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 Medicalodges Kinsley during CMS and state inspections, most recent first.
The facility failed to protect residents from all forms of abuse and neglect, including physical, mental, and sexual abuse, as well as physical punishment, by any individual.
The facility did not promptly report suspected abuse, neglect, or theft, nor did it communicate the results of its investigation to the proper authorities as required.
A resident with a history of incisional hernia and osteoarthritis experienced severe pain that was not effectively managed by the facility. Despite repeated complaints and documentation of ineffective pain relief, the facility failed to reassess and update the resident's care plan. Poor communication between staff and healthcare providers contributed to the deficiency, placing the resident in immediate jeopardy and leading to their death.
The facility failed to submit complete and accurate staffing information to CMS for FY 2024 Q1. The PBJ report showed missing 24-hour Licensed Nursing Coverage on specific dates. Documentation was available for most dates except for one, where eight consecutive hours of RN coverage were lacking. Administrative Staff A confirmed the absence and noted the Director of Nursing could count as RN coverage if the census was below 60. The facility also did not provide a PBJ reporting policy when requested.
A facility failed to provide accurate Beneficiary Protection Notification forms to a resident. The SNFABN had incorrect dates and lacked the resident's signature, with a family member signing instead. No NOMNC was issued upon the resident's discharge from therapy. Administrative staff confirmed the discrepancies, and the facility did not provide a policy for Medicare notices.
Two residents experienced significant declines in their conditions, including ambulation and ADLs, but the facility failed to conduct necessary assessments. Despite observations and staff reports indicating these changes, the MDS did not reflect the residents' deteriorating conditions, leading to a deficiency in care.
A resident with dementia and severely impaired cognition was observed with a healing abrasion on the right elbow, but the facility failed to complete weekly skin assessments as required. The resident's care plan included skin inspections during daily care, yet no recent skin notes or progress notes were found in the EHR. Interviews revealed that the charge nurse was responsible for weekly skin condition notes, but this was not documented in the EHR, leading to uncommunicated needs.
A resident with atrioventricular block did not receive vericiguat for 70 days due to medication unavailability and cost issues. The facility failed to notify the physician, and the consultant pharmacist did not identify the missed doses due to a misinterpretation of the MAR and lack of review of progress notes.
The facility failed to maintain sanitary conditions in the kitchen and food storage areas, leading to potential food-borne illness risks. Observations revealed improperly stored and unlabeled food items, lack of foot-operated trash cans, and unsanitary practices by dietary staff. The kitchen environment was also found to be unsanitary, with black debris in ovens and grease on air vents. These deficiencies were confirmed by the Dietary Manager and Administrative Staff.
Failure to Protect Residents from Abuse and Neglect
Penalty
Summary
A deficiency was identified regarding the facility's failure to protect each resident from all types of abuse, including physical, mental, sexual abuse, physical punishment, and neglect by any individual. The report notes that residents were not adequately safeguarded from these forms of mistreatment, indicating lapses in the facility's responsibility to ensure resident safety and well-being. No specific details about the residents involved, their medical history, or their condition at the time of the deficiency are provided in the report.
Failure to Timely Report Suspected Abuse, Neglect, or Theft
Penalty
Summary
The facility failed to timely report suspected abuse, neglect, or theft and did not report the results of the investigation to the proper authorities. This deficiency was identified based on the facility's actions or inactions regarding the reporting process, as required by regulations. The report indicates that there was a delay or failure in notifying the appropriate authorities about the suspected incident and in communicating the outcome of the internal investigation.
