Not rated by CMS — ratings are suppressed for new or low-volume facilities.
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 Satanta District Hospital Ltcu during CMS and state inspections, most recent first.
A cognitively impaired resident at risk for elopement exited an LTC facility unsupervised through an unlocked door, leading to minor injuries. The resident, with dementia and Huntington's disease, was found by a community member after leaving the facility's garden area. The facility failed to provide adequate supervision and ensure the exit door was secure, despite the resident's care plan indicating the need for close monitoring.
Resident Elopement Due to Inadequate Supervision and Unsecured Exit
Penalty
Summary
The facility failed to provide adequate supervision and a safe environment for a cognitively impaired resident identified as an elopement risk. The resident, who had a history of dementia, generalized anxiety, and Huntington's disease, was able to exit the facility unsupervised through an unlocked door leading to the garden area. The resident then left the garden through an unlatched gate and was found by a community member in a parking lot with his wheelchair tipped over and bleeding from his elbow. This incident occurred without the staff's knowledge, and the resident remained unsupervised for approximately 22 minutes. The resident's care plan had previously identified him as an elopement risk, requiring close monitoring, especially when near exits or when the weather was nice. Despite this, the facility's staff failed to adequately supervise the resident, allowing him to leave the premises. The facility's elopement risk assessment and care plan indicated that the resident was not easily redirected and required supervision when outside, yet these measures were not effectively implemented on the day of the incident. The facility's maintenance and security measures were also found lacking, as the exit door used by the resident was not magnetized or locked, allowing him to leave the facility without difficulty. Additionally, the maintenance staff did not have a record of when the doors were last checked for proper function, indicating a lapse in ensuring the safety and security of the facility's exits. This deficiency in supervision and security measures placed the resident in immediate jeopardy, resulting in minor injuries that required treatment upon his return.
Removal Plan
- R1 placed on every 15-minute checks along with neurological checks. R1 to remain on 15-minute checks until reassessed.
- GroupMe messages sent out to staff regarding monitoring of entrances, ensuring doors were closed, and making sure residents did not follow them. Elopement policy reviewed with night shift and sent to night shift via Administrative Nurse E to make sure safety measures were in place.
- Family made aware of situation and encouraged to visit. Nurses to chart on resident every shift for the next two weeks.
- Elopement risk assessments to be done once a shift for four weeks.
- R1's care plan updated with five interventions and information passed on to the staff via GroupMe messaging system.
- Maintenance ticket put in to check the activity door. Maintenance adjusted the locking system, but the door is bent and will need replaced.
- CNAs started to check all doors to ensure they are secure and then sign off when completed. The charge nurse is to verify the doors have been checked and signed off by floor staff.
- Huddles with facility staff done for dayshift with Administrative Nurse D educating watching the doors, every 15-minute checks, monitor residents' behaviors, watching doors and making sure they shut behind them and visitors and had the Elopement policy out for staff to read.
- The facility added additional elopement education to be done and scheduled. Copy of education will be given to QA. A GroupMe message sent out instructing all staff to make sure the door latched behind you and important when going out the door to check to make sure the door latched and not just closed, for safety of the residents.
- Activity door had sign Do not use, activity personnel only. Bright orange signs posted on the doors to ensure the door is closed behind you and watch for residents trying to exit.
- Maintenance getting bits on the new door. In the meantime, the door is secure, but limited to emergency exit only to prevent this issue from happening again until the door can be replaced.
- Emergency exit only sign placed on activity room door.
- For QA the facility plans to have the 15-minute check logs monitored by the Director of Nursing or designee and submit to QA. The door check sheet will be monitored by the Director of Nursing or designee and submitted to QA. Staff to read and sign the updated care plan for resident and copy will be submitted to QA. Copy of the Elopement education will be given to QA.
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Nursing homes near Satanta
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Western Prairie Senior Living Llc | 22.2 mi | ★★★★★ | 20 | 0 |
| Wheatridge Park Care Center | 26.1 mi | ★★★★★ | 0 | 0 |
| Good Samaritan Society - Liberal | 26.1 mi | ★★★★★ | 1 | 0 |
| Southwest Medical Center Snf | 26.7 mi | ★★★★★ | 18 | 0 |
| Stevens County Hospital Ltcu Dba Pioneer Manor | 27.5 mi | ★★★★★ | 1 | 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.