ElderGrade
F

25/100

Poor

Smoky Hill Rehabilitation Center

1007 Johnstown Avenue, Salina, KS 67401

CMS 1/5 stars #6 of 6 in Saline County (785) 823-7107
Certified beds
90
Occupancy
71%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • Abuse icon on record

    CMS flags this facility for citations of abuse that caused harm, or potential for harm, to residents.

  • Special Focus Facility

    CMS has placed this home in its Special Focus Facility program for a persistent pattern of poor care. These homes get inspected twice as often.

  • 11 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $147,090 in federal fines

    CMS has fined this facility across 5 penalty action(s).

  • Nursing staff turnover of 94%

    High turnover means residents rarely see the same caregiver twice. The national average is about 50%.

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

0/30

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

  • -20 for 4 immediate-jeopardy citation(s) in the last 3 years
  • -12 for 6 actual-harm citation(s) in the last 3 years
  • -6 for 34 total citations against a national median of 17

Staffing

13/30

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

  • 3.41 total nurse hours per resident per day (national median 3.77)
  • 0.32 RN hours per resident per day
  • Weekend staffing drops 11% against weekdays

Staff stability

0/15

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

  • 94% of nursing staff left in the last year
  • -2 for 2 administrator departures

Resident outcomes

12/15

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

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

Enforcement history

0/10

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

  • $147,090 in federal fines across 5 action(s)
  • -2 for 2 denial(s) of Medicare payment for new admissions

Grade ceiling applied

  • Capped at 54 (grade D) — CMS Special Focus Facility
  • Capped at 64 (grade C) — CMS abuse icon on record
  • Capped at 64 (grade C) — immediate-jeopardy citation in the last 3 years

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 3.25 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.32 hrs
National average 0.69 hrs Below average

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

Weekend nurse hours 2.89 hrs
National average 3.42 hrs Below average

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

Nursing staff turnover 94.10%
National average 45.80% Below average

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

Recent inspection findings

All 64 citations

Last standard health inspection: April 23, 2025 (1 year ago).

J Feb 19, 2026 F0600 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Immediate jeopardy to resident health or safety

G Feb 19, 2026 F0695 From a complaint

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

Actual harm to a resident

E Dec 10, 2025 F0677 From a complaint

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 Dec 10, 2025 F0550 From a complaint

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

No actual harm, potential for more than minimal harm

F Sep 3, 2025 F0812 From a complaint

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

No actual harm, potential for more than minimal harm

E Apr 23, 2025 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 Apr 23, 2025 F0625

Resident Rights Deficiencies

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

No actual harm, potential for more than minimal harm

E Apr 23, 2025 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 HMG HEALTHCARE, which operates 33 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
HEALTHMARK GROUP LTD Organization DIRECT OWNERSHIP INTEREST
HMG PARK MANOR OF SALINA LLC Organization DIRECT OWNERSHIP INTEREST
HMG SERVICES LLC Organization DIRECT OWNERSHIP INTEREST
HM GROUP LLC Organization INDIRECT OWNERSHIP INTEREST
HMG HEALTHCARE LLC Organization INDIRECT OWNERSHIP INTEREST
CULP, ROLAND Individual INDIRECT OWNERSHIP INTEREST
DASPIT, LAURENCE Individual INDIRECT OWNERSHIP INTEREST
PICO, ANA Individual INDIRECT OWNERSHIP INTEREST
PRINCE, DEREK Individual INDIRECT OWNERSHIP INTEREST
CULP, ROLAND Individual MANAGING CONTROL - GOVERNING BODY
DASPIT, LAURENCE Individual MANAGING CONTROL - GOVERNING BODY
PRINCE, DEREK Individual MANAGING CONTROL - GOVERNING BODY

What families say

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Common questions about Smoky Hill Rehabilitation Center

What is the ElderGrade for Smoky Hill Rehabilitation Center? +

Smoky Hill Rehabilitation Center holds an ElderGrade of F (25 out of 100), which we describe as "poor". 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 Smoky Hill Rehabilitation Center? +

Residents receive an average of 3.25 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Smoky Hill Rehabilitation Center been cited for harming residents? +

Yes. 11 of the 64 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Smoky Hill Rehabilitation Center accept Medicaid? +

Yes, Smoky Hill Rehabilitation Center 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.