HILLSIDE VILLAGE OF DE SOTO REHABILITATION AND NUR
33600 WEST 85TH STREET, DE SOTO, KS 66018 · CCN 175472
Ratings
- Overall
- ★★★★☆ 4
- Health inspection
- ★★★★☆ 4
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 49
- Avg residents/day
- 41.6
- Phone
- 9135831266
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 | 2026-01-07 | 5 | 10.1 | 9.5 | -5.1 better |
| 2 | 2024-02-20 | 5 | 9.9 | 9.8 | -4.9 better |
| 3 | 2022-08-02 | 8 | 7.2 | 9.3 | +0.8 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Resident rights | 1 |
| Nutrition and dietary | 1 |
| Pharmacy service | 1 |
| Administration | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.67 | 61.7% |
| RN staffing (reported) | 0.63 | 63.6% |
| Total nurse staffing (adjusted) | 3.62 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- THE ENSIGN GROUP
- Facilities in chain
- 329
- Chain avg overall
- 3.20 / 5
Inspection citations (18)
- DF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2026-01-07 · Health
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.2026-01-07 · Health
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.2026-01-07 · Health
Potential for more than minimal harm
- EF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2026-01-07 · Health
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2026-01-07 · Health
Potential for more than minimal harm
- FF0730Observe each nurse aide's job performance and give regular training.2024-02-20 · Health · corrected 2024-03-28
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-02-20 · Health · corrected 2024-03-28
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.2024-02-20 · Health · corrected 2024-03-28
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2024-02-20 · Health · corrected 2024-03-28
Potential for more than minimal harm
- FF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2024-02-20 · Health · corrected 2024-03-28
Potential for more than minimal harm
- EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2022-08-02 · Health · corrected 2022-09-06
Potential for more than minimal harm
- EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-08-02 · Health · corrected 2022-09-06
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-08-02 · Health · corrected 2022-09-06
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2022-08-02 · Health · corrected 2022-09-06
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2022-08-02 · Health · corrected 2022-09-06
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.2022-08-02 · Health · corrected 2022-09-06
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.2022-08-02 · Health · corrected 2022-09-06
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2022-08-02 · Health · corrected 2022-09-06
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| GATEWAY HEALTHCARE LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2024-02-26 |
| THE ENSIGN GROUP INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2024-02-26 |
| LEWIS, CORWIN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-05-01 |
| JORGENSEN, DAVID | Individual | CORPORATE DIRECTOR | — | 2024-02-26 |
| BURNAM, SOON | Individual | CORPORATE OFFICER | — | 2024-02-26 |
| FITCH, CRAIG | Individual | CORPORATE OFFICER | — | 2024-02-26 |
| LEWIS, CORWIN | Individual | CORPORATE OFFICER | — | 2024-02-26 |
Other facilities in DE SOTO
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.