Kansas › Osborne County › Downs
Downs Care and Rehab
1218 Kansas Street, Downs, KS 67437
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, Downs Care and Rehab serves Downs in Osborne County, Kansas and has taken Medicare and Medicaid residents since 1991.
CMS gives it 5 of 5 stars overall, above the Kansas median of 3; the health inspection rating is 4, staffing 5 and quality measures 3.
Inspectors recorded 18 health deficiencies across the three most recent survey cycles (6, 8, 4 by cycle, most recent first), none at the actual-harm level. That is 40.0 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 3.8 hours per resident per day (1.0 RN), close to the Kansas median of 3.9; nursing staff turnover is 35.1%.
Compared with county, state and nation
| Measure | This facility | Osborne Co. median | Kansas median | US average |
|---|---|---|---|---|
| Overall star rating | 5 | 5 | 3 | 3.0 |
| Health citations, 3 cycles | 18 | 52 | 24 | 28.7 |
| Citations per 100 beds | 40.0 | 89.7 | 44.4 | 26.8 |
| Total nurse hours per resident day | 3.8 | 3.8 | 3.9 | 3.9 |
| RN hours per resident day | 1.0 | 1.0 | 0.6 | 0.7 |
| Nursing staff turnover | 35.1% | 64.7% | 47.4% | 45.8% |
| Fines listed | $0 | $0 | $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
Dark bar: this facility. Grey bar: Kansas average per facility for the same cycle, as published by CMS. Standard health survey dates: 24 Jun 2026, 31 Jul 2024.
Severity mix: D ×11 E ×2 F ×5
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)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 24 Jun 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 30 Jul 2026 |
| 24 Jun 2026 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 29 Jul 2026 |
| 24 Jun 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 30 Jul 2026 |
| 24 Jun 2026 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Standard survey | 30 Jul 2026 |
| 24 Jun 2026 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 30 Jul 2026 |
| 24 Jun 2026 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 30 Jul 2026 |
| 31 Jul 2024 | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | Standard survey | 31 Aug 2024 |
| 31 Jul 2024 | F0584 | Honor 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. | E | Standard survey | 31 Aug 2024 |
| 31 Jul 2024 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard survey | 31 Aug 2024 |
| 31 Jul 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 31 Aug 2024 |
| 31 Jul 2024 | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Standard survey | 31 Aug 2024 |
| 31 Jul 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 31 Aug 2024 |
| 31 Jul 2024 | F0758 | Implement 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. | D | Standard survey | 31 Aug 2024 |
| 31 Jul 2024 | F0761 | Ensure 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. | D | Standard survey | 31 Aug 2024 |
| 18 Aug 2022 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 22 Sep 2022 |
| 18 Aug 2022 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 22 Sep 2022 |
| 18 Aug 2022 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 22 Sep 2022 |
| 18 Aug 2022 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Standard survey | 22 Sep 2022 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Kansas average. Turnover: nursing staff 35.1%, RNs 0.0%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Kansas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 18.1% | 17.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.8% | 0.8% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 6.3% | 2.0% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.0% | 3.7% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 3.3% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 14.8% | 15.5% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.8% | 4.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 41.4% | 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, limited liability company. Legal business name: Downs Operator Llc. Chain: Mission Health Communities (30 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Coronado Operator, LLC | 5% or greater direct ownership interest | 100% | 10/01/2019 |
| Barres, LLC | 5% or greater indirect ownership interest | 5% | 10/01/2019 |
| Curis Holdings, LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 10/01/2019 |
| T and C Capital Assets, LLC | 5% or greater indirect ownership interest | 5% | 10/01/2019 |
| Windward Health Partners LLC | 5% or greater indirect ownership interest | 90% | 10/01/2019 |
| Downs Operator LLC | Operational/managerial control | NOT APPLICABLE | 10/01/2019 |
| Mission Health Communities, LLC | Operational/managerial control | NOT APPLICABLE | 10/01/2019 |
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 Osborne County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Parkview Health and Rehabilitation Center | Osborne | 58 | 1 | 1 | 1 | 52 | 89.7 | — | 20 Aug 2025 |
All 2 facilities in Osborne County
Questions and answers
How many deficiencies has Downs Care and Rehab been cited for?
18 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Kansas median is 24 per facility.
Has Downs Care and Rehab been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Downs Care and Rehab compare?
Reported total nurse staffing is 3.8 hours per resident per day against a Kansas median of 3.9 and a national average of 3.9.
Who operates Downs Care and Rehab?
It is part of the Mission Health Communities chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Coronado Operator, LLC, Barres, LLC and Curis Holdings, LLC. Individual owners and managers are not listed on this site.
When was Downs Care and Rehab last inspected?
The most recent survey or investigation in the CMS record is dated 24 Jun 2026; the most recent standard health survey was 24 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.