Deficiency Index

Chase County Care and Rehab

Cottonwood Falls, Kansas · CCN 175223

14 surveys since 2011. The first finding at harm level was recorded in 2015.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
91
Surveys
14
Harm or worse
3
Immediate jeopardy
0
The record, 2011–2025
’11’15’20’25
No harm recordedHarm or worseNot surveyed
Harm or worse3

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file9/14

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
MISSION HEALTH COMMUNITIES
County
Chase · rural
Medicare-certified since
1992

CMS ratings

Overall
3
Health inspection
3
Staffing
1
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat more weighted findings than its peer group.

Weighted by harm level, against 108 for-profit facilities with fewer than 66 beds in Kansas.

Last survey on record

Sep 11, 2025

424 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.733.78
Registered-nurse hours per resident day0.59—
Annual nurse turnover50.0%50.0%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1751.5%E515.2%F1030.3%
No harm, potential for minimalA—B—C13.0%
CMS’s current file: 33 of the 91 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F5843×

    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.

  • F8123×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F8803×

    Provide and implement an infection prevention and control program.

  • F9213×

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

  • F6572×

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

In the surveyor’s words

From the most serious findings on record at Chase County Care and Rehab, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF812Sep 11, 2025

    The facility reported a census of 35 residents. Based on observation, record review, and interview, the facility failed to store and prepare food in one of one kitchen under sanitary conditions. This deficient practice placed the residents of the facility at risk for food borne illnesses. Findings included:- On 09/09/25 at 01:15 PM, during a kitchen tour with Dietary Staff BB, observation revealed the following sanitation concerns in the food preparation and storage area:A stainless-steel food preparation table countertop with rust and peeling paint adjacent to the surface Missing trim/door facing on one side of the kitchen door when exiting the dry food storage room, which exposed an unsealed sheetrock surfaceFour broken floor tiles in the dry food storage areaDietary Staff BB confirmed… […]

  • No harm, potential for more than minimal, widespreadF921Sep 11, 2025

    The facility reported a census of 35 residents. The sample included 13 residents. Based on interviews, record reviews and observation, the facility failed to ensure a safe environment in all areas of the facility including those used by visitors and staff. This deficient practice created a risk for impaired safety and cleanliness. Findings included:- Observed on 09/11/25 at 08:30 AM, in the hall one clean utility closet, where clean linen was being stored, there was torn and missing wallpaper on the end of the storage shelf with exposed wood. […]

  • No harm, potential for more than minimal, widespreadF730Feb 1, 2024

    The facility reported a census of 32 residents. Based on interview and record review, the facility failed to complete an annual performance review at least once every 12 months for five of the five Certified Nurse Aides (CNA) reviewed, CNA M, N, O, P and Q, to ensure adequate appropriate cares and services provided to the residents of the facility. Findings included: - Review of five employee personnel files, employed by the facility for greater than one year, revealed the following concerns: Review of Certified Nurse Aide (CNA) M, hired 03/08/22, lacked an annual performance review in her personnel file. Review of CNA Q, hired 11/21/22, lacked an annual performance review in her personnel file. Review of CNA N, hired 02/01/22, lacked an annual performance review in her personnel file. […]

  • No harm, potential for more than minimal, widespreadF812Feb 1, 2024

    The facility reported a census of 32 residents. Based on observation, record review and interview, the facility failed to prepare and serve food under sanitary conditions, to the residents of the facility appropriately to prevent the potential for food borne bacteria. Findings included: - During an initial tour of the kitchen on 01/30/24 at 03:15 PM, the following areas of concern were noted: 1. A three-tiered beige rolling cart used to transport food from the walk-in refrigerator to the kitchen area and to deliver meals to residents in their rooms had visible ground-in dirt on all three tiers. 2. […]

  • No harm, potential for more than minimal, widespreadF851Feb 1, 2024

    The facility reported a census of 32 residents. Based on observation, interview, and record review, the facility failed to electronically submit to Centers for Medicare and Medicaid Services (CMS) with complete and accurate direct staffing information, based on payroll and other verifiable and auditable data in a uniform format according to specifications established by CMS (i.e. Payroll Base Journal (PBJ), related to licensed nursing staffing information, when the facility failed to accurately report 24 hour per day Licensed Nurse coverage on 24 dates between 01/01/23 and 12/31/23. […]

Read 23 findings in full →The most serious and the most recent: 23 of 91 on record.

Every survey on record

FindingsAt actual harm or above

  • Sep 11, 2025Standard6 findings
  • Jun 26, 2024Complaint1 finding
  • Feb 1, 2024Standard13 findings
  • Sep 6, 2023Infection control3 findings
  • May 25, 2022Standard and complaint10 findings
  • Sep 9, 2020Standard and complaint4 findings
  • Apr 1, 2019Standard and complaint11 findings
  • Jul 12, 2018Complaint2 findings · 1 harm
Show the 6 earlier surveys
  • Jun 8, 2018Standard7 findings · 1 harm
  • Aug 16, 2016Standard15 findings
  • Mar 17, 2015Standard and complaint7 findings · 1 harm
  • Nov 25, 2013—1 finding
  • Aug 17, 2012—6 findings
  • Jul 11, 2011—5 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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