Deficiency Index

Winfield Rest Haven II, LLC

Winfield, Kansas · CCN 175488

20 surveys since 2011, 10 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
119
Surveys
20
Harm or worse
10
Immediate jeopardy
1
The record, 2011–2024
’11’15’20’24
No harm recordedHarm or worseNot surveyed
Immediate jeopardy1

Findings at the most serious level CMS records.

Beyond CMS’s monthly file17/20

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

The facility

Certified beds
41
Ownership
Non profit - Other
Chain
GRACE TEAM SERVICES
County
Cowley · rural
Medicare-certified since
2006

CMS ratings

Overall
4
Health inspection
4
Staffing
3
Quality measures
2

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=11, floor 20).

Last survey on record

Dec 4, 2024

705 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 day3.814.29
Registered-nurse hours per resident day0.36—
Annual nurse turnover44.4%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 harmG19.1%H—I—
No harm, potential for more than minimalD981.8%E19.1%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 11 of the 119 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6892×

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • F5801×

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

  • F5821×

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

  • F6411×

    Ensure each resident receives an accurate assessment.

  • F6571×

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

In the surveyor’s words

From the most serious findings on record at Winfield Rest Haven II, LLC, in the surveyor’s own words.

  • Actual harm, isolatedF689Dec 4, 2024

    The facility reported a census of 40 residents with 14 residents selected for review which included three residents reviewed for accidents. Based on observation, interview, and record review the facility failed to ensure staff secured one Resident (R)35 in the whirlpool bath chair which resulted in a fall from the chair onto the floor and R35 obtained a forehead laceration that required eight sutures in the emergency room . Findings included: - Review of Resident (R)35's medical record revealed diagnoses that included hemiplegia (paralysis of one side of the body) on the right dominant side, cerebral vascular accident (CVA/stroke, sudden death of brain cells due to lack of oxygen caused by impaired blood flow to the brain by blockage or rupture of an artery to the brain), seizure disorder… […]

  • No harm, potential for more than minimal, patternF921Feb 15, 2023

    The facility reported a census of 36 residents with 14 residents sampled. Based on observation, interview and record review, the facility failed to provide a safe and sanitary environment for the staff and residents of the facility, regarding the storage of supplies directly on the floor. Findings included: - During an environmental tour on 02/15/23 at 10:13 AM with Maintenance Staff U, revealed the following areas of concern: 1. One soiled workroom on A hall had one box of 50 face shields and two boxes of 75 disposable isolation gowns which rested directly on the floor. 2. The shower room on C hall had a shower corner which contained broken vinyl. 3. […]

  • No harm, potential for more than minimal, isolatedF641Dec 4, 2024

    The facility reported a census of 40 residents with 14 residents selected for review. Based on observation, interview, and record review, the facility failed to ensure the accuracy of the Minimum Data Set (MDS), assessment for two of the 14 residents. Residents (R)35 had an inaccurate assessment regarding impairment in extremities, and R12 had an inaccurate assessment regarding the use of positioning bars as a restraint. Findings included: - Review of Resident (R)12's medical record revealed diagnoses that included dementia (progressive mental disorder characterized by failing memory, confusion), osteoarthritis(degenerative changes to one or many joints characterized by swelling and pain), and ataxia (impaired ability to coordinate movement). […]

  • No harm, potential for more than minimal, isolatedF657Dec 4, 2024

    The facility reported a census of 40 residents. The sample of 14 residents included two residents reviewed for enhanced barrier precautions. Based on observation, interview, and record review the facility failed to review and/or revise care plans for two residents, Resident (R) 26 and R30 to include enhanced barrier precautions related to residents with catheters and nephrostomy tubes. Findings included: - Review of Resident (R) 26's Physician Orders, (PO) dated 11/21/24, included diagnoses of transient ischemic attack (TIA- TIA- temporary episode of inadequate blood supply to the brain), cerebral infarction (CVA/stroke - sudden death of brain cells due to lack of oxygen caused by impaired blood flow to the brain by blockage or rupture of an artery to the brain), morbid obesity (severely… […]

  • No harm, potential for more than minimal, isolatedF758Dec 4, 2024

    The facility reported a census of 40 residents with 14 residents sampled including five residents reviewed for unnecessary medications. Based on observation, record review and interview, the facility failed to monitor one Resident (R)35 for use of antipsychotic medications (drugs used to treat psychosis-related conditions and symptoms). Findings included: - Review of Resident (R)35's electronic medical record (EMR) revealed a diagnosis of anxiety (mental or emotional reaction characterized by apprehension, uncertainty and irrational fear). The Annual Minimum Data Set (MDS), dated [DATE], documented the resident had a Brief Interview for Mental Status (BIMS) score of four, indicating severe cognitive impairment. […]

Read 28 findings in full →The most serious and the most recent: 28 of 119 on record.

Every survey on record

FindingsAt actual harm or above

  • Dec 4, 2024Standard and complaint5 findings · 1 harm
  • Feb 15, 2023Standard5 findings
  • Aug 25, 2021Standard1 finding
  • Nov 17, 2020Infection control3 findings
  • Jun 22, 2020Infection control1 finding
  • Feb 12, 2020Complaint1 finding
  • Feb 2, 2020Complaint1 finding
  • Dec 12, 2019Standard5 findings
Show the 12 earlier surveys
  • Dec 12, 2018Standard9 findings
  • Jun 6, 2018Complaint1 finding
  • May 16, 2018Complaint2 findings · 1 harm
  • Nov 30, 2017Complaint8 findings
  • Sep 29, 2017Standard and complaint17 findings · 2 harm
  • Feb 1, 2016Standard and complaint12 findings
  • Oct 20, 2014Standard and complaint2 findings
  • Sep 12, 2013Complaint4 findings
  • Jul 26, 2013Standard and complaint21 findings · 5 harm
  • Feb 15, 2013—3 findings · 1 harm
  • Apr 3, 2012—7 findings
  • Jan 4, 2011—11 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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