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 Sunporch Of Smith County during CMS and state inspections, most recent first.
A facility failed to ensure a CNA had active certification and a LN had the skills to safely administer medications. The CNA's certification was inactive, and the LN left medication cups unattended, contrary to policy, risking resident care quality and medication errors.
The facility failed to provide the correct CMS Skilled Nursing Facility ABN Form 10055 to three residents, issuing the CMS-R-131 form instead. This error placed the residents at risk of making uninformed decisions about their skilled services and financial responsibilities, as they were not given an estimated cost of continued services. Administrative Staff A confirmed the mistake, which occurred despite the facility's policy requiring the use of the correct form.
A resident with severe cognitive impairment and an indwelling catheter was on Enhanced Barrier Precautions (EBP) for infection control, but the care plan lacked directions for EBP care. An observation showed a CNA assisting the resident without proper PPE, and an administrative nurse confirmed the care plan omission, risking impaired care due to uncommunicated needs.
A facility failed to implement Enhanced Barrier Precautions (EBP) for a resident with a urinary catheter. A CNA assisted the resident and performed catheter care without wearing a gown, contrary to the facility's policy requiring gowns and gloves during high-contact activities. Administrative staff acknowledged that the staff had not been informed of the need for PPE use, despite its availability, placing the resident at risk for infection.
Deficiencies in Staff Competency and Medication Administration
Penalty
Summary
The facility failed to ensure that a Certified Nurse Aide (CNA) had the appropriate skills, competencies, and active certification, which placed residents at risk for impaired quality of care. CNA N had an inactive certification since 12/18/21, yet was employed at the facility from 07/12/22. This was confirmed by Administrative Nurse D after reviewing the State of Kansas Nurse Aide Registry Certification and Credentialing database. The facility's policy requires that nurse aides must have completed a state-approved training program and maintain active certification, which was not adhered to in this case. Additionally, the facility failed to ensure that Licensed Nurse (LN) G had the knowledge and skills to safely administer medications. LN G was observed setting up medication cups for five residents, with two cups lacking identification, and leaving them unattended in a nurse workroom without a door. This practice was against the facility's policy, which requires medications to be prepared and administered directly from the medication cabinet at the time of administration. Administrative Nurse E confirmed that the expected procedure was not followed, placing residents at risk for medication errors.
Failure to Provide Correct ABN Forms to Residents
Penalty
Summary
The facility failed to provide the correct Centers for Medicare and Medicaid Services (CMS) Skilled Nursing Facility Advanced Beneficiary Notices (ABN) Form 10055 to three residents, identified as R16, R22, and R74, or their representatives. Instead, the facility issued the CMS-R-131 form, which is not the appropriate form for informing residents about potential non-coverage of skilled services by Medicare. This oversight occurred despite the facility's policy, dated February 2024, which mandates the use of the CMS Form 10055 to inform residents in advance about changes to their billing and the potential financial responsibility for services not covered by Medicare. The incorrect issuance of the ABN forms placed the residents at risk of making uninformed decisions regarding their skilled services. The residents' skilled services had ended on various dates, and they remained in the facility without being properly informed of their financial obligations. Administrative Staff A confirmed the error during an interview, acknowledging that the CMS-R-131 form was provided instead of the required CMS Form 10055. This failure to provide the correct form meant that the residents were not given an estimated cost of continued services, which is crucial for making informed decisions about their care and financial responsibilities.
Failure to Revise Care Plan for Resident on Enhanced Barrier Precautions
Penalty
Summary
The facility failed to revise the care plan for a resident, identified as R16, who was on Enhanced Barrier Precautions (EBP) for infection control. R16's electronic medical record documented diagnoses of benign prostatic hyperplasia, hypertension, and dementia, with severely impaired cognition. The resident was dependent on staff for all activities of daily living and had an indwelling catheter. The care plan, dated 07/07/24, included instructions for monitoring and reporting signs of urinary tract infection and performing catheter care but lacked any direction regarding EBP care and precautions. On 10/23/24, an observation revealed that a Certified Nurse Aide (CNA) assisted R16 with ambulation and personal care without donning a gown, despite the presence of personal protective equipment in the room. The CNA only wore gloves while handling the resident's catheter drainage. An interview with an administrative nurse confirmed that the care plan did not document the need for EBP, placing R16 at risk for impaired care due to uncommunicated care needs. The facility's policy required care plans to be reviewed and revised with significant changes in the resident's condition, which was not adhered to in this case.
Failure to Implement Enhanced Barrier Precautions for Resident with Urinary Catheter
Penalty
Summary
The facility failed to adhere to infection control protocols for Enhanced Barrier Precautions (EBP) for a resident with a urinary catheter. During an observation, a Certified Nurse Aide (CNA) assisted the resident in ambulating and performed catheter care without donning the required gown, although gloves were used. The CNA drained the urine from the catheter bag into a graduated cylinder, cleaned the spout, and reattached it without wearing a gown, which is a necessary component of EBP during high-contact resident care activities. The facility's policy on Enhanced Barrier Precautions, dated January 2024, mandates the use of gowns and gloves during high-contact activities for residents with indwelling medical devices, such as urinary catheters. However, it was revealed through interviews with administrative staff that the staff had not been informed of the need to use PPE for this resident, despite the availability of PPE in the resident's bathroom. This oversight placed the resident at risk for infection due to non-compliance with the established infection control standards.
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 38 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 Smith Center
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Smith Center Health And Rehab | 7.7 mi | ★★★★★ | 0 | 0 |
| Downs Care And Rehab | 22.1 mi | ★★★★★ | 0 | 0 |
| Parkview Health And Rehabilitation Center | 23 mi | ★★★★★ | 38 | 0 |
| Accura Healthcare Of Franklin | 24.2 mi | ★★★★★ | 0 | 0 |
| Heritage Of Webster County | 25.5 mi | ★★★★★ | 17 | 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.