Meadowbrook Rehabilitation HospitalCMS ratings, inspections and fines
- Address
- 427 W Main Street, Gardner, KS 66030
- CCN
- 175130
- Ownership type
- For-profit, limited liability company
- Certified beds
- 42
- Residents per day
- 106
- CMS flags
- None in the CMS record
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Meadowbrook Rehabilitation Hospital an overall rating of 1 of 5 stars. The last standard survey was on 16 Sep 2025. The latest survey cycle has 14 health citations. The median for nursing homes in Kansas is 8. CMS lists 3 fines with a total of $86,954 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Johnson County median | Kansas median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 3.0 | 3.0 | 2.8 |
| Staffing rating | 3 | 4.0 | 4.0 | 2.9 |
| Quality measure rating | 3 | 4.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 35 homes in the county, 296 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Kansas median |
|---|---|---|---|
| Cycle 1 (latest) | 16 Sep 2025 | 14 | 8 |
| Cycle 2 | 25 Jan 2024 | 24 | 8 |
| Cycle 3 | No date | 9 | 6 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | K0 | L0 | |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 |
Survey cycle 1 (latest): 14 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 16 Sep 2025 | F0583 | Keep residents' personal and medical records private and confidential. | E | Standard survey | 13 Oct 2025 |
| 16 Sep 2025 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Standard survey | 13 Oct 2025 |
| 16 Sep 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Standard survey | 13 Oct 2025 |
| 16 Sep 2025 | F0637 | Assess the resident when there is a significant change in condition | D | Standard survey | 13 Oct 2025 |
| 16 Sep 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 13 Oct 2025 |
| 16 Sep 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 13 Oct 2025 |
| 16 Sep 2025 | F0688 | Provide 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. | D | Standard survey | 13 Oct 2025 |
| 16 Sep 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Standard survey | 13 Oct 2025 |
| 16 Sep 2025 | 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. | E | Standard survey | 13 Oct 2025 |
| 16 Sep 2025 | 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 | 13 Oct 2025 |
| 16 Sep 2025 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | Standard survey | 13 Oct 2025 |
| 16 Sep 2025 | 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. | F | Standard survey | 13 Oct 2025 |
| 16 Sep 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 13 Oct 2025 |
| 16 Sep 2025 | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | C | Standard survey | 13 Oct 2025 |
Survey cycle 2: 24 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 12 Nov 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 7 Nov 2024 |
| 12 Nov 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 18 Nov 2024 |
| 25 Jan 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint investigation | 5 Mar 2024 |
| 25 Jan 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 5 Mar 2024 |
| 25 Jan 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 5 Mar 2024 |
| 25 Jan 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 5 Mar 2024 |
| 25 Jan 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Complaint investigation | 5 Mar 2024 |
| 25 Jan 2024 | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | Complaint investigation | 5 Mar 2024 |
| 25 Jan 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 5 Mar 2024 |
| 25 Jan 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 | Complaint investigation | 5 Mar 2024 |
| 25 Jan 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 5 Mar 2024 |
| 25 Jan 2024 | F0688 | Provide 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. | D | Complaint investigation | 5 Mar 2024 |
| 25 Jan 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 5 Mar 2024 |
| 25 Jan 2024 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Complaint investigation | 5 Mar 2024 |
| 25 Jan 2024 | 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. | E | Complaint investigation | 5 Mar 2024 |
| 25 Jan 2024 | F0730 | Observe each nurse aide's job performance and give regular training. | F | Complaint investigation | 5 Mar 2024 |
| 25 Jan 2024 | F0732 | Post nurse staffing information every day. | C | Complaint investigation | 5 Mar 2024 |
| 25 Jan 2024 | 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 | Complaint investigation | 5 Mar 2024 |
| 25 Jan 2024 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Complaint investigation | 5 Mar 2024 |
| 25 Jan 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 | Complaint investigation | 5 Mar 2024 |
| 25 Jan 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. | E | Complaint investigation | 5 Mar 2024 |
| 25 Jan 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 5 Mar 2024 |
| 25 Jan 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Complaint investigation | 5 Mar 2024 |
| 25 Jan 2024 | F0908 | Keep all essential equipment working safely. | E | Complaint investigation | 5 Mar 2024 |
