C76

HILLSIDE VILLAGE OF DE SOTO REHABILITATION AND NUR

Grade C 76/100 composite score

For profit - Limited Liability company

CMS Star Ratings

Overall
3/5
Health Insp.
3/5
Quality
3/5
Staffing
2/5
RN Staffing
Not rated

Certified Beds

49

Ownership

For profit - Limited Liability company

Total Fines

None

Last Survey

N/A

33600 WEST 85TH STREET, DE SOTO, KS 66018
9135831266

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.62h
LPN
0.90h
CNA
2.10h
Total
3.62h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

GATEWAY HEALTHCARE LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Feb 2024

100%

THE ENSIGN GROUP INC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Feb 2024

100%

LEWIS, CORWIN

IndividualOPERATIONAL/MANAGERIAL CONTROLSince May 2024

JORGENSEN, DAVID

IndividualCORPORATE DIRECTORSince Feb 2024

BURNAM, SOON

IndividualCORPORATE OFFICERSince Feb 2024

FITCH, CRAIG

IndividualCORPORATE OFFICERSince Feb 2024

LEWIS, CORWIN

IndividualCORPORATE OFFICERSince Feb 2024

Penalties & Fines

No penalties or fines on record.

Health Inspection Deficiencies (14)

February 20, 2024Health5 deficiencies
0730FMinimal harm, Widespread

Observe each nurse aide's job performance and give regular training.

Nursing and Physician Services Deficiencies

Corrected Mar 28, 2024
0756DMinimal harm, Isolated

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Pharmacy Service Deficiencies

Corrected Mar 28, 2024
0758DMinimal harm, Isolated

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.

Pharmacy Service Deficiencies

Corrected Mar 28, 2024
0880FMinimal harm, Widespread

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Mar 28, 2024
0947FMinimal harm, Widespread

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Nursing and Physician Services Deficiencies

Corrected Mar 28, 2024
August 2, 2022Health8 deficiencies
0565EMinimal harm, Pattern

Honor the resident's right to organize and participate in resident/family groups in the facility.

Resident Rights Deficiencies

Corrected Sep 6, 2022
0657EMinimal harm, Pattern

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

Resident Assessment and Care Planning Deficiencies

Corrected Sep 6, 2022
0689EMinimal harm, Pattern

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Sep 6, 2022
0756DMinimal harm, Isolated

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Pharmacy Service Deficiencies

Corrected Sep 6, 2022
0757DMinimal harm, Isolated

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Pharmacy Service Deficiencies

Corrected Sep 6, 2022
0758DMinimal harm, Isolated

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.

Pharmacy Service Deficiencies

Corrected Sep 6, 2022
0812FMinimal harm, Widespread

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

Nutrition and Dietary Deficiencies

Corrected Sep 6, 2022
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Sep 6, 2022
April 26, 2021Health1 deficiency
0812EMinimal harm, Pattern

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

Nutrition and Dietary Deficiencies

Corrected May 11, 2021

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Frequently Asked Questions

What is the CareGrader rating for HILLSIDE VILLAGE OF DE SOTO REHABILITATION AND NUR?

HILLSIDE VILLAGE OF DE SOTO REHABILITATION AND NUR in DE SOTO, Kansas has a CareGrader grade of C (Average), with a composite score of 76.3 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for HILLSIDE VILLAGE OF DE SOTO REHABILITATION AND NUR?

HILLSIDE VILLAGE OF DE SOTO REHABILITATION AND NUR has an overall CMS star rating of 3 out of 5, a health inspection rating of 3/5, and a staffing rating of 2/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does HILLSIDE VILLAGE OF DE SOTO REHABILITATION AND NUR have?

HILLSIDE VILLAGE OF DE SOTO REHABILITATION AND NUR has 14 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

How many beds does HILLSIDE VILLAGE OF DE SOTO REHABILITATION AND NUR have?

HILLSIDE VILLAGE OF DE SOTO REHABILITATION AND NUR has 49 certified beds with approximately 41 current residents (84% occupancy). The facility is located at 33600 WEST 85TH STREET, DE SOTO, Kansas 66018. It is a for profit - limited liability company facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.