Below average — CMS composite of the measures below.
The next survey window likely opens around April 2027
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 Homestead Health Center during CMS and state inspections, most recent first.
The facility failed to employ a full-time CDM for residents receiving meals from the kitchen. Surveyors could not obtain evidence of a CDM, and staff stated the facility did not have one, with an LPN acting in that role when needed. Staff also reported that three CDMs had left and the facility was advertising for a replacement.
Kitchen Sanitation and Food Handling Deficiencies: The facility failed to maintain sanitary food service practices when refrigerator temp logs were missing, dietary staff wore beard restraints that did not fully cover facial hair, the hand-washing station lacked a foot-activated trash can, and the dishwasher chemical sanitization system needed repair. Staff also did not begin the required three-sink dishwashing process until questioned, and the Dietary Mgr reported the dishwasher was not working properly.
Staff failed to follow infection control practices during resident care, including not cleaning a Hoyer lift between residents and not changing gloves between dirty and clean tasks. A CNA used the same Hoyer lift for another resident without wiping it down, and an LN, CNAs, and restorative aides continued peri-care and other care activities without removing gloves when moving from soiled to clean tasks. Facility policy required hand hygiene, cleaning/disinfection of reusable equipment, and use of gowns and gloves under EBP.
Nonoperational Scale Prevented Resident Weighing. The facility failed to keep the resident weight scale working, and staff reported they were unable to weigh residents while the scale was broken. A CMA attempted to weigh a resident but found the scale still not functioning, and the resident’s EMR lacked several documented weights. An Administrative Nurse stated the scale had been down for weeks and had been sent out for repair, while an Administrative Staff member said attempts to rent a replacement scale were unsuccessful.
A resident with dementia and Parkinson’s disease experienced documented weight loss, but the facility did not document a dietary consult, did not consistently obtain scheduled weights, and did not clearly notify the RD or provider. Staff gave inconsistent accounts of who monitored weights and when weight loss should be addressed, and the resident could not be weighed for weeks because the scale was broken.
Improper Preparation of Pureed Food: A dietary staff member pureed stew for a resident without a pureed-food recipe, used only about one fourth of water, and did not use a measuring device for an accurate amount of fluid. The kitchen recipe book included meat and gravy recipes but no pureed-food recipes, and the DON confirmed the facility did not have recipes for pureed foods. Administrative staff stated kitchen staff were expected to puree food correctly, but no policy for proper pureed diet preparation was provided.
The facility failed to maintain a safe environment, resulting in multiple falls among residents. Care plans were not consistently updated with new interventions following falls, particularly for residents with a history of falls. Additionally, a resident was observed being propelled in a wheelchair without foot pedals, posing a safety risk. Staff interviews revealed inconsistencies in understanding safety protocols, and the facility's policy on managing falls was not effectively implemented.
The facility failed to update care plans for several residents after falls and the implementation of hearing aids, leading to uncommunicated care needs. A resident experienced multiple falls without timely care plan revisions, another slipped on water without subsequent intervention updates, and a third had hearing aids not addressed in their care plan. These deficiencies risked residents' well-being.
A medication cart on the North Unit was found unlocked and unattended, posing a potential risk to 21 residents. A LN was seated with her back to the cart, which contained medications and treatment supplies. The facility's policy requires carts to be locked when not in use, but this was not followed, leading to improper medication storage.
A cognitively intact resident's right to make medical decisions was violated when a family member, not the designated DPOA, signed a DNR order without the resident's consent. Despite the resident's expressed wish to be a full code, the facility failed to follow its policy on advanced directives, leading to a deficiency in respecting the resident's end-of-life care preferences.
A CMA failed to follow infection control protocols by inserting a straw through potentially contaminated plastic film on a supplement shake, which was then given to a resident. The facility's policy required the film to be peeled back or sanitized before straw insertion, but this was not adhered to, leading to a potential contamination risk.
The facility failed to document the declination of the pneumococcal vaccine for two residents. One resident claimed to have received the vaccine previously, but no immunization record was provided, while the other consistently refused vaccinations. Despite these circumstances, the facility could not locate any declination documentation, contrary to its policy requiring such records.
