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Downs Care and Rehab
1218 Kansas Street, Downs, KS 67437 (opens Google Maps) · Osborne County · (785) 454-3321· 45 certified beds · avg 37 residents/day · certified since Feb 1, 1991 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: MISSION HEALTH COMMUNITIES (30 facilities, chain avg rating 2.8★)
4/5
Health inspection rating (on-site)
inspected Jun 24, 2026
0
Serious findings on record
$0
Fines, last 3 years
4.39
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5 · how star ratings work →
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.
Inspection findings in the public record
Showing the latest 3 of 18 inspection findings. Open the full record below to read every finding.
The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. F-0812
The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. F-0880
The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. F-0550
View all 18 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jun 24, 2026 | F · Potential for more than minimal harm, widespread | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812 |
| Jun 24, 2026 | F · Potential for more than minimal harm, widespread | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
| Jun 24, 2026 | D · Potential for more than minimal harm, isolated | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · F-0550 |
| Jun 24, 2026 | D · Potential for more than minimal harm, isolated | The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. · F-0605 |
| Jun 24, 2026 | D · Potential for more than minimal harm, isolated | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. · F-0756 |
| Jun 24, 2026 | D · Potential for more than minimal harm, isolated | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · F-0759 |
| Jul 31, 2024 | F · Potential for more than minimal harm, widespread | The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. · F-0801 |
| Jul 31, 2024 | E · Potential for more than minimal harm, pattern | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584 |
| Jul 31, 2024 | E · Potential for more than minimal harm, pattern | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · F-0921 |
| Jul 31, 2024 | D · Potential for more than minimal harm, isolated | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · F-0657 |
| Jul 31, 2024 | D · Potential for more than minimal harm, isolated | When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care. · F-0661 |
| Jul 31, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · F-0677 |
| Jul 31, 2024 | D · Potential for more than minimal harm, isolated | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. · F-0758 |
| Jul 31, 2024 | D · Potential for more than minimal harm, isolated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761 |
| Aug 18, 2022 | F · Potential for more than minimal harm, widespread | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812 |
| Aug 18, 2022 | F · Potential for more than minimal harm, widespread | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
| Aug 18, 2022 | D · Potential for more than minimal harm, isolated | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. · F-0698 |
| Aug 18, 2022 | D · Potential for more than minimal harm, isolated | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · F-0726 |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (8 → 6).
All citationsSerious citations (G–L)
2022
All citations: 4
Serious citations (G–L): 0
2024
All citations: 8
Serious citations (G–L): 0
2026
All citations: 6
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 4 | 0 | F |
| 2024 | 8 | 0 | F |
| 2026 | 6 | 0 | F |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityKansas averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 4.39
Kansas average: 4.58
U.S. average: 3.95
Registered Nurse hours
This facility: 1.18
Kansas average: 0.81
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.85
Kansas average: 4.05
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Kansas avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.39 | 4.58 | 3.95 | bottom 48% in Kansas; top 26% in the U.S. |
| Registered Nurse hours | 1.18 | 0.81 | 0.69 | top 16% in Kansas; top 10% in the U.S. |
| Weekend total nurse staffing | 3.85 | 4.05 | 3.50 | bottom 48% in Kansas; top 28% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.67 | 0.49 | 0.48 | top 20% in Kansas; top 18% in the U.S. |
| Total nursing staff turnover (%) | 35.1 | 48.1 | 45.8 | top 19% in Kansas; top 24% in the U.S. |
| RN turnover (%) | 0.0 | 42.0 | 42.9 | top 1% in Kansas; top 1% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.79, RN 1.02, weekend 3.32.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.79 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 5/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 3/5 · long-stay residents: 2/5 · short-stay residents: 4/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Downs Care and Rehab. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Barres, LLC | Organization | 5% or Greater Indirect Ownership Interest | 5% | 10/01/2019 |
| Coronado Operator, LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 10/01/2019 |
| Curis Holdings, LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 10/01/2019 |
| T and C Capital Assets, LLC | Organization | 5% or Greater Indirect Ownership Interest | 5% | 10/01/2019 |
| Windward Health Partners LLC | Organization | 5% or Greater Indirect Ownership Interest | 90% | 10/01/2019 |
| Downs Operator LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 10/01/2019 |
| Lindeman, Stuart | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2019 |
| Mission Health Communities, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 10/01/2019 |
| Thomas, Tina | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2019 |
| Yoakum, Jamie | Individual | Corporate Officer | NOT APPLICABLE | 01/19/2024 |
All 10 owning or managing parties CMS has on file are shown — none excluded.
Other facilities in the same chain
CMS lists this facility under the chain Mission Health Communities — 30 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- Edwardsville Care and Rehab — Edwardsville, KS · overall 2/5abuse
- El Dorado Care and Rehab — El Dorado, KS · overall 2/5
- Eskridge Care and Rehab — Eskridge, KS · overall 3/5
- Hutchinson Operator, LLC — Hutchinson, KS · overall 1/5
- Kaw River Care and Rehab — Edwardsville, KS · overall 1/5
- Lansing Care and Rehab — Lansing, KS · overall 3/5
- Lincoln Care and Rehab — Wichita, KS · overall 1/5
- McPherson Operator, LLC — McPherson, KS · overall 3/5
Listed by state, then facility name — not a ranking. Showing 8 of the 29 others, continuing from this facility's own place in that list.
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
- "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "Do you have a qualified dietician on staff, and how involved are they in each resident's nutrition plan?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
Also worth asking anywhere
- "Your weekend nurse staffing is reported below the Kansas midpoint — how does the weekend schedule differ from a weekday?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 35% total nursing staff turnover here — who on the care team has been with you longest?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Parkview Health and Rehabilitation Center | 8.8 mi | Osborne, KS | ★☆☆☆☆ | 1/5 | |
| Smith Center Health and Rehab | 15.2 mi | Smith Center, KS | ★★★★☆ | 4/5 |
Facility data as of CMS processing date 2026-08-01. CCN 175201.
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