01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2024-09-25 | 14 | 2024-09-25 | 10 |
| Cycle 2 | 2023-04-10 | 29 | 2023-04-10 | 6 |
| Cycle 3 | 2021-09-16 | 19 | 2021-09-16 | 12 |
CMS CCN 1751622026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Medicalodges Leavenworth
1503 Ohio Street · Leavenworth, KS 66048 · Leavenworth County
Certified beds45CMS provider file
Recent citation rows90current CMS citation release
Penalty rows1current 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
90 rows in the current release
1 rows carry G–L scope/severity codes; 1 carry J–L. 20 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-06-10 · HEALTHF0585Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2026-07-10 · complaint2025-07-29 · HEALTHF0602Severity J · isolated immediate jeopardy
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
Correction field: Past Non-Compliance · complaint2024-09-25 · HEALTHF0686Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2024-10-31 · complaint2024-09-25 · HEALTHF0690Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Correction field: Deficient, Provider has date of correction · 2024-10-31 · complaint2024-09-25 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2024-10-31 · complaint2024-09-25 · HEALTHF0727Severity F · widespread; potential for more than minimal harm
Nursing and Physician Services Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Correction field: Deficient, Provider has date of correction · 2024-10-31 · complaint2024-09-25 · HEALTHF0730Severity F · widespread; potential for more than minimal harm
Nursing and Physician Services Deficiencies
Observe each nurse aide's job performance and give regular training.
Correction field: Deficient, Provider has date of correction · 2024-10-31 · complaint2024-09-25 · 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 · 2024-10-31 · complaint2024-09-25 · 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 · 2024-10-31 · complaint2024-09-25 · HEALTHF0758Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2024-10-31 · complaint2024-09-25 · HEALTHF0801Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2024-10-31 · complaint2024-09-25 · HEALTHF0849Severity D · isolated; potential for more than minimal harm
Administration Deficiencies
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Correction field: Deficient, Provider has date of correction · 2024-10-31 · complaint2024-09-25 · HEALTHF0880Severity E · pattern; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2024-10-31 · complaint2024-09-25 · HEALTHF0882Severity F · widespread; potential for more than minimal harm
Infection Control Deficiencies
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Correction field: Deficient, Provider has date of correction · 2024-10-31 · complaint2024-09-25 · HEALTHF0947Severity F · widespread; potential for more than minimal harm
Nursing and Physician Services Deficiencies
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Correction field: Deficient, Provider has date of correction · 2024-10-31 · complaint2024-09-25 · FIREK0200Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Meet other general requirements.
Correction field: Deficient, Provider has date of correction · 2024-12-042024-09-25 · FIREK0223Severity F · widespread; potential for more than minimal harm
Egress Deficiencies
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Correction field: Deficient, Provider has date of correction · 2024-12-042024-09-25 · FIREK0231Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Provide large enough exits.
Correction field: Deficient, Provider has date of correction · 2024-12-042024-09-25 · FIREK0293Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Correction field: Deficient, Provider has date of correction · 2024-12-042024-09-25 · FIREK0345Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2024-12-042024-09-25 · FIREK0353Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2024-12-042024-09-25 · FIREK0511Severity E · pattern; potential for more than minimal harm
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Correction field: Deficient, Provider has date of correction · 2024-12-042024-09-25 · FIREK0712Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2024-12-042024-09-25 · FIREK0914Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Correction field: Deficient, Provider has date of correction · 2024-12-0403 / 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 |
|---|---|---|---|
| 2025-07-29 | Fine | $8,281 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- MEDICALODGES INCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 04/19/1976
- BUTLER, RICHARDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2003
- COX, GARENIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 02/26/1998
- DOLL, GAYLEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/21/2009
- GROVER, BRIDGETIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 06/01/2025
- HINES, SCOTTIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/19/2009
- LAGER, SHANNONIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/23/2018
- MARSHALL, CAROLIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/27/2006
- OTT, RONIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/15/2006
- CHRISTMAS, KEVINIndividual · CORPORATE OFFICERNOT APPLICABLE · since 03/27/2025
- COOVER, TERESAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 07/07/2016
- DANIELS, JANAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 03/27/2025
- DILLON, WILLIAMIndividual · CORPORATE OFFICERNOT APPLICABLE · since 09/12/2022
- FISHER, KRISTYNIndividual · CORPORATE OFFICERNOT APPLICABLE · since 03/28/2024
- HINES, SCOTTIndividual · CORPORATE OFFICERNOT APPLICABLE · since 03/20/2009
- KELLY, ELIZABETHIndividual · CORPORATE OFFICERNOT APPLICABLE · since 03/27/2025
- LAGER, SHANNONIndividual · CORPORATE OFFICERNOT APPLICABLE · since 06/15/2013
- LANTZ, KATHLEENIndividual · CORPORATE OFFICERNOT APPLICABLE · since 11/01/2013
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 hours4.24per resident day
RN hours0.58per resident day
Weekend nurse hours3.68per resident day
Staff turnover93.3%CMS reported field
06 / LOCAL RECORDS
Open the Kansas ledger →Other published facilities nearby
No second facility in the same city met the directory rule.