Deficiency Index

Leonardville Nursing Home

Leonardville, Kansas · CCN 175477

12 surveys since 2011. The first finding at harm level was recorded in 2023.

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

Citations on record
54
Surveys
12
Harm or worse
1
Immediate jeopardy
1
The record, 2011–2024
’11’15’20’24
No harm recordedHarm or worseNot surveyed
Immediate jeopardy1

Findings at the most serious level CMS records.

Beyond CMS’s monthly file8/12

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

The facility

Certified beds
55
Ownership
Non profit - Corporation
Chain
Independent
County
Riley
Medicare-certified since
2004

CMS ratings

Overall
5
Health inspection
5
Staffing
5
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=13, floor 20).

Last survey on record

Oct 31, 2024

739 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 day5.104.29
Registered-nurse hours per resident day0.62—
Annual nurse turnover34.8%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 minimalD866.7%E325.0%F18.3%
No harm, potential for minimalA—B—C—
CMS’s current file: 12 of the 54 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6892×

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

  • F7582×

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

  • F5831×

    Keep residents' personal and medical records private and confidential.

  • F6091×

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  • F6571×

    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 Leonardville Nursing Home, in the surveyor’s own words.

  • Immediate jeopardy, isolatedF689Apr 24, 2023

    The facility identified a census of 44 residents. The sample included four residents with three residents reviewed for accidents. Based on observations, record review, and interviews the facility failed to provide adequate supervision to identify and immediately intercept Resident (R) 1, a cognitively impaired resident at risk for elopement (when a cognitively impaired resident leaves the facility without staff knowledge) and falls, when he left the locked memory care unit through an alarmed door on 04/19/23 at 05:53 AM. The door alarm sounded, but Licensed Nurse (LN) G silenced the alarm without checking which door was alarming and why. The facility did not immediately implement protocols to ensure all residents were accounted for. […]

  • No harm, potential for more than minimal, widespreadF801Jun 19, 2023

    The facility had a census of 45 residents. Based on observation, interview, and record review the facility failed to employ a certified dietary manager to supervise the preparation of meals and organization in the facility's kitchen. This deficient practice placed the 45 residents who received meals from the kitchen at risk for receiving inadequate nutrition. Findings included: - On 06/15/23 at 12:30 PM, observation revealed Dietary Staff BB performed a chemical test for disinfection of the three-compartment sink which used Quat sanitizer. On 06/13/23 at 08:25 AM, Dietary Staff BB verified he was the dietary manager but was not certified. He stated he would be taking the test. […]

  • No harm, potential for more than minimal, patternF583Jul 26, 2023

    The facility identified a census of 43 residents. Based on observation, record review and interview, the facility failed to provide protection and confidentiality of the residents protected health information. This deficient practice placed the residents at risk for having their confidentiality of treatment at risk for public disclosure. Findings included: - The Facility Incident Report, dated 07/10/23, documented on 07/07/23 Administrative Staff A was notified by staff members, Licensed Nurse (LN) G and LN H that Certified Nurse's Aide (CNA) M was texting with CNA N (a CNA on the evening shift). […]

  • No harm, potential for more than minimal, patternF609Jul 26, 2023

    The facility identified a census of 43 residents. Based on observation, record review and interview, the facility failed to report alleged abuse and mistreatment to the State Agency (SA)within required timeframes. This deficient practice placed the residents residing at the facility at risk for continued abuse and neglect. Findings included: - The Facility Incident Report, dated 07/10/23, documented on 07/07/23 Administrative Staff A was notified by staff members, Licensed Nurse (LN) G and LN H that Certified Nurse's Aide (CNA) M was texting with CNA N (a CNA on the evening shift). […]

  • No harm, potential for more than minimal, patternF761Oct 13, 2021

    The facility had a census of 48 residents. Based on observation, record review, and interview, the facility failed to store drugs and biologicals in a safe manner in one of three medications carts. Findings included: - On [DATE] at 09:31 AM, observation during the initial tour revealed the medication cart on Serenity Neighborhood had multiple medications cups with an assortment of pills in them in the top drawer of the medication cart that had been prepared before the administration times. […]

Read 20 findings in full →The most serious and the most recent: 20 of 54 on record.

Every survey on record

FindingsAt actual harm or above

  • Oct 31, 2024Standard4 findings
  • Jul 26, 2023Complaint2 findings
  • Jun 19, 2023Standard3 findings
  • Apr 24, 2023Complaint1 finding · 1 harm
  • Oct 13, 2021Standard3 findings
  • Jan 17, 2019Standard8 findings
  • Sep 19, 2017Standard4 findings
  • Feb 2, 2016Standard8 findings
Show the 4 earlier surveys
  • Nov 20, 2014Standard6 findings
  • Aug 8, 2013—3 findings
  • May 8, 2012—5 findings
  • Apr 27, 2011—7 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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