Starfile / Kansas

MEADOWBROOK REHABILITATION HOSPITAL

427 W MAIN STREET, GARDNER, KS 66030 · CCN 175130

Inspection history vs Kansas & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$64,629

Number of fines

2

Number of penalties

2

Payment denials

0

Chain

Chain

RECOVER-CARE HEALTHCARE

Facilities in chain

25

Chain avg overall

2.50 / 5

Inspection citations (48)2 immediate jeopardy1 actual harm

1. EF0583Keep residents' personal and medical records private and confidential.2025-09-16 · Health · corrected 2025-10-13

   Potential for more than minimal harm

2. DF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.2025-09-16 · Health · corrected 2025-10-13

   Potential for more than minimal harm

3. DF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-09-16 · Health · corrected 2025-10-13

   Potential for more than minimal harm

4. DF0637Assess the resident when there is a significant change in condition2025-09-16 · Health · corrected 2025-10-13

   Potential for more than minimal harm

5. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-09-16 · Health · corrected 2025-10-13

   Potential for more than minimal harm

6. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-09-16 · Health · corrected 2025-10-13

   Potential for more than minimal harm

7. DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2025-09-16 · Health · corrected 2025-10-13

   Potential for more than minimal harm

8. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-09-16 · Health · corrected 2025-10-13

   Immediate jeopardy

9. EF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2025-09-16 · Health · corrected 2025-10-13

   Potential for more than minimal harm

10. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2025-09-16 · Health · corrected 2025-10-13

    Potential for more than minimal harm

11. EF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-09-16 · Health · corrected 2025-10-13

    Potential for more than minimal harm

12. FF0761Ensure 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 drugs.2025-09-16 · Health · corrected 2025-10-13

    Potential for more than minimal harm

13. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-09-16 · Health · corrected 2025-10-13

    Potential for more than minimal harm

14. CF0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.2025-09-16 · Health · corrected 2025-10-13

    Potential for minimal harm

15. GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-11-12 · Health · corrected 2024-11-07

    Actual harm

16. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-11-12 · Health · corrected 2024-11-18

    Potential for more than minimal harm

17. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-01-25 · Health · corrected 2024-03-05

    Potential for more than minimal harm

18. DF0558Reasonably accommodate the needs and preferences of each resident.2024-01-25 · Health · corrected 2024-03-05

    Potential for more than minimal harm

19. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-01-25 · Health · corrected 2024-03-05

    Potential for more than minimal harm

20. DF0610Respond appropriately to all alleged violations.2024-01-25 · Health · corrected 2024-03-05

    Potential for more than minimal harm

21. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-01-25 · Health · corrected 2024-03-05

    Potential for more than minimal harm

22. DF0625Notify 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.2024-01-25 · Health · corrected 2024-03-05

    Potential for more than minimal harm

23. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-01-25 · Health · corrected 2024-03-05

    Potential for more than minimal harm

24. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-01-25 · Health · corrected 2024-03-05

    Potential for more than minimal harm

25. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-01-25 · Health · corrected 2024-03-05

    Potential for more than minimal harm

26. DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2024-01-25 · Health · corrected 2024-03-05

    Potential for more than minimal harm

27. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-01-25 · Health · corrected 2024-03-05

    Potential for more than minimal harm

28. DF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.2024-01-25 · Health · corrected 2024-03-05

    Potential for more than minimal harm

29. EF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-01-25 · Health · corrected 2024-03-05

    Potential for more than minimal harm

30. FF0730Observe each nurse aide's job performance and give regular training.2024-01-25 · Health · corrected 2024-03-05

    Potential for more than minimal harm

31. CF0732Post nurse staffing information every day.2024-01-25 · Health · corrected 2024-03-05

    Potential for minimal harm

32. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-01-25 · Health · corrected 2024-03-05

    Potential for more than minimal harm

33. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-01-25 · Health · corrected 2024-03-05

    Potential for more than minimal harm

34. 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.2024-01-25 · Health · corrected 2024-03-05

    Potential for more than minimal harm

35. EF0761Ensure 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 drugs.2024-01-25 · Health · corrected 2024-03-05

    Potential for more than minimal harm

36. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-01-25 · Health · corrected 2024-03-05

    Potential for more than minimal harm

37. EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-01-25 · Health · corrected 2024-03-05

    Potential for more than minimal harm

38. EF0908Keep all essential equipment working safely.2024-01-25 · Health · corrected 2024-03-05

    Potential for more than minimal harm

39. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-03-01 · Health · corrected 2023-03-28

    Immediate jeopardy

40. DF0558Reasonably accommodate the needs and preferences of each resident.2022-03-16 · Health · corrected 2022-04-21

    Potential for more than minimal harm

41. DF0641Ensure each resident receives an accurate assessment.2022-03-16 · Health · corrected 2022-04-21

    Potential for more than minimal harm

42. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-03-16 · Health · corrected 2022-04-21

    Potential for more than minimal harm

43. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-03-16 · Health · corrected 2022-04-21

    Potential for more than minimal harm

44. DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2022-03-16 · Health · corrected 2022-04-21

    Potential for more than minimal harm

45. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2022-03-16 · Health · corrected 2022-04-21

    Potential for more than minimal harm

46. 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.2022-03-16 · Health · corrected 2022-04-21

    Potential for more than minimal harm

47. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-03-16 · Health · corrected 2022-04-21

    Potential for more than minimal harm

48. DF0880Provide and implement an infection prevention and control program.2022-03-16 · Health · corrected 2022-04-21

    Potential for more than minimal harm

Ownership

Other facilities in GARDNER

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.