Spring Hill Care and Rehab
Spring Hill, Kansas · CCN 175425
13 surveys since 2011, 4 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
- 105
- Surveys
- 13
- Harm or worse
- 4
- Immediate jeopardyall corrected before survey
- 2
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
- 45
- Ownership
- For profit - Limited Liability company
- Chain
- MISSION HEALTH COMMUNITIES
- County
- Johnson
- Medicare-certified since
- 1998
CMS ratings
- Overall
- 2
- Health inspection
- 2
- Staffing
- 2
- 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 108 for-profit facilities with fewer than 66 beds in Kansas.
Last survey on record
Nov 18, 2025
356 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 | 3.40 | 3.78 |
| Registered-nurse hours per resident day | 1.02 | — |
| Annual nurse turnover | 80.0% | 50.0% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $14,069 across 1 penalty
- Abuse icon
- Flagged by CMS on Care Compare
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J12.8% | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D2569.4% | E38.3% | F513.9% |
| No harm, potential for minimal | A— | B— | C25.6% |
Most frequently cited here
In CMS’s current monthly file.
- F5582×
Reasonably accommodate the needs and preferences of each resident.
- F6002×
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- F6572×
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- F7562×
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- F7572×
Ensure each resident’s drug regimen must be free from unnecessary drugs.
In the surveyor’s words
From the most serious findings on record at Spring Hill Care and Rehab, in the surveyor’s own words.
- Immediate jeopardy, isolatedF600Nov 18, 2025
The facility identified a census of 29 residents, including three residents sampled for abuse. Based on observation, interview, and record review, the facility failed to ensure Resident (R) 1 remained free from staff-to-resident abuse on 10/11/25, when Certified Nurse Aide (CNA) M verbally, mentally, and physically abused R1. This deficient practice placed R1 in immediate jeopardy.Findings included: - R1's Electronic Medical Record (EMR) documented diagnoses of displaced fracture (traumatic bone break where two ends of the bone separate out of their normal positions) of the first cervical (neck) vertebra (bone of the spinal column), bilateral hearing loss, dementia (a progressive mental disorder characterized by failing memory and confusion), and Parkinson's disease (a slowly progressive… […]
- No harm, potential for more than minimal, widespreadF801Jun 11, 2025
The facility identified a census of 36 residents. The facility failed to provide the services of a full-time certified dietary manager for the 36 residents who resided in the facility and received their meals from the kitchen. This placed the residents at risk for inadequate nutrition. Findings included: - On 09/09/25 at 08:23 AM, Dietary Staff BB stated she was currently in class to become a Certified Dietary Manager (CDM). Dietary Staff BB stated the Registered Dietician (RD) came to the facility monthly. The facility's Food Service Staffing policy last reviewed 10/2024 documented the facility would employ sufficient staff with the appropriate competencies and skill sets to carry out the functions of the food and nutrition service.
- No harm, potential for more than minimal, widespreadF838Jun 11, 2025
The facility identified a census of 36 residents. The sample included 12 residents. Based on observations, interviews, and record reviews, the facility failed to conduct a thorough facility-wide assessment to determine the resources necessary to care for residents competently during both day-to-day operations and emergencies. This failure affected all 36 residents residing in the facility. Findings Included: - On 06/09/25 Administrative Staff A provided a Facility Assessment updated 12/2024. […]
- No harm, potential for more than minimal, widespreadF727Oct 4, 2023
The facility identified a census of 43 residents. Based on record review and interviews, the facility failed to provide a Registered Nurse (RN) for at least eight consecutive hours, seven days a week. This placed all residents in the facility at risk for decreased quality of care. Findings included: - RN coverage documentation for 04/22/23 - 04/23/23 and 06/17/23 - 06/20/23 was requested from the facility. The facility provided documents Direct Care Staffing for Spring Hill Care and Rehab recorded the name of the nurse who provided RN coverage each day. The documents listed the following dates where RN coverage was recorded as provided by Administrative Nurse E (the former Director of Nursing): 04/23/23 and 06/19/23. […]
- No harm, potential for more than minimal, widespreadF730Oct 4, 2023
The facility had a census of 43 residents. The sample included 12 residents and five Certified Nurse Aide's (CNA) reviewed for performance evaluations and required in-service training. Based on record review and interview, the facility failed to ensure four of the five CNA staff reviewed had the required yearly performance evaluations completed. This placed the residents at risk for inadequate care. Findings included: - Review of the facility's performance evaluation records revealed the following: CNA N, hired 11/09/18, last annual performance evaluation provided by the facility was dated for a review period of January 2019 to December 2019. No further yearly performance evaluations were provided by the facility for CNA N after 2019. […]
Read 23 findings in full →The most serious and the most recent: 23 of 105 on record.
Every survey on record
FindingsAt actual harm or above
- Nov 18, 2025Complaint1 finding · 1 harm
- Jul 22, 2025Complaint2 findings
- Jun 11, 2025Standard and complaint19 findings
- Oct 4, 2023Standard9 findings
- Feb 3, 2022Standard and complaint5 findings
- Mar 16, 2020Standard4 findings
- Apr 17, 2019Complaint1 finding · 1 harm
- Jun 18, 2018Standard and complaint8 findings
Show the 5 earlier surveys
- Apr 14, 2016Standard and complaint25 findings · 1 harm
- Dec 11, 2014Standard5 findings
- Aug 23, 2013—10 findings
- May 2, 2012—11 findings · 1 harm
- Jun 20, 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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