Below 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 Kenwood View Healthcare And Rehabilitation Center during CMS and state inspections, most recent first.
A facility failed to store and label medications properly, risking medication errors. A medication cart was found with cups containing pills labeled with residents' names. An LN admitted to pre-preparing medications, contrary to professional standards. An Administrative Nurse confirmed that medications should not be removed from packaging without proper labeling and should be prepared at the time of delivery. The facility's policy mandates administration by licensed staff to prevent contamination or infection.
The facility failed to maintain sanitary conditions for ice handling, allowing residents to contaminate the ice machine, and did not implement Enhanced Barrier Precautions (EBP) for residents with indwelling urinary catheters. CNAs provided catheter care without gowns, contrary to the facility's EBP policy, risking the spread of infections.
A long-term care facility failed to provide consistent bathing for five residents, leading to hygiene issues and dissatisfaction among residents. Despite documented needs for assistance with ADLs, the facility's shower schedule was not followed, resulting in residents having greasy hair and distinct odors. Staff interviews confirmed the inconsistency, with some shifts unable to complete scheduled showers. The facility's policy emphasized proper hygiene, but the practice did not meet these standards.
A resident with multiple diagnoses, including paraplegia and traumatic brain injury, experienced verbal abuse and mistreatment by a CNA during a routine care session. The CNA yelled at the resident, pointed his finger in her face, and pulled her call light out of the wall. The incident was reported by another CNA, but the facility failed to follow its policy on abuse, neglect, and exploitation, as the abusive CNA was not immediately removed, and the incident was not promptly reported to administrative staff.
Improper Medication Storage and Labeling
Penalty
Summary
The facility failed to store and label medications in accordance with professional standards of practice, which placed residents at risk of medication errors. During an initial tour, a medication cart was observed with six medication cups containing numerous pills, each labeled with various residents' names. A Licensed Nurse (LN) admitted to placing the medications in the cups for administration and stated she would recheck them when delivering the medication to the residents. An Administrative Nurse later confirmed that medications should not be removed from their packaging and stored without proper labeling and dosing instructions, and should only be prepared at the time of delivery to the residents. The facility's Medication Administration policy requires that medications be administered by licensed nurses or authorized staff as ordered by the physician and in a manner that prevents contamination or infection.
Infection Control Deficiencies in Ice Handling and EBP Implementation
Penalty
Summary
The facility failed to maintain ice in a sanitary manner, as observed in the dining room where residents accessed the ice machine without supervision. On two separate occasions, residents used the ice scoop to fill their used drinking containers directly over the ice bin, resulting in potential contamination of the ice. The facility's policy required that the ice machine be accessed by staff only, and it was expected to be locked when not in use. However, the ice machine was left unlocked, allowing residents to contaminate the ice, which posed a risk of infectious disease transmission to other residents who consumed the ice. Additionally, the facility did not implement Enhanced Barrier Precautions (EBP) for residents with indwelling urinary catheters, specifically for two residents who required such precautions. Certified Nurse Aides (CNAs) were observed providing catheter care without donning gowns, which was against the facility's EBP policy. The policy required the use of gowns and gloves during high-contact care activities for residents at risk of multi-drug resistant organism (MDRO) acquisition. The failure to adhere to these precautions placed the residents at risk of contracting or spreading infectious processes.
Inconsistent Bathing Practices in LTC Facility
Penalty
Summary
The facility failed to provide consistent bathing and showering for five residents, leading to a deficiency in care. The residents, identified as R1, R2, R3, R4, and R5, were observed to have greasy hair and distinct odors, indicating a lack of proper hygiene care. Each resident's electronic medical record (EMR) and care plans documented their need for substantial or maximum assistance with activities of daily living (ADLs), including bathing. However, the facility's shower schedule was not adhered to, as evidenced by the limited number of showers recorded in the EMR Task tab for each resident over a month-long period. The residents had various medical conditions that necessitated regular bathing to prevent skin issues and maintain dignity. R1 had a below-the-knee amputation, diabetes mellitus, and major depression, among other conditions, and was dependent on staff for all ADLs except eating. R2 had metabolic encephalopathy, end-stage renal disease, and a right humerus fracture, requiring maximum assistance for most ADLs. R3, R4, and R5 also had significant medical needs, including risks for pressure ulcers and incontinence, which required consistent hygiene care to prevent further health complications. Interviews with the residents revealed their dissatisfaction with the bathing schedule, expressing feelings of uncleanliness and discomfort due to infrequent showers. Staff interviews confirmed the issue, with a CNA admitting that showers were often not completed during the day shift and were left for the evening shift. An administrative nurse acknowledged the problem as facility-wide, while another administrative staff member believed the issue was related to improper charting rather than a lack of care. The facility's policy on resident showers emphasized the importance of maintaining proper hygiene, but the practice did not align with this policy, resulting in the identified deficiency.
Failure to Protect Resident from Verbal Abuse by Staff
Penalty
Summary
The facility failed to ensure that a resident remained free from verbal abuse and mistreatment by staff. The incident involved a resident with diagnoses of paraplegia, traumatic brain injury, major depressive disorder, and seizures, who was dependent on staff for all activities of daily living (ADL). During a routine care session, the resident's arm got caught under her, causing her to yell out in pain. Following this, one of the Certified Nurse Aides (CNA) involved in the care session verbally abused the resident, yelled at her, and pointed his finger in her face. The CNA also pulled the resident's call light out of the wall and told her not to call again before leaving the room. This incident was witnessed by another CNA who reported it to a Licensed Nurse (LN). The LN documented the incident and reported it to the administrative nurse the following morning. The administrative nurse initiated an investigation, during which the resident expressed that she was upset with the CNA but not afraid because the CNA no longer worked at the facility. The facility's policy on abuse, neglect, and exploitation was not followed, as the CNA was not immediately removed from the facility, and the incident was not reported to administrative staff in a timely manner. The facility's failure to ensure the resident remained free from abuse and mistreatment placed the resident at risk for fear, intimidation, and neglect.
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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 Salina
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Legacy At Salina | 0.5 mi | ★★★★★ | 27 | 0 |
| Smoky Hill Rehabilitation Center | 0.8 mi | ★★★★★ | 5 | 1 |
| Salina Presbyterian Manor | 1.7 mi | ★★★★★ | 7 | 3 |
| Holiday Resort Of Salina | 2.1 mi | ★★★★★ | 18 | 0 |
| Pinnacle Park Nursing & Rehab Center | 3.4 mi | ★★★★★ | 0 | 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.