Missing Full-Time Certified Dietary Manager
Penalty
Summary
The facility failed to employ a full-time certified dietary manager for residents who received meals from the facility kitchen. During surveyor review, the facility was unable to provide evidence of a Certified Dietary Manager. Dietary Manager BB stated that the facility did not have a CDM and that License Nurse G acted as the CDM when needed. Administrative Staff A stated that the Registered Dietitian monitored the kitchen and dining area, while Dietary Manager BB oversaw kitchen ordering and attended food meetings. Administrative Staff A also stated that three CDMs had left the facility and that the facility was currently advertising for a CDM. The facility did not provide the requested policy.
Kitchen Sanitation and Food Handling Deficiencies
Penalty
Summary
The facility failed to prepare and serve food under sanitary conditions to prevent potential food borne bacteria. During an initial tour of the main kitchen, refrigerator temperature logs were missing for 05/04/26, 05/05/26, 05/06/26, 05/07/26, 05/09/26, and 05/10/26. Three male dietary staff, including the Dietary Manager, were observed wearing beard guards that did not cover their mustaches. The hand-washing station did not have a foot-activated trash can, and the dishwasher chemical sanitization needed repair. Staff did not use the three-sink sanitation process until asked about their procedure, at which time the three-sink sanitation was started. The Dietary Manager stated the dishwasher was not working properly and that a repairman would be coming that day to fix it. Administrative staff later stated they expected refrigerator temperatures to be documented daily, beard nets to properly cover facial hair, and staff to use the three-step sanitation process on dishes until the dishwasher was fixed correctly. Facility policies required hairnets or beard restraints to keep hair from contacting exposed food and required dishwashing machines to be operated according to manufacturer instructions, with manual washing and sanitizing performed as a three-step process.
Infection Control Lapses During Resident Care
Penalty
Summary
The facility failed to ensure adequate infection control practices related to Enhanced Barrier Precautions, cleaning of a Hoyer lift, and hand hygiene during resident care. On 05/12/26, CNA O and CNA R transferred a resident from a recliner to a wheelchair using a Hoyer lift, and the lift was then placed in a hallway slot without being wiped down. Shortly afterward, CNA P took the same Hoyer lift from the hallway slot and used it for another resident without cleaning it first. The facility policy stated reusable resident-care equipment is to be cleaned and disinfected according to current CDC recommendations, and administrative staff stated the Hoyer lift was expected to be cleaned between residents. On 05/13/26, staff were observed providing care to residents without changing gloves between dirty and clean tasks. An LN and a CNA assisted a resident with getting up, with the CNA washing hands before donning gloves, but then handling items off the floor, moving the trash can, and continuing care without changing gloves. The LN removed a soiled brief and then used body wipes for peri-care while wearing the same gloves. Later that day, two restorative aides applied gowns and gloves before entering another resident’s room and used a Hoyer lift to transfer the resident to bed, but then placed peri-wipes and barrier cream on the bedside table and continued peri-care without removing gloves during the transition from dirty to clean tasks. Staff interviews confirmed they should change gloves between dirty and clean care, and the facility’s hand hygiene and Enhanced Barrier Precautions policies required hand hygiene and use of gowns and gloves during applicable resident care.
Nonoperational Scale Prevented Resident Weighing
Penalty
Summary
The facility failed to keep essential equipment working safely because the scale used to obtain resident weights was not operational. A CMA stated that the CNA obtained residents’ weights monthly and as needed, but when she attempted to weigh Resident 5, she reported the scale had been down and then confirmed it was still broken, so the resident could not be weighed. Review of Resident 5’s EMR showed no documented weights for 04/29/26, 05/06/26, and 05/20/26. An Administrative Nurse stated that all residents use the scale to weigh and that the scale had been down since 04/28/26 and was sent out for repair on 05/04/26, and staff had been unable to weigh any residents since then. An Administrative Staff member stated she had called several places to rent a scale but was unable to obtain one. The facility policy stated the maintenance department is responsible for maintaining buildings, grounds, and equipment in a safe and operable manner at all times.
