01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-03-04 | 11 | 2026-03-04 | 5 |
| Cycle 2 | 2024-04-15 | 6 | 2024-04-15 | 7 |
| Cycle 3 | 2022-11-22 | 15 | 2022-11-22 | 3 |
CMS CCN 1753042026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Emporia Presbyterian Manor
2300 Industrial Road · Emporia, KS 66801 · Lyon County
Certified beds60CMS provider file
Recent citation rows47current CMS citation release
Penalty rows3current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
47 rows in the current release
3 rows carry G–L scope/severity codes; 3 carry J–L. 5 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-03-04 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2026-03-232026-03-04 · HEALTHF0558Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Correction field: Deficient, Provider has date of correction · 2026-03-232026-03-04 · HEALTHF0583Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Correction field: Deficient, Provider has date of correction · 2026-03-192026-03-04 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2026-03-202026-03-04 · HEALTHF0756Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Correction field: Deficient, Provider has date of correction · 2026-03-202026-03-04 · HEALTHF0757Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Correction field: Deficient, Provider has date of correction · 2026-03-202026-03-04 · HEALTHF0760Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Correction field: Deficient, Provider has date of correction · 2026-03-202026-03-04 · HEALTHF0761Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2026-03-082026-03-04 · HEALTHF0790Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide routine and 24-hour emergency dental care for each resident.
Correction field: Deficient, Provider has date of correction · 2026-03-202026-03-04 · HEALTHF0812Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2026-03-092026-03-04 · HEALTHF0883Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Correction field: Deficient, Provider has date of correction · 2026-03-202026-03-04 · FIREK0343Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
Correction field: Deficient, Provider has date of correction · 2026-06-242026-03-04 · FIREK0353Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2026-05-182026-03-04 · FIREK0363Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2026-05-182026-03-04 · FIREK0761Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Correction field: Deficient, Provider has date of correction · 2026-06-042026-03-04 · FIREK0771Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
Ensure that smoke control systems are tested and documented in accordance with established engineering principles.
Correction field: Deficient, Provider has date of correction · 2026-05-182024-08-20 · HEALTHF0580Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Correction field: Deficient, Provider has date of correction · 2024-09-06 · complaint2024-08-20 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2024-09-06 · complaint2024-04-15 · FIREE0025Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Create arrangements with other facilities to receive patients.
Correction field: Deficient, Provider has date of correction · 2024-06-032024-04-15 · HEALTHF0582Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Correction field: Deficient, Provider has date of correction · 2024-05-02 · complaint2024-04-15 · HEALTHF0584Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2024-05-02 · complaint2024-04-15 · HEALTHF0755Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2024-05-02 · complaint2024-04-15 · HEALTHF0868Severity F · widespread; potential for more than minimal harm
Administration Deficiencies
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Correction field: Deficient, Provider has date of correction · 2024-05-02 · complaint2024-04-15 · FIREK0222Severity L · widespread immediate jeopardy
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Correction field: Deficient, Provider has date of correction · 2024-05-1503 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2024-05-15 | Fine | $14,651 | 0 |
| 2024-05-15 | Payment Denial | $0 | 2 |
| 2023-08-29 | Fine | $15,593 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- PRESBYTERIAN MANORS INCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 03/30/1989
- SHOGREN, BRUCEIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 04/26/2004
- SIEPELMEIER, SUSANIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 09/29/2014
- BONNEY, ROBERTIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/23/2019
- BRENNECKE, GARYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2015
- COOK, JAMESIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2012
- GOODWIN, JOHNIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2018
- HARRIS, DANIELIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2019
- MCKELL, ELIZABETHIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2012
- MORRISON, AARONIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2015
- NELSON, ELEANORIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2010
- SIEPELMEIER, SUSANIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/29/2014
- HIND, SHERRYIndividual · CORPORATE OFFICERNOT APPLICABLE · since 07/01/1989
- MILLER, JOANIndividual · CORPORATE OFFICERNOT APPLICABLE · since 09/01/1997
- OWENS, MELANIEIndividual · CORPORATE OFFICERNOT APPLICABLE · since 07/10/2017
- SHOGREN, BRUCEIndividual · CORPORATE OFFICERNOT APPLICABLE · since 08/05/1996
- TAYLOR, WILLIAMIndividual · CORPORATE OFFICERNOT APPLICABLE · since 07/01/2015
- PRESBYTERIAN MANORS OF MID-AMERICA INCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 03/30/1989
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours4.42per resident day
RN hours0.84per resident day
Weekend nurse hours3.96per resident day
Staff turnover53.8%CMS reported field
06 / LOCAL RECORDS
Open the Emporia ledger →