Homes where the federal record contains at least one of the following: a CMS abuse icon, Special Focus
Facility status or candidacy, or a citation scored at actual harm or immediate jeopardy. Ordered with
Special Focus homes first.
Read this as a prompt, not a verdict. A citation can be years old and the management
responsible may have gone. It means you ask what happened and what changed, and you get a specific answer
before you sign anything.
Nortonville Health Care Center is a 45-bed for-profit home in Jefferson County, and the numbers behind its record are hard to get past. Nurse staffing sits at 3.04 hours per resident day against a national average of 3.86, weekends run about 18% thinner than weekdays, and annual turnover is 80.7%, nearly double the national figure, so the people caring for residents change constantly. The inspection history includes 74 deficiencies, 12 at harm or jeopardy level and 3 abuse-related, with four fines totaling $252,207, and CMS has placed the home in its Special Focus Facility program. That program exists for homes with a persistent pattern of poor care, and the most recent inspection in January 2026 means the record is current, not old.
Clearwater Nursing & Rehabilitation Center runs 55 certified beds under for-profit LLC ownership, and the numbers behind its record are hard to dress up. Nurse staffing sits at 3.31 hours per resident day against a national average of 3.86, weekends run about 14% thinner than weekdays, and annual turnover hits 70% where the national figure is 45.8%. Its current inspection record carries 63 deficiencies, nine of them at harm or jeopardy level and six tied to abuse, plus three fines totaling $214,803. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of poor care. If you're considering this one, ask hard questions and look closely at the most recent inspection, dated June 2026.
Life Care Center of Andover runs 154 certified beds under for-profit LLC ownership, and the numbers that matter most here aren't the quality measures, a 4-out-of-5 there, but the inspection record underneath them. CMS has flagged 58 deficiencies on the current record, including eight serious enough to cite harm or jeopardy and three tied to abuse. Seven fines total $113,851, and the home sits in CMS's Special Focus Facility program, a designation reserved for the small share of homes with persistent serious problems. Staffing runs 3.75 hours per resident day, just under the national average, and drops about 12% on weekends. Turnover is 51.9%, higher than the 45.8% national figure.
Smoky Hill Rehabilitation Center is a 90-bed for-profit in Salina, and the numbers behind its record deserve a close look. Nurse staffing runs about 16% under the national average, weekends dip roughly 11% below its own weekdays, and annual turnover sits at 94.1% against a national 45.8%, meaning the people caring for residents are, more often than not, on their way out. The inspection history is heavy: 64 deficiencies, 11 at harm or jeopardy level, four abuse-related, five fines totaling $147,090, and CMS has placed it in the Special Focus Facility program, reserved for the country's most persistently troubled homes. Its most recent inspection was April 2025.
Access Mental Health in Peabody holds 45 certified beds under for-profit limited liability ownership, and its last inspection was June 3, 2026. Staff turnover sits at 25.9% against a national average of 45.8%, so on retention this home beats most of its peers. The rest of the record runs the other way: 45 deficiencies, 10 of them at the harm or jeopardy level, 5 tied to abuse, and three CMS fines totaling $122,551. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of serious problems. Low turnover alone doesn't offset that kind of inspection history.
Holton Health Care Center runs on 2.82 nursing hours per resident per day, well under the national figure of 3.86, and weekend coverage dips about 9% below what the home staffs on weekdays. Its inspection record shows 60 deficiencies, seven of them serious enough to involve harm or jeopardy, three tied to abuse, and four fines totaling $201,614, with a CMS inspection in August 2025 and a spot in the federal Special Focus Facility program, which flags homes with a persistent pattern of poor care. For-profit ownership under a limited liability company means the people who set the budget aren't the ones on the floor at 2 a.m.
Tanglewood runs on 2.78 nurse hours per resident per day, roughly a quarter below the national average, and weekends drop about another 10% from that already thin level. Staff turnover sits at 71.2% against a national 45.8%, so the people left are often the newest ones. The inspection record shows 45 deficiencies, three serious enough to cause harm, two tied to abuse, and CMS has placed the home in its Special Focus Facility program, a designation reserved for the small share of homes with a pattern of poor inspections. Two fines total $227,440. The quality star rating looks better, but that's mostly self-reported data; the staffing and inspection scores reflect what surveyors actually found.
