MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS LTCU
400 W 8TH STREET, BELOIT, KS 67420 · CCN 175505
Ratings
- Overall
- ★★★★☆ 4
- Health inspection
- ★★★★★ 5
- Quality measures
- ★☆☆☆☆ 1
- Staffing
- ★★★★★ 5
Facility
- Ownership type
- Government - County
- Certified beds
- 36
- Avg residents/day
- 32.9
- Phone
- 7857389590
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 | 2025-02-06 | 2 | 10.1 | 9.5 | -8.1 better |
| 2 | 2023-05-31 | 8 | 9.9 | 9.8 | -1.9 better |
| 3 | 2021-11-22 | 4 | 7.2 | 9.3 | -3.2 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.38 | 42.2% |
| RN staffing (reported) | 1.05 | 33.3% |
| Total nurse staffing (adjusted) | 5.28 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Inspection citations (14)
- DF0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.2025-02-06 · Health · corrected 2025-03-25
Potential for more than minimal harm
- EF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2025-02-06 · Health · corrected 2025-03-25
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2023-05-31 · Health · corrected 2023-06-29
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.2023-05-31 · Health · corrected 2023-06-29
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-05-31 · Health · corrected 2023-06-29
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-05-31 · Health · corrected 2023-06-29
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2023-05-31 · Health · corrected 2023-06-29
Potential for more than minimal harm
- DF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2023-05-31 · Health · corrected 2023-06-29
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.2023-05-31 · Health · corrected 2023-06-29
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.2023-05-31 · Health · corrected 2023-06-29
Potential for more than minimal harm
- 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.2021-11-22 · Health · corrected 2021-12-16
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2021-11-22 · Health · corrected 2021-12-16
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.2021-11-22 · Health · corrected 2021-12-16
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.2021-11-22 · Health · corrected 2021-12-16
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2005-07-01 |
| MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2005-07-01 |
| CLEVELAND, NICKI | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2015-06-02 |
| EILERT, LEANNE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 1999-10-07 |
| GAVINO, LUIGI | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-06-26 |
| KIRCHER, JANELLE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-02-07 |
| MAROZAS, CHRISTINE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-01-01 |
| SIMMONS, STEPHANIE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2010-11-18 |
Other facilities in BELOIT
| Name | Overall | Beds |
|---|---|---|
| HILLTOP LODGE HEALTH AND REHABILITATION CENTER | ★★☆☆☆ | 90 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.