Failure to Monitor and Address Resident Weight Loss
Penalty
Summary
The facility failed to provide care and services to maintain acceptable nutritional status for a resident with dementia, Parkinson’s disease, hallucinations, and severely impaired cognition. The resident’s care plan identified a potential for nutrition and weight alteration and directed staff to obtain a dietary consult and follow recommendations, but the electronic record lacked documentation of any dietary consult or assessment by the RD. The resident was ordered a regular diet and weekly weights, yet the progress notes did not document weight loss despite later weight entries showing a decline from 156 pounds to 151 pounds and then 149.7 pounds, with alerts for a 5% weight loss in 30 days. The record also showed missed weights on multiple scheduled dates, and staff stated the resident had not been weighed for three weeks because the scale was broken. During observation, the resident was seated in the dining room with his wife, had finished a small cup of fluids, and ate beef stew without difficulty when it arrived. The wife stated she noticed weight loss even though he ate well and liked snacks such as cookies and ice cream. Staff interviews showed inconsistent awareness of the weight loss and inconsistent processes for obtaining, reviewing, and documenting weights. Interviews further showed that the dietary staff, nursing staff, and administrative nurse had different understandings of who obtained weights, who reviewed them, and when the RD or provider should be notified. One dietary staff member stated weight losses were discussed at the Risk Meeting, but he was unaware the resident had lost weight. A nurse stated significant weight loss should prompt reweighing and investigation, while another administrative nurse stated the RD saw new residents on monthly visits and that weight loss should be documented if discussed. The facility also reported the scale had been broken since 04/28/26 and sent out for repair on 05/04/26, and the facility policy required notification of the DON, reweighing, RD referral, and physician and family notification for significant weight change.
Improper Preparation of Pureed Food
Penalty
Summary
Food and drink were not prepared in a palatable, attractive, and safe temperature manner when Dietary Staff CC pureed stew for Resident R33. On 05/13/26 at 11:15 AM, observation showed Dietary Staff CC placing stew into a blender to puree the food for R33. The recipe book available in the kitchen showed how to cook meat and gravy, but it did not include a recipe for pureed food. Dietary Staff CC reported using only about one fourth of water in the stew and stated they did not have a recipe book to follow, and they did not use a measuring device to ensure an accurate amount of fluid. At 11:20 AM, Dietary Manager BB attempted to show recipes for beef and gravy, then stated the kitchen did not have recipes for pureed foods. At 11:30 AM, Administrative Staff A stated she expected kitchen staff to puree the food correctly and confirmed the facility had recipes and staff just needed to use them. The facility did not provide a policy regarding proper food preparation for a pureed diet.
Deficiencies in Fall Prevention and Safety Measures
Penalty
Summary
The facility failed to ensure a safe environment free from accident hazards, particularly concerning falls, for several residents. Resident 21, who had a history of falls and was identified as a high fall risk, experienced multiple falls, some resulting in injuries such as fractures. Despite these incidents, the care plan for Resident 21 was not consistently updated with new interventions following each fall, particularly after a fall on July 1, 2024, which lacked any immediate intervention or care plan update. The facility's failure to revise the care plan after falls increased the risk of further incidents. Resident 20 was observed being propelled in a wheelchair without foot pedals, which posed a safety risk due to the resident's medical conditions, including dementia and osteoporosis. The care plan and physician orders for Resident 20 lacked documentation regarding the use or omission of foot pedals, and no safety assessment was conducted to justify the absence of foot pedals. Staff interviews revealed inconsistencies in understanding the necessity of foot pedals, with some staff unaware of how to access care plans in the electronic health record. Residents 35, 37, and 12 also experienced falls, with care plans lacking timely updates and interventions following these incidents. Resident 35 had an unwitnessed fall due to slipping on water, but the care plan was not updated with new interventions. Resident 37, who had a history of falls, continued to fall without adequate care plan revisions to address the causal factors. Similarly, Resident 12 experienced multiple falls, with care plans not promptly updated to include preventive measures. The facility's policy on managing falls and fall risks was not effectively implemented, leading to ongoing safety hazards for these residents.
Failure to Update Care Plans After Falls and Hearing Aid Implementation
Penalty
Summary
The facility failed to accurately revise the care plans of several residents following incidents of falls and other care needs, leading to uncommunicated care needs and potential risks to residents' well-being. Resident 37 experienced multiple falls, including both minor injury and non-injury falls, yet the care plan lacked timely updates and interventions related to the causal factors of these falls. Despite having a history of falls and injury, the care plan was not revised promptly after each incident, leaving gaps in the fall prevention strategies. Resident 35 also experienced an unwitnessed fall after slipping on water in her room, but the care plan was not updated with any fall prevention interventions following this incident. Similarly, Resident 12 had multiple falls and near falls, yet the care plan lacked interventions related to the causal factors of these falls. The facility's failure to update the care plans in a timely manner after these events placed the residents at risk for uncommunicated care needs. Additionally, Resident 9's care plan did not address the use of bilateral hearing aids, despite the resident having been fitted for them and requiring assistance with their use. The facility's policies required care plans to be updated with measurable objectives and timetables to meet residents' needs, but these were not adhered to, resulting in deficiencies in the care provided to the residents.
