ANDERSON COUNTY HOSPITAL LTCU – Nursing Home, GARNETT, Kansas
CMS quality ratings
Overall
Health inspection
Quality of care
Staffing
RN staffing
Last cited survey: 13 February 2025 · 48 health and 33 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
421 S MAPLE STREET
GARNETT, KS 66032
Phone: (785) 204-4016
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 | 5 | 3.02 | 5 |
| Health inspection | 4 | 2.8 | 4 |
| Staffing | 5 | 3.42 | 5 |
| Quality measures | 3 | 3.26 | 5 |
| Certified beds | 36 | 60.5 | — |
| Citations on file (health + fire) | 81 | ~7.3 health* | — |
- ABERDEEN VILLAGE — 5★ overall
- ACCESS MENTAL HEALTH
- ADVANCED HEALTH CARE OF OVERLAND PARK — 4★ overall
- ADVENA LIVING AT FOUNTAINVIEW — 2★ overall
- ADVENA LIVING OF CHERRYVALE — 2★ 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.
81 citations on file · Latest survey: 13 February 2025 · 48 health · 33 fire safety
Health deficiencies
| Date | Tag | Severity | Type | Description |
|---|---|---|---|---|
| 2025-02-13 | F880 | E — Minimal harm, pattern | Health | Provide and implement an infection prevention and control program. |
| 2025-02-13 | F880 | E — Minimal harm, pattern | Health | Provide and implement an infection prevention and control program. |
| 2025-02-13 | F880 | E — Minimal harm, pattern | Health | Provide and implement an infection prevention and control program. |
| 2025-02-13 | F849 | D — Minimal harm, isolated | Health | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. |
| 2025-02-13 | F849 | D — Minimal harm, isolated | Health | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. |
| 2025-02-13 | F849 | D — Minimal harm, isolated | Health | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. |
| 2025-02-13 | F758 | D — Minimal harm, isolated | Health | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. |
| 2025-02-13 | F758 | D — Minimal harm, isolated | Health | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. |
| 2025-02-13 | F758 | D — Minimal harm, isolated | Health | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. |
| 2025-02-13 | F756 | E — Minimal harm, pattern | Health | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. |
| 2025-02-13 | F756 | E — Minimal harm, pattern | Health | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. |
| 2025-02-13 | F756 | E — Minimal harm, pattern | Health | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. |
| 2025-02-13 | F744 | D — Minimal harm, isolated | Health | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. |
| 2025-02-13 | F744 | D — Minimal harm, isolated | Health | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. |
| 2025-02-13 | F744 | D — Minimal harm, isolated | Health | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. |
| 2025-02-13 | F689 | E — Minimal harm, pattern | Health | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| 2025-02-13 | F689 | E — Minimal harm, pattern | Health | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| 2025-02-13 | F689 | E — Minimal harm, pattern | Health | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| 2025-02-13 | F679 | E — Minimal harm, pattern | Health | Provide activities to meet all resident's needs. |
| 2025-02-13 | F679 | E — Minimal harm, pattern | Health | Provide activities to meet all resident's needs. |
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Fire safety deficiencies
| Date | Tag | Severity | Type | Description |
|---|---|---|---|---|
| 2025-02-13 | K211 | E — Minimal harm, pattern | Fire Safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. |
| 2025-02-13 | 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. |
| 2025-02-13 | K211 | E — Minimal harm, pattern | Fire Safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. |
| 2025-02-13 | 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. |
| 2025-02-13 | E9 | F — Minimal harm, widespread | Fire Safety | Include a process for Emergency Preparedness collaboration. |
| 2025-02-13 | E9 | F — Minimal harm, widespread | Fire Safety | Include a process for Emergency Preparedness collaboration. |
| 2025-02-13 | K211 | E — Minimal harm, pattern | Fire Safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. |
