Elmhaven East
Parsons, Kansas · CCN 175415
23 surveys since 2011, 9 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
- 121
- Surveys
- 23
- Harm or worse
- 9
- Immediate jeopardy
- 5
Findings at the most serious level CMS records.
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 - Corporation
- Chain
- Independent
- County
- Labette · rural
- Medicare-certified since
- 1997
CMS ratings
- Overall
- 3
- Health inspection
- 3
- Staffing
- 4
- Quality measures
- 4
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 10, 2026
152 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 |
|---|---|---|
| Nurse hours per resident day | 3.82 | 3.78 |
| Registered-nurse hours per resident day | 1.22 | — |
| Annual nurse turnover | 66.7% | 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
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G12.5% | H— | I— |
| No harm, potential for more than minimal | D2870.0% | E512.5% | F410.0% |
| No harm, potential for minimal | A— | B— | C25.0% |
Most frequently cited here
In CMS’s current monthly file.
- F8804×
Provide and implement an infection prevention and control program.
- F6573×
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- F5502×
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- F6362×
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- F6772×
Provide care and assistance to perform activities of daily living for any resident who is unable.
In the surveyor’s words
From the most serious findings on record at Elmhaven East, in the surveyor’s own words.
- Immediate jeopardy, widespreadF600May 11, 2023
The facility reported a census of 31 residents. Based on interview and record review, the facility failed to ensure residents remained free from neglect when administrative staff did not respond timely to the report of inappropriate/concerning behavior of a Licensed Nurse, on duty from 06:00 PM on 05/03/23 to 06:00 AM on 05/04/23. A Nurse Aide on duty witnessed the erratic behaviors of Licensed Nurse (LN) G and text messaged the on-call Administrative Nurse D on 05/03/23 at 11:10 PM to report she felt the residents were not safe with LN G, and reported LN G was talking to herself, laughing, grunting, and kicked over a trash can. […]
- Immediate jeopardy, isolatedF600Nov 17, 2022
The facility reported a census of 36 residents, with 10 residents selected for review, including two residents reviewed for neglect. Based on observation, interview, and record review, the facility failed to conduct a thorough assessment of one Resident (R)1 with a change in condition. The facility failed to notify the physician when R1 did not have an increase in urinary output following an increase in physician ordered diuretic medication (medication to promote the formation and excretion of urine) on [DATE]. The facility failed to notify the physician on [DATE] when the resident lacked urinary output for greater than 24 hour and complained of difficulty breathing. […]
- Immediate jeopardy, isolatedF726Nov 17, 2022
The facility reported a census of 36 residents, with 10 residents selected for review. Based on observation, interview, and record review, the facility failed to conduct a thorough assessment of one Resident (R)1 with a change in condition. The facility failed to notify the physician when R1 did not have an increase in urinary output following an increase in physician ordered diuretic medication (medication to promote the formation and excretion of urine) on [DATE]. The facility failed to notify the physician on [DATE] when the resident lacked urinary output for greater than 24 hour and complained of difficulty breathing. […]
- Actual harm, isolatedF697Dec 21, 2021
The facility reported a census of 30 residents, with 14 residents sampled including three residents reviewed for pain. Based on observation, interview, and record review, the facility failed to implement effective pain management for one Resident (R)21, with moderate to severe pain, related to the facility not having access to the resident's pain medication for two days. Findings included: - The Physician order [MEDICAL RECORD OR PHYSICIAN ORDER] . The Admission Minimum Data Set (MDS), dated [DATE], documented the resident had a Brief Interview for Mental Status (BIMS) score of 15, indicating the resident was cognitively intact. The resident received pain medications, as needed (PRN). […]
- No harm, potential for more than minimal, widespreadF812Jun 10, 2026
Based on observation, interview, and record review, the facility failed to provide sanitary conditions for food storage and preparation in the facility's one kitchen to prevent the spread of food borne illness to the residents of the facility. Findings included:- Initial tour of the kitchen on 06/08/2026 at 08:28 AM with Dietary Staff DD revealed the following areas of concern: Numerous baking sheets, baking pans, and cooking pots had black staining on the interior and exterior of the cookware and bakeware. Ground nutmeg and ground cloves dated 11/11/2019. An undated, unsealed bag containing a biscuit, an unsealed, undated loaf of bread, and a box of brown rice dated 05/20/2026 with an expiration date of 03/04/2026. […]
Read 29 findings in full →The most serious and the most recent: 29 of 121 on record.
Every survey on record
FindingsAt actual harm or above
- Jun 10, 2026Standard8 findings
- Apr 23, 2025Standard and complaint12 findings
- Aug 10, 2023Standard10 findings
- May 11, 2023Complaint1 finding · 1 harm
- Nov 17, 2022Complaint5 findings · 2 harm
- Apr 20, 2022Complaint1 finding
- Dec 21, 2021Standard and complaint10 findings · 1 harm
- Dec 1, 2021Infection control1 finding
Show the 15 earlier surveys
- Jul 21, 2021Complaint2 findings
- Mar 8, 2021Complaint1 finding
- Jul 23, 2020Complaint1 finding
- Jul 6, 2020Complaint1 finding · 1 harm
- Mar 3, 2020Standard8 findings
- Apr 9, 2019Complaint1 finding · 1 harm
- Mar 6, 2019Complaint1 finding · 1 harm
- Feb 27, 2019Standard9 findings
- May 22, 2018Standard and complaint9 findings · 1 harm
- Mar 3, 2017Complaint2 findings
- Oct 28, 2016Standard10 findings
- May 12, 2015Standard and complaint13 findings
- Feb 21, 2014—8 findings · 1 harm
- Nov 15, 2012—5 findings
- Sep 6, 2011—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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