ElderGrade
B

83/100

Above average

Downs Care And Rehab

1218 Kansas Street, Downs, KS 67437

CMS 5/5 stars #1 of 2 in Osborne County (785) 454-3321
Certified beds
45
Occupancy
82%
Ownership
For-profit
Accepts
Medicare + Medicaid

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

30/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

Staffing

22/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 4.39 total nurse hours per resident per day (national median 3.77)
  • 1.02 RN hours per resident per day
  • Weekend staffing drops 12% against weekdays

Staff stability

12/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 35% of nursing staff left in the last year

Resident outcomes

9/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 3 of 5 stars on the CMS quality-measure rating

Enforcement history

10/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • No federal fines on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.79 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 1.02 hrs
National average 0.69 hrs Better than average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.32 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 35.10%
National average 45.80% Better than average

The share of nursing staff who left over the last year.

Recent inspection findings

All 14 citations

Last standard health inspection: July 31, 2024 (2 years ago).

F Jul 31, 2024 F0801

Nutrition and Dietary Deficiencies

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

No actual harm, potential for more than minimal harm

E Jul 31, 2024 F0584

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

No actual harm, potential for more than minimal harm

E Jul 31, 2024 F0921

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

No actual harm, potential for more than minimal harm

D Jul 31, 2024 F0657

Resident Assessment and Care Planning Deficiencies

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

No actual harm, potential for more than minimal harm

D Jul 31, 2024 F0661

Resident Assessment and Care Planning Deficiencies

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

No actual harm, potential for more than minimal harm

D Jul 31, 2024 F0677

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

No actual harm, potential for more than minimal harm

D Jul 31, 2024 F0758

Pharmacy Service Deficiencies

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 m...

No actual harm, potential for more than minimal harm

D Jul 31, 2024 F0761

Pharmacy Service Deficiencies

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...

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of MISSION HEALTH COMMUNITIES, which operates 33 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
YOAKUM, JAMIE Individual CORPORATE OFFICER
DOWNS OPERATOR LLC Organization OPERATIONAL/MANAGERIAL CONTROL
MISSION HEALTH COMMUNITIES, LLC Organization OPERATIONAL/MANAGERIAL CONTROL
LINDEMAN, STUART Individual OPERATIONAL/MANAGERIAL CONTROL
THOMAS, TINA Individual OPERATIONAL/MANAGERIAL CONTROL
CURIS HOLDINGS, LLC Organization 5% OR GREATER INDIRECT OWNERSHIP INTEREST
WINDWARD HEALTH PARTNERS LLC Organization 5% OR GREATER INDIRECT OWNERSHIP INTEREST
BARRES, LLC Organization 5% OR GREATER INDIRECT OWNERSHIP INTEREST
T AND C CAPITAL ASSETS, LLC Organization 5% OR GREATER INDIRECT OWNERSHIP INTEREST
CORONADO OPERATOR, LLC Organization 5% OR GREATER DIRECT OWNERSHIP INTEREST

What families say

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Common questions about Downs Care And Rehab

What is the ElderGrade for Downs Care And Rehab? +

Downs Care And Rehab holds an ElderGrade of B (83 out of 100), which we describe as "above average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Downs Care And Rehab? +

Residents receive an average of 3.79 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Downs Care And Rehab been cited for harming residents? +

No. None of the 14 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does Downs Care And Rehab accept Medicaid? +

Yes, Downs Care And Rehab is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.