Access Mental Health
Peabody, Kansas · CCN 17E210
36 surveys since 2010, 22 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 161
- Surveys
- 36
- Harm or worse
- 22
- Immediate jeopardy
- 18
Findings at the most serious level CMS records. 1 of these were recorded as past non-compliance — corrected before the survey.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 45
- Ownership
- For profit - Limited Liability company
- Chain
- Independent
- County
- Marion · rural
- Medicare-certified since
- 1982
CMS ratings
- Overall
- —
- Health inspection
- —
- Staffing
- —
- Quality measures
- —
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded more weighted findings than most of its peer group.
Weighted by harm level, against 108 for-profit facilities with fewer than 66 beds in Kansas.
Last survey on record
Jun 3, 2026
159 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Annual nurse turnover | 25.9% | 50.0% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $114,739 across 3 penalties
- Payment denials
- 2
- Special focus
- SFF
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J511.1% | K12.2% | L24.4% |
| Actual harm | G24.4% | H— | I— |
| No harm, potential for more than minimal | D2248.9% | E613.3% | F613.3% |
| No harm, potential for minimal | A— | B— | C12.2% |
Most frequently cited here
In CMS’s current monthly file.
- F6413×
Ensure each resident receives an accurate assessment.
- F6092×
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- F6562×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F6892×
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F6902×
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
In the surveyor’s words
From the most serious findings on record at Access Mental Health, in the surveyor’s own words.
- Immediate jeopardy, widespreadF609Jan 16, 2024
The facility reported a census of 45 residents with two residents reviewed for behaviors/resident-to-resident abuse. Based on observation, interview, and record review, the facility failed to ensure the reporting of incidents of sexual assault and harassment to local law enforcement, as required. The facility failed to provide adequate supervision and care planned interventions to prevent R2, with a history of sexual behaviors since admission (August 2023), from sexually assaulting and harassing female residents in the facility. On 12/25/23, R2 grabbed R3's breast and masturbated in a public area, and the facility failed to place any interventions to protect R3 and other residents from R2's unwanted sexual advances/touching. R2 again on 12/25/23 masturbated in a public. […]
- Immediate jeopardy, widespreadF610Jan 16, 2024
The facility reported a census of 45 residents with two residents reviewed for behaviors/resident-to-resident abuse. Based on observation, interview, and record review, the facility failed to protect residents from incidents of sexual assault and harassment the failure to provide adequate supervision and care planned interventions to prevent Resident (R)2, with a history of sexual behaviors since admission (August 2023), from sexually assaulting and harassing female residents in the facility. On 12/25/23, R2 grabbed R3's breast and masturbated in a public area, and the facility failed to place any interventions to protect R3 and other residents from R2's unwanted sexual advances/touching. R2 again on 12/25/23 masturbated in a public area. […]
- Immediate jeopardy, widespreadF584Nov 3, 2021
The facility census totaled 44 residents (R). Based on observation, interview, and record review the facility failed to keep the facility heating unit in working condition to ensure comfortable and safe temperature levels in the facility of greater than 71 degrees Fahrenheit (F) for all 44 residents in the facility. On the evening of 10/31/21 the heating unit malfunctioned. After some repairs were made on the morning of 11/01/21, the heating unit malfunctioned again at approximately 08:00 PM. Upon surveyor observations on 11/02/21 at 05:00 PM all 44 resident rooms measured below 70 degrees F with resident wearing full clothing and shoes, while in bed to stay warm, with no mitigating factors implemented by the facility to prevent the drop in temperature. […]
- Immediate jeopardy, patternF600Jan 16, 2024
The facility reported a census of 45 residents with two residents reviewed for behaviors/resident-to-resident abuse. Based on observation, interview, and record review, the facility failed to provide adequate supervision and care planned interventions to prevent Resident (R)2, with a history of sexual behaviors since admission (August 2023), from sexually assaulting and harassing female residents in the facility. On 12/25/23, R2 grabbed R3's breast and masturbated in a public area, and the facility failed to place any interventions to protect R3 and other residents from R2's unwanted sexual advances/touching. R2 again on 12/25/23 masturbated in a public area. On 01/02/24, R2 attempted to grab R3's breast with no interventions in place. […]
- Immediate jeopardy, isolatedF740Dec 10, 2025
The facility identified a census of 42 residents. The sample included 12 residents, with one reviewed for behavioral services. Based on observation, record review, and interviews, the facility failed to provide adequate behavioral health services, including resident-centered interventions to address Resident (R)15's auditory hallucinations related to his schizophrenia and bipolar disorder. On 09/23/35, R15 had exit-seeking behaviors as he heard voices telling him he was supposed to discharge from the facility. The facility staff did not report the incident, and the facility did not assess and identify possible triggers or implement interventions to address the auditory hallucinations. […]
Read 40 findings in full →The most serious and the most recent: 40 of 161 on record.
Every survey on record
FindingsAt actual harm or above
- Jun 3, 2026Standard2 findings
- Dec 10, 2025Standard7 findings · 1 harm
- Jun 23, 2025Standard and complaint9 findings
- Jan 15, 2025Standard17 findings · 1 harm
- Oct 10, 2024Complaint2 findings · 2 harm
- Feb 1, 2024Complaint4 findings · 2 harm
- Jan 16, 2024Complaint4 findings · 4 harm
- Jun 14, 2023Standard and complaint6 findings · 1 harm
Show the 28 earlier surveys
- Jul 21, 2022Complaint1 finding
- May 17, 2022Complaint1 finding
- Jan 14, 2022Standard and complaint11 findings
- Nov 3, 2021Complaint4 findings · 1 harm
- Sep 13, 2021Complaint1 finding · 1 harm
- Jan 7, 2021Complaint3 findings
- Sep 30, 2020Complaint4 findings
- Sep 17, 2020Complaint2 findings · 1 harm
- Aug 20, 2020Standard and complaint14 findings · 1 harm
- May 19, 2020Complaint1 finding · 1 harm
- Mar 9, 2020Complaint1 finding · 1 harm
- Jul 1, 2019Complaint1 finding · 1 harm
- Feb 28, 2019Standard and complaint19 findings
- Dec 13, 2018Complaint1 finding · 1 harm
- Nov 29, 2018Complaint7 findings
- Aug 2, 2018Complaint1 finding
- May 17, 2018Complaint1 finding
- Mar 5, 2018Standard11 findings
- May 25, 2017Complaint1 finding
- Oct 20, 2016Complaint2 findings · 1 harm
- May 18, 2016Standard and complaint1 finding
- Jul 20, 2015Complaint2 findings
- Mar 24, 2015Standard and complaint7 findings
- Jan 13, 2014—6 findings
- Mar 18, 2013—2 findings · 2 harm
- Oct 16, 2012—2 findings
- Aug 25, 2011—1 finding
- Jul 1, 2010—2 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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