Good Samaritan Society - Liberal runs a non-profit home with 45 certified beds, and the staffing numbers are genuinely strong: 4.07 nurse hours per resident per day, about 5% above the national average, with turnover at 32.6% versus 45.8% nationally. Weekend coverage dips roughly 15% below weekday levels, which matters when a resident needs help on a Saturday.
Where it falls apart is inspections. CMS rates the health inspection side 1 out of 5, with 32 deficiencies on record, 7 at the harm or jeopardy level and 3 tied to abuse, plus four fines totaling $94,784. The home sits in CMS's Special Focus Facility program, reserved for the country's most persistently troubled homes, and its last inspection was July 2024. Good staff, serious safety problems.
Rossville Healthcare and Rehabilitation Center is a for-profit LLC home with 81 certified beds, and the numbers behind its record are hard to dress up. Nurse staffing sits at 3.28 hours per resident day, roughly 15 percent under the national average, and weekends run about 4 percent thinner than weekdays, meaning coverage is lightest exactly when backup is scarcest. Its 52.1 percent annual turnover tops the national rate of 45.8 percent, so the people providing that thinner care are also cycling out the door. On the inspection side, 53 deficiencies sit on the current record, including 5 at the harm or jeopardy level and 4 tied to abuse, with three fines totaling $60,639. CMS has placed it in the Special Focus Facility program, reserved for homes with a persistent pattern of poor care.
Providence Living Center runs 2.46 nurse staffing hours per resident day against a national average of 3.86, roughly a third less hands-on care than the typical home. Weekend coverage drops another 12% below its own weekday level, and 71% of staff turned over in a year, well above the 45.8% national figure. On inspections, this for-profit home carries 35 deficiencies, two of them serious enough to put residents in harm's way, plus a $22,925 fine, with its last inspection in December 2025. The quality measure score sits at 3 out of 5 stars, but staffing and inspection results both land at 1, a split worth understanding before you visit.
The Shepherd's Center is small, 28 beds, and it's a nonprofit, but that hasn't kept it out of trouble. CMS has it in the Special Focus Facility program, which is reserved for homes with a pattern of serious problems, and the inspection record backs that up: 26 deficiencies, three of them at harm or jeopardy level, three abuse-related, plus a $13,627 fine. Staffing tells two stories. The federal formula gives it top marks, yet the actual hours per resident land about 19% under the national average, and weekends run thinner still. Turnover sits at 58.1%.
Kearny County Hospital Ltcu is a 40-bed county-owned home in Lakin, and the federal numbers are hard to read past. Inspectors have cited 43 deficiencies on the current record, two of them serious enough to put residents in harm's way, and the staffing rating sits at the bottom of CMS's scale, well below what the government considers adequate. The result: 8 fines totaling $69,565, and a place in the Special Focus Facility program, which CMS reserves for the homes with the most persistent problems. The last inspection was in October 2024, so that record is current, not stale. County ownership here doesn't translate into better care. If you're considering this home, ask what's changed since that inspection.
Redbud Village runs 34 beds as a nonprofit, and its nurse staffing sits at 3.73 hours per resident day, about 3% under the national average of 3.86. That gap widens on weekends, when coverage drops roughly 6% below what the home staffs on weekdays. The record shows five deficiencies, two of them serious enough to count as harm or jeopardy, plus one tied to abuse, and CMS has issued two fines totaling $24,779.
One thing in the home's favor: the most recent inspection was March 12, 2025, so the state's picture of conditions here is fairly current rather than years stale. If you're weighing this one, ask specifically about the abuse-related finding and how weekend coverage is handled.
Spring Hill Care and Rehab runs 45 beds under for-profit LLC ownership, and the numbers worth knowing are the staffing ones. Nurse coverage sits at 3.40 hours per resident day, roughly 12 percent under the national average, and weekends drop about 4 percent below what the home staffs on weekdays, so the thinnest coverage lands when families tend to visit. Staff turnover is the harder fact: 80 percent a year against a national average near 46 percent, meaning most of the people caring for residents are new to the building. Inspections in June 2025 turned up 36 deficiencies, including one at the harm level and four tied to abuse, with a $21,645 fine on record.
