| Peabody Health and Rehab | |
| 407 N Locust Street, Peabody, Kansas 66866 | |
| (620) 983-2152 | |
| Name | Peabody Health and Rehab |
|---|---|
| Location | 407 N Locust Street, Peabody, Kansas |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 45 |
| Occupancy Rate | 95.78% |
| Medicare ID (CCN) | 175457 |
| Legal Business Name | Peabody 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 | 1902104771 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Peabody Operator, LLC |
| Doing Business As | Peabody Health and Rehab |
| Address | 407 N. Locust Street, Peabody, KS 66866 |
| Phone Number | 620-983-2152 |
| 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 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.52 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.38 | 0.86 |
| Nurse aide hours per resident per day | 2.1 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 2.63 | 3.42 |
| RN hours per resident per day on the weekend | 0.45 | 0.48 |
| Physical therapist hours per resident per day | 0 | 0.07 |
| Total nursing staff turnover | 53.1% | 45.8% |
| Registered nurse turnover | 71.4% | 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 | 2 |
| Total Amount of Fines in Dollars | $22,711 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 2 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Jan 30, 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 | Potential for harm, widespread | Corrected by Feb 27, 2025 |
| Jan 30, 2025 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. F0582, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Feb 27, 2025 |
| Jan 30, 2025 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Feb 27, 2025 |
| Jan 30, 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 | Potential for harm, isolated | Corrected by Feb 27, 2025 |
| Jan 30, 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 | Potential for harm, isolated | Corrected by Feb 27, 2025 |
| Mar 18, 2024 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. F0742, Quality of Life and Care, Complaint inspection | Immediate jeopardy, isolated | Past non-compliance (already corrected) |
| Nov 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, Complaint inspection | Immediate jeopardy, isolated | Past non-compliance (already corrected) |
| Feb 27, 2023 | Provide enough food/fluids to maintain a resident's health. F0692, Quality of Life and Care, Standard inspection | Actual harm, isolated | Corrected by Mar 29, 2023 |
| Feb 27, 2023 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. F0867, Administration, Standard inspection | Potential for harm, widespread | Corrected by Mar 29, 2023 |
| Feb 27, 2023 | 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 Mar 29, 2023 |
| Feb 27, 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 Mar 29, 2023 |
| Feb 27, 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 Mar 29, 2023 |
| Feb 27, 2023 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. F0676, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Mar 29, 2023 |
| Feb 27, 2023 | 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 Mar 29, 2023 |
| Feb 27, 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 Mar 29, 2023 |
| Feb 27, 2023 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Mar 29, 2023 |
| Feb 27, 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 Mar 29, 2023 |
| Feb 27, 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 Mar 29, 2023 |
| Sep 3, 2021 | 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 Oct 3, 2021 |
| Sep 3, 2021 | 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 Oct 3, 2021 |
| Sep 3, 2021 | Provide activities to meet all resident's needs. F0679, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Oct 3, 2021 |
| Sep 3, 2021 | 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 Oct 3, 2021 |
| Sep 3, 2021 | 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 Oct 3, 2021 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 12.58 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 8.16 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0.63 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 2.6 | 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 | 3.73 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 96.89 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 86.36 | 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 | 10.29 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 14.57 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 95.12 | 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 | 1.18 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 13.44 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 43.64 | 15.38 |