Elder Care Record

Kansas › Thomas County › Colby

Colby Operator, LLC

105 East College Drive, Colby, KS 67701

CCN 175202 · For-profit, partnership · 40 certified beds · chain Mission Health Communities

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

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.

Colby Operator, LLC is a For-profit, partnership nursing home in Colby, Kansas, certified for 40 beds and caring for about 35 residents a day.

CMS gives it 1 of 5 stars overall, below the Kansas median of 3; the health inspection rating is 3, staffing 1 and quality measures 1.

Inspectors recorded 26 health deficiencies across the three most recent survey cycles (5, 15, 6 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 65.0 per 100 beds, more than the state median of 44.4.

CMS lists 2 penalties in the period covered: fines totalling $40K and 1 payment denial.

Reported nurse staffing is 3.9 hours per resident per day (0.5 RN), close to the Kansas median of 3.9; nursing staff turnover is 65.3%.

26health deficiencies, 3 survey cycles1 at actual harm or worse
$40Kfines listed by CMS2 penalties in period
3.9nurse hours per resident per daystate median 3.9
89%occupancy (residents ÷ beds)35 residents a day

Compared with county, state and nation

MeasureThis facilityThomas Co. medianKansas medianUS average
Overall star rating1533.0
Health citations, 3 cycles26262428.7
Citations per 100 beds65.065.044.426.8
Total nurse hours per resident day3.94.13.93.9
RN hours per resident day0.51.20.60.7
Nursing staff turnover65.3%65.3%47.4%45.8%
Fines listed$40,381$40,381$7,960—

County and state figures are medians across facilities (2 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)5
Cycle 215
Cycle 36

Dark bar: this facility. Grey bar: Kansas average per facility for the same cycle, as published by CMS. Standard health survey dates: 11 Jun 2025, 28 Sep 2023.

Severity mix: J ×1 D ×17 E ×1 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
11 Jun 2025F0729Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.FComplaint investigation25 Jul 2025
11 Jun 2025F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey25 Jul 2025
11 Jun 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey25 Jul 2025
11 Jun 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey25 Jul 2025
11 Jun 2025F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey25 Jul 2025
12 Aug 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.JComplaint investigation11 Sep 2024
28 Sep 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey3 Nov 2023
28 Sep 2023F0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.FStandard survey3 Nov 2023
28 Sep 2023F0880Provide and implement an infection prevention and control program.FStandard survey3 Nov 2023
28 Sep 2023F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.FStandard survey3 Nov 2023
28 Sep 2023F0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.EStandard survey3 Nov 2023
28 Sep 2023F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DStandard survey3 Nov 2023
28 Sep 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey3 Nov 2023
28 Sep 2023F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey3 Nov 2023
28 Sep 2023F0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.DStandard survey3 Nov 2023
28 Sep 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey3 Nov 2023
28 Sep 2023F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey3 Nov 2023
28 Sep 2023F0699Provide care or services that was trauma informed and/or culturally competent.DStandard survey3 Nov 2023
28 Sep 2023F0760Ensure that residents are free from significant medication errors.DStandard survey3 Nov 2023
28 Sep 2023F0732Post nurse staffing information every day.CStandard survey3 Nov 2023
12 May 2022F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey13 Jun 2022
12 May 2022F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey13 Jun 2022
12 May 2022F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey13 Jun 2022
12 May 2022F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey13 Jun 2022
12 May 2022F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey13 Jun 2022
12 May 2022F0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DStandard survey13 Jun 2022

Penalties

DateTypeAmountDetail
12 Aug 2024Payment denial—1 days
12 Aug 2024Fine$40,381

Staffing

Total nursing3.86 h
Nurse aides2.5 h
LPN0.91 h
RN0.45 h
Weekend total3.37 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Kansas average. Turnover: nursing staff 65.3%, RNs 87.5%; 0 administrators 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 Stay19.7%17.3%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.9%0.8%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay7.3%2.0%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay1.5%3.7%2.8%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay24.5%15.5%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay8.8%4.3%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay29.2%15.4%13.4%

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, partnership. Legal business name: Colby Operator Llc. Chain: Mission Health Communities (30 facilities).

OrganisationRole in the CMS recordInterestSince
Kansas Operator LLC5% or greater direct ownership interest100%02/25/2015
Barres, LLC5% or greater indirect ownership interestNO PERCENTAGE PROVIDED02/26/2015
T and C Capital Assets, LLC5% or greater indirect ownership interestNO PERCENTAGE PROVIDED02/26/2015
Windward Health Partners LLC5% or greater indirect ownership interestNO PERCENTAGE PROVIDED02/26/2015
Mission Health Communities, LLCOperational/managerial controlNOT APPLICABLE02/26/2015

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 Thomas County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Citizens Medical Center LtcuColby605451728.3$17K7 Aug 2024

All 2 facilities in Thomas County

Questions and answers

How many deficiencies has Colby Operator, LLC been cited for?

26 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Kansas median is 24 per facility.

Has Colby Operator, LLC been fined?

Yes. CMS lists fines totalling $40K in the period covered, plus 1 payment denial.

How does staffing at Colby Operator, LLC compare?

Reported total nurse staffing is 3.9 hours per resident per day against a Kansas median of 3.9 and a national average of 3.9.

Who operates Colby Operator, LLC?

It is part of the Mission Health Communities chain. Ownership type is for-profit, partnership. Organisations in the CMS ownership record include Kansas Operator LLC, Barres, LLC and T and C Capital Assets, LLC. Individual owners and managers are not listed on this site.

When was Colby Operator, LLC last inspected?

The most recent survey or investigation in the CMS record is dated 11 Jun 2025; the most recent standard health survey was 11 Jun 2025.

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.