F

THE SHEPHERD'S CENTER

101 CEDAR RIDGE DRIVE, CIMARRON, KS 67835
Score: 29 / 100

With a score of 29/100, The Shepherd'S Center ranks in the bottom tier of Kansas nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.

Staffing at The Shepherd'S Center is near the national average, with 3.44 total nursing hours per resident per day (national average: 3.8 hours).

Recent CMS inspections identified 26 deficiencies at The Shepherd'S Center, including 3 classified as serious — among the most concerning citation levels. The most notable finding involved: observe each nurse aide's job performance and give regular training..

Score Breakdown

Overall CMS Rating 8 / 40 pts
1 ★ CMS rating
Health Inspections 5 / 25 pts
1 ★ inspection rating
Staffing 16 / 20 pts
4 ★ staffing rating
Quality Measures 6 / 15 pts
2 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.44 3.8 Average
Registered Nurses (RN) 1.28 0.7 Above Average
Licensed Practical Nurses (LPN) 0.26 0.7 Below Average
Certified Nursing Assistants (CNA) 1.90 2.4 Below Average
Weekend Total Nursing 3.12 3.8 Below Average
Weekend RN Hours 0.89 0.7 Above Average

🔍 Inspection & Deficiency History

26
Total Deficiencies
Nov 16, 2025
Most Recent Inspection
🟠 23 Moderate 🔴 3 Serious
View recent deficiencies (5 shown)
  • Tag 0730 Severity F
    Observe each nurse aide's job performance and give regular training.
    Nov 16, 2025 · Nursing and Physician Services Deficiencies
  • Tag 0801 Severity F
    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qu
    Nov 16, 2025 · Nutrition and Dietary Deficiencies
  • Tag 0812 Severity F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    Nov 16, 2025 · Nutrition and Dietary Deficiencies
  • Tag 0838 Severity F
    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day ope
    Nov 16, 2025 · Administration Deficiencies
  • Tag 0867 Severity F
    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
    Nov 16, 2025 · Administration 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 6.6% 4.5% Worse
Falls with major injury 5.6% 3.0% Worse
On antipsychotic medication 30.5% 14.5% Worse
Urinary tract infections 4.5% 2.5% Worse
ADL decline (daily activities) 22.2% 14.0% Worse
Excessive weight loss 7.1% 7.5% Average
New/worsened incontinence 17.1% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $13,627

How This Grade Was Calculated

This facility's grade of F is based on a score of 29 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 1★ → 8 pts (max 40)
  • Health Inspection Rating: 1★ → 5 pts (max 25)
  • Staffing Rating: 4★ → 16 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
Non profit - Corporation
Certified Beds
28
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Nov 16, 2025
Deficiencies (Cycle 1)
13