Starfile

Starfile / Kansas

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.

CycleInspection dateThis facilityKansas avgNational avgvs state
12025-02-06210.19.5-8.1 better
22023-05-3189.99.8-1.9 better
32021-11-2247.29.3-3.2 better

Cycle 1 deficiencies by category

CategoryDeficiencies
Quality of life and care1
Infection control1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)4.3842.2%
RN staffing (reported)1.0533.3%
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)

  1. 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

  2. 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

  3. DF0610Respond appropriately to all alleged violations.2023-05-31 · Health · corrected 2023-06-29

    Potential for more than minimal harm

  4. 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

  5. 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

  6. 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

  7. DF0692Provide enough food/fluids to maintain a resident's health.2023-05-31 · Health · corrected 2023-06-29

    Potential for more than minimal harm

  8. 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

  9. 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

  10. 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

  11. 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

  12. 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

  13. 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

  14. 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

OwnerTypeRolePercentSince
MITCHELL COUNTY HOSPITAL HEALTH SYSTEMSOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2005-07-01
MITCHELL COUNTY HOSPITAL HEALTH SYSTEMSOrganizationOPERATIONAL/MANAGERIAL CONTROL2005-07-01
CLEVELAND, NICKIIndividualOPERATIONAL/MANAGERIAL CONTROL2015-06-02
EILERT, LEANNEIndividualOPERATIONAL/MANAGERIAL CONTROL1999-10-07
GAVINO, LUIGIIndividualOPERATIONAL/MANAGERIAL CONTROL2023-06-26
KIRCHER, JANELLEIndividualOPERATIONAL/MANAGERIAL CONTROL2023-02-07
MAROZAS, CHRISTINEIndividualOPERATIONAL/MANAGERIAL CONTROL2021-01-01
SIMMONS, STEPHANIEIndividualOPERATIONAL/MANAGERIAL CONTROL2010-11-18

Other facilities in BELOIT

NameOverallBeds
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.