Deficiency Index

Park Villa

Clyde, Kansas · CCN 175492

21 surveys since 2011. The first finding at harm level was recorded in 2015.

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

Citations on record
146
Surveys
21
Harm or worse
8
Immediate jeopardy
4
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy4

Findings at the most serious level CMS records.

Beyond CMS’s monthly file18/21

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

The facility

Certified beds
34
Ownership
Non profit - Corporation
Chain
Independent
County
Cloud · rural
Medicare-certified since
2007

CMS ratings

Overall
5
Health inspection
4
Staffing
5
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

Apr 15, 2026

208 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 day3.914.29
Registered-nurse hours per resident day0.68—
Annual nurse turnover34.2%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 minimalD1052.6%E315.8%F526.3%
No harm, potential for minimalA—B—C15.3%
CMS’s current file: 19 of the 146 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • 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.

  • F8122×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F8492×

    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

  • F8802×

    Provide and implement an infection prevention and control program.

  • F5841×

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

In the surveyor’s words

From the most serious findings on record at Park Villa, in the surveyor’s own words.

  • Immediate jeopardy, isolatedF689Mar 17, 2021

    The facility had a census of 34 residents. The sample included three residents reviewed for elopement risk. Based on observation, record review, and interview, the facility failed to adequately monitor and supervise cognitively impaired Resident (R) 1, when she exited the facility through the unlocked, unalarmed front entrance door without staff's knowledge and was outside for approximately 25 minutes before staff located her. This deficient practice placed R1 in immediate jeopardy and had the potential to affect the other 13 residents at risk for elopement. […]

  • No harm, potential for more than minimal, widespreadF801Apr 15, 2026

    Based on observation, record review, and interview, the facility failed to employ a full-time certified dietary manager for the 31 residents who resided in the facility and received meals from the facility kitchen. Findings included: - 04/14/26, a review of the noon meal consisted of shrimp, cornbread, cooked sliced squash, rice, and yellow cake with chocolate frosting. On 04/14/26 at 11:15 AM, observation revealed Dietary Staff (DS) BB in the kitchen overseeing the preparation of the noon meal. On 04/13/26 at 10:56 AM, DS BB verified she was not a Certified Dietary Manager (CDM). […]

  • No harm, potential for more than minimal, widespreadF812Apr 15, 2026

    Based on observation, record review, and interview, the facility failed to store, distribute, and serve food by professional standards for food service safety in the facility's kitchen. The facility failed to label, seal, and date food stored in the refrigerator/freezer and dry storage area. The facility also failed to consistently log freezer/refrigerator temperatures. Findings included:- On 04/13/26 at 08:10 AM, observation in the kitchen revealed the following:A white upright freezer had approximately one-quarter inch (in) of ice built up along the inside of the freezer and the shelves.The refrigerator located in the kitchen had a plastic bag with unlabeled, undated sliced yellow cheese.The March 2026 Freezer/Refrigerator Temperature Logs lacked documentation of the readings for the… […]

  • No harm, potential for more than minimal, widespreadF801Jul 24, 2024

    The facility had a census of 35 residents. The sample included 12 residents. Based on observation, record review, and interview, the facility failed to employ a full-time certified dietary manager for the 35 residents who resided in the facility and received meals from the facility kitchen. This placed the residents at risk for inadequate nutrition. Findings included: - On 07/23/24, a review of the noon meal consisted of barbeque meatballs, red potato salad, creamy sweet corn, dinner roll, and chocolate pudding. On 07/23/24 at 11:30 AM, observation revealed Dietary Staff BB in the kitchen overseeing the preparation of the noon meal. On 07/22/24 at 12:30 PM, Dietary Staff BB verified he was not a certified dietary manager. […]

  • No harm, potential for more than minimal, widespreadF812Jul 24, 2024

    The facility had a census of 35 residents. The sample included 12 residents. Based on observation, record review, and interview, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety, in one of one kitchen. This placed the residents who received their meals from the facility's kitchen at risk for foodborne illness. Findings included: - On 07/22/24 at 07:50 AM, observation in the kitchen revealed the following: The refrigerator had an unlabeled, undated half-full plastic bag of chicken strips, an unlabeled and undated plastic bag with five hamburger patties, an uncovered metal pan of blueberry crisp, and an unsealed plastic bag of yellow cheese slices. […]

Read 27 findings in full →The most serious and the most recent: 27 of 146 on record.

Every survey on record

FindingsAt actual harm or above

  • Apr 15, 2026Standard6 findings
  • Jul 24, 2024Standard6 findings
  • May 31, 2023Complaint2 findings
  • Jul 6, 2022Standard7 findings
  • Mar 17, 2021Complaint1 finding · 1 harm
  • Jan 13, 2021Standard7 findings
  • Dec 5, 2019Complaint1 finding
  • Aug 1, 2019Complaint1 finding · 1 harm
Show the 13 earlier surveys
  • Jun 5, 2019Standard7 findings
  • Aug 23, 2018Standard6 findings
  • Sep 5, 2017Complaint12 findings · 3 harm
  • May 3, 2017Complaint1 finding
  • Feb 14, 2017Standard and complaint26 findings · 2 harm
  • Feb 1, 2016Standard11 findings
  • Sep 16, 2015Complaint1 finding · 1 harm
  • Jun 24, 2015Complaint5 findings
  • Mar 2, 2015Complaint5 findings
  • Dec 1, 2014Standard8 findings
  • Sep 16, 2013—18 findings
  • Jun 21, 2012—10 findings
  • Apr 26, 2011—5 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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