Azria Health Olathe runs 125 certified beds as a for-profit corporation, and its nurse staffing comes in at 4.12 hours per resident day, roughly 7% above the national average. But weekends drop about 6% below its own weekday level, and annual turnover sits at 51.4%, higher than the 45.8% national figure. The inspection record is where it gets harder to defend: 45 deficiencies, including two at the harm or jeopardy level and two abuse-related, with three fines totaling $70,947. Its most recent inspection was September 2025. CMS gives it one star for health inspections, two for quality measures, and two for staffing. Plenty of hands on weekdays, but a troubled survey history and unstable workforce are the real story.
Tallgrass Healthcare Campus runs 100 beds in Junction City under for-profit partnership ownership, and its nurse staffing sits at 3.60 hours per resident day, about 7% under the national average, with weekends roughly 10% leaner than weekdays. Annual turnover is 49.3%, above the 45.8% national figure, which means a lot of the people providing that care are still learning the building. The inspection record is the part I'd ask about directly: 19 deficiencies, including one at the harm level and one tied to abuse, plus a $21,530 fine, and a health inspection star of 1 out of 5. The quality measure star of 5 shows the clinical numbers can look good, but that contrast is worth understanding before you decide.
Garden Terrace runs a 163-bed for-profit operation where the day-to-day staffing looks decent on paper, 4.05 nurse hours per resident, a bit above the national average, with turnover at 41.7% compared to 45.8% nationally. But weekends drop about 7% below the home's own weekday coverage, and the inspection record is where the picture turns: 49 deficiencies on file, five of them serious enough to put residents in harm's way, three tied to abuse, and six fines totaling $104,116. The last inspection was May 2025, so this isn't stale history. Good staffing numbers and a clean quality measure score can coexist with real problems, and here they do, the state has cited this building repeatedly at the level that matters most.
Galena Nursing & Rehab runs 45 beds under corporate ownership, and the numbers that stand out most aren't the staffing hours, 3.81 per resident day is only about 1% under the national average, but who's still there to work them. Turnover sits at 66%, well above the 45.8% national figure, and weekends run roughly 15% thinner than weekdays, so coverage gaps land hardest when families visit. The inspection record is the bigger concern: 18 deficiencies, including 3 at harm or jeopardy level and 4 tied to abuse, plus a $21,645 fine. The most recent inspection was April 2025, so the picture is current, not stale.
Edwardsville Care And Rehab runs on 2.24 nurse hours per resident day, roughly 42% under the national average of 3.86, and weekend coverage drops about 11% below its own weekday level. Staff turnover is 22%, well under the national 45.8%, so the people who are there tend to stay. The trouble is what inspections found: 36 deficiencies on the current record, including 3 at harm or jeopardy level and 2 abuse-related, plus $47,163 in fines across three penalties, with the last inspection in August 2024. Resident outcome measures score well, but the health inspection side is where the risk sits.
Heritage Health Care Center runs a 60-bed for-profit operation in Chanute, and the staffing is the one bright spot: 4.15 nurse hours per resident day, about 7% above the national average, and turnover at 41.7% actually beats the national 45.8%. The weekend picture is weaker, staffing drops roughly 13% below its own weekday level, so care thins out when families tend to visit. The inspection record is the real concern: 30 deficiencies on file, including two at the harm level and one abuse-related, plus two fines totaling $27,860. State surveyors were last in on August 6, 2025.
Medicalodges Arkansas City runs 45 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.90 hours per resident day, barely a whisker above the national average of 3.86. That thin margin matters more when you look at weekends, which run about 13% leaner than weekdays, and at a turnover rate of 73.5% against a national figure of 45.8%. The inspection record is where the real trouble sits: 35 deficiencies on file, five of them serious enough to involve harm or jeopardy, six tied to abuse, plus three fines totaling $72,592. State inspectors last walked through in June 2025 and rated the health inspection side 1 out of 5.
The nurse staffing number at The Gardens At Aldersgate looks fine on its face, 4.01 hours per resident day, slightly above the national average, but the turnover rate tells a different story. At 64.2%, roughly three in five caregivers are leaving each year, well past the national figure of 45.8%, and weekend coverage drops about 7% below what the home runs on weekdays. The inspection record is the harder problem: 56 deficiencies, four serious enough to cause harm or jeopardy, four tied to abuse, and three fines totaling $56,617, with the most recent inspection in January 2026. A for-profit LLC operation with that citation history and 175 beds is worth a close, unannounced visit before you decide anything.
