Phillips County Retirement Center
Phillipsburg, Kansas · CCN 17E658
7 surveys since 2016. The first finding at harm level was recorded in 2024.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 63
- Surveys
- 7
- Harm or worse
- 2
- Immediate jeopardy
- 1
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 40
- Ownership
- Non profit - Corporation
- Chain
- Independent
- County
- Phillips · rural
- Medicare-certified since
- 2017
CMS ratings
- Overall
- 1
- Health inspection
- 2
- Staffing
- 1
- Quality measures
- 3
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded more weighted findings than most of its peer group.
Weighted by harm level, against 83 not-for-profit facilities with fewer than 66 beds in Kansas.
Last survey on record
Mar 11, 2026
243 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 | 4.21 | 4.29 |
| Registered-nurse hours per resident day | 0.09 | — |
| Annual nurse turnover | 38.7% | 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
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J12.8% | K— | L— |
| Actual harm | G12.8% | H— | I— |
| No harm, potential for more than minimal | D1952.8% | E822.2% | F616.7% |
| No harm, potential for minimal | A— | B— | C12.8% |
Most frequently cited here
In CMS’s current monthly file.
- F6893×
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F6092×
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- F6572×
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- F7272×
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- F7562×
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
In the surveyor’s words
From the most serious findings on record at Phillips County Retirement Center, in the surveyor’s own words.
- Immediate jeopardy, isolatedF600May 16, 2024
The facility identified a census of 31 residents. There were 12 residents in the sample with one reviewed for abuse. Based on observation, interviews, and record review, the facility failed to ensure Resident (R) 14 remained free from neglect when the facility failed to provide the necessary care and services, including supervision required by R14 to promote his safety and well-being. On 04/14/24 at approximately 02:00 PM Certified Nurse Aide (CNA) M assisted R14 into the courtyard off the dining room. CNA M then left for the day while R14 remained outside with no ability to contact the facility or get back inside. Around supper time, at approximately 04:00 to 05:00 PM, staff noted R14's absence. CNA P found R14 outside and R14 was unresponsive. […]
- Actual harm, isolatedF689Mar 11, 2026
The facility identified a census of 29 residents with 12 residents included in the sample and three residents reviewed for accident hazards. Based on observation, interview and record review, the facility failed to provide resident centered analysis after falls and interventions aimed to prevent falls for Resident (R)3, who had multiple falls with incomplete investigations of the causal factors and implementation of interventions to prevent further falls.Findings included:- R3's Electronic Health Record (EHR) included diagnoses of dementia (a progressive mental disorder characterized by failing memory and confusion), anxiety (mental or emotional reaction characterized by apprehension, uncertainty, and irrational fear), and age-related osteoporosis (abnormal loss of bone density and… […]
- No harm, potential for more than minimal, widespreadF727Mar 11, 2026
The facility reported a census of 29 residents. Based on observation, interview and record review, the facility failed to have Registered Nurse (RN) coverage for at least eight continuous hours daily as required. Additionally, the facility failed to employ a full-time RN to serve in the role of Director of Nurses (DON). Findings included:- Observation of the daily staffing posting sheet in the facility on 03/09/26 at 08:00 AM, 03/10/26 at 09:00 AM and 03/11/26 at 10:00 AM revealed no RN hours documented. […]
- No harm, potential for more than minimal, widespreadF881Mar 11, 2026
The facility identified a census of 29 residents. The sample included 12 residents. Based on observation, record review, and interviews, the facility failed to develop and implement the core elements of antibiotic stewardship to ensure an effective infection prevention and control program including antibiotic stewardship for the residents of the facility.Findings included:- Review of the Infection Control Log for tracking and trending infections from March 2025 through February 2026, lacked evidence of organism identification, duration of prescribed antibiotics, and the infections treated. The facility was unable to provide this upon request. On 03/10/26 at 10:39 AM, Administrative Nurse D confirmed she was also the facility's Infection Preventionist. […]
- No harm, potential for more than minimal, widespreadF882Mar 11, 2026
The facility identified a census of 29 residents. Based on record review and interviews, the facility failed to designate a staff member with the required qualification and certification as the Infection Preventionist, responsible for the facility's Infection Prevention and Control Program.Findings included: - During the entrance conference Administrative Staff A stated Administrative Nurse D was the Infection Preventionist for the facility. He stated she was a Licensed Nurse (LN) and had been continuing education for infection prevention.The facility provided documentation of continuing education topic for Enhanced Barrier Precautions (EHB) and how to implement a surveillance plan for antibiotic stewardship.On 03/10/26 at 10:36 AM, Administrative Nurse D stated she had been doing the… […]
Read 20 findings in full →The most serious and the most recent: 20 of 63 on record.
Every survey on record
FindingsAt actual harm or above
- Mar 11, 2026Standard and complaint11 findings · 1 harm
- May 16, 2024Standard12 findings · 1 harm
- Jun 16, 2022Standard13 findings
- Oct 14, 2020Standard5 findings
- Apr 25, 2019Standard6 findings
- May 17, 2018Standard8 findings
- Sep 29, 2016Standard8 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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