D

MEMORIAL HOSPITAL LTCU (VILLAGE MANOR)

705 N BRADY STREET, ABILENE, KS 67410
Score: 51 / 100

CMS data shows Memorial Hospital Ltcu (Village Manor) earning a D grade with a score of 51/100, placing it below most facilities in Kansas. Prospective residents and families should carefully review the specific areas of concern detailed below.

Staffing at Memorial Hospital Ltcu (Village Manor) is near the national average, with 3.77 total nursing hours per resident per day (national average: 3.8 hours).

Recent CMS inspections identified 18 deficiencies at Memorial Hospital Ltcu (Village Manor), including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: electronically submit to cms complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data..

Score Breakdown

Overall CMS Rating 24 / 40 pts
3 ★ CMS rating
Health Inspections 15 / 25 pts
3 ★ inspection rating
Staffing 12 / 20 pts
3 ★ staffing rating
Quality Measures 6 / 15 pts
2 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.77 3.8 Average
Registered Nurses (RN) 0.44 0.7 Below Average
Licensed Practical Nurses (LPN) 0.47 0.7 Below Average
Certified Nursing Assistants (CNA) 2.86 2.4 Above Average
Weekend Total Nursing 3.51 3.8 Average
Weekend RN Hours 0.35 0.7 Below Average

🔍 Inspection & Deficiency History

18
Total Deficiencies
Sep 10, 2024
Most Recent Inspection
🟠 17 Moderate 🔴 1 Serious
View recent deficiencies (5 shown)
  • Tag 0851 Severity F
    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
    Sep 10, 2024 · Administration Deficiencies
  • Tag 0580 Severity D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    Sep 10, 2024 · Resident Rights Deficiencies
  • Tag 0585 Severity D
    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt e
    Sep 10, 2024 · Resident Rights Deficiencies
  • Tag 0609 Severity D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    Sep 10, 2024 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0623 Severity D
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including a
    Sep 10, 2024 · Resident Rights Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 7.4% 4.5% Worse
Falls with major injury 8.2% 3.0% Worse
On antipsychotic medication 26.7% 14.5% Worse
Urinary tract infections 4.4% 2.5% Worse
ADL decline (daily activities) 21.9% 14.0% Worse
Excessive weight loss 3.8% 7.5% Better
New/worsened incontinence 19.7% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $15,593

How This Grade Was Calculated

This facility's grade of D is based on a score of 51 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 3★ → 24 pts (max 40)
  • Health Inspection Rating: 3★ → 15 pts (max 25)
  • Staffing Rating: 3★ → 12 pts (max 20)
  • Quality Measures Rating: 2★ → 6 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -1 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
Government - Hospital district
Certified Beds
75
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Sep 10, 2024
Deficiencies (Cycle 1)
10