Deficiency Index

Cumbernauld Village

Winfield, Kansas · CCN 175569

4 surveys since 2022, 1 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
11
Surveys
4
Harm or worse
1
Immediate jeopardy
1
The record, 2022–2026
’22’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy1

Findings at the most serious level CMS records.

Beyond CMS’s monthly file1/4

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
42
Ownership
Non profit - Corporation
Chain
Independent
County
Cowley · rural
Medicare-certified since
2022

CMS ratings

Overall
5
Health inspection
5
Staffing
5
Quality measures
3

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=11, floor 20).

Last survey on record

Apr 9, 2026

214 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 day5.814.29
Registered-nurse hours per resident day1.06—
Annual nurse turnover42.6%43.9%

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 minimalD770.0%E110.0%F220.0%
No harm, potential for minimalA—B—C—
CMS’s current file: 10 of the 11 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6572×

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

  • F6772×

    Provide care and assistance to perform activities of daily living for any resident who is unable.

  • F6051×

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

  • F6891×

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • F8041×

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

In the surveyor’s words

From the most serious findings on record at Cumbernauld Village, in the surveyor’s own words.

  • Immediate jeopardy, widespreadF610Mar 2, 2023

    The facility reported a census of 35 residents, with four residents reviewed for abuse. Based on observation, interview, and record review the facility failed to ensure staff reported all alleged violations of abuse and mistreatment to administrative staff in a timely manner. On 02/03/23 Certified Nurse Aide (CNA) N and CNA O witnessed CNA M respond to the behaviors of R1 in a manner which alleged abuse or mistreatment, when CNA M shoved R1 roughly toward the wall, and the staff failed to report the incident. On 02/10/23 CNA O and CNA N again observed CNA M respond to the behaviors of R3 and R4 in a manner which alleged abuse or mistreatment when CNA M verbally threatened R3 and later yanked R4's walker and forcefully grabbled R4's wrist. […]

  • No harm, potential for more than minimal, widespreadF812Jun 5, 2024

    The facility reported a census of 34 residents. Based on observation and interview, the facility failed to prepare food under sanitary conditions, for the residents of the facility related to the appropriate use of hair restraints, beard restraints, and cross contamination following handwashing. Findings included: - On 06/03/24 at 10:11 AM, an initial tour of the kitchen with Dietary Staff CC, revealed the following areas of concern: 1. Dietary staff DD walked through the food preparation area with his hair unrestrained and exposed outside of his ball cap. 2. Dietary staff EE worked in the food preparation area with his hair exposed and unrestrained outside of his ball cap. Dietary staff EE had a facial beard and he lacked a beard guard. […]

  • No harm, potential for more than minimal, widespreadF814Jun 5, 2024

    The facility reported a census of 34 residents. Based on observation, interview, and record review, the facility failed to maintain and/or dispose of garbage and refuse properly in a sanitary condition to prevent the harborage and feeding of pests. Findings included: - On 06/03/24 at 10:33 AM, initial tour with Dietary Staff BB revealed a three compartment outside dumpster with open lids. One of the three compartments contained a full garbage bag. Dietary staff BB confirmed the dumpster lids should be closed at all times to prevent rodents and wildlife in the area from entering the garbage and spreading it throughout the facility grounds to attract pests and prevent the spread of contaminations. Additionally, dietary staff BB stated the dumpsters were used by all facility staff. […]

  • No harm, potential for more than minimal, patternF880Apr 9, 2026

    Based on observation, interview, and record review, the facility failed to ensure adequate infection control practices related to urinary catheter care (a tube inserted into the bladder to drain the urine into a collection bag), peri-hygiene, and shared mechanical lift use. Findings included:- On 04/07/26 at 08:14 AM, Certified Nurse Aide (CNA) M assisted Resident (R) 2 with morning cares. R2 received antibiotic treatment for a urinary tract infection (UTI- an infection in any part of the urinary system). CNA M donned clean gloves and provided a brief change due to urine incontinence. CNA M removed the soiled brief and provided peri-hygiene care. […]

  • No harm, potential for more than minimal, isolatedF605Apr 9, 2026

    Based on observation, interview, and record review, the facility failed to ensure Resident (R) 6 had a stop order for the use of as-needed (PRN) antianxiety (a class of medication that calms and relaxes people as required. Findings included: - R6's Electronic Medical Record (EMR) included diagnoses of Alzheimer's (progressive mental deterioration characterized by confusion and memory failure) disease with late onset, pain, and anxiety (mental or emotional reaction characterized by apprehension. […]

Read all 11 findings in full →

Every survey on record

FindingsAt actual harm or above

  • Apr 9, 2026Standard2 findings
  • Jun 5, 2024Standard5 findings
  • Mar 2, 2023Complaint1 finding · 1 harm
  • Nov 17, 2022Standard3 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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