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CMS Nursing Home Compare · March 2026

Downs Care and Rehab

1218 Kansas Street, Downs, KS 67437

Downs Care and Rehab, a 45-bed for profit - corporation nursing facility in Downs, KS, holds a 4-star CMS overall rating - well above the 3.0-star national average, with nurse staffing below the national norm. No recent finding reached the actual-harm level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 7854543321

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4 / 5
Above average · CMS overall · nat'l 3.0
3.56
Below average · nurse hrs/day · nat'l 3.89
14
Inspection findings
$0
Federal penalties (0)

Health Inspection

4/5

Staffing

4/5

Quality Measures

3/5

Long-Stay Quality

2/5

Facility Information

Provider Number
175201
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
45
Residents
41
In Hospital
No
County
Osborne
Last Inspection
Jul 31, 2024

Staffing Data

How the 3.56 total nursing hours per resident-day are staffed:

RN Hours
0.96 (nat'l avg: 0.68)
LPN Hours
0.47
CNA Hours
2.13
Total Nursing Hours
3.56 (nat'l avg: 3.89)
PT Hours
0.00
Nursing Turnover
42.5%
RN Turnover
0.0%

What the CMS Record Reveals About Downs Care and Rehab

Downs Care and Rehab operates 45 certified beds in Downs, KS with approximately 41 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (4★), staffing levels (4★), and quality measures (3★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 14 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues, if any, did not rise to the enforcement threshold. Staffing is reported at 3.56 total nursing hours per resident day (national average 3.89), with RN coverage at 0.96 per resident day, the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Downs Care and Rehab falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 42.5%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (14 most recent)

E - Pattern - Minimal harm Jul 31, 2024 Tag: 0921

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Category: Environmental Deficiencies

Corrected: Aug 31, 2024

F - Widespread - Minimal harm Jul 31, 2024 Tag: 0801

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.

Category: Nutrition and Dietary Deficiencies

Corrected: Aug 31, 2024

D - Isolated - Minimal harm Jul 31, 2024 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Aug 31, 2024

D - Isolated - Minimal harm Jul 31, 2024 Tag: 0758

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.

Category: Pharmacy Service Deficiencies

Corrected: Aug 31, 2024

D - Isolated - Minimal harm Jul 31, 2024 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 31, 2024

D - Isolated - Minimal harm Jul 31, 2024 Tag: 0661

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 31, 2024

D - Isolated - Minimal harm Jul 31, 2024 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 31, 2024

E - Pattern - Minimal harm Jul 31, 2024 Tag: 0584

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.

Category: Resident Rights Deficiencies

Corrected: Aug 31, 2024

F - Widespread - Minimal harm Aug 18, 2022 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Sep 22, 2022

F - Widespread - Minimal harm Aug 18, 2022 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Sep 22, 2022

D - Isolated - Minimal harm Aug 18, 2022 Tag: 0726

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.

Category: Nursing and Physician Services Deficiencies

Corrected: Sep 22, 2022

D - Isolated - Minimal harm Aug 18, 2022 Tag: 0698

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 22, 2022

D - Isolated - Minimal harm Jul 15, 2021 Tag: 0622

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Category: Resident Rights Deficiencies

Corrected: Aug 15, 2021

D - Isolated - Minimal harm Jul 15, 2021 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Aug 15, 2021

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 16.0% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 4.7% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 5.9% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 2.8% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 15.1% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 4.6% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 37.1% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 2.6% Yes
Percentage of long-stay residents who lose too much weight Long Stay 3.0% No
Percentage of long-stay residents who have depressive symptoms Long Stay 9.7% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 95.1% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 19.7% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 21.9% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 90.5% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay N/A No

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for Downs Care and Rehab?
Downs Care and Rehab has an overall CMS rating of 4 out of 5 stars. This rating combines health inspection results (4★), staffing levels (4★), and quality measures (3★).
What are the staffing levels at Downs Care and Rehab?
Downs Care and Rehab reports 3.56 total nursing hours per resident day (national average: 3.89). RN hours are 0.96 per resident day (national average: 0.68). Nursing staff turnover is 42.5%.
How many beds does Downs Care and Rehab have?
Downs Care and Rehab has 45 certified beds with approximately 41 residents. The facility is located at 1218 Kansas Street, Downs, KS 67437.
Does Downs Care and Rehab have any deficiencies on record?
Yes, Downs Care and Rehab has 14 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has Downs Care and Rehab received any fines or penalties?
No, Downs Care and Rehab has no fines or penalties on record.
Who owns Downs Care and Rehab?
Downs Care and Rehab is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was Downs Care and Rehab last inspected?
The most recent health inspection for Downs Care and Rehab was on Jul 31, 2024. The facility received a health inspection rating of 4 out of 5 stars.
What quality measures are tracked for Downs Care and Rehab?
Downs Care and Rehab is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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