CareLedger USAAt a glance
- Record status
- Record found
- CMS Certification Number
- 175490
- Facility type
- Nursing home
- Certified beds
- 45
- Ownership
- For profit - Individual
- County or equivalent
- Dickinson
- CMS area classification
- Rural
- Phone
- (785) 258-2283
- CMS data processed
- 2026-08-01
Published CMS ratings
- Overall
- 1 of 5
- Health inspection
- 1 of 5
- Staffing
- 3 of 5
- Quality measures
- 4 of 5
Ratings are published by CMS. CareLedger does not create or alter federal star ratings.
Published CMS staffing measures
Staffing figures to ask about
CMS reports nurse hours per resident per day, weekend hours and staff turnover. These figures can help you prepare questions about coverage and continuity. How to read these staffing numbers.
- Total nurse hours per resident per day
- 4.00 hours
- RN hours per resident per day
- 0.61 hours
- Weekend nurse hours per resident per day
- 3.56 hours
- Weekend RN hours per resident per day
- 0.48 hours
- Nursing staff turnover
- 97.6%
- RN turnover
- 85.7%
- Administrators who left
- 1
Ask the home: how are weekday and weekend shifts staffed now, and how do you cover absences? More questions for a visit.
These published measures cover different reporting periods and are not a real-time staffing count or a judgment about care today. CMS processing date: 2026-08-01. Open this facility's CMS source row. How Medicare explains staffing measures.
Record timeline
- Retrieved by CareLedger
The public source record was retrieved for this directory.
- CMS data processed
CMS lists this as the processing date for the published dataset row.
- Standard survey listed
Most recent standard survey: 2024-10-31. Health deficiencies: 14.
For your visit
Questions to take with you
Public records can help you prepare, but they cannot tell you what daily life feels like now. Ask to see current documents and talk through anything that matters to your family.
- CMS lists 14 health deficiencies in its latest rating cycle. Which findings were corrected, and where can we verify that?Why this question: CMS rating cycle 1 total number of health deficiencies · CMS data processed 2026-08-01
These are conversation prompts, not new findings or recommendations. The source record may lag behind current conditions. Check the CMS source data
Inspection record
Most recent standard survey: 2024-10-31. Health deficiencies: 14.
From the CMS Health Deficiencies file
Citations on the most recent survey date in this CMS file
The latest date with a citation for this facility in this file is . This may not be the facility’s latest inspection. The entries below are source records, not an assessment of care today.
CMS tag 0550 Resident Rights Deficiencies
CMS requirement: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2024-11-17 · CMS scope/severity code: D
CMS tag 0623 Resident Rights Deficiencies
CMS requirement: Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2024-11-17 · CMS scope/severity code: D
CMS tag 0657 Resident Assessment and Care Planning Deficiencies
CMS requirement: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2024-11-17 · CMS scope/severity code: D
CMS tag 0677 Quality of Life and Care Deficiencies
CMS requirement: Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2024-11-17 · CMS scope/severity code: D
CMS tag 0697 Quality of Life and Care Deficiencies
CMS requirement: Provide safe, appropriate pain management for a resident who requires such services.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2024-11-17 · CMS scope/severity code: D
Show 9 more citations from this date
CMS tag 0732 Nursing and Physician Services Deficiencies
CMS requirement: Post nurse staffing information every day.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2024-11-17 · CMS scope/severity code: C
CMS tag 0756 Pharmacy Service Deficiencies
CMS requirement: Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2024-11-17 · CMS scope/severity code: D
CMS tag 0757 Pharmacy Service Deficiencies
CMS requirement: Ensure each resident’s drug regimen must be free from unnecessary drugs.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2024-11-17 · CMS scope/severity code: D
CMS tag 0758 Pharmacy Service Deficiencies
CMS requirement: 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.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2024-11-17 · CMS scope/severity code: D
CMS tag 0761 Pharmacy Service Deficiencies
CMS requirement: 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.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2024-11-17 · CMS scope/severity code: D
CMS tag 0801 Nutrition and Dietary Deficiencies
CMS requirement: 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.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2024-11-17 · CMS scope/severity code: F
CMS tag 0804 Nutrition and Dietary Deficiencies
CMS requirement: Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2024-11-17 · CMS scope/severity code: D
CMS tag 0812 Nutrition and Dietary Deficiencies
CMS requirement: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2024-11-17 · CMS scope/severity code: F
CMS tag 0851 Administration Deficiencies
CMS requirement: Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2024-11-17 · CMS scope/severity code: F
The correction field and date are reproduced from CMS; they do not independently verify a correction or establish whether a concern exists now. Open the CMS Health Deficiencies data for this CCN. CMS processing date: 2026-08-01. Retrieved for CareLedger: 2026-09-22.
