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 Schowalter Villa during CMS and state inspections, most recent first.
The facility failed to provide activities on Saturdays, as observed in the activity calendars for several months, with only church services and a reading activity on Sundays. The Resident Council expressed a desire for more weekend activities, and the absence of Saturday activities was linked to potential changes in weekend staff. This deficiency placed residents at risk for boredom and isolation, contrary to the facility's Activities Services policy.
The facility failed to ensure CMS-approved indications or documented physician rationale for antipsychotic medications for several residents, including those with dementia and severe cognitive impairment. Residents were prescribed medications like Seroquel and Haloperidol without proper documentation, placing them at risk for unnecessary medication effects. The facility's policy required specific conditions for antipsychotic use, which were not met, leading to deficiencies in medication management.
A facility failed to update a resident's care plan to address her behaviors towards male residents, despite documented incidents and family concerns. The resident, with Alzheimer's and depression, had a care plan for wandering but not for her interactions with male peers, leading to uncommunicated care needs.
The facility failed to ensure the Consultant Pharmacist identified and reported the use of antipsychotic medications without CMS-approved indications for three residents. The Monthly Medication Review lacked documentation of unapproved indications for antipsychotic medications prescribed to residents with dementia and other mental health conditions, placing them at risk for adverse effects and unnecessary medications.
A facility failed to ensure effective collaboration with a hospice provider for a resident receiving end-of-life care. The resident's care plan lacked details about hospice-provided medications, equipment, and services. Staff were uncertain about hospice provisions, relying on a communication book for information. This deficiency risked impaired end-of-life care for the resident.
A resident was not offered or administered the PCV20 vaccine, nor was an informed declination obtained, despite the facility's policy and CDC guidelines. The resident's record showed previous vaccinations but lacked documentation for PCV20, placing them at increased risk for pneumonia complications.
Lack of Weekend Activities for Residents
Penalty
Summary
The facility, with a census of 95 residents, failed to provide activities on Saturdays that reflected the residents' interests and preferences, as observed in the activity calendars for September, October, and November 2024. The calendars showed no scheduled activities on Saturdays, with only church services and a reading activity on Sundays. This lack of scheduled activities was confirmed by the Resident Council, which expressed a desire for more weekend activities beyond church services. The absence of Saturday activities was attributed to potential changes in staff designated to work on weekends, as noted by a Certified Medication Aide and an Activities Staff member. The facility's Activities Services policy, revised in April 2018, mandates that residents be provided with activities that align with their choices and interests. However, the facility did not adhere to this policy, resulting in a deficiency that placed residents at risk for boredom, isolation, and decreased quality of life. The report highlights that the facility's failure to provide adequate weekend activities was a significant oversight, impacting the psychosocial well-being of the residents.
Lack of Documentation for Antipsychotic Use in Residents
Penalty
Summary
The facility failed to ensure a Centers for Medicare and Medicaid Services (CMS) approved indication of use or a documented physician rationale and risk versus benefits for the continued use of antipsychotic medications for several residents. Specifically, residents R31, R48, R12, and R59 were administered antipsychotic medications without proper documentation of the necessity or physician rationale, placing them at risk for adverse medication effects and unnecessary medications. The facility's policy required that antipsychotic medications be used only for specific conditions as diagnosed and documented in the resident's clinical record, and that routine dose reductions and behavioral interventions be implemented unless clinically contraindicated. Resident R31, who had a diagnosis of dementia and other health conditions, was receiving Seroquel for delusions related to depression and psychotic disorder. However, the electronic medical record lacked evidence of a physician-documented rationale for the use of this medication. Similarly, Resident R48, with severe cognitive impairment and a history of depression and psychosis, was prescribed Seroquel without documented physician rationale. Both residents were observed in states that suggested potential sedation or lack of engagement, such as R31 being asleep in a wheelchair and R48 waiting passively for a hair appointment. Resident R12, with moderate cognitive impairment and a history of aggressive behavior, was prescribed Seroquel for depression and paranoia without a documented physician rationale. Additionally, Resident R59, with severe cognitive impairment, was given Haloperidol and Lorazepam without proper documentation of the necessity or physician rationale, including the extended use of as-needed Lorazepam. The facility's failure to document appropriate indications and physician rationale for these medications contravened their own policy and placed the residents at risk for unnecessary medication effects.
