Kansas › Gray County › Cimarron
The Shepherd'S Center
101 Cedar Ridge Drive, Cimarron, KS 67835
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.
The Shepherd'S Center, in Cimarron, Kansas, is certified for 28 beds under non-profit, corporation ownership.
CMS gives it 2 of 5 stars overall, below the Kansas median of 3; the health inspection rating is 1, staffing 5 and quality measures 2.
Inspectors recorded 26 health deficiencies across the three most recent survey cycles (13, 10, 3 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 92.9 per 100 beds, more than the state median of 44.4.
CMS lists 1 penalty in the period covered: fines totalling $14K.
Reported nurse staffing is 3.1 hours per resident per day (1.1 RN), below the Kansas median of 3.9; nursing staff turnover is 58.1%.
CMS flags that the facility is a Special Focus Facility candidate.
Compared with county, state and nation
| Measure | This facility | Gray Co. median | Kansas median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 5 | 3 | 3.0 |
| Health citations, 3 cycles | 26 | 26 | 24 | 28.7 |
| Citations per 100 beds | 92.9 | 92.9 | 44.4 | 26.8 |
| Total nurse hours per resident day | 3.1 | 4.6 | 3.9 | 3.9 |
| RN hours per resident day | 1.1 | 1.1 | 0.6 | 0.7 |
| Nursing staff turnover | 58.1% | 58.1% | 47.4% | 45.8% |
| Fines listed | $13,627 | $13,627 | $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: 17 Nov 2025, 8 Feb 2024.
Severity mix: J ×1 L ×2 D ×9 E ×3 F ×11
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 |
|---|---|---|---|---|---|
| 17 Nov 2025 | F0730 | Observe each nurse aide's job performance and give regular training. | F | Standard survey | 10 Dec 2025 |
| 17 Nov 2025 | 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 | 10 Dec 2025 |
| 17 Nov 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 10 Dec 2025 |
| 17 Nov 2025 | F0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | F | Standard survey | 10 Dec 2025 |
| 17 Nov 2025 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Standard survey | 10 Dec 2025 |
| 17 Nov 2025 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 10 Dec 2025 |
| 17 Nov 2025 | F0881 | Implement a program that monitors antibiotic use. | F | Standard survey | 10 Dec 2025 |
| 17 Nov 2025 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | E | Standard survey | 10 Dec 2025 |
| 17 Nov 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Standard survey | 10 Dec 2025 |
| 17 Nov 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 10 Dec 2025 |
| 17 Nov 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 10 Dec 2025 |
| 17 Nov 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 10 Dec 2025 |
| 17 Nov 2025 | 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 | 10 Dec 2025 |
| 27 Jun 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | L | Complaint investigation | 10 Jul 2024 |
| 27 Jun 2024 | F0610 | Respond appropriately to all alleged violations. | L | Complaint investigation | 10 Jul 2024 |
| 27 Jun 2024 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | J | Complaint investigation | 10 Jul 2024 |
| 8 Feb 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 1 Mar 2024 |
| 8 Feb 2024 | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Standard survey | 1 Mar 2024 |
| 8 Feb 2024 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Standard survey | 1 Mar 2024 |
| 8 Feb 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 1 Mar 2024 |
| 8 Feb 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | Standard survey | 1 Mar 2024 |
| 8 Feb 2024 | F0679 | Provide activities to meet all resident's needs. | E | Standard survey | 1 Mar 2024 |
| 8 Feb 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 | Standard survey | 1 Mar 2024 |
| 8 Feb 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 1 Mar 2024 |
| 8 Feb 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 | Standard survey | 1 Mar 2024 |
| 8 Feb 2024 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | Standard survey | 1 Mar 2024 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 27 Jun 2024 | Fine | $13,627 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Kansas average. Turnover: nursing staff 58.1%, RNs 33.3%; 0 administrators 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 | 22.5% | 17.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.8% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.6% | 2.0% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 6.0% | 3.7% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 3.7% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 13.3% | 15.5% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 7.6% | 4.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 21.4% | 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: non-profit, corporation. Legal business name: Shepherd Of The Plains Foundation.
No organisations are listed in the CMS ownership record for this facility.
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 Gray County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Bethel Home | Montezuma | 56 | 5 | 4 | 5 | 15 | 26.8 | — | 16 Jan 2025 |
All 2 facilities in Gray County
Questions and answers
How many deficiencies has The Shepherd'S Center been cited for?
26 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Kansas median is 24 per facility.
Has The Shepherd'S Center been fined?
Yes. CMS lists fines totalling $14K in the period covered.
How does staffing at The Shepherd'S Center compare?
Reported total nurse staffing is 3.1 hours per resident per day against a Kansas median of 3.9 and a national average of 3.9.
Who operates The Shepherd'S Center?
Ownership type is non-profit, corporation. Individual owners and managers are not listed on this site.
When was The Shepherd'S Center last inspected?
The most recent survey or investigation in the CMS record is dated 17 Nov 2025; the most recent standard health survey was 17 Nov 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.