From the CMS citation file
CMS citation tags seen on multiple survey dates
These tags appear on at least two distinct CMS survey dates. The dates and source are shown; this is not a statement about current conditions or whether a finding remains unresolved.
Topics in citations from multiple survey dates
These topics group CMS tags with reviewed descriptions. The dated list below shows every repeated tag, including tags without a topic label. Open the CMS source.
- Medication services 2 CMS tags · 2 survey dates Tags 0756, 0757 · Most recent citation date
- Daily living support 1 CMS tag · 2 survey dates Tags 0677 · Most recent citation date
- Food service 1 CMS tag · 2 survey dates Tags 0812 · Most recent citation date
These dates describe past CMS citations. Ask the facility about current practice.
-
CMS tag 0550 Resident Rights Deficiencies
CMS describes the regulatory requirement as: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Survey dates: , ,
-
CMS tag 0623 Resident Rights Deficiencies
CMS describes the regulatory requirement as: Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Survey dates: ,
-
CMS tag 0677 Quality of Life and Care Deficiencies
CMS describes the regulatory requirement as: Provide care and assistance to perform activities of daily living for any resident who is unable.
Survey dates: ,
-
CMS tag 0756 Pharmacy Service Deficiencies
CMS describes the regulatory requirement as: Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Survey dates: ,
Show 6 more tags seen on multiple dates
CMS tag 0757 Pharmacy Service Deficiencies
CMS describes the regulatory requirement as: Ensure each resident’s drug regimen must be free from unnecessary drugs.
Survey dates: ,
CMS tag 0801 Nutrition and Dietary Deficiencies
CMS describes the regulatory requirement as: 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.
Survey dates: ,
CMS tag 0812 Nutrition and Dietary Deficiencies
CMS describes the regulatory requirement as: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Survey dates: ,
CMS tag 0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies
CMS describes the regulatory requirement as: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Survey dates: ,
CMS tag 0695 Quality of Life and Care Deficiencies
CMS describes the regulatory requirement as: Provide safe and appropriate respiratory care for a resident when needed.
Survey dates: ,
CMS tag 0880 Infection Control Deficiencies
CMS describes the regulatory requirement as: Provide and implement an infection prevention and control program.
Survey dates: ,
Questions you could ask on a visit
- For CMS tag 0677 listed on 2024-10-31, 2023-05-22, could you show us the relevant inspection reports and explain how the facility handles daily living assistance today?
- For CMS tag 0756 listed on 2024-10-31, 2023-05-22, could you show us the relevant inspection reports and explain how the facility handles medication management today?
These prompts use reviewed topic labels from the CMS descriptions. They are not additional inspection findings.
Source: CMS Health Deficiencies for this CCN. CMS processing date: 2026-08-01. Retrieved for CareLedger: 2026-09-22. These historical dates are not a claim about current practice.
Enforcement record
Fines: 0 ($0.00 total). Payment denials: 0.
Source and coverage
- Coverage status
- verified live data
- Source agency
- Centers for Medicare & Medicaid Services
- Retrieved
- 2026-09-26
- Confidence
- primary_source
Public records can lag, omit context, or use terms differently across states. Verify material facts with the source agency and facility.