Elder Care Record

Kansas › Marion County › Peabody

Access Mental Health

500 Peabody, Peabody, KS 66866

CCN 17E210 · For-profit, limited liability company · 45 certified beds

Special Focus Facility
Overallnot rated
Health inspectionnot rated
Staffingnot rated
Quality measuresnot rated

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Certified for 45 beds, Access Mental Health serves Peabody in Marion County, Kansas and has taken Medicare and Medicaid residents since 1982.

CMS gives it no overall rating; the health inspection rating is —, staffing — and quality measures —.

Inspectors recorded 45 health deficiencies across the three most recent survey cycles (2, 26, 17 by cycle, most recent first), 10 of them at the actual-harm or immediate-jeopardy level. That is 100.0 per 100 beds, more than the state median of 44.4.

CMS lists 5 penalties in the period covered: fines totalling $115K and 2 payment denials.

CMS flags that the facility is a Special Focus Facility.

45health deficiencies, 3 survey cycles10 at actual harm or worse
$115Kfines listed by CMS5 penalties in period
—nurse hours per resident per daystate median 3.9
98%occupancy (residents ÷ beds)44 residents a day

Compared with county, state and nation

MeasureThis facilityMarion Co. medianKansas medianUS average
Overall star rating—433.0
Health citations, 3 cycles45232428.7
Citations per 100 beds100.068.044.426.8
Total nurse hours per resident day—4.23.93.9
RN hours per resident day—0.60.60.7
Nursing staff turnover25.9%44.2%47.4%45.8%
Fines listed$114,739$22,711$7,960—

County and state figures are medians across facilities (6 in the county, 296 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)2
Cycle 226
Cycle 317

Dark bar: this facility. Grey bar: Kansas average per facility for the same cycle, as published by CMS. Standard health survey dates: 3 Jun 2026, 10 Dec 2025.

Severity mix: J ×5 K ×1 L ×2 G ×2 D ×22 E ×6 F ×6 C ×1

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
3 Jun 2026F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard surveyDeficient, Provider has no plan of correction
3 Jun 2026F0814Dispose of garbage and refuse properly.CStandard surveyDeficient, Provider has no plan of correction
10 Dec 2025F0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.JComplaint investigation5 Nov 2025
10 Dec 2025F0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.EComplaint investigation23 Jan 2026
10 Dec 2025F0641Ensure each resident receives an accurate assessment.DStandard survey23 Jan 2026
10 Dec 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey23 Jan 2026
10 Dec 2025F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey23 Jan 2026
10 Dec 2025F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey23 Jan 2026
10 Dec 2025F0880Provide and implement an infection prevention and control program.DStandard survey23 Jan 2026
23 Jun 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint investigation25 Jul 2025
23 Jun 2025F0880Provide and implement an infection prevention and control program.FComplaint investigation25 Jul 2025
23 Jun 2025F0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.EComplaint investigation7 Aug 2025
23 Jun 2025F0641Ensure each resident receives an accurate assessment.EComplaint investigation25 Jul 2025
23 Jun 2025F0759Ensure medication error rates are not 5 percent or greater.EComplaint investigation25 Jul 2025
23 Jun 2025F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EComplaint investigation25 Jul 2025
23 Jun 2025F0552Ensure that residents are fully informed and understand their health status, care and treatments.DComplaint investigation25 Jul 2025
23 Jun 2025F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDComplaint investigation25 Jul 2025
23 Jun 2025F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.DComplaint investigation25 Jul 2025
15 Jan 2025F0692Provide enough food/fluids to maintain a resident's health.GComplaint investigation12 Feb 2025
15 Jan 2025F0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.FComplaint investigation12 Feb 2025
15 Jan 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint investigation12 Feb 2025
15 Jan 2025F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.EComplaint investigation12 Feb 2025
15 Jan 2025F0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DComplaint investigation12 Feb 2025
15 Jan 2025F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DComplaint investigation12 Feb 2025
15 Jan 2025F0641Ensure each resident receives an accurate assessment.DComplaint investigation12 Feb 2025
15 Jan 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation12 Feb 2025
15 Jan 2025F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint investigation12 Feb 2025
15 Jan 2025F0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DComplaint investigation12 Feb 2025
15 Jan 2025F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint investigation12 Feb 2025
15 Jan 2025F0699Provide care or services that was trauma informed and/or culturally competent.DComplaint investigation12 Feb 2025
15 Jan 2025F0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DComplaint investigation12 Feb 2025
15 Jan 2025F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DComplaint investigation12 Feb 2025
15 Jan 2025F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DComplaint investigation12 Feb 2025
15 Jan 2025F0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DComplaint investigation12 Feb 2025
15 Jan 2025F0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.DComplaint investigation12 Feb 2025
10 Oct 2024F0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.JComplaint investigation11 Nov 2024
10 Oct 2024F0742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.JComplaint investigation11 Nov 2024
1 Feb 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint investigation29 Feb 2024
1 Feb 2024F0741Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.GComplaint investigation29 Feb 2024
1 Feb 2024F0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.FComplaint investigation29 Feb 2024
1 Feb 2024F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.FComplaint investigation29 Feb 2024
16 Jan 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.LComplaint investigation20 Feb 2024
16 Jan 2024F0610Respond appropriately to all alleged violations.LComplaint investigation20 Feb 2024
16 Jan 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.KComplaint investigation20 Feb 2024
16 Jan 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint investigation20 Feb 2024

Penalties

DateTypeAmountDetail
10 Dec 2025Fine$14,508
23 Jun 2025Payment denial—12 days
23 Jun 2025Fine$64,643
15 Jan 2025Fine$35,588
16 Jan 2024Payment denial—16 days

Staffing

Total nursing—
Nurse aides—
LPN—
RN—
Weekend total—

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Kansas average. Turnover: nursing staff 25.9%, RNs 0.0%; 1 administrator left in the reporting year.

Quality measures

MeasureResidentsThis facilityKansas medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay4.8%17.3%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.8%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.0%2.0%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay1.8%3.7%2.8%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay31.3%15.5%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay0.0%4.3%4.2%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, limited liability company. Legal business name: Legal Business Name Not Available.

No organisations are listed in the CMS ownership record for this facility.

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Marion County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Bethesda HomeGoessel5755558.8—23 Jun 2025
Salem HomeHillsboro455431431.1—10 Jun 2026
Peabody Health and RehabPeabody454432351.1$23K30 Jan 2025
St Luke Living CenterMarion324442268.8—8 Oct 2025
Parkside HomesHillsboro502253468.0$57K17 Mar 2025

All 6 facilities in Marion County

Questions and answers

How many deficiencies has Access Mental Health been cited for?

45 health deficiencies across the three most recent survey cycles, 10 at the actual-harm or immediate-jeopardy level. The Kansas median is 24 per facility.

Has Access Mental Health been fined?

Yes. CMS lists fines totalling $115K in the period covered, plus 2 payment denials.

How does staffing at Access Mental Health compare?

CMS does not report staffing hours for this facility.

Who operates Access Mental Health?

Ownership type is for-profit, limited liability company. Individual owners and managers are not listed on this site.

When was Access Mental Health last inspected?

The most recent survey or investigation in the CMS record is dated 3 Jun 2026; the most recent standard health survey was 3 Jun 2026.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.