Elder Care Record

Kansas › Morris County › Council Grove

Diversicare of Council Grove

400 Sunset Drive, Council Grove, KS 66846

CCN 175239 · For-profit, corporation · 60 certified beds · chain Diversicare Healthcare

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.

Diversicare of Council Grove, in Council Grove, Kansas, is certified for 60 beds under for-profit, corporation ownership and belongs to the Diversicare Healthcare chain.

CMS gives it 2 of 5 stars overall, below the Kansas median of 3; the health inspection rating is 2, staffing 3 and quality measures 4.

Inspectors recorded 33 health deficiencies across the three most recent survey cycles (10, 16, 7 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 55.0 per 100 beds, about the same as the state median of 44.4.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 3.3 hours per resident per day (0.6 RN), close to the Kansas median of 3.9; nursing staff turnover is 41.7%.

33health deficiencies, 3 survey cycles1 at actual harm or worse
$0fines listed by CMS0 penalties in period
3.3nurse hours per resident per daystate median 3.9
75%occupancy (residents ÷ beds)45 residents a day

Compared with county, state and nation

MeasureThis facilityMorris Co. medianKansas medianUS average
Overall star rating2233.0
Health citations, 3 cycles33332428.7
Citations per 100 beds55.055.044.426.8
Total nurse hours per resident day3.33.33.93.9
RN hours per resident day0.60.60.60.7
Nursing staff turnover41.7%41.7%47.4%45.8%
Fines listed$0$0$7,960—

County and state figures are medians across facilities (1 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)10
Cycle 216
Cycle 37

Dark bar: this facility. Grey bar: Kansas average per facility for the same cycle, as published by CMS. Standard health survey dates: 8 Jul 2026, 28 Aug 2024.

Severity mix: G ×1 D ×17 E ×8 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
8 Jul 2026F0880Provide and implement an infection prevention and control program.FStandard surveyDeficient, Provider has no plan of correction
8 Jul 2026F0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.FStandard surveyDeficient, Provider has no plan of correction
8 Jul 2026F0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.FStandard surveyDeficient, Provider has no plan of correction
8 Jul 2026F0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.EStandard surveyDeficient, Provider has no plan of correction
8 Jul 2026F0759Ensure medication error rates are not 5 percent or greater.EStandard surveyDeficient, Provider has no plan of correction
8 Jul 2026F0887Educate 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.EStandard surveyDeficient, Provider has no plan of correction
8 Jul 2026F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DStandard surveyDeficient, Provider has no plan of correction
8 Jul 2026F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard surveyDeficient, Provider has no plan of correction
8 Jul 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard surveyDeficient, Provider has no plan of correction
8 Jul 2026F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard surveyDeficient, Provider has no plan of correction
8 Jul 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint investigation30 Jul 2025
8 Jul 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 investigation30 Jul 2025
8 Jul 2025F0880Provide and implement an infection prevention and control program.EComplaint investigation30 Jul 2025
8 Jul 2025F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.EComplaint investigation30 Jul 2025
8 Jul 2025F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation30 Jul 2025
12 Jun 2025F0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.DComplaint investigation18 Jun 2025
28 Aug 2024F0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.FStandard survey3 Oct 2024
28 Aug 2024F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard survey3 Oct 2024
28 Aug 2024F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey3 Oct 2024
28 Aug 2024F0558Reasonably accommodate the needs and preferences of each resident.DComplaint investigation3 Oct 2024
28 Aug 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation3 Oct 2024
28 Aug 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey3 Oct 2024
28 Aug 2024F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey3 Oct 2024
28 Aug 2024F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey3 Oct 2024
28 Aug 2024F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey3 Oct 2024
28 Aug 2024F0732Post nurse staffing information every day.CStandard survey3 Oct 2024
5 Dec 2022F0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyFStandard survey11 Jan 2023
5 Dec 2022F0880Provide and implement an infection prevention and control program.FStandard survey11 Jan 2023
5 Dec 2022F0584Honor 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.EStandard survey11 Jan 2023
5 Dec 2022F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey11 Jan 2023
5 Dec 2022F0688Provide 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.DStandard survey11 Jan 2023
5 Dec 2022F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey11 Jan 2023
5 Dec 2022F0758Implement 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.DStandard survey11 Jan 2023

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing3.26 h
Nurse aides2.26 h
LPN0.37 h
RN0.64 h
Weekend total2.71 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Kansas average. Turnover: nursing staff 41.7%, RNs 50.0%; 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 Stay17.1%17.3%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.6%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 Stay7.1%3.7%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.0%0.9%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay10.0%15.5%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay3.5%4.3%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay20.8%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, corporation. Legal business name: Diversicare Of Council Grove, Llc. Chain: Diversicare Healthcare (44 facilities).

OrganisationRole in the CMS recordInterestSince
Diversicare Kansas LLC5% or greater direct ownership interest100%01/29/2013
Advocat Finance, LLC5% or greater indirect ownership interestNO PERCENTAGE PROVIDED01/29/2013
Dac Newcorp Inc5% or greater indirect ownership interestNO PERCENTAGE PROVIDED04/04/2022
Diversicare Healthcare Services LLC5% or greater indirect ownership interestNO PERCENTAGE PROVIDED05/10/1994
Diversicare Holding Company LLC5% or greater indirect ownership interestNO PERCENTAGE PROVIDED01/29/2013
Diversicare Management Services LP.5% or greater indirect ownership interestNO PERCENTAGE PROVIDED01/29/2013
Diversicare Management Services LP.Operational/managerial controlNOT APPLICABLE12/06/2024

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

Questions and answers

How many deficiencies has Diversicare of Council Grove been cited for?

33 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 Diversicare of Council Grove been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Diversicare of Council Grove compare?

Reported total nurse staffing is 3.3 hours per resident per day against a Kansas median of 3.9 and a national average of 3.9.

Who operates Diversicare of Council Grove?

It is part of the Diversicare Healthcare chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Diversicare Kansas LLC, Advocat Finance, LLC and Dac Newcorp Inc. Individual owners and managers are not listed on this site.

When was Diversicare of Council Grove last inspected?

The most recent survey or investigation in the CMS record is dated 8 Jul 2026; the most recent standard health survey was 8 Jul 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.