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
🏥 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
View recent deficiencies (5 shown)
- Tag 0851 Severity FElectronically 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 DImmediately 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 DHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt eSep 10, 2024 · Resident Rights Deficiencies
- Tag 0609 Severity DTimely 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 DProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including aSep 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
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