ACCESS MENTAL HEALTH – Nursing Home, PEABODY, Kansas

CMS quality ratings

Overall

Not rated

Health inspection

Not rated

Quality of care

Not rated

Staffing

Not rated

RN staffing

Not rated

2 substantiated complaints

Special Focus Facility: SFF

Last cited survey: 10 December 2025 · 100 health and 93 fire safety citations on file

Source: CMS Care Compare nursing home data. Ratings are updated when CMS publishes new inspection results.

Explore nursing home ACCESS MENTAL HEALTH performance based on staff quality, resident satisfaction, safety measures, and care effectiveness in PEABODY. Get insights into Medicaid and facility-specific standards, along with comparisons to national benchmarks. Ideal for families, healthcare providers, and researchers seeking quality long-term care information.

Main info

Name
ACCESS MENTAL HEALTH
Address
500 PEABODY, PEABODY, KS 66866
Federal Provider Number
17E210
Phone
(620) 983-2165
Ownership Type
For profit - Limited Liability company
Certified Beds
45
Residents in Certified Beds
43.7
Nursing Home Type
Medicaid
Residence in Hospital
Legal Business Name
Legal Business Name Not Available
Date of First Medicare/Medicaid Approval
1982-01-01
Continuing Care Retirement Community
Special Focus Status
SFF
Data current as of
31 May 2026

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Location
  • 500 PEABODY

    PEABODY, KS 66866

    Phone: (620) 983-2165

Compare to KS average

See how this facility compares to the KS state average among rated nursing homes (330 homes). Peer best shows the highest rating among similar homes in the same city.

MetricThis facilityKS averagePeer best (city)
Overall CMS stars3.025
Health inspection2.84
Staffing3.425
Quality measures3.265
Certified beds4560.5
Citations on file (health + fire)228~7.3 health*

* State deficiency average uses CMS rating-cycle health deficiency counts.

Owners information

NameRole DescriptionTypeOwnership PercentageAssociation Date
-Ownership Data Not Available---

Inspections & deficiencies

CMS inspection citations for this nursing home. Filter by type or recency, and use severity chips to spot higher-risk findings.

193 citations on file · Latest survey: 10 December 2025 · 100 health · 93 fire safety

F: 84
D: 75
E: 27
J: 4
G: 3

Health deficiencies

DateTagSeverityTypeDescription
2025-12-10F880
DMinimal harm, isolated
HealthProvide and implement an infection prevention and control program.
2025-12-10F880
DMinimal harm, isolated
HealthProvide and implement an infection prevention and control program.
2025-12-10F880
DMinimal harm, isolated
HealthProvide and implement an infection prevention and control program.
2025-12-10F740
JImmediate jeopardy, isolated
HealthEnsure each resident must receive and the facility must provide necessary behavioral health care and services.
2025-12-10F740
JImmediate jeopardy, isolated
HealthEnsure each resident must receive and the facility must provide necessary behavioral health care and services.
2025-12-10F740
JImmediate jeopardy, isolated
HealthEnsure each resident must receive and the facility must provide necessary behavioral health care and services.
2025-12-10F690
DMinimal harm, isolated
HealthProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
2025-12-10F690
DMinimal harm, isolated
HealthProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
2025-12-10F690
DMinimal harm, isolated
HealthProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
2025-12-10F658
DMinimal harm, isolated
HealthEnsure services provided by the nursing facility meet professional standards of quality.
2025-12-10F658
DMinimal harm, isolated
HealthEnsure services provided by the nursing facility meet professional standards of quality.
2025-12-10F658
DMinimal harm, isolated
HealthEnsure services provided by the nursing facility meet professional standards of quality.
2025-12-10F656
DMinimal harm, isolated
HealthDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
2025-12-10F656
DMinimal harm, isolated
HealthDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
2025-12-10F656
DMinimal harm, isolated
HealthDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
2025-12-10F641
DMinimal harm, isolated
HealthEnsure each resident receives an accurate assessment.
2025-12-10F641
DMinimal harm, isolated
HealthEnsure each resident receives an accurate assessment.
2025-12-10F641
DMinimal harm, isolated
HealthEnsure each resident receives an accurate assessment.
2025-12-10F584
EMinimal harm, pattern
HealthHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
2025-12-10F584
EMinimal harm, pattern
HealthHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Fire safety deficiencies