Inadequate Pain Management and Communication Failure
Penalty
Summary
The facility failed to provide adequate pain management for a resident, identified as R74, who had a history of incisional hernia and osteoarthritis. Despite repeated complaints of severe pain, the facility did not assess the resident's pain effectively or take appropriate action to manage it. The resident's electronic health record indicated moderate cognitive impairment and occasional pain affecting sleep, but the facility's care plan and physician orders were insufficient to address the resident's escalating pain levels. The resident's pain was documented as ineffective on several occasions, yet no adjustments were made to the pain management plan. Communication between the facility's staff and healthcare providers was inadequate, as evidenced by the lack of follow-up on the resident's complaints and the absence of new orders to address the pain. Progress notes revealed that the resident experienced significant distress, including yelling and agitation, without relief from the administered acetaminophen. Despite multiple notifications to the provider about the resident's condition, there was no effective response to manage the pain, and the resident's condition deteriorated. The facility's policy on pain management was not followed, as there was no systematic approach to reassessing and updating the resident's care plan in response to the decline in pain management effectiveness. The lack of communication and failure to address the resident's pain placed the resident in immediate jeopardy, ultimately leading to the resident's death. The facility's inaction and poor communication contributed to the resident's suffering and the deficiency identified by the surveyors.
Removal Plan
- Residents will have a pain assessment including assessment of areas identified completed with physician intervention if appropriate and the care plan updated.
- Pain assessed every shift by licensing nursing with staff interventions if applicable.
- Immediate Quality Assurance and Performance Improvement (QAPI) meeting held with the Medical Director, Administrative Staff A and Administrative Nurse B completed.
- License staff will receive education on pain assessment including assessment of areas identified with pharmacological and non-pharmacological interventions and verbal notification.
- Administrative Nurse B or designee will audit pain goals and reported pain with interventions through clinical excellence.
- Physician and responsible party are to be notified and documentation of the need to change pain management interventions and plan of care.
- Results of audits findings will be reviewed during QAPI meeting monthly.
Incomplete Staffing Information Submission
Penalty
Summary
The facility failed to submit complete and accurate staffing information to the federal regulatory agency through Payroll Based Journaling (PBJ) for Fiscal Year 2024 Quarter 1. The PBJ report from CMS indicated that the facility did not maintain Licensed Nursing Coverage 24 hours a day on specific dates, including 10/01/24, 10/04/24, 11/23/24, and 12/31/24. Upon review, it was found that the facility had documentation of RN and LN hours for most of these dates, except for 10/01/24, where there was a lack of eight consecutive hours of RN coverage. Administrative Staff A confirmed that the Director of Nursing could count as RN coverage if the census was below 60 residents, and acknowledged the absence of eight consecutive hours of RN coverage on 10/01/24. Additionally, the facility did not provide a policy regarding PBJ reporting when requested.
Failure to Issue Accurate Beneficiary Protection Notifications
Penalty
Summary
The facility failed to issue accurate and complete Beneficiary Protection Notification forms to a resident, identified as R16. During a review of the Skilled Nursing Facility Advance Beneficiary Notice of Non-Coverage Form (SNFABN) and the Notification of Medicare Non-Coverage Form (NOMNC), it was found that the SNFABN contained incorrect dates and lacked the signature of R16, who was cognitively intact. Instead, a family member signed the form. Additionally, there was no NOMNC issued for R16 when discharged from therapy. Administrative Staff A confirmed that R16 started therapy on June 6, 2024, and the last covered day was June 27, 2024. However, the SNFABN was incorrectly dated from July 22, 2024, for out-of-pocket payment, and was signed by a family member on July 16, 2024. The facility did not provide a policy for Medicare Advance Beneficiary and Medicare Non-Coverage Notices when requested, and the previous Social Service Designee, who had issues completing the required paperwork, was no longer employed at the facility.
Failure to Identify and Assess Significant Changes in Residents' Conditions
Penalty
Summary
The facility failed to identify and assess significant changes in condition for two residents, leading to a deficiency in care. Resident 19, diagnosed with dementia, experienced a decline in ambulation, toileting hygiene, transfers, bed mobility, and dressing. Despite these changes, the facility did not complete a significant change assessment. Observations and interviews revealed that Resident 19 had increased confusion, required more assistance with activities of daily living (ADLs), and had an unsteady gait, yet these changes were not adequately documented or addressed in the Minimum Data Set (MDS). Resident 11, who had a history of repeated falls, fatigue, weakness, and congestive heart failure, also experienced a decline in ambulation, toileting hygiene, transfers, bed mobility, and personal hygiene. The facility did not conduct a significant change assessment despite Resident 11's increased dependence on staff for ADLs and the need for a mechanical lift for transfers. Interviews with staff and family members confirmed the resident's decline, but the MDS did not reflect these changes. The failure to identify and assess these significant changes in condition for both residents had the potential to lead to uncommunicated needs, negatively impacting their physical, mental, and psychosocial well-being. The facility's inaction in completing timely assessments and updating care plans contributed to this deficiency, as evidenced by the discrepancies between staff observations and the documented MDS assessments.
