B

MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS LTCU

400 W 8TH STREET, BELOIT, KS 67420
Score: 80 / 100

With a score of 80/100 and a B grade, Mitchell County Hospital Health Systems Ltcu is a well-regarded option in Beloit, Kansas. The facility performs above average in most CMS categories, placing it in the 82th percentile statewide.

Mitchell County Hospital Health Systems Ltcu provides above-average staffing with 4.38 total nurse hours per resident per day. Higher staffing levels are generally associated with better care outcomes and more attentive staff.

Recent inspections identified 14 deficiencies at Mitchell County Hospital Health Systems Ltcu. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 32 / 40 pts
4 ★ CMS rating
Health Inspections 25 / 25 pts
5 ★ inspection rating
Staffing 20 / 20 pts
5 ★ staffing rating
Quality Measures 3 / 15 pts
1 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 4.38 3.8 Above Average
Registered Nurses (RN) 1.05 0.7 Above Average
Licensed Practical Nurses (LPN) 0.55 0.7 Below Average
Certified Nursing Assistants (CNA) 2.78 2.4 Above Average
Weekend Total Nursing 3.58 3.8 Average
Weekend RN Hours 0.53 0.7 Below Average

🔍 Inspection & Deficiency History

14
Total Deficiencies
Feb 5, 2025
Most Recent Inspection
🟠 14 Moderate
View recent deficiencies (5 shown)
  • Tag 0882 Severity E
    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
    Feb 5, 2025 · Infection Control Deficiencies
  • Tag 0700 Severity D
    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these
    Feb 5, 2025 · Quality of Life and Care Deficiencies
  • Tag 0610 Severity D
    Respond appropriately to all alleged violations.
    May 30, 2023 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0656 Severity D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    May 30, 2023 · Resident Assessment and Care Planning Deficiencies
  • Tag 0657 Severity D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    May 30, 2023 · Resident Assessment and Care Planning 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 7.2% 4.5% Worse
Falls with major injury 12.0% 3.0% Worse
On antipsychotic medication 15.5% 14.5% Average
Urinary tract infections 9.6% 2.5% Worse
ADL decline (daily activities) 32.7% 14.0% Worse
Excessive weight loss 4.0% 7.5% Better
New/worsened incontinence 24.4% 45.0% Better

How This Grade Was Calculated

This facility's grade of B is based on a score of 80 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 4★ → 32 pts (max 40)
  • Health Inspection Rating: 5★ → 25 pts (max 25)
  • Staffing Rating: 5★ → 20 pts (max 20)
  • Quality Measures Rating: 1★ → 3 pts (max 15)

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

Facility Details

Ownership
Government - County
Certified Beds
36
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Feb 5, 2025
Deficiencies (Cycle 1)
2