| 2025-02-13 | 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. |
| 2025-02-13 | E9 | F — Minimal harm, widespread | Fire Safety | Include a process for Emergency Preparedness collaboration. |
| 2023-04-05 | E30 | F — Minimal harm, widespread | Fire Safety | List the names and contact information of those in the facility. |
| 2023-04-05 | K353 | F — Minimal harm, widespread | Fire Safety | Inspect, test, and maintain automatic sprinkler systems. |
| 2023-04-05 | K521 | F — Minimal harm, widespread | Fire Safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. |
| 2023-04-05 | K363 | F — Minimal harm, widespread | Fire Safety | Install corridor and hallway doors that block smoke. |
| 2023-04-05 | E30 | F — Minimal harm, widespread | Fire Safety | List the names and contact information of those in the facility. |
| 2023-04-05 | K353 | F — Minimal harm, widespread | Fire Safety | Inspect, test, and maintain automatic sprinkler systems. |
| 2023-04-05 | K363 | F — Minimal harm, widespread | Fire Safety | Install corridor and hallway doors that block smoke. |
| 2023-04-05 | K521 | F — Minimal harm, widespread | Fire Safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. |
| 2023-04-05 | E30 | F — Minimal harm, widespread | Fire Safety | List the names and contact information of those in the facility. |
| 2023-04-05 | K353 | F — Minimal harm, widespread | Fire Safety | Inspect, test, and maintain automatic sprinkler systems. |
| 2023-04-05 | K363 | F — Minimal harm, widespread | Fire Safety | Install corridor and hallway doors that block smoke. |
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Additional information
Full CMS quality rating tables
Quality Ratings
| Name | Value |
|---|---|
| Overall Rating | 5 |
| Health Inspection Rating | 4 |
| Quality of Resident Care Rating | 3 |
| Quality of Resident Care Rating (Long Stay) | 1 |
| Quality of Resident Care Rating (Short Stay) (Footnote) | 2 |
| Staffing Rating | 5 |
| RN Staffing Rating | 5 |
| Reported CNA Staffing Hours per Resident per Day | 2.97469 |
| Reported LPN Staffing Hours per Resident per Day | 0.26746 |
| Reported RN Staffing Hours per Resident per Day | 1.07212 |
| Reported Licensed Staffing Hours per Resident per Day | 1.33958 |
| Reported Total Nurse Staffing Hours per Resident per Day | 3.75562 |
| Casemix CNA Staffing Hours per Resident per Day | 1.82521 |
| Casemix LPN Staffing Hours per Resident per Day | 0.58278 |
| Casemix RN Staffing Hours per Resident per Day | 0.24947 |
| Casemix Total Nurse Staffing Hours per Resident per Day | 2.65746 |
| Adjusted CNA Staffing Hours per Resident per Day | 3.36456 |
| Adjusted LPN Staffing Hours per Resident per Day | 0.37658 |
| Adjusted RN Staffing Hours per Resident per Day | 1.50953 |
| Adjusted Total Nurse Staffing Hours per Resident per Day | 5.28785 |
Health Inspection and Deficiency Ratings
| Name | Value |
|---|---|
Date of Standard Health Survey (Cycle 1) | 2020-01-29 |
Date of Standard Health Survey (Cycle 2) | 2019-01-10 |
Total Number of Health Deficiencies (Cycle 1) | 6 |
Number of Complaint Health Deficiencies (Cycle 1) | 6 |
Health Deficiency Score (Cycle 1) | 56 |
Health Revisit Score (Cycle 1) | 0 |
Total Health Score (Cycle 1) | 56 |
Total Number of Health Deficiencies (Cycle 2) | 7 |
Number of Standard Health Deficiencies (Cycle 2) | 7 |
Health Deficiency Score (Cycle 2) | 48 |
Number of Health Revisits (Cycle 2) | 1 |
Total Health Score (Cycle 2) | 48 |
Date of Standard Health Survey (Cycle 3) | 2017-12-05 |
Total Number of Health Deficiencies (Cycle 3) | 4 |
Number of Standard Health Deficiencies (Cycle 3) | 4 |
Number of Complaint Health Deficiencies (Cycle 3) | 1 |
Number of Health Revisits (Cycle 3) | 1 |
Health Deficiency Score (Cycle 3) | 40 |
Total Health Score (Cycle 3) | 40 |
Total Weighted Health Survey Score | 49 |
Complaints, Fines, and Penalties
| Name | Value |
|---|---|
Number of Facility Reported Incidents | 3 |
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 | None |
Automatic Sprinkler Systems in All Required Areas | Yes |
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