| Colby Operator, LLC | |
| 105 East College Drive, Colby, Kansas 67701 | |
| (785) 462-6721 | |
| Name | Colby Operator, LLC |
|---|---|
| Location | 105 East College Drive, Colby, Kansas |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 40 |
| Occupancy Rate | 88.5% |
| Medicare ID (CCN) | 175202 |
| Legal Business Name | Colby Operator LLC |
| Ownership Type | For Profit - Partnership |
| Chain | Mission Health Communities (30 nursing homes) |
| Chain Average Overall Rating | 2.8 out of 5 |
| NPI Number | 1285824797 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Colby Operator, LLC |
| Doing Business As | Colby Health and Rehab |
| Address | 105 E. College Dr., Colby, KS 67701 |
| Phone Number | 785-462-6721 |
| NPI Number | 1760446777 |
| Match | Possible same name, address or phone number |
| Organization Name | Infinia at Colby |
| Address | 105 E College Dr, Colby, KS 67701 |
| Phone Number | 785-462-6721 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.86 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.45 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.91 | 0.86 |
| Nurse aide hours per resident per day | 2.5 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.37 | 3.42 |
| RN hours per resident per day on the weekend | 0.42 | 0.48 |
| Physical therapist hours per resident per day | 0.01 | 0.07 |
| Total nursing staff turnover | 65.3% | 45.8% |
| Registered nurse turnover | 87.5% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 1 |
| Total Amount of Fines in Dollars | $40,381 |
| Number of Payment Denials | 1 |
| Total Number of Penalties | 2 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Jun 11, 2025 | Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. F0729, Nursing and Physician Services, Standard inspection, Complaint inspection | Potential for harm, widespread | Corrected by Jul 25, 2025 |
| Jun 11, 2025 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jul 25, 2025 |
| Jun 11, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jul 25, 2025 |
| Jun 11, 2025 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jul 25, 2025 |
| Jun 11, 2025 | Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Jul 25, 2025 |
| Aug 12, 2024 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Complaint inspection | Immediate jeopardy, isolated | Corrected by Sep 11, 2024 |
| Sep 28, 2023 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Nov 3, 2023 |
| Sep 28, 2023 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. F0851, Administration, Standard inspection | Potential for harm, widespread | Corrected by Nov 3, 2023 |
| Sep 28, 2023 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, widespread | Corrected by Nov 3, 2023 |
| Sep 28, 2023 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. F0925, Environmental, Standard inspection | Potential for harm, widespread | Corrected by Nov 3, 2023 |
| Sep 28, 2023 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. F0761, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Nov 3, 2023 |
| Sep 28, 2023 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Nov 3, 2023 |
| Sep 28, 2023 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Nov 3, 2023 |
| Sep 28, 2023 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Nov 3, 2023 |
| Sep 28, 2023 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. F0661, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Nov 3, 2023 |
| Sep 28, 2023 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Nov 3, 2023 |
| Sep 28, 2023 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Nov 3, 2023 |
| Sep 28, 2023 | Provide care or services that was trauma informed and/or culturally competent. F0699, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Nov 3, 2023 |
| Sep 28, 2023 | Ensure that residents are free from significant medication errors. F0760, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Nov 3, 2023 |
| Sep 28, 2023 | Post nurse staffing information every day. F0732, Nursing and Physician Services, Standard inspection | Minimal harm potential, widespread | Corrected by Nov 3, 2023 |
| May 12, 2022 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Jun 13, 2022 |
| May 12, 2022 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jun 13, 2022 |
| May 12, 2022 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jun 13, 2022 |
| May 12, 2022 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jun 13, 2022 |
| May 12, 2022 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Jun 13, 2022 |
| May 12, 2022 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Jun 13, 2022 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 19.67 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 8.94 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.87 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 7.26 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 0.83 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.53 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.71 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 77.78 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | Not Available | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 24.46 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 33.08 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.14 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Not Available | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 8.84 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 20.89 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 29.2 | 15.38 |
Citizens Medical Center Ltcu Location: 1625 S Franklin Avenue, Colby, Kansas 67701 Phone: (785) 462-8295 |