Unattended Unlocked Medication Cart
Penalty
Summary
The facility failed to ensure that one of two medication carts observed was locked while unattended, which had the potential to affect 21 residents on the North Unit. During an observation, an unlocked medication cart was found on the North Unit, with a Licensed Nurse (LN) seated behind the nurse's station desk, her back turned to the cart. The cart, containing medications and treatment supplies, was positioned outside the nurse's station, and its drawer was opened without the LN noticing. Upon interview, the LN confirmed that the cart should not have been left unlocked. Another interview with an Administrative Nurse confirmed that the medication/treatment cart should be locked at all times when not in use. The facility's policy, dated April 2007, stated that medication carts must be secured during medication passes and locked at all times when out of the Certified Medication Aide or Nurse's view. The policy also required that when not in use, the cart must be locked and parked at the nurses' station or inside the medication room. The failure to adhere to this policy resulted in improper storage of medications, posing a potential risk to the residents.
Failure to Honor Resident's Right to Make Medical Decisions
Penalty
Summary
The facility failed to honor a resident's right to make their own medical decisions by allowing a family member, who was not the designated durable power of attorney (DPOA), to sign a Do Not Resuscitate (DNR) order on behalf of a cognitively intact resident. The resident, who had a Brief Interview for Mental Status (BIMS) score indicating intact cognition, was not consulted about the DNR order, and the family member who signed it was not legally authorized to do so. This oversight occurred despite the resident being present during the signing and having expressed a desire to be a full code, as documented in a hospital note. The facility's policy on advanced directives requires that residents be provided with information about their rights to accept or refuse medical treatment and to formulate an advanced directive. However, in this case, the policy was not followed, as the resident's wishes were not properly documented or respected. The administrative nurse and the licensed bachelor social worker involved confirmed the error, acknowledging that the resident should have signed her own DNR and that the family member who signed was not the DPOA. This deficiency had the potential to lead to uncommunicated needs regarding end-of-life care.
Infection Control Breach with Supplement Shake
Penalty
Summary
The facility failed to maintain effective infection control measures when a Certified Medication Aide (CMA) poked a straw through a potentially contaminated plastic film on the top of a cup containing a house supplement shake. This incident occurred after the CMA knocked over the cup, which contained an unknown liquid, on the medication cart. The CMA then picked up the cup, removed a straw from its paper wrapper, and inserted it through the plastic film before assisting a resident in drinking approximately half of the liquid. The CMA later identified the liquid as a house supplement nutritional shake and acknowledged that the straw was inserted through the potentially contaminated plastic film. The Administrative Nurse confirmed that the facility's expectation was for staff to peel back the plastic film before inserting a straw due to infection control concerns, as the film could be contaminated during transport. Alternatively, the film could have been sanitized with an isopropyl alcohol pad prior to straw insertion. The facility's policy on Monitoring Compliance with Infection Control, dated April 2024, required staff to adhere to infection prevention processes, which were not followed in this instance.
Failure to Document Pneumococcal Vaccine Declination
Penalty
Summary
The facility failed to provide the pneumococcal vaccine declination form for two residents, identified as R37 and R38, during a review of the Electronic Health Record (EHR) and the 2023-2024 binder containing consents and declinations. Administrative Nurse B reported that R37 claimed to have received the pneumococcal vaccine in the past and did not require another, but no immunization record was provided by R37's family. R38 consistently refused any vaccinations offered. Despite these circumstances, the facility could not locate any documentation of vaccine declination for these residents, as confirmed by Administrative Nurse B. The facility's policy, dated 10/2022, required documentation of vaccine refusal in the resident's medical record, which was not adhered to in these cases.
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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 Wichita
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Medicalodges Wichita | 2.3 mi | ★★★★★ | 21 | 0 |
| Ascension Living Via Christi Village Mclean | 3 mi | ★★★★★ | 14 | 0 |
| Mount St Mary | 3.7 mi | ★★★★★ | 0 | 0 |
| Meridian Rehabilitation And Health Care Center | 3.9 mi | ★★★★★ | 27 | 0 |
| Lincoln Care And Rehab | 3.9 mi | ★★★★★ | 0 | 0 |
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