Smoky Hill Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Smoky Hill Rehabilitation Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Feb 19, 2026

  The facility identified a census of 65 residents, with three residents reviewed for lack of assessment and change of condition. Based on record review and interview, the facility failed to ensure Resident (R) 1 remained free from neglect when the facility failed to assess a resident, (R)1 after she had a change in condition on 01/13/26 and 01/14/26, which included lethargy, weakness, inability to ambulate, inability to feed herself, and frequent urination. The facility failed to consider hyperglycemia or dehydration as a potential cause of R1's symptoms. […]

• Immediate jeopardy, isolatedF600Sep 18, 2024

  The facility identified a census of 70 residents with three residents reviewed for abuse, neglect, and exploitation. Based on record review, observation, and interview, the facility failed to ensure Resident (R) 1 remained free from neglect. On 08/16/24 at 07:00 AM Certified Nurse Aide (CNA) M entered R1's room, asked if he wanted to get up and when R1 did not answer, CNA M lifted the covers, patted the front of R1's brief, and left the room without ensuring R1 had his call light in reach. At 08:32 AM, CNA M entered R1's room and placed his food tray on the bedside table but did not raise the head of the bed or unwrap R1's silverware. R1 proceeded to eat breakfast lying flat, using his left hand, and dropping food all over the front of his shirt. […]

• Immediate jeopardy, isolatedF684Sep 18, 2024

  The facility identified a census of 70 residents with three residents reviewed for abuse, neglect, and exploitation. Based on record review, observation, and interview, the facility failed to ensure Resident (R) 1 received adequate post-fall treatment consistent with the standards of practice. On [DATE] at 09:45 AM R1 fell from a seated position out of bed, onto the floor. R1 fell to the right, hitting his head on the floor. R1 remained on the floor, yelling until staff entered the room at 09:48 AM. Licensed Nurse (LN) G entered the room, assessed his blood pressure with a wrist cuff then all staff left the room to get linens, leaving R1 on the floor yelling. Staff returned and began cleaning the area and preparing R1's bed. During this time, R1 remained on the floor, moaning and yelling. […]

• Immediate jeopardy, isolatedF689Sep 18, 2024

  The facility identified a census of 70 residents with three residents reviewed for abuse, neglect, and exploitation. Based on record review, observation, and interview, the facility failed the facility failed to implement safety interventions to ensure Resident (R) 1 remained free from falls. On [DATE], R1, laid flat in his bed around 07:00 AM. The bed was not in the lowest position and R1 did not have his call light within reach. Certified Nurse Aide (CNA) M entered R1's room, asked if R1 wanted to get up and when R1 did not answer, CNA M lifted the covers, patted the front of R1's brief and left the room without ensuring R1 had his flat call light in reach. At 08:32 AM, another staff entered R1's room, placed a food tray on the bedside table but did not ensure R1 had his call light. […]

• Immediate jeopardy, isolatedF684Feb 27, 2023

  The facility identified a census of 68 residents with three residents reviewed for quality of care. Based on record review, observations, and interview, the facility failed to ensure staff implemented care and treatment consistent with standards of care when staff failed to respond to Resident (R)1's acute change in condition and staff administered oral medications to R1 despite R1's decreased level of consciousness and delayed contacting the physician or Emergency Medical Services (EMS) for a dangerously low blood glucose level and abnormal respiration patterns. […]