ROCK CREEK OF OTTAWA
1100 W 15TH STREET, OTTAWA, KS 66067 · CCN 175332
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★★☆ 4
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 75
- Avg residents/day
- 70.0
- Phone
- 7852425399
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 | 2025-01-30 | 16 | 10.1 | 9.5 | +5.9 worse |
| 2 | 2023-03-29 | 5 | 9.9 | 9.8 | -4.9 better |
| 3 | 2021-08-09 | 7 | 7.2 | 9.3 | -0.2 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 7 |
| Nursing and physician services | 1 |
| Resident rights | 3 |
| Nutrition and dietary | 1 |
| Pharmacy service | 3 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.81 | 59.6% |
| RN staffing (reported) | 0.80 | 44.4% |
| Total nurse staffing (adjusted) | 3.41 | — |
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 (28)1 actual harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2026-01-27 · Health · corrected 2026-01-10
Actual harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-01-30 · Health · corrected 2025-03-07
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2025-01-30 · Health · corrected 2025-03-07
Potential for more than minimal harm
- DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2025-01-30 · Health · corrected 2025-03-07
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-01-30 · Health · corrected 2025-03-07
Potential for more than minimal harm
- 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.2025-01-30 · Health · corrected 2025-03-07
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-01-30 · Health · corrected 2025-03-07
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-01-30 · Health · corrected 2025-03-07
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-01-30 · Health · corrected 2025-03-07
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.2025-01-30 · Health · corrected 2025-03-07
Potential for more than minimal harm
- DF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2025-01-30 · Health · corrected 2025-03-07
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-01-30 · Health · corrected 2025-03-07
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.2025-01-30 · Health · corrected 2025-03-07
Potential for more than minimal harm
- 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.2025-01-30 · Health · corrected 2025-03-07
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.2025-01-30 · Health · corrected 2025-03-07
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-01-30 · Health · corrected 2025-03-07
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-12-20 · Health · corrected 2024-01-05
Potential for more than minimal harm
- DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2023-03-29 · Health · corrected 2023-04-27
Potential for more than minimal harm
- 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.2023-03-29 · Health · corrected 2023-04-27
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-03-29 · Health · corrected 2023-04-27
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.2023-03-29 · Health · corrected 2023-04-27
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2023-03-29 · Health · corrected 2023-04-27
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.2021-08-09 · Health · corrected 2021-08-31
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2021-08-09 · Health · corrected 2021-08-31
Potential for more than minimal harm
- DF0679Provide activities to meet all resident's needs.2021-08-09 · Health · corrected 2021-08-31
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2021-08-09 · Health · corrected 2021-08-31
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2021-08-09 · Health · corrected 2021-08-31
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.2021-08-09 · Health · corrected 2021-08-31
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| GATEWAY HEALTHCARE LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2018-11-01 |
| BOHRER, TRACY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-11-01 |
| BUNKER, DEREK | Individual | CORPORATE OFFICER | — | 2018-07-11 |
| BURNAM, SOON | Individual | CORPORATE OFFICER | — | 2018-07-11 |
| GUSCHL, JAMES | Individual | CORPORATE OFFICER | — | 2018-11-01 |
| BOHRER, TRACY | Individual | W-2 MANAGING EMPLOYEE | — | 2018-11-01 |
Other facilities in OTTAWA
| 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.