Starfile / Kansas

THE SHEPHERD'S CENTER

101 CEDAR RIDGE DRIVE, CIMARRON, KS 67835 · CCN 175570

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

$13,627

Number of fines

1

Number of penalties

1

Payment denials

0

Inspection citations (26)3 immediate jeopardy

1. DF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-11-17 · Health · corrected 2025-12-10

   Potential for more than minimal harm

2. EF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2025-11-17 · Health · corrected 2025-12-10

   Potential for more than minimal harm

3. DF0641Ensure each resident receives an accurate assessment.2025-11-17 · Health · corrected 2025-12-10

   Potential for more than minimal harm

4. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2025-11-17 · Health · corrected 2025-12-10

   Potential for more than minimal harm

5. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-11-17 · Health · corrected 2025-12-10

   Potential for more than minimal harm

6. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-11-17 · Health · corrected 2025-12-10

   Potential for more than minimal harm

7. FF0730Observe each nurse aide's job performance and give regular training.2025-11-17 · Health · corrected 2025-12-10

   Potential for more than minimal harm

8. FF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2025-11-17 · Health · corrected 2025-12-10

   Potential for more than minimal harm

9. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-11-17 · Health · corrected 2025-12-10

   Potential for more than minimal harm

10. FF0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.2025-11-17 · Health · corrected 2025-12-10

    Potential for more than minimal harm

11. FF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2025-11-17 · Health · corrected 2025-12-10

    Potential for more than minimal harm

12. FF0880Provide and implement an infection prevention and control program.2025-11-17 · Health · corrected 2025-12-10

    Potential for more than minimal harm

13. FF0881Implement a program that monitors antibiotic use.2025-11-17 · Health · corrected 2025-12-10

    Potential for more than minimal harm

14. JF0602Protect each resident from the wrongful use of the resident's belongings or money.2024-06-27 · Health · corrected 2024-07-10

    Immediate jeopardy

15. LF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-06-27 · Health · corrected 2024-07-10

    Immediate jeopardy

16. LF0610Respond appropriately to all alleged violations.2024-06-27 · Health · corrected 2024-07-10

    Immediate jeopardy

17. EF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-02-08 · Health · corrected 2024-03-01

    Potential for more than minimal harm

18. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-02-08 · Health · corrected 2024-03-01

    Potential for more than minimal harm

19. EF0679Provide activities to meet all resident's needs.2024-02-08 · Health · corrected 2024-03-01

    Potential for more than minimal harm

20. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-02-08 · Health · corrected 2024-03-01

    Potential for more than minimal harm

21. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-02-08 · Health · corrected 2024-03-01

    Potential for more than minimal harm

22. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-02-08 · Health · corrected 2024-03-01

    Potential for more than minimal harm

23. FF0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.2024-02-08 · Health · corrected 2024-03-01

    Potential for more than minimal harm

24. FF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2024-02-08 · Health · corrected 2024-03-01

    Potential for more than minimal harm

25. FF0880Provide and implement an infection prevention and control program.2024-02-08 · Health · corrected 2024-03-01

    Potential for more than minimal harm

26. DF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2024-02-08 · Health · corrected 2024-03-01

    Potential for more than minimal harm

Ownership

Other facilities in CIMARRON

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