ATCHISON SENIOR VILLAGE REHABILITATION AND NURSING
1419 N 6TH STREET, ATCHISON, KS 66002 · CCN 175531
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★★☆ 4
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 45
- Avg residents/day
- 46.8
- Phone
- 9133671906
Inspection history vs Kansas & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Kansas avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2024-04-17 | 15 | 10.1 | 9.5 | +4.9 worse |
| 2 | 2022-11-02 | 20 | 9.9 | 9.8 | +10.1 worse |
| 3 | 2021-06-03 | 2 | 7.2 | 9.3 | -5.2 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 5 |
| Nursing and physician services | 3 |
| Resident rights | 2 |
| Pharmacy service | 2 |
| Administration | 2 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.62 | 39.1% |
| RN staffing (reported) | 0.43 | 28.6% |
| Total nurse staffing (adjusted) | 3.46 | — |
Fines & penalties
- Total fines
- $20,817
- Number of fines
- 3
- Number of penalties
- 3
- Payment denials
- 0
Chain
- Chain
- THE ENSIGN GROUP
- Facilities in chain
- 329
- Chain avg overall
- 3.20 / 5
Inspection citations (37)1 immediate jeopardy
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-10-21 · Health · corrected 2024-10-16
Immediate jeopardy
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-04-17 · Health · corrected 2024-05-17
Potential for more than minimal harm
- DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2024-04-17 · Health · corrected 2024-05-17
Potential for more than minimal harm
- DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2024-04-17 · Health · corrected 2024-05-17
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-04-17 · Health · corrected 2024-05-17
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-04-17 · Health · corrected 2024-05-17
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-04-17 · Health · corrected 2024-05-17
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-04-17 · Health · corrected 2024-05-17
Potential for more than minimal harm
- DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-04-17 · Health · corrected 2024-05-17
Potential for more than minimal harm
- FF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.2024-04-17 · Health · corrected 2024-05-17
Potential for more than minimal harm
- FF0730Observe each nurse aide's job performance and give regular training.2024-04-17 · Health · corrected 2024-05-17
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-04-17 · Health · corrected 2024-05-17
Potential for more than minimal harm
- DF0758Implement 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 medication is necessary and PRN use is limited.2024-04-17 · Health · corrected 2024-05-17
Potential for more than minimal harm
- DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2024-04-17 · Health · corrected 2024-05-17
Potential for more than minimal harm
- FF0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.2024-04-17 · Health · corrected 2024-05-17
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2024-04-17 · Health · corrected 2024-05-17
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2022-11-02 · Health · corrected 2022-12-16
Potential for more than minimal harm
- DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2022-11-02 · Health · corrected 2022-12-16
Potential for more than minimal harm
- EF0584Honor 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.2022-11-02 · Health · corrected 2022-12-16
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-11-02 · Health · corrected 2022-12-16
Potential for more than minimal harm
- DF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.2022-11-02 · Health · corrected 2022-12-16
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-11-02 · Health · corrected 2022-12-16
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-11-02 · Health · corrected 2022-12-16
Potential for more than minimal harm
- FF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.2022-11-02 · Health · corrected 2022-12-16
Potential for more than minimal harm
- FF0730Observe each nurse aide's job performance and give regular training.2022-11-02 · Health · corrected 2022-12-16
Potential for more than minimal harm
- CF0732Post nurse staffing information every day.2022-11-02 · Health · corrected 2022-12-16
Potential for minimal harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2022-11-02 · Health · corrected 2022-12-16
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-11-02 · Health · corrected 2022-12-16
Potential for more than minimal harm
- CF0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.2022-11-02 · Health · corrected 2022-12-16
Potential for minimal harm
- FF0865Have a plan that describes the process for conducting QAPI and QAA activities.2022-11-02 · Health · corrected 2022-12-16
Potential for more than minimal harm
- FF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2022-11-02 · Health · corrected 2022-12-16
Potential for more than minimal harm
- FF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2022-11-02 · Health · corrected 2022-12-16
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2022-11-02 · Health · corrected 2022-12-16
Potential for more than minimal harm
- FF0881Implement a program that monitors antibiotic use.2022-11-02 · Health · corrected 2022-12-16
Potential for more than minimal harm
- FF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2022-11-02 · Health · corrected 2022-12-16
Potential for more than minimal harm
- EF0695Provide safe and appropriate respiratory care for a resident when needed.2021-06-03 · Health · corrected 2021-06-30
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2021-06-03 · Health · corrected 2021-06-30
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| GATEWAY HEALTHCARE LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2023-12-19 |
| THE ENSIGN GROUP INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2023-12-19 |
| MUNFORD, ELIZABETH | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-03-01 |
| BURTON, SPENCER | Individual | CORPORATE DIRECTOR | — | 2023-12-19 |
| BURNAM, SOON | Individual | CORPORATE OFFICER | — | 2023-12-19 |
| FITCH, CRAIG | Individual | CORPORATE OFFICER | — | 2023-12-19 |
| LEWIS, CORWIN | Individual | CORPORATE OFFICER | — | 2023-12-19 |
| GROTH, MCGARRETT | Individual | CONTRACTED MANAGING EMPLOYEE | — | 2024-03-01 |
Other facilities in ATCHISON
| Name | Overall | Beds |
|---|---|---|
| DOOLEY CENTER | ★★★★★ | 44 |
| MEDICALODGES ATCHISON | ★★★☆☆ | 60 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.