ACCESS MENTAL HEALTH – Nursing Home, PEABODY, Kansas
CMS quality ratings
Overall
Not ratedHealth inspection
Not ratedQuality of care
Not ratedStaffing
Not ratedRN staffing
Not rated2 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.
Main info
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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.
| Metric | This facility | KS average | Peer best (city) |
|---|---|---|---|
| Overall CMS stars | — | 3.02 | 5 |
| Health inspection | — | 2.8 | 4 |
| Staffing | — | 3.42 | 5 |
| Quality measures | — | 3.26 | 5 |
| Certified beds | 45 | 60.5 | — |
| Citations on file (health + fire) | 228 | ~7.3 health* | — |
- ABERDEEN VILLAGE — 5★ overall
- ADVANCED HEALTH CARE OF OVERLAND PARK — 4★ overall
- ADVENA LIVING AT FOUNTAINVIEW — 2★ overall
- ADVENA LIVING OF CHERRYVALE — 2★ overall
- ALMA MANOR — 5★ overall
* State deficiency average uses CMS rating-cycle health deficiency counts.
Owners information
| Name | Role Description | Type | Ownership Percentage | Association 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
Health deficiencies
| Date | Tag | Severity | Type | Description |
|---|---|---|---|---|
| 2025-12-10 | F880 | D — Minimal harm, isolated | Health | Provide and implement an infection prevention and control program. |
| 2025-12-10 | F880 | D — Minimal harm, isolated | Health | Provide and implement an infection prevention and control program. |
| 2025-12-10 | F880 | D — Minimal harm, isolated | Health | Provide and implement an infection prevention and control program. |
| 2025-12-10 | F740 | J — Immediate jeopardy, isolated | Health | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. |
| 2025-12-10 | F740 | J — Immediate jeopardy, isolated | Health | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. |
| 2025-12-10 | F740 | J — Immediate jeopardy, isolated | Health | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. |
| 2025-12-10 | F690 | D — Minimal harm, isolated | Health | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. |
| 2025-12-10 | F690 | D — Minimal harm, isolated | Health | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. |
| 2025-12-10 | F690 | D — Minimal harm, isolated | Health | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. |
| 2025-12-10 | F658 | D — Minimal harm, isolated | Health | Ensure services provided by the nursing facility meet professional standards of quality. |
| 2025-12-10 | F658 | D — Minimal harm, isolated | Health | Ensure services provided by the nursing facility meet professional standards of quality. |
| 2025-12-10 | F658 | D — Minimal harm, isolated | Health | Ensure services provided by the nursing facility meet professional standards of quality. |
| 2025-12-10 | F656 | D — Minimal harm, isolated | Health | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
| 2025-12-10 | F656 | D — Minimal harm, isolated | Health | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
| 2025-12-10 | F656 | D — Minimal harm, isolated | Health | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
| 2025-12-10 | F641 | D — Minimal harm, isolated | Health | Ensure each resident receives an accurate assessment. |
| 2025-12-10 | F641 | D — Minimal harm, isolated | Health | Ensure each resident receives an accurate assessment. |
| 2025-12-10 | F641 | D — Minimal harm, isolated | Health | Ensure each resident receives an accurate assessment. |
| 2025-12-10 | F584 | E — Minimal harm, pattern | Health | Honor 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. |
| 2025-12-10 | F584 | E — Minimal harm, pattern | Health | Honor 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. |
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Fire safety deficiencies
| Date | Tag | Severity | Type | Description |
|---|---|---|---|---|
| 2025-12-10 | K914 | F — Minimal harm, widespread | Fire Safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. |
| 2025-12-10 | K200 | E — Minimal harm, pattern | Fire Safety | Meet other general requirements. |
| 2025-12-10 | K200 | E — Minimal harm, pattern | Fire Safety | Meet other general requirements. |
| 2025-12-10 | K345 | F — Minimal harm, widespread | Fire Safety | Have approved installation, maintenance and testing program for fire alarm systems. |
| 2025-12-10 | K222 | E — Minimal harm, pattern | Fire Safety | Add 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. |
| 2025-12-10 | K222 | E — Minimal harm, pattern | Fire Safety | Add 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. |
| 2025-12-10 | K345 | F — Minimal harm, widespread | Fire Safety | Have approved installation, maintenance and testing program for fire alarm systems. |
| 2025-12-10 | K353 | F — Minimal harm, widespread | Fire Safety | Inspect, test, and maintain automatic sprinkler systems. |
| 2025-12-10 | K511 | E — Minimal harm, pattern | Fire Safety | Have properly installed electrical wiring and gas equipment. |
| 2025-12-10 | K712 | F — Minimal harm, widespread | Fire Safety | Have simulated fire drills held at unexpected times. |
| 2025-12-10 | K914 | F — Minimal harm, widespread | Fire Safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. |
| 2025-12-10 | K345 | F — Minimal harm, widespread | Fire Safety | Have approved installation, maintenance and testing program for fire alarm systems. |
| 2025-12-10 | K353 | F — Minimal harm, widespread | Fire Safety | Inspect, test, and maintain automatic sprinkler systems. |
| 2025-12-10 | K511 | E — Minimal harm, pattern | Fire Safety | Have properly installed electrical wiring and gas equipment. |
| 2025-12-10 | K712 | F — Minimal harm, widespread | Fire Safety | Have simulated fire drills held at unexpected times. |
| 2025-12-10 | K914 | F — Minimal harm, widespread | Fire Safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. |
| 2025-12-10 | K353 | F — Minimal harm, widespread | Fire Safety | Inspect, test, and maintain automatic sprinkler systems. |
| 2025-12-10 | K511 | E — Minimal harm, pattern | Fire Safety | Have properly installed electrical wiring and gas equipment. |
| 2025-12-10 | K712 | F — Minimal harm, widespread | Fire Safety | Have simulated fire drills held at unexpected times. |
| 2025-12-10 | K200 | E — Minimal harm, pattern | Fire Safety | Meet other general requirements. |
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Additional information
Full CMS quality rating tables
Quality Ratings
| Name | Value |
|---|---|
| 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 Day | 0.68578 |
| Physical Therapist Staffing (Footnote) | 6 |
| Casemix CNA Staffing Hours per Resident per Day | 1.36923 |
| Casemix LPN Staffing Hours per Resident per Day | 0.55206 |
| Casemix RN Staffing Hours per Resident per Day | 0.25269 |
| Casemix Total Nurse Staffing Hours per Resident per Day | 2.17399 |
| Adjusted CNA Staffing Hours per Resident per Day | 1.03397 |
Health Inspection and Deficiency Ratings
| Name | Value |
|---|---|
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
| Name | Value |
|---|---|
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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