Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
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 Fowler Residential Care during CMS and state inspections, most recent first.
Surveyors found that food items in the kitchen and storage areas were not properly sealed, labeled, or dated, and a cutting board with uncleanable surfaces was in use. The Dietary Manager confirmed that these practices did not meet facility policy, which requires all products to be labeled with the date of receipt and rotated appropriately.
Two residents who were discharged from skilled services but remained in the facility did not receive the required SNF ABN form, receiving only the NOMNC form instead. Administrative staff were unaware that both forms were necessary, resulting in incomplete notification of coverage and potential liability for non-covered services.
A cognitively impaired resident with a known history of elopement left the facility unsupervised and without staff knowledge. The resident used a hammer to remove window braces, crawled out of the window, and was picked up by a family member who drove him out of state. The facility's failure to supervise the resident, who had expressed a desire to leave and had a history of elopement, placed the resident in immediate jeopardy.
Failure to Store and Label Food Items Properly in Kitchen and Storage Areas
Penalty
Summary
Surveyors observed that the facility failed to store, prepare, and serve food in accordance with professional standards, which could lead to possible food-borne illness among residents. During a tour of the kitchen and refrigerator storage areas, one unsealed bag of broccoli and a container of ranch dressing were found in the refrigerator, and several items in the freezer, including a sealed bag of onion rings and multiple bags of buns, were found without dates or labels. Additionally, a cutting board with uncleanable, discolored surfaces and deep slices was identified. The Dietary Manager confirmed that staff are expected to date opened food items and acknowledged that the identified issues with undated, unsealed, and improperly stored items were unacceptable. The facility's policy requires all products to be clearly labeled with the date of receipt and rotated to use the oldest products first, but these procedures were not followed.
Failure to Provide Required Beneficiary Protection Notification Forms
Penalty
Summary
The facility failed to provide the correct and complete Beneficiary Protection Notification forms to two residents who were being discharged from skilled services but remained in the facility. Specifically, both residents did not receive the required Skilled Nursing Facility Advance Beneficiary Notice of Non-Coverage (SNF ABN) form, which is necessary when skilled services are ending and the resident continues to reside in the facility. Instead, only the Notification of Medicare Non-Coverage (NOMNC) form was provided and signed for both residents. Administrative staff confirmed a lack of awareness regarding the requirement to issue both forms, stating that only the NOMNC was given because it was easier for residents to understand. Facility policy requires that residents be informed in writing of their rights and any changes in services or charges, but this was not followed in these cases. The deficiency was identified through record review and staff interview, with documentation showing the omission of the SNF ABN form for both affected residents.
Failure to Prevent Elopement of Cognitively Impaired Resident
Penalty
Summary
The facility failed to provide adequate supervision to prevent a cognitively impaired resident, identified as an elopement risk with a known history of elopement, from leaving the facility unsupervised and without staff knowledge. The resident, who had a diagnosis of dementia and moderate cognitive impairment, was last seen by staff between 10:00 PM and 11:00 PM. At around 03:00 AM, staff discovered the resident was missing, and it was later found that the resident had used a hammer to remove window braces, crawled out of the window, and was picked up by a family member who drove him out of state. The resident was located over five hours away in another state with his sibling. The facility's failure to supervise the resident, who had expressed a desire to leave and had a history of elopement, placed the resident in immediate jeopardy. The resident's care plan, dated 09/26/23, lacked interventions regarding wandering/elopement, supervision, and visual checks. The care plan was updated on 04/23/24, after the resident had already left the facility, to include supervision and visual checks every 30 minutes. The elopement assessments conducted on various dates indicated that the resident was at risk for elopement, with scores reflecting severe cognitive impairment and a history of attempting to leave the facility. Despite these assessments, the facility did not implement adequate measures to prevent the resident from eloping. Interviews with facility staff revealed that the staff did not follow the elopement policy, which required hourly checks on residents at risk for elopement. The facility's elopement policy, dated 02/02/17, aimed to ensure the safety of residents identified as being at risk for elopement by providing special secure living areas and additional security measures. However, the staff failed to adhere to this policy, resulting in the resident's unsupervised departure from the facility. The facility's lack of supervision and failure to follow established protocols led to the resident's elopement and subsequent immediate jeopardy situation.
Removal Plan
- Mandatory all staff review of elopement policy and online education prior to shift work confirmed by sign-in sheet and verification on online education program. Sign in and completion rosters included.
- Counseling along with disciplinary action on staff involvement with the follow up with the Director of Nursing (DON) to assure compliance.
- Room was searched and R1's belonging searched R1 for any additional tools.
- The window cranks in areas where R1 spends time were replaced and window braces were repaired and secured by maintenance staff. Staff education regarding window repairs, cranks, and tool removal.
- Resident on visual checks every 15 minutes upon returning to the facility until reassessment by Director of Nursing. R1 will have visual checks every 30 minutes until the next mental health visit which will result in an evaluation of frequency of visual checks. Visual checks will be monitored on the facility electronic charting, via tasks, program.
- Licensed Nurse meeting held to discuss elopement assessment values.
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What surveyors actually found near you
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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 Fowler
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Meade District Hosp Ltcu Dba Lone Tree Retirement | 10.1 mi | ★★★★★ | 22 | 0 |
| Minneola District Hospital Ltcu | 10.7 mi | ★★★★★ | 0 | 0 |
| Bethel Home | 20 mi | ★★★★★ | 0 | 0 |
| Sunporch Of Dodge City | 26 mi | ★★★★★ | 1 | 0 |
| Kansas Soldiers Home | 27.5 mi | ★★★★★ | 5 | 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.