CMS data shows Elmhaven East earning a D grade with a score of 44/100, placing it below most facilities in Kansas. Prospective residents and families should carefully review the specific areas of concern detailed below.
Staffing at Elmhaven East is near the national average, with 3.85 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 33 deficiencies at Elmhaven East, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: have 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..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.85 | 3.8 | Average |
| Registered Nurses (RN) | 1.36 | 0.7 | Above Average |
| Licensed Practical Nurses (LPN) | 0.00 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 2.48 | 2.4 | Average |
| Weekend Total Nursing | 3.15 | 3.8 | Below Average |
| Weekend RN Hours | 0.81 | 0.7 | Above Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0727 Severity FHave 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.Apr 22, 2025 · Nursing and Physician Services Deficiencies
- Tag 0636 Severity EAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.Apr 22, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0550 Severity DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Apr 22, 2025 · Resident Rights Deficiencies
- Tag 0578 Severity DHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, andApr 22, 2025 · Resident Rights 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.Apr 22, 2025 · 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 | 9.9% | 4.5% | Worse |
| Falls with major injury | 2.5% | 3.0% | Better |
| On antipsychotic medication | 2.2% | 14.5% | Better |
| Urinary tract infections | 6.8% | 2.5% | Worse |
| ADL decline (daily activities) | 7.5% | 14.0% | Better |
| Excessive weight loss | 9.2% | 7.5% | Worse |
| New/worsened incontinence | 5.4% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $53,504
How This Grade Was Calculated
This facility's grade of D is based on a score of 44 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 4★ → 16 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -5 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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