| Downs Care and Rehab | |
| 1218 Kansas Street, Downs, Kansas 67437 | |
| (785) 454-3321 | |
| Name | Downs Care and Rehab |
|---|---|
| Location | 1218 Kansas Street, Downs, Kansas |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 45 |
| Occupancy Rate | 81.56% |
| Medicare ID (CCN) | 175201 |
| Legal Business Name | Downs Operator LLC |
| Ownership Type | For Profit - Limited Liability Company |
| Chain | Mission Health Communities (30 nursing homes) |
| Chain Average Overall Rating | 2.8 out of 5 |
| NPI Number | 1619526662 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Downs Operator, LLC |
| Address | 1218 Kansas St, Downs, KS 67437 |
| Phone Number | 785-454-3321 |
| NPI Number | 1306393210 |
| Match | Possible same name, address or phone number |
| Organization Name | Downs Care and Rehabilitation Center, LLC |
| Address | 1218 Kansas St, Downs, KS 67437 |
| Phone Number | 785-454-3321 |
| 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 | 3.79 | 3.86 |
| Registered nurse (RN) hours per resident per day | 1.02 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.46 | 0.86 |
| Nurse aide hours per resident per day | 2.31 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.32 | 3.42 |
| RN hours per resident per day on the weekend | 0.67 | 0.48 |
| Physical therapist hours per resident per day | 0.01 | 0.07 |
| Total nursing staff turnover | 35.1% | 45.8% |
| Registered nurse turnover | 0% | 42.9% |
| Number of administrators who have left the nursing home | 1 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | $0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Jun 24, 2026 | 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 | Plan of correction |
| Jun 24, 2026 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, widespread | Plan of correction |
| Jun 24, 2026 | 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 | Plan of correction |
| Jun 24, 2026 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. F0605, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Plan of correction |
| Jun 24, 2026 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756, Pharmacy Service, Standard inspection | Potential for harm, isolated | Plan of correction |
| Jun 24, 2026 | Ensure medication error rates are not 5 percent or greater. F0759, Pharmacy Service, Standard inspection | Potential for harm, isolated | Plan of correction |
| Jul 31, 2024 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. F0801, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Aug 31, 2024 |
| Jul 31, 2024 | 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. F0584, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Aug 31, 2024 |
| Jul 31, 2024 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921, Environmental, Standard inspection | Potential for harm, pattern | Corrected by Aug 31, 2024 |
| Jul 31, 2024 | 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 Aug 31, 2024 |
| Jul 31, 2024 | 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 Aug 31, 2024 |
| Jul 31, 2024 | 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 Aug 31, 2024 |
| Jul 31, 2024 | 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. F0758, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Aug 31, 2024 |
| Jul 31, 2024 | 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 Aug 31, 2024 |
| Aug 18, 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 Sep 22, 2022 |
| Aug 18, 2022 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, widespread | Corrected by Sep 22, 2022 |
| Aug 18, 2022 | Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Sep 22, 2022 |
| Aug 18, 2022 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. F0726, Nursing and Physician Services, Standard inspection | Potential for harm, isolated | Corrected by Sep 22, 2022 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 18.06 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 3.52 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.83 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 6.29 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 9.76 | 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 | 1.97 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.37 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 92.45 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3.33 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 14.78 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 23.84 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100 | 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 | 4.75 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 17.32 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 41.38 | 15.38 |