| Mcpherson Operator, LLC | |
| 1601 N Main Street, Mcpherson, Kansas 67460 | |
| (620) 241-5360 | |
| Name | Mcpherson Operator, LLC |
|---|---|
| Location | 1601 N Main Street, Mcpherson, Kansas |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 45 |
| Occupancy Rate | 85.11% |
| Medicare ID (CCN) | 175437 |
| Legal Business Name | Mcpherson 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 | 1770580367 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Mcpherson Operator, LLC |
| Doing Business As | Mcpherson Health and Rehab |
| Address | 1601 N. Main St., Mcpherson, KS 67460 |
| Phone Number | 620-241-5360 |
| NPI Number | 1992702559 |
| Match | Possible same name, address or phone number |
| Organization Name | Deseret Nursing and Rehabilitation at Mcpherson |
| Address | 1601 N Main St, Mcpherson, KS 67460 |
| Phone Number | 620-241-5360 |
| 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 | 3.74 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.57 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.8 | 0.86 |
| Nurse aide hours per resident per day | 2.36 | 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 | 0.37 | 0.48 |
| Physical therapist hours per resident per day | 0.02 | 0.07 |
| Total nursing staff turnover | 42.6% | 45.8% |
| Registered nurse turnover | 42.9% | 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 | 0 |
| Total Amount of Fines in Dollars | $0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Apr 23, 2025 | 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, Complaint inspection | Actual harm, isolated | Past non-compliance (already corrected) |
| Apr 23, 2025 | 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, Complaint inspection | Potential for harm, widespread | Corrected by Jun 5, 2025 |
| Apr 23, 2025 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607, Freedom from Abuse, Neglect, and Exploitation, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Jun 5, 2025 |
| Apr 23, 2025 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Jun 5, 2025 |
| Apr 23, 2025 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. F0625, Resident Rights, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Jun 5, 2025 |
| Apr 23, 2025 | 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. F0849, Administration, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Jun 5, 2025 |
| Aug 7, 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 Sep 20, 2023 |
| Aug 7, 2023 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. F0882, Infection Control, Standard inspection | Potential for harm, widespread | Corrected by Sep 20, 2023 |
| Aug 7, 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 Sep 20, 2023 |
| Aug 7, 2023 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Sep 20, 2023 |
| Aug 7, 2023 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Sep 20, 2023 |
| Aug 7, 2023 | PASARR screening for Mental disorders or Intellectual Disabilities F0645, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Sep 20, 2023 |
| Aug 7, 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 Sep 20, 2023 |
| Aug 7, 2023 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Sep 20, 2023 |
| Aug 7, 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 Sep 20, 2023 |
| Aug 7, 2023 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. F0700, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Sep 20, 2023 |
| Aug 7, 2023 | 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 | Corrected by Sep 20, 2023 |
| Aug 7, 2023 | Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Sep 20, 2023 |
| Aug 7, 2023 | Ensure residents have reasonable access to and privacy in their use of communication methods. F0576, Resident Rights, Standard inspection | Minimal harm potential, widespread | Corrected by Sep 20, 2023 |
| Jan 19, 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 Feb 21, 2022 |
| Jan 19, 2022 | 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, widespread | Corrected by Feb 21, 2022 |
| Jan 19, 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 Feb 21, 2022 |
| Jan 19, 2022 | 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 | Corrected by Feb 21, 2022 |
| Jan 19, 2022 | Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Feb 21, 2022 |
| Jan 19, 2022 | 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 Feb 21, 2022 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 13.22 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 8.55 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.85 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 5.38 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 45.16 | 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 | 1.49 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 95.27 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.35 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 15.1 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 26.23 | 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 | 86.21 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 5.25 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 23.61 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 42.11 | 15.38 |