceilings, and light fixtures in multiple utility and laundry areas, including clean utility closets, clean linen storage, the washer/dryer room, and an oxygen storage closet. Observations found exposed wood, flaking sheetrock, cracked or missing light covers, dust accumulation, and a dirty open vent. Staff, including the ADM, maintenance, and housekeeping, stated they were unaware of several of the issues, and the facility policy required maintenance work orders to be tracked through TELS or the nurses' station file basket.
Unsafe and Poorly Maintained Resident Environment: A facility failed to maintain a safe, clean, comfortable, and homelike environment in resident rooms and care areas. Observations found peeling and water-stained ceilings, chipped and missing wall paint, exposed wires from a damaged light cover, holes and scraped surfaces on bathroom doors and frames, missing shower tiles and caulking, dirty and rusty ceiling vents, and damaged therapy room ceilings. Maintenance and admin staff stated these conditions were environmental concerns, but they were unaware of several of the observed issues.
A resident with a dx of pain and moderately impaired cognition had scheduled opioid pain meds, reported pain rated 7/10, and had pain that occasionally affected sleep and day-to-day activities. The MDS and Pain CAA documented chronic knee pain and no non-pharmacologic pain interventions attempted, but the care plan lacked non-pharmacologic pain interventions.
Infection control practices were not properly followed for a resident with a urinary catheter and EBP signage on the room door. The catheter bag and tubing were observed resting on the floor, and a CNA provided care and changed wet linens using gloves only instead of the gown-and-gloves PPE indicated for all cares. An admin nurse confirmed the tubing and bag should not be on the floor and that gown and gloves should be used with care of residents with implanted medical devices.
Failure to post accurate daily staffing information. The facility did not display publicly accessible staffing sheets with the actual nursing hours worked for its census of 35 residents. Review of the Daily Staffing Sheets showed the actual hours worked were left blank, and an Administrative Nurse confirmed the omission. Facility policy required shift staffing information to be recorded and posted each shift, including the total and actual hours worked by staff directly responsible for resident care.
The facility did not conduct reference checks for five employees hired within the past year, violating their Abuse Prevention Program policy. This policy requires pre-employment screening to include employment history and information from former employers. The personnel files for four CNAs and one housekeeping staff lacked documentation of reference checks, confirmed by Administrative Staff A.
Unsanitary Kitchen Surfaces and Storage Area Conditions
Penalty
Summary
The facility failed to store and prepare food under sanitary conditions in one kitchen. During a kitchen tour with Dietary Staff BB, surveyors observed a stainless-steel food preparation table countertop with rust and peeling paint, missing trim/door facing on one side of the kitchen door exiting the dry food storage room that exposed an unsealed sheetrock surface, and four broken floor tiles in the dry food storage area. Dietary Staff BB confirmed the findings and agreed the surfaces needed maintenance and were not sanitizable. The facility policy on sanitation stated that the food service area shall be maintained in a clean and sanitary manner and that utensils, counters, shelves, and equipment shall be kept clean, maintained in good repair, and free from breaks, corrosion, open seams, cracks, and chipped areas that may affect their use or proper cleaning.
Unsafe Environmental Conditions in Utility, Laundry, and Storage Areas
Penalty
Summary
The facility failed to ensure a safe environment in areas used by residents, staff, and the public. During observations, the clean utility closet on hall one had torn and missing wallpaper on the end of a storage shelf with exposed wood, and the fluorescent light cover was missing a piece that exposed the bulbs. The clean utility closet on hall two had numerous holes in the walls with exposed and flaking sheetrock, and its fluorescent light cover was cracked with a broken area. In the clean linen storage and folding area, the ceiling had numerous cracks and flaking paint, the attic access door had missed paint, the framing around the access door had exposed wood, and one fluorescent light was missing a cover. Additional observations showed the washer and dryer room ceiling had missing paint and several holes, with dust on the ceiling, ceiling fan, washers, dryers, and a dirty window air-conditioning unit behind the dryers; an attic fan vent above the washers was open and dirty. The oxygen storage closet on hall three had no cover over the closet light fixture. Administrative Staff A and Maintenance U stated they were unaware of the broken light fixtures and wall damage in the utility closets. Housekeeping V stated she was unaware of the ceiling damage and missing light cover in the clean laundry storage room. Maintenance U stated he performed weekly equipment checks and bi-weekly environmental checks, received requests through TELS, and was unaware of the ceiling damage in the laundry area and therapy department. Administrative Staff A stated damaged walls and ceilings, including broken light covers, were environmental concerns, and the facility policy required maintenance work orders to be maintained and picked up daily or noted daily in TELS.