Riverview Estates runs on a paradox: the aides show up, but the building keeps failing inspections. At 4.35 nurse hours per resident day, staffing sits about 13% above the national average and earns a top CMS staffing rating, though weekends run roughly 12% thinner than weekdays, and annual turnover of 51.3% tops the national 45.8%. The trouble is everything else. Health inspection and quality measure ratings both sit at the bottom, with 25 deficiencies on record, including 2 at harm or jeopardy level and 3 tied to abuse. Two fines total $35,839, and the last inspection was March 2025. Good coverage can't offset a record like that.
Medicalodges Great Bend runs leaner than most on turnover, 53.7% of staff leave each year against a national average of 45.8%, which means nearly half the people caring for your family member this year may not be there next year. The staffing hours look good on paper (4.53 per resident day, about 17% above the national average), but weekends drop roughly 17% from weekday levels, and 43 deficiencies sit on the current record, including seven at the harm level and four tied to abuse. Four fines totaling $52,185 have been levied since the last inspection in July 2024.
Staffing is this home's strongest number. At 4.47 nurse hours per resident day, it runs about 16% above the national average, and a 38.2% turnover rate sits well below the 45.8% national figure, meaning the people caring for residents tend to stick around. Weekends thin out roughly 11% from weekday coverage, worth asking about if your visits fall on Saturdays or Sundays.
The trouble sits in the inspection record. Twenty-two deficiencies, two serious enough to involve harm or jeopardy, one tied to abuse, and a $36,040 fine. The most recent inspection was in February 2026. Strong day-to-day care, but a survey history that needs explaining before you sign anything.
Nurse staffing at The Healthcare Resort Of Kansas City runs 4.34 hours per resident day, roughly 13% above the national average, but the workforce behind those hours churns hard, 60.4% turnover against a national 45.8%. Weekends drop about 15% below weekday coverage. The inspection record is the bigger problem: a 1-out-of-5 health inspection rating, 55 deficiencies logged, three of them at harm or jeopardy level and five tied to abuse. One fine totaling $28,834 is on file. Ownership is a for-profit limited liability company, and the most recent inspection was May 2026. Strong quality measure scores don't offset that history.
Grand Plains Skilled Nursing By Americare in Pratt runs on 4.17 nurse hours per resident day, about 8% above the national average, so the raw staffing number looks fine. The trouble is how it holds up: weekend staffing drops roughly 18% below the home's own weekday level, and annual turnover sits at 64.2% against a national average of 45.8%. That's a lot of new faces cycling through a 60-bed building. The current inspection record carries 17 deficiencies, including two at the harm or jeopardy level and three tied to abuse, with one fine of $14,352 and a survey from March 2025. Ownership is a for-profit limited liability company. All three CMS star ratings, health inspection, quality measures, staffing, come in at 2 out of 5.
Logan County Senior Living runs 30 beds as a nonprofit, and the direct-care hours are genuinely better than most, 4.19 per resident day against a national average of 3.86. Weekend coverage dips modestly below its own weekday pace, which is typical but worth watching at a home this small. What pulls the record down is the inspection side: 25 deficiencies on file, six of them serious enough to involve harm or jeopardy, three tied to abuse, and four fines totaling $98,346. Staff turnover sits right at the national average, so retention isn't the problem here, oversight and compliance appear to be. Ask about the abuse citations and what changed since the February 2026 survey.
Attica Long Term Care runs on thin margins, and you can see it in the numbers. The hospital district that owns it staffs nurses at 3.95 hours per resident day, just above the national average, and those hours thin out on weekends, roughly 12% below what the home itself manages Monday through Friday. Turnover sits at 36.2%, better than the national 45.8%, so the people who stay tend to stay.
The problem is the record. Eighteen deficiencies, two serious enough to put residents at risk of harm, and one tied to abuse. The health inspection rating reflects that. Quality measures land in the middle. If you're weighing this one, the staffing is genuinely a strength, but ask hard questions about those harm-level findings and who's supervising on Saturdays.