Russell Regional Hospital Ltcu
Russell, Kansas · CCN 17E619
11 surveys since 2011, 3 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
- 60
- Surveys
- 11
- Harm or worse
- 3
- Immediate jeopardy
- 2
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
- 23
- Ownership
- Non profit - Corporation
- Chain
- Independent
- County
- Russell · rural
- Medicare-certified since
- 2002
CMS ratings
- Overall
- 1
- Health inspection
- 2
- Staffing
- 1
- Quality measures
- 1
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
Sep 16, 2025
419 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D1957.6% | E39.1% | F1030.3% |
| No harm, potential for minimal | A— | B— | C13.0% |
Most frequently cited here
In CMS’s current monthly file.
- F6402×
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- F6892×
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F7562×
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- 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.
- F7612×
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.
In the surveyor’s words
From the most serious findings on record at Russell Regional Hospital Ltcu, in the surveyor’s own words.
- Immediate jeopardy, isolatedF600Jun 17, 2021
The facility had a census of 15 residents. The sample included three residents, with three reviewed for abuse. Based on observation, record review, and interview, the facility failed to prevent an incident of abuse for one of three sampled residents, Resident (R) 1, when Licensed Nurse G twisted (R) 1's arm behind her back and held it there when the resident was combative during cares. Two nursing staff witnessed the incident but failed to report it to administration until the next day. This deficient practice placed R1 in immediate jeopardy. Findings included: - R1's Physician order [MEDICAL RECORD OR PHYSICIAN ORDER] . The Admission Minimum Data Set (MDS), dated [DATE], documented the resident had short and long-term memory problems and moderately impaired decision-making skills. […]
- Immediate jeopardy, isolatedF609Jun 17, 2021
The facility had a census of 15 residents. The sample included three residents, with three reviewed for abuse. Based on observation, record review, and interview, the facility failed to report an incident of abuse for one of three sampled residents, Resident (R) 1, when Licensed Nurse G twisted (R) 1's arm behind her back and held it there when the resident was combative during cares. Two nursing staff witnessed the incident but failed to report it to administration until the next day. This deficient practice placed R1 in immediate jeopardy. Findings included: - R1's Physician order [MEDICAL RECORD OR PHYSICIAN ORDER] . The Admission Minimum Data Set (MDS), dated [DATE], documented the resident had short and long-term memory problems and moderately impaired decision-making skills. […]
- No harm, potential for more than minimal, widespreadF851Sep 16, 2025
The facility had a census of 19 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. Findings included:- The PBJ report provided by the Centers for Medicare & Medicaid Services (CMS) for Fiscal Year (FY) 2025 Quarter (Q) 1 indicated no RN hours for 31 days for October 2024, 30 days for November 2024, and 31 days for December 2024.The PBJ report for FY 2025 Q2 recorded the facility failed to submit data for the quarter.The PBJ report for FY 2025 Q3 recorded the facility failed to submit data for the quarter.The PBJ report for FY 2024 Q4 recorded the facility failed to submit data for the quarter.Review of the facility licensed nurse and registered nurse data for the… […]
- No harm, potential for more than minimal, widespreadF868Sep 16, 2025
The facility had a census of 19 residents. The sample included eight residents. Based on observation, record review, and interview, the facility failed to ensure the Medical Director attended the Quality Assessment and Assurance (QAA) Committee meetings at least quarterly as required.Findings included:- The facility provided QAA committee attendance dates of 09/25/24, 10/30/24, 11/27/24, 12/18/24, 01/29/25, 02/26/25, 03/26/25, 04/30/25, 05/28/25, 06/25/25, 07/30/25, and 08/28/25. The documentation lacked evidence that the medical director attended any of the meetings.On 09/16/25 at 02:30 PM, Administrative Staff B stated that since she had taken over the QAA position in March, the Medical Director had not attended any of the meetings. […]
- No harm, potential for more than minimal, widespreadF880Sep 16, 2025
The facility had a census of 19 residents. The sample included eight residents. Based on observation, record review, and interview, the facility failed to implement a water management program for Legionella disease (Legionella is a bacterium spread through mist, such as from air-conditioning units for large buildings. Adults over the age of 50 and people with weak immune systems, chronic lung disease, or heavy tobacco use are most at risk of developing a pneumonia caused by Legionella). […]
Read 23 findings in full →The most serious and the most recent: 23 of 60 on record.
Every survey on record
FindingsAt actual harm or above
- Sep 16, 2025Standard and complaint12 findings
- Jan 17, 2024Standard13 findings
- Jun 27, 2022Complaint8 findings
- Jun 17, 2021Complaint2 findings · 2 harm
- Apr 10, 2019Standard2 findings
- Jun 12, 2018Standard2 findings
- Jan 4, 2017Standard3 findings
- Jun 4, 2014Standard4 findings
Show the 3 earlier surveys
- May 15, 2013—3 findings
- Feb 23, 2012—7 findings
- Jan 18, 2011—4 findings · 1 harm
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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