Memorial Hospital Ltcu (Village Manor)
Abilene, Kansas · CCN 175244
16 surveys since 2011, 6 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
- 70
- Surveys
- 16
- Harm or worse
- 6
- Immediate jeopardyall corrected before survey
- 3
Findings at the most serious level CMS records. All were recorded as past non-compliance — corrected before the survey.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 75
- Ownership
- Government - Hospital district
- Chain
- Independent
- County
- Dickinson · rural
- Medicare-certified since
- 1993
CMS ratings
- Overall
- 4
- Health inspection
- 4
- Staffing
- 4
- Quality measures
- 2
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded somewhat fewer weighted findings than its peer group.
Weighted by harm level, against 57 facilities of 66–99 beds in Kansas.
Last survey on record
Sep 11, 2024
789 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 | 4.33 | 4.61 |
| Registered-nurse hours per resident day | 0.60 | — |
| Annual nurse turnover | 55.1% | 44.2% |
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 | J15.9% | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D1482.4% | E15.9% | F15.9% |
| No harm, potential for minimal | A— | B— | C— |
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.
- F5801×
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- F5821×
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- F5851×
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
In the surveyor’s words
From the most serious findings on record at Memorial Hospital Ltcu (Village Manor), in the surveyor’s own words.
- Immediate jeopardy, isolatedF689Jul 5, 2023
The facility identified a census of 72 residents with three reviewed for accidents and hazards. Based on record review, observation, and interview, the facility failed to ensure staff provided adequate assistance to prevent avoidable accidents for cognitively impaired Resident (R) 1, who required a full body lift with assistance of two staff for transfers. On 06/25/23 Certified Nurse Aide (CNA) M sent her coworker on break and then took R1 to her room and proceeded to transfer R1 using a full body lift without a second staff member. R1 slid from the lift sling and fell to the floor. CNA M notified a nurse, who assessed R1 and noted R1 was not responding to commands and R1's eyes were rolled back in her head. […]
- Actual harm, isolatedF689Mar 20, 2023
The facility identified a census of 69 residents. The sample included three residents reviewed for falls and accidents. Based on observation, record review, and interview, the facility failed to transfer Resident (R) 1 in accordance with her plan of care, which resulted in an avoidable accident where R1 sustained a left tibia (bone of the lower leg) fracture (broken bone). On 03/04/23 Certified Nurse Aide (CNA) M and Nursing Student (NS) GG attempted to perform a stand pivot transfer, without a gait belt, with R1. R1, who required a full body lift for transfers, leaned to the left and staff lowered her to the floor resulting in a left tibia fracture. […]
- No harm, potential for more than minimal, widespreadF851Sep 11, 2024
The facility had a census of 65 residents. Based on record review and interview, the facility failed to submit complete and accurate staffing information through the Payroll Based Journal (PBJ) as required. This deficient practice placed the residents at risk for unidentified and ongoing inadequate nurse staffing. Findings included: - The PBJ report provided by the Centers for Medicare & Medicaid Services (CMS) for Fiscal Year (YR) 2024 Quarters 1, 2, and 3 indicated the facility did not have licensed nurse coverage 24 hours a day, seven days a week on multiple days, (Quarter 1: 18 dates, Quarter 2: 19 dates, Quarter 3: 13 dates). A review of the facility's licensed nurse data or the dates listed on the PBJ revealed a licensed nurse was on duty for 24 hours a day seven days a week. […]
- No harm, potential for more than minimal, patternF689Feb 8, 2023
The facility had a census of 72 residents. The sample included 18 residents. Based on observation, record review and interview the facility failed to provide adequate assistance for Resident (R) 4 with transfers and failed to ensure a safe environment for four cognitively impaired independently mobile residents who had access to chemicals on a housekeeping cart. Findings included: - R4's Electronic Medical Record (EMR) documented she had diagnoses of Alzheimer's disease (a disorder affecting thinking and social systems that interferes with daily functioning). R4's Quarterly Minimal Data Set (MDS), dated [DATE], documented the resident has a Brief Interview of Mental Status (BIMS) score of ten, which indicated moderately impaired cognition. […]
- No harm, potential for more than minimal, isolatedF609Aug 19, 2026
Based on observation, interview, and record review, the facility failed to report to the State Agency (SA) allegations of abuse and neglect reported on 07/12/2026 for Resident (R) 12 within the required timeframe. Findings included:- R12's Electronic Medical Record (EMR) included diagnoses of heart failure, chronic lymphocytic leukemia (malignant disease affecting bone marrow), diabetes mellitus (DM-when the body cannot use glucose, not enough insulin is made, or the body cannot respond to the insulin), weakness, need for assistance with personal care, urinary tract infection (UTI-an infection in any part of the urinary system), and unsteadiness on feet. […]
Read 24 findings in full →The most serious and the most recent: 24 of 70 on record.
Every survey on record
FindingsAt actual harm or above
- Aug 19, 2026Complaint1 finding
- Sep 11, 2024Standard10 findings
- Jul 5, 2023Complaint1 finding · 1 harm
- Mar 20, 2023Complaint1 finding · 1 harm
- Feb 8, 2023Complaint5 findings
- Jul 25, 2022Complaint1 finding
- Aug 4, 2021Standard1 finding
- Jun 24, 2019Standard and complaint2 findings
Show the 8 earlier surveys
- Sep 10, 2018Standard4 findings
- Sep 20, 2017Complaint2 findings · 1 harm
- Feb 20, 2017Standard1 finding
- Oct 18, 2016Complaint2 findings · 2 harm
- Jun 10, 2015Standard and complaint5 findings
- Feb 20, 2014—12 findings · 1 harm
- Jan 24, 2013—16 findings
- Dec 21, 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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