Elder Care Record

Kansas › Mitchell County › Beloit

Mitchell County Hospital Health Systems Ltcu

400 W 8th Street, Beloit, KS 67420

CCN 175505 · Government, county · 36 certified beds

Located in a hospital
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.

Certified for 36 beds, Mitchell County Hospital Health Systems Ltcu serves Beloit in Mitchell County, Kansas and has taken Medicare and Medicaid residents since 2008.

CMS gives it 4 of 5 stars overall, above the Kansas median of 3; the health inspection rating is 5, staffing 5 and quality measures 1.

Inspectors recorded 14 health deficiencies across the three most recent survey cycles (2, 8, 4 by cycle, most recent first), none at the actual-harm level. That is 38.9 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 4.8 hours per resident per day (1.3 RN), close to the Kansas median of 3.9; nursing staff turnover is 27.8%.

14health deficiencies, 3 survey cyclesnone at actual-harm level
$0fines listed by CMS0 penalties in period
4.8nurse hours per resident per daystate median 3.9
91%occupancy (residents ÷ beds)33 residents a day

Compared with county, state and nation

MeasureThis facilityMitchell Co. medianKansas medianUS average
Overall star rating4433.0
Health citations, 3 cycles14442428.7
Citations per 100 beds38.948.944.426.8
Total nurse hours per resident day4.84.83.93.9
RN hours per resident day1.31.30.60.7
Nursing staff turnover27.8%47.0%47.4%45.8%
Fines listed$0$28,937$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)2
Cycle 28
Cycle 34

Dark bar: this facility. Grey bar: Kansas average per facility for the same cycle, as published by CMS. Standard health survey dates: 6 Feb 2025, 31 May 2023.

Severity mix: D ×13 E ×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
6 Feb 2025F0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.EStandard survey25 Mar 2025
6 Feb 2025F0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.DStandard survey25 Mar 2025
31 May 2023F0610Respond appropriately to all alleged violations.DStandard survey29 Jun 2023
31 May 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey29 Jun 2023
31 May 2023F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey29 Jun 2023
31 May 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey29 Jun 2023
31 May 2023F0692Provide enough food/fluids to maintain a resident's health.DStandard survey29 Jun 2023
31 May 2023F0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.DStandard survey29 Jun 2023
31 May 2023F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey29 Jun 2023
31 May 2023F0758Implement 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 survey29 Jun 2023
22 Nov 2021F0625Notify 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.DStandard survey16 Dec 2021
22 Nov 2021F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey16 Dec 2021
22 Nov 2021F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey16 Dec 2021
22 Nov 2021F0758Implement 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 survey16 Dec 2021

Penalties

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

Staffing

Total nursing4.79 h
Nurse aides3.16 h
LPN0.32 h
RN1.3 h
Weekend total4.03 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Kansas average. Turnover: nursing staff 27.8%, RNs 0.0%; — 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 Stay37.4%17.3%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay5.3%0.8%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay11.9%2.0%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay7.5%3.7%2.8%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay25.2%15.5%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay5.5%4.3%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay16.2%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: government, county. Legal business name: Mitchell County Hospital Health Systems.

OrganisationRole in the CMS recordInterestSince
Mitchell County Hospital Health SystemsDirect ownership interestNOT APPLICABLE07/01/2005
Mitchell County Hospital Health SystemsOperational/managerial controlNOT APPLICABLE07/01/2005
Mitchell County Hospital Health SystemsTrustee of the snfNOT APPLICABLE07/01/2005
Mitchell County Hospital Health SystemsAdp of the snfNOT APPLICABLE07/01/2005

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 Mitchell County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Hilltop Lodge Health and Rehabilitation CenterBeloit902234448.9$29K16 Jun 2026

All 2 facilities in Mitchell County

Questions and answers

How many deficiencies has Mitchell County Hospital Health Systems Ltcu been cited for?

14 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 Mitchell County Hospital Health Systems Ltcu been fined?

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

How does staffing at Mitchell County Hospital Health Systems Ltcu compare?

Reported total nurse staffing is 4.8 hours per resident per day against a Kansas median of 3.9 and a national average of 3.9.

Who operates Mitchell County Hospital Health Systems Ltcu?

Ownership type is government, county. Organisations in the CMS ownership record include Mitchell County Hospital Health Systems and Mitchell County Hospital Health Systems. Individual owners and managers are not listed on this site.

When was Mitchell County Hospital Health Systems Ltcu last inspected?

The most recent survey or investigation in the CMS record is dated 6 Feb 2025; the most recent standard health survey was 6 Feb 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.