Unsafe and Poorly Maintained Resident Environment
Penalty
Summary
The facility failed to ensure a safe, clean, comfortable, and homelike environment in resident rooms and common care areas. During observations, R1’s room had an approximately five-inch area of peeling paint on the ceiling next to the fluorescent room light with a large water stain around the peeled area. R2’s room had a large scuffed area on the wall next to the bed with paint rubbed off, the end of the fluorescent ceiling light had a bent metal cover with exposed wires, the wall behind the television had multiple areas of chipped paint, and the bathroom door had multiple scraped areas and several holes. R5’s room had multiple wall areas with missing paint exposing sheetrock, holes in the walls exposing sheetrock, and a bathroom door frame with scraped and splintered areas. Additional observations showed the hall shower room had missing tiles around the shower drain, missing caulking around the shower floor, missing and hanging trim around the shower ceiling, and a gap on one side of the light switch cover. Numerous ceiling vents in multiple halls were dirty and rusty. The therapy department ceiling had flaked areas exposing sheetrock, an area that was separating, and numerous water-stained areas. Maintenance staff stated he performed weekly equipment checks and bi-weekly environmental checks and received requests through TELS, but was unaware of the ceiling damage in R1’s room. Administrative staff stated staff were expected to report maintenance or environmental concerns through TELS and that damaged walls, ceilings, and broken light covers were environmental concerns, but she was unaware of the damage in R1’s, R2’s, and R5’s rooms.
Care Plan Lacked Non-Pharmacologic Pain Interventions
Penalty
Summary
The facility failed to review and revise the care plan for Resident 16 to include non-pharmacological interventions for pain. Resident 16’s EMR documented a diagnosis of pain, and the Annual MDS dated [DATE] showed a BIMS score of 12, indicating moderately impaired cognition. The assessment also documented scheduled pain medications, no non-pharmacologic pain interventions attempted, and that the resident reported pain in the past five days as seven on a one to 10 scale, with pain frequently occasionally affecting sleep and day-to-day activities. The resident received opioid medication during the assessment period. The Pain CAA dated 10/29/24 documented chronic knee pain and scheduled opioid medications. The Quarterly MDS dated [DATE] documented a BIMS score of 11, scheduled pain medications with no non-pharmacologic pain interventions attempted, and opioid pain medication use during the assessment period. The resident’s care plan, revised 02/05/25, lacked non-pharmacologic pain interventions. On 09/11/25 at 10:03 AM, the Administrative Nurse stated the expectation was for the care plan to include non-pharmacologic interventions for pain. The facility policy for Pain Clinical Protocols and Guidelines, revised 04/2025, stated the facility shall identify appropriate non-pharmacologic interventions to be added to the care plan for residents who require pain management.
Infection Control Lapses With Urinary Catheter Care
Penalty
Summary
The facility failed to implement adequate and acceptable infection control practices for two residents with urinary catheters. For one resident, the urinary catheter dignity bag was observed resting on the floor while attached to the foot of the bed, and the catheter bag and tubing were again observed resting on the floor the next morning. During care, a CNA repositioned the resident and changed wet linens while wearing gloves only, despite Enhanced Barrier Precautions signage on the room door indicating that gloves and gown PPE were to be used for all cares. During interview, the CNA stated that urinary catheter collection bags and tubing should never rest or drag on the floor and confirmed that a gown and gloves should have been used when providing care, but only gloves were worn. An Administrative Nurse stated that urinary catheter tubing and bags should not be on the floor, that dignity bags protect the collection bag when it rests on the floor, and that gowns and gloves should be used with care of a resident who has any implanted medical device, including urinary catheters. The facility policy for indwelling urinary catheters stated that catheter tubing and drainage bags were to be kept off the floor.
Failure to Post Accurate Daily Staffing Hours
Penalty
Summary
The facility failed to display accurate, publicly accessible staffing information that included the number of actual nursing hours worked on a daily basis for the 35 residents who resided in the facility. Review of the facility’s Daily Staffing Sheets from 08/16/25 through 09/09/25 showed that the actual hours worked had not been completed on the daily staffing sheets. On 09/10/25 at 12:53 PM, Administrative Nurse D confirmed that the Daily Staffing Sheets lacked the actual nursing hours worked. The facility policy for Posting Direct Care Daily Staffing Numbers, revised 11/2023, stated that shift staffing information shall be recorded and posted for each shift and include the total number and actual number of hours worked by staff directly responsible for resident care.
Failure to Conduct Employee Reference Checks
Penalty
Summary
The facility failed to conduct reference checks for five employees hired within the past year, as required by their Abuse Prevention Program policy. This policy mandates pre-employment screening to include employment history, information from former employers, and documentation of status and any disciplinary actions from licensing or registration boards or registries. The personnel files for five staff members, including four Certified Nurse Aides and one housekeeping staff, lacked documentation of reference checks. This deficiency was confirmed during an interview with Administrative Staff A, who acknowledged the absence of reference check documentation.
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What surveyors actually found near you
We read the 16 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
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 Cottonwood Falls
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Emporia Presbyterian Manor | 17.9 mi | ★★★★★ | 16 | 0 |
| Flint Hills Care And Rehabilitation Center | 18.1 mi | ★★★★★ | 0 | 0 |
| Holiday Resort | 18.2 mi | — | 0 | 0 |
| Diversicare Of Council Grove | 20.5 mi | ★★★★★ | 0 | 0 |
| St Luke Living Center | 25.6 mi | ★★★★★ | 19 | 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 July 2026) and official state health department websites.