Failure to Update Care Plan for Resident's Behaviors
Penalty
Summary
The facility failed to revise the care plan for a resident, identified as R82, to include her behaviors towards male residents. R82 had a medical history of Alzheimer's disease, depression, and required assistance with personal care and mobility. Her care plan, initiated in September 2023, addressed wandering behaviors and risk for elopement but did not include interventions for her interactions with male residents. Despite progress notes indicating behaviors such as holding hands and entering rooms with male residents, the care plan was not updated to reflect these behaviors or provide appropriate interventions. Observations and interviews revealed that staff were aware of R82's behaviors but did not have documented guidance in the care plan to manage them. The facility's policy required care plans to be reviewed and updated as residents' needs changed, but this was not done for R82. The lack of revision in her care plan placed her at risk for impaired care due to uncommunicated care needs, as her representative expressed discomfort with her intimate actions and requested specific supervision measures.
Failure to Identify Unapproved Antipsychotic Use
Penalty
Summary
The facility failed to ensure that the Consultant Pharmacist (CP) identified and reported the use of antipsychotic medications without a Centers for Medicare and Medicaid Services (CMS) approved indication for three residents, R31, R48, and R59. The CP's Monthly Medication Review (MMR) from November 2023 through October 2024 lacked evidence or documentation of identifying the unapproved indications for the antipsychotic medications prescribed to these residents. This oversight placed the residents at risk for adverse medication effects and unnecessary medications. Resident R31 had a documented diagnosis of dementia and was receiving Seroquel, an antipsychotic medication, for delusions related to depression and psychotic disorder with delusions. The CP's MMR did not identify the unapproved indication for R31's Seroquel. Additionally, the facility did not provide a policy related to MMR reviews, and the nursing staff was unsure of the approved indications for antipsychotic use. Resident R48, with a diagnosis of vascular dementia and severely impaired cognition, was prescribed Seroquel for depression with psychotic features and refractory severe depression. The CP's MMR failed to document the unapproved indication for R48's Seroquel. Similarly, Resident R59, who had severe dementia and was on hospice, was prescribed Haloperidol for agitation, restlessness, combativeness, and hallucinations. The CP's MMR did not identify the unapproved indication for R59's antipsychotic medication, and there was no physician-documented rationale for the extended duration of the as-needed lorazepam.
Lack of Collaboration with Hospice Services
Penalty
Summary
The facility failed to ensure effective collaboration between the nursing home and the hospice provider for Resident 59, who was receiving hospice services. The resident's care plan documented various directives for comfort and end-of-life care, including monitoring for pain, administering medications, and ensuring a calm environment. However, the care plan lacked specific details about the medications and equipment provided by the hospice, as well as the frequency of hospice nurse visits and assistance with activities such as bathing. During observations and interviews, it was revealed that staff members were unsure about the specifics of the hospice services provided to Resident 59. A Certified Medication Aide was uncertain about where to find information on the equipment provided by hospice and relied on a communication book for details about the resident's care. Similarly, a Licensed Nurse acknowledged that the care plan did not include items covered by the hospice provider, and an Administrative Nurse confirmed that primary information was only available in the hospice communication book. The facility's End of Life policy emphasized the importance of coordinating care with the hospice provider and involving the hospice case manager in care plan meetings. Despite this policy, the facility did not have a collaborative process in place to ensure necessary information was communicated effectively between the nursing home and the hospice. This deficiency created a risk for impaired end-of-life care for Resident 59.
Failure to Administer or Document PCV20 Vaccination
Penalty
Summary
The facility failed to offer and administer, or obtain an informed declination for the Pneumococcal Conjugate Vaccine (PCV20) for Resident 31, which placed the resident at increased risk for complications related to pneumonia. The clinical record of Resident 31 showed that the PCV13 was administered on December 10, 2010, and the PSV23 was administered on October 28, 2013. However, there was no documentation in the electronic medical record (EMR) indicating that the PCV20 was discussed or offered, nor was there any record of a historical administration, informed declination, or a physician-documented contraindication. The facility's immunization policy, revised on March 5, 2024, stated that upon admission, a licensed nurse would determine the vaccination status by asking the resident or their responsible party. If the vaccination status was unknown, the nurse would contact the primary care physician for documentation. Despite these procedures, the facility did not discuss or offer the PCV20 to Resident 31, nor did they obtain an informed declination, which was a deviation from their stated policy and CDC guidelines.
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What surveyors actually found near you
We read the 118 citations issued within 25 miles in the last 12 months — including the 2 immediate-jeopardy cases — 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.
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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Hesston
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Bethel Health Care Center | 5.8 mi | ★★★★★ | 0 | 0 |
| Pine Village | 6.2 mi | ★★★★★ | 0 | 0 |
| Moundridge Manor | 7.1 mi | ★★★★★ | 0 | 0 |
| Newton Presbyterian Manor | 8 mi | ★★★★★ | 11 | 0 |
| Kansas Christian Home | 8.3 mi | ★★★★★ | 13 | 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.