Deficiency Index

Locust Grove Village

La Crosse, Kansas · CCN 175369

17 surveys since 2011. The first finding at harm level was recorded in 2016.

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

Citations on record
91
Surveys
17
Harm or worse
5
Immediate jeopardy
3
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy3

Findings at the most serious level CMS records.

Beyond CMS’s monthly file13/17

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

The facility

Certified beds
38
Ownership
Non profit - Corporation
Chain
Independent
County
Rush · rural
Medicare-certified since
1996

CMS ratings

Overall
2
Health inspection
2
Staffing
4
Quality measures
3

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 83 not-for-profit facilities with fewer than 66 beds in Kansas.

Last survey on record

Jul 22, 2026

110 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 day4.274.29
Registered-nurse hours per resident day0.77—
Annual nurse turnover52.5%43.9%

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

Enforcement

Fines
$12,779 across 1 penalty

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ15.0%K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1155.0%E420.0%F420.0%
No harm, potential for minimalA—B—C—
CMS’s current file: 20 of the 91 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F7563×

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

  • F7613×

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

  • 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.

  • F8012×

    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

  • F6001×

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

In the surveyor’s words

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

  • Immediate jeopardy, isolatedF600Aug 14, 2025

    The facility identified a census of 34 residents, with three residents reviewed for abuse, neglect, and exploitation. Based on record review, observation, and interview, the facility failed to prevent an episode of staff-to-resident physical abuse. On 06/28/25 at approximately 06:40 PM, Certified Nurse Aide (CNA) M took cognitively impaired Resident (R)1 to the bathroom. CNA M called for assistance, and CNA N came to R1's room. CNA M told CNA N that R1 bit her, so CNA N took over care. CNA N noticed R1 was dabbing her face with toilet paper, and the toilet paper had blood on it. CNA N asked R1 what happened, and R1 said, Honey, can you believe it? Her fist hit my jaw. CNA N observed a purple bruise on R1's right jaw and blood in the resident's mouth. […]

  • No harm, potential for more than minimal, widespreadF727Jul 22, 2026

    Based on observation, record review, and interview, the facility failed to provide Registered Nurse (RN) coverage for eight consecutive hours a day, seven days a week.Findings included:- The facility's August 2025, September 2025, October 2025, November 2025, December 2025, January 2026, and March 2026 nursing schedule lacked evidence of Registered Nurse coverage for eight consecutive hours a day, on the following dates: 08/04/2025, 08/10/2025, 09/27/2025, 10/04/2025, 10/11/2025, 10/18/2025, 10/19/2025, 10/25/2025, 10/26/2025, 11/08/2025, 11/29/2025, 12/19/2025, 12/28/2025, 01/01/2026, 01/03/2026, 01/24/2026, and 03/08/2026. […]

  • No harm, potential for more than minimal, widespreadF801Jul 22, 2026

    Based on interviews and record review, the facility failed to provide the services of a full-time certified dietary manager for the 36 residents who resided in the facility and received their meals from the kitchen.Findings included:- On 07/20/2026 at 07:50 AM, Dietary Staff CC stated the facility did not have a Certified Dietary Manager (CDM). She stated she was the kitchen supervisor, and the person taking over the CDM was on vacation. Dietary Staff CC stated Dietary Staff BB had just started taking her classes for the CDM.On 07/22/2026 at 08:00 AM, Administrative Staff A stated he was aware the facility did not have a CDM. He stated the facility did have a person who was taking the class. […]

  • No harm, potential for more than minimal, widespreadF812Jul 22, 2026

    Based on observation, record review and interviews, the facility failed to follow sanitary dietary standards related to food storage and service.Findings included:- During the initial tour on 07/20/2026 at 07:40 AM, observation revealed the following:In the walk-in refrigerator, 17 individual pieces of cake and individual slices of pie sat on a stainless-steel cart, wrapped and undated. A steam table pan of beef tips was covered with aluminum foil, unlabeled and undated. A large steam table pan of rice was covered with aluminum foil, unlabeled and undated. A platter of ham slices was placed on the second shelf in the walk-in cooler, unlabeled and undated. […]

  • No harm, potential for more than minimal, widespreadF801Sep 11, 2024

    The facility had a census of 36 residents. The sample included 13 residents. Based on observation, interview, and record review the facility failed to employ a full time Certified Dietary Manager (CDM) to supervise the preparation of meals and sanitation in the facility's kitchen. This deficient practice placed the 36 residents of the facility at risk for inadequate nutrition. Findings included: - On 09/10/24 at 12:00 PM, observation revealed Dietary Staff (DS) BB in the facility kitchen assisting with the noon meal service. On 09/10/24 at 12:45 PM, Dietary Staff (DS) BB stated the prior Registered Dietician (RD) had assisted her with training related to the CDM certification. She stated she had completed the courses and was scheduled to take the test in November 2024. […]

Read 24 findings in full →The most serious and the most recent: 24 of 91 on record.

Every survey on record

FindingsAt actual harm or above

  • Jul 22, 2026Standard9 findings
  • Aug 14, 2025Complaint1 finding · 1 harm
  • Sep 11, 2024Standard6 findings
  • Jan 31, 2023Standard4 findings
  • Jul 2, 2019Standard3 findings
  • Aug 30, 2018Standard2 findings
  • Jun 19, 2018Complaint2 findings · 1 harm
  • Jan 30, 2017Standard7 findings · 1 harm
Show the 9 earlier surveys
  • Sep 21, 2016Complaint1 finding · 1 harm
  • Aug 17, 2016Complaint1 finding
  • Apr 13, 2016Complaint7 findings · 1 harm
  • Oct 9, 2015Standard and complaint20 findings
  • Sep 10, 2015Complaint3 findings
  • Jun 23, 2014Standard6 findings
  • Nov 21, 2013—3 findings
  • Mar 5, 2013—8 findings
  • Nov 22, 2011—8 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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