DateTagSeverityTypeDescription
2025-12-10K914
FMinimal harm, widespread
Fire SafetyEnsure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
2025-12-10K200
EMinimal harm, pattern
Fire SafetyMeet other general requirements.
2025-12-10K200
EMinimal harm, pattern
Fire SafetyMeet other general requirements.
2025-12-10K345
FMinimal harm, widespread
Fire SafetyHave approved installation, maintenance and testing program for fire alarm systems.
2025-12-10K222
EMinimal harm, pattern
Fire SafetyAdd doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
2025-12-10K222
EMinimal harm, pattern
Fire SafetyAdd doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
2025-12-10K345
FMinimal harm, widespread
Fire SafetyHave approved installation, maintenance and testing program for fire alarm systems.
2025-12-10K353
FMinimal harm, widespread
Fire SafetyInspect, test, and maintain automatic sprinkler systems.
2025-12-10K511
EMinimal harm, pattern
Fire SafetyHave properly installed electrical wiring and gas equipment.
2025-12-10K712
FMinimal harm, widespread
Fire SafetyHave simulated fire drills held at unexpected times.
2025-12-10K914
FMinimal harm, widespread
Fire SafetyEnsure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
2025-12-10K345
FMinimal harm, widespread
Fire SafetyHave approved installation, maintenance and testing program for fire alarm systems.
2025-12-10K353
FMinimal harm, widespread
Fire SafetyInspect, test, and maintain automatic sprinkler systems.
2025-12-10K511
EMinimal harm, pattern
Fire SafetyHave properly installed electrical wiring and gas equipment.
2025-12-10K712
FMinimal harm, widespread
Fire SafetyHave simulated fire drills held at unexpected times.
2025-12-10K914
FMinimal harm, widespread
Fire SafetyEnsure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
2025-12-10K353
FMinimal harm, widespread
Fire SafetyInspect, test, and maintain automatic sprinkler systems.
2025-12-10K511
EMinimal harm, pattern
Fire SafetyHave properly installed electrical wiring and gas equipment.
2025-12-10K712
FMinimal harm, widespread
Fire SafetyHave simulated fire drills held at unexpected times.
2025-12-10K200
EMinimal harm, pattern
Fire SafetyMeet other general requirements.

Additional information

Get more details on ACCESS MENTAL HEALTH, including health inspection results, staffing levels, and facility amenities. Discover how the home meets care standards and ensures residents' well-being.
Full CMS quality rating tables

Quality Ratings

NameValue
Overall Rating (Footnote)18
Health Inspection Rating (Footnote)18
Quality of Resident Care Rating (Footnote)18
Quality of Resident Care Rating (Long Stay)5
Quality of Resident Care Rating (Short Stay) (Footnote)2
Staffing Rating (Footnote)18
RN Staffing Rating (Footnote)12
Reported Staffing (Footnote)25
Reported CNA Staffing Hours per Resident per Day0.68578
Physical Therapist Staffing (Footnote)6
Casemix CNA Staffing Hours per Resident per Day1.36923
Casemix LPN Staffing Hours per Resident per Day0.55206
Casemix RN Staffing Hours per Resident per Day0.25269
Casemix Total Nurse Staffing Hours per Resident per Day2.17399
Adjusted CNA Staffing Hours per Resident per Day1.03397

Health Inspection and Deficiency Ratings

NameValue
Date of Standard Health Survey (Cycle 1)
2019-02-28
Date of Standard Health Survey (Cycle 2)
2018-03-05
Total Number of Health Deficiencies (Cycle 1)
20
Number of Standard Health Deficiencies (Cycle 1)
19
Number of Complaint Health Deficiencies (Cycle 1)
3
Health Deficiency Score (Cycle 1)
152
Number of Health Revisits (Cycle 1)
1
Health Revisit Score (Cycle 1)
0
Total Health Score (Cycle 1)
152
Total Number of Health Deficiencies (Cycle 2)
21
Number of Standard Health Deficiencies (Cycle 2)
11
Number of Complaint Health Deficiencies (Cycle 2)
10
Health Deficiency Score (Cycle 2)
247
Number of Health Revisits (Cycle 2)
1
Total Health Score (Cycle 2)
247
Date of Standard Health Survey (Cycle 3)
2016-05-18
Total Number of Health Deficiencies (Cycle 3)
1
Number of Standard Health Deficiencies (Cycle 3)
1
Number of Health Revisits (Cycle 3)
1
Health Deficiency Score (Cycle 3)
16
Total Health Score (Cycle 3)
16
Total Weighted Health Survey Score
296.75

Complaints, Fines, and Penalties

NameValue
Number of Facility Reported Incidents
13
Number of Substantiated Complaints
2
Number of Fines
3
Total Amount of Fines in Dollars
122551
Number of Payment Denials
2
Total Number of Penalties
5
Cited for Abuse
Most Recent Health Inspection More Than 2 Years Ago
Provider Changed Ownership in Last 12 Months
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes

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