Twin Oaks Health and RehabCMS ratings, inspections and fines
- Address
- 757 W Eisenhower Rd, Lansing, KS 66043
- CCN
- 175533
- Ownership type
- For-profit, partnership
- Certified beds
- 70
- Chain
- Midwest Health
- Residents per day
- 61
- CMS flags
- None in the CMS record
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 Twin Oaks Health and Rehab an overall rating of 5 of 5 stars. The last standard survey was on 29 Aug 2024. The latest survey cycle has 7 health citations. The median for nursing homes in Kansas is 8. CMS lists no fines 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 | Leavenworth County median | Kansas median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 5 | 1.0 | 3.0 | 3.0 |
| Health inspection rating | 4 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 5 | 3.0 | 4.0 | 2.9 |
| Quality measure rating | 4 | 3.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 5 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) | 29 Aug 2024 | 7 | 8 |
| Cycle 2 | 23 Feb 2023 | 4 | 8 |
| Cycle 3 | No date | 6 | 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 | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 |
Survey cycle 1 (latest): 7 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 29 Aug 2024 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | E | Standard survey | 21 Nov 2024 |
| 29 Aug 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 | 21 Nov 2024 |
| 29 Aug 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 21 Nov 2024 |
| 29 Aug 2024 | F0700 | Try 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. | D | Standard survey | 21 Nov 2024 |
| 29 Aug 2024 | F0732 | Post nurse staffing information every day. | C | Standard survey | 21 Nov 2024 |
| 29 Aug 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 | 21 Nov 2024 |
| 29 Aug 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 21 Nov 2024 |
Survey cycle 2: 4 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 23 Feb 2023 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 8 Apr 2023 |
| 23 Feb 2023 | 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 | 8 Apr 2023 |
| 23 Feb 2023 | 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 | 8 Apr 2023 |
| 23 Feb 2023 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 8 Apr 2023 |
Survey cycle 3: 6 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 |
|---|---|---|---|---|---|
| 23 Aug 2021 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 23 Sep 2021 |
| 23 Aug 2021 | 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 | 23 Sep 2021 |
| 23 Aug 2021 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 23 Sep 2021 |
| 23 Aug 2021 | 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 | 23 Sep 2021 |
| 23 Aug 2021 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 23 Sep 2021 |
| 23 Aug 2021 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 23 Sep 2021 |
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.
CMS lists no fine and no payment denial for this home in its penalties file.
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 | 4.37 | 3.90 | 4.07 |
| Registered nurses (RN) | 0.79 | 0.60 | 0.71 |
| Licensed practical nurses (LPN) | 0.88 | 0.65 | |
| Nurse aides | 2.69 | 2.70 | |
| All nurse staff, weekends | 4.18 | 3.50 | 3.60 |
- Nurse staff turnover in a year
- 43.0%
- Nurse staff turnover, Kansas median
- 47.4%
- RN turnover in a year
- 20.0%
- 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 | 14.2% | 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 | 2.0% | 2.0% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.6% | 3.7% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.0% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 6.0% | 15.5% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.4% | 4.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 9.6% | 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, partnership
- Legal business name
- Twin Oaks Health and Rehab Operations LLC
- Chain
- Midwest Health (11 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Twin Oaks Health and Rehab Operations LLC | 5% or greater direct ownership interest | 100% | 31 Dec 2013 |
| Klaton Holding Co #2, Inc | 5% or greater indirect ownership interest | 31 Dec 2013 | |
| Twin Oaks Independent Living, Inc. | 5% or greater indirect ownership interest | 31 Dec 2013 | |
| Midwest Health, Inc. 06122001 | Operational/managerial control | 31 Dec 2013 | |
| Twin Oaks Health and Rehab Operations LLC | Operational/managerial control | 31 Dec 2013 | |
| Klaton Holding Co #2, Inc | Adp of the snf | 25 Nov 2024 | |
| Midwest Health, Inc. 06122001 | Adp of the snf | 25 Nov 2024 | |
| Twin Oaks Health and Rehab Operations LLC | Adp of the snf | 25 Nov 2024 |
The site shows organisations only. It does not show the names of persons.
Other homes in Leavenworth County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Lansing Care and Rehab | Lansing | 3 of 5 | 11 | $23,454 | 17 Nov 2025 | |
| Medicalodges Leavenworth | Leavenworth | 1 of 5 | 14 | $8,281 | 25 Sep 2024 | |
| Easton Health Care Center | Easton | 1 of 5 | 7 | $22,431 | 13 Jan 2026 | |
| Tonganoxie Terrace | Tonganoxie | 1 of 5 | 20 | $47,317 | 29 Jan 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 Twin Oaks Health and Rehab (CCN 175533). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/twin-oaks-health-and-rehab-lansing-ks-175533/
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 Twin Oaks Health and Rehab last inspected?
- The latest inspection with a citation in the CMS record was on 29 Aug 2024. It was a standard survey. It gave 7 citations. The standard survey before the last one was on 23 Feb 2023.
- Who operates Twin Oaks Health and Rehab?
- The CMS record gives the ownership type as for-profit, partnership. CMS lists the home in the chain Midwest Health. The CMS ownership file names Midwest Health, Inc. 06122001 and Twin Oaks Health and Rehab Operations LLC for operational or managerial control. This site does not show the names of persons.
- Is Twin Oaks Health and Rehab 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.