Deficiency Index

Garden Valley Retirement Village

Garden City, Kansas · CCN 175175

19 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
119
Surveys
19
Harm or worse
9
Immediate jeopardy
5
The record, 2011–2025
’11’15’20’25
No harm recordedHarm or worseNot surveyed
Immediate jeopardy5

Findings at the most serious level CMS records.

Beyond CMS’s monthly file16/19

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

The facility

Certified beds
62
Ownership
For profit - Corporation
Chain
FRONTLINE MANAGEMENT
County
Finney · rural
Medicare-certified since
1988

CMS ratings

Overall
5
Health inspection
5
Staffing
3
Quality measures
2

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=19, floor 20).

Last survey on record

Jun 12, 2025

515 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 day3.453.78
Registered-nurse hours per resident day0.78—
Annual nurse turnover53.8%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 minimalD1789.5%E210.5%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 19 of the 119 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6412×

    Ensure each resident receives an accurate assessment.

  • F7912×

    Provide or obtain dental services for each resident.

  • F5501×

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  • F6251×

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

  • F6271×

    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

In the surveyor’s words

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

  • No harm, potential for more than minimal, patternF804Jun 12, 2025

    The facility reported a census of 45, which included four residents that had physician orders for pureed diets. Based on observation, interview, and record review the facility failed to provide food prepared in accordance with recipes to ensure conservation of nutritive value, flavor, palatability, and appearance for four residents that received pureed diets. This placed the affected residents at risk for impaired nutrition and diminished enjoyment of their meals. Findings included: - On 06/10/25 at 10:39 AM observation of Dietary Staff BB preparation to pureed lunch menu items revealed the lack of recipes to provide guidance to the dietary staff to ensure the nutritional value and palatability of the food items. […]

  • No harm, potential for more than minimal, patternF842Aug 19, 2021

    The facility reported a census of 50 with 16 sampled residents. Based on interview and record review the facility failed to maintain medical records on each resident that are complete, accurately documented, readily accessible and systematically organized in accordance with accepted professional standards and practices by the failure to have resident information scanned into the Electronic Health Record (EHR) in a timely manner. Findings included: - Upon entrance on 08/16/21 Administrative Nurse B informed the survey team the facility only used electronic records. Review of the Electronic Health Record during the survey 08/17/21-08/19/21 revealed lack of complete information on the 16 sampled residents. […]

  • No harm, potential for more than minimal, isolatedF627Jun 12, 2025

    The facility reported a census of 45 residents. The sample included 12 residents, with two residents reviewed for discharge. Based on observation, interview, and record review the facility failed to ensure that the discharge needs were identified, and an appropriate discharge plan was created for Resident (R) 39. This placed the resident at risk for unmet care needs and inappropriate discharge. Findings included: - R39's Electronic Health Records (EHR) documented diagnoses which included surgical amputation (surgical removal of a body part), acute osteomyelitis left ankle and foot (local or generalized infection of the bone and bone marrow), cellulitis (skin infection caused by bacteria) left lower limb, morbid obesity, chronic obstructive pulmonary disease (COPD- a progressive and… […]

  • No harm, potential for more than minimal, isolatedF676Jun 12, 2025

    The facility reported a census of 45 residents with 12 residents sampled. Based on observation, interview, and record review, the facility failed to ensure that Resident (R) 43 received services to maintain his abilities of activities of daily living (ADL). This deficient practice placed the resident at risk for a decrease in functional abilities and decreased independence. Findings included: - R43's Electronic Health Record (EHR) included diagnoses of unspecified dislocation of the right shoulder, muscle weakness, and unsteady gait. R43's 07/11/24 Annual Minimum Data Set (MDS) documented a Brief Interview of Mental Status (BIMS) score of 15, which indicated intact cognition. The MDS documented R43 had impairment of the upper extremity on one side. […]

  • No harm, potential for more than minimal, isolatedF677Jun 12, 2025

    The facility reported a census of 45 residents. The sample included 12 residents with one dependent resident reviewed for activities of daily living (ADLs). Based on observation, interviews, and record review the facility failed to provide ADL care including grooming of facial hair for Resident (R) 45. This placed the resident at risk for impaired dignity and poor hygiene. Findings included: - R45's Electronic Health Record (EHR) revealed diagnoses of a need for assistance with personal care, muscle weakness, and depression (a mood disorder that causes a persistent feeling of sadness and loss of interest) R45's 12/24/24 Annual Minimum Data Set (MDS) documented a Brief Interview for Mental Status (BIMS) score of 15, which indicated intact cognition. […]

Read 29 findings in full →The most serious and the most recent: 29 of 119 on record.

Every survey on record

FindingsAt actual harm or above

  • Jun 12, 2025Standard and complaint7 findings
  • Jun 29, 2023Standard and complaint6 findings
  • Aug 19, 2021Standard and complaint6 findings
  • Oct 21, 2019Standard9 findings
  • Jun 4, 2019Standard6 findings
  • Mar 21, 2019Standard1 finding
  • Oct 16, 2018Standard and complaint9 findings · 1 harm
  • Jul 19, 2018Standard6 findings
Show the 11 earlier surveys
  • Mar 8, 2017Complaint13 findings · 2 harm
  • Nov 16, 2016Standard and complaint8 findings · 2 harm
  • Apr 23, 2015Standard and complaint11 findings · 3 harm
  • Feb 10, 2014—1 finding
  • Jan 22, 2014—9 findings
  • Oct 10, 2012—12 findings · 1 harm
  • Aug 17, 2012—3 findings
  • Jul 5, 2012—3 findings
  • Oct 12, 2011—1 finding
  • Aug 25, 2011—2 findings
  • Jul 19, 2011—6 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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