Failure to Complete Weekly Skin Assessment
Penalty
Summary
The facility failed to complete a weekly skin assessment for a resident with a dressing on his right elbow. The resident, who has a diagnosis of dementia and severely impaired cognition, was observed with a healing abrasion on the right elbow, but there were no recent skin notes or progress notes in the Electronic Health Record (EHR) regarding the dressing. The resident's care plan included an intervention to inspect the skin during bathing and daily care, but the facility did not have any physician orders for wound care for this resident. The last documented skin wound assessment was on 10/17/24, and no further assessments were recorded from 10/18/24 through 11/18/24. Interviews with facility staff revealed that the charge nurse was responsible for completing weekly skin condition notes, but the resident's treatment administration record in the EHR did not include this requirement. A handwritten assignment sheet was used for nurses to track skin note schedules, but agency nurses did not consistently refer to it. The facility's policy required licensed nurses to conduct weekly skin assessments and document findings in the EHR, but this was not adhered to, leading to uncommunicated needs that could negatively impact the resident's well-being.
Failure to Administer Heart Medication and Notify Physician
Penalty
Summary
The facility failed to ensure that a licensed pharmacist performed an adequate monthly drug regimen review for a resident diagnosed with atrioventricular block, who required vericiguat for heart failure. The Medication Administration Record (MAR) showed that the resident did not receive the medication for 70 days, and there was no documentation of physician notification. The facility's progress notes indicated that the medication was either unavailable or awaiting delivery, yet the physician was not informed of these issues. Interviews with facility staff revealed that the medication was a sample provided by the resident's physician, and the facility could not procure it due to cost. The consultant pharmacist was unaware of the missed doses because she misinterpreted the MAR and did not review the progress notes. The facility's policy required the pharmacist to review various records, including the MAR and progress notes, to identify irregularities, but this was not done effectively, leading to the deficiency.
Sanitation Deficiencies in Kitchen and Food Storage
Penalty
Summary
The facility failed to maintain sanitary conditions in the kitchen and food storage areas, which could potentially lead to food-borne illnesses among residents. Observations revealed multiple issues, including improperly stored and unlabeled food items such as dry cereal, apple cider vinegar, bread, cream of wheat, pasta, cookies, cookie batter, ice treats, strawberries, vegetables, mozzarella cheese, and icing. Many of these items were either not dated or past their expiration dates. Additionally, the kitchen lacked foot-operated trash cans, and there were concerns about the cleanliness of the ice maker drain, ovens, air vents, and curtains. The facility's Food Storage policy, dated 2011, was not adhered to, as it requires proper labeling and storage of food items to ensure safety. Further observations highlighted inappropriate practices by dietary staff, such as using a damp disposable towel to wipe countertops after handwashing and placing a knife on a cookbook before using it to cut food. The kitchen environment was also found to be unsanitary, with black debris in ovens, grease and dust on air vents, and worn potholders. These deficiencies were confirmed by the Dietary Manager and Administrative Staff, who acknowledged the issues and the need for improvement in food storage, preparation, and service practices.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 30 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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Kinsley
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Southwind At Spearville | 18.7 mi | ★★★★★ | 19 | 0 |
| Diversicare Of Larned | 24.8 mi | ★★★★★ | 11 | 0 |
| Haviland Operator, Llc | 27.3 mi | ★★★★★ | 5 | 0 |
| Hill Top House | 28.5 mi | ★★★★★ | 0 | 0 |
| Manor Of The Plains | 33.6 mi | ★★★★★ | 12 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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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.