Survey cycle 3: 9 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 16 Mar 2022 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 21 Apr 2022 |
| 16 Mar 2022 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 21 Apr 2022 |
| 16 Mar 2022 | 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 | 21 Apr 2022 |
| 16 Mar 2022 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 21 Apr 2022 |
| 16 Mar 2022 | F0688 | Provide 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. | D | Standard survey | 21 Apr 2022 |
| 16 Mar 2022 | 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 | 21 Apr 2022 |
| 16 Mar 2022 | 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 | 21 Apr 2022 |
| 16 Mar 2022 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 21 Apr 2022 |
| 16 Mar 2022 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 21 Apr 2022 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 16 Sep 2025 | Fine | $22,325 | |
| 7 Apr 2025 | Fine | $54,152 | |
| 12 Nov 2024 | Fine | $10,477 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Kansas median | Kansas average (CMS) |
|---|---|---|---|
| All nurse staff | 3.73 | 3.90 | 4.07 |
| Registered nurses (RN) | 0.90 | 0.60 | 0.71 |
| Licensed practical nurses (LPN) | 0.60 | 0.65 | |
| Nurse aides | 2.24 | 2.70 | |
| All nurse staff, weekends | 3.35 | 3.50 | 3.60 |
- Nurse staff turnover in a year
- 51.1%
- Nurse staff turnover, Kansas median
- 47.4%
- RN turnover in a year
- 38.9%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Kansas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 7.9% | 17.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.2% | 0.8% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.5% | 2.0% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.0% | 3.7% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 12.3% | 15.5% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.0% | 4.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 11.3% | 15.4% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Setting
- In a hospital
- Legal business name
- Recover-Care Meadowbrook Rehabilitation LLC
- Chain
- Recover-Care Healthcare (27 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Midwest SNF Holdings LLC | Direct ownership interest | 28 Feb 2025 | |
| BHNV 2 LLC | Indirect ownership interest | 28 Feb 2025 | |
| Kamna Holdings LLC | Indirect ownership interest | 28 Feb 2025 | |
| Kansas SNF Holdings LLC | Indirect ownership interest | 28 Feb 2025 | |
| NZM Holdings LLC | Indirect ownership interest | 28 Feb 2025 | |
| Rarmna Holdings LLC | Indirect ownership interest | 28 Feb 2025 | |
| Recover-Care Healthcare LLC | Indirect ownership interest | 28 Feb 2025 | |
| RNR Holdings LLC | Indirect ownership interest | 28 Feb 2025 | |
| MRC SNF Management LLC | Operational/managerial control | 1 Mar 2020 | |
| Kansas SNF Holdings LLC | Adp of the snf | 28 Feb 2025 | |
| MRC SNF Management LLC | Adp of the snf | 12 Feb 2025 | |
| Rarmna Holdings LLC | Adp of the snf | 28 Feb 2025 | |
| RNR Holdings LLC | Adp of the snf | 28 Feb 2025 |
The site shows organisations only. It does not show the names of persons.
Other homes in Johnson County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Evergreen Community of Johnson County | Olathe | 5 of 5 | 2 | $22,913 | 25 Feb 2026 | |
| The Healthcare Resort of Olathe | Olathe | 2 of 5 | 13 | $37,417 | 16 Apr 2025 | |
| Hoeger House | Olathe | 5 of 5 | 3 | $0 | 14 May 2025 | |
| Good Samaritan-Olathe | Olathe | 3 of 5 | 14 | $0 | 23 Jul 2025 | |
| Azria Health Olathe | Olathe | 1 of 5 | 17 | $54,031 | 10 Sep 2025 | |
| Spring Hill Care and Rehab | Spring Hill | 2 of 5 | 20 | $14,069 | 11 Jun 2025 | |
| Villa St Francis Catholic Care Center Inc | Olathe | 5 of 5 | 9 | $0 | 31 Dec 2024 | |
| Aberdeen Village | Olathe | 5 of 5 | 3 | $8,021 | 10 Feb 2026 | |
| Nottingham Health and Rehabilitation | Olathe | 5 of 5 | 3 | $0 | 8 Apr 2026 | |
| Hillside Village of De Soto Rehabilitation and Nur | De Soto | 5 of 5 | 5 | $0 | 7 Jan 2026 | |
| Colonial Village | Overland Park | 2 of 5 | 10 | $0 | 31 Oct 2024 | |
| The Plaza Health Services at Santa Marta | Olathe | 5 of 5 | 5 | $0 | 14 May 2026 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Meadowbrook Rehabilitation Hospital (CCN 175130). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/meadowbrook-rehabilitation-hospital-gardner-ks-175130/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Meadowbrook Rehabilitation Hospital last inspected?
- The latest inspection with a citation in the CMS record was on 16 Sep 2025. It was a standard survey. It gave 14 citations. The standard survey before the last one was on 25 Jan 2024.
- Who operates Meadowbrook Rehabilitation Hospital?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Recover-Care Healthcare. The CMS ownership file names MRC SNF Management LLC for operational or managerial control. This site does not show the names of persons.
- Is Meadowbrook Rehabilitation Hospital a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 1 home in Kansas as a Special Focus Facility and 10 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.