F W Huston Medical Center

Name: F W Huston Medical Center
Address: 408 DELAWARE STREET, Winchester, KS, 66097, US
Telephone: 9137744340

408 Delaware Street, Winchester, KS 66097 · Jefferson County · 38 certified beds · avg 37 residents/day · certified since Mar 31, 1974

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.83

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5

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 self-reported quality measures.

All citations in the current public record (20)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Aug 12, 2025	F · Potential for harm, facility-wide	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.
Aug 12, 2025	F · Potential for harm, facility-wide	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.
Aug 12, 2025	F · Potential for harm, facility-wide	The facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months.
Aug 12, 2025	E · Potential for harm, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Aug 12, 2025	E · Potential for harm, repeated	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Aug 12, 2025	D · Potential for harm, one-off	The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay).
Aug 12, 2025	D · Potential for harm, one-off	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.
Aug 12, 2025	C · Minimal risk, facility-wide	The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records.
Oct 18, 2023	F · Potential for harm, facility-wide	The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing.
Oct 18, 2023	F · Potential for harm, facility-wide	The facility did not observe each nurse aide's job performance or provide regular training as required.
Oct 18, 2023	D · Potential for harm, one-off	The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way.
Oct 18, 2023	D · Potential for harm, one-off	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.
Oct 18, 2023	D · Potential for harm, one-off	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
Oct 18, 2023	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Oct 18, 2023	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Oct 18, 2023	D · Potential for harm, one-off	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.
Mar 3, 2022	D · Potential for harm, one-off	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal.
Mar 3, 2022	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Mar 3, 2022	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Mar 3, 2022	D · Potential for harm, one-off	The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (8 → 8).

Year	Citations	Worst severity that year
2022	4	D
2023	8	F
2025	8	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)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Kansas avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.83	4.58	3.95	top 36% in Kansas; top 16% in the U.S.
Registered Nurse hours	0.80	0.81	0.69	top 40% in Kansas; top 27% in the U.S.
Weekend total nurse staffing	4.40	4.05	3.50	top 32% in Kansas; top 14% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.56	0.49	0.48	top 31% in Kansas; top 27% in the U.S.
Total nursing staff turnover (%)	48.9	48.1	45.8	bottom 47% in Kansas; bottom 40% in the U.S.
RN turnover (%)	62.5	42.0	42.9	bottom 19% in Kansas; bottom 19% in the U.S.

Hours are per resident per day, 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 3.72, RN 0.62, weekend 3.38. Staffing rating: 4/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 2/5 · long-stay residents: 2/5 · short-stay residents: —/5

Who owns this facility

Non profit - Corporation

Owner / manager	Type	Role	Stake	Since
		Ownership Data Not Available

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How does your quality committee work, and can you share an example of a problem it identified and fixed?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
"What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
"How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
"How do your actual daily staffing levels compare to what's reported on Medicare's Care Compare website?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Nortonville Health Care Center	6.8 mi	Nortonville, KS	★☆☆☆☆	1/5	abuseSFF
Heritage Gardens Health and Rehabilitation Center	8.0 mi	Oskaloosa, KS	★★★☆☆	3/5
Easton Health Care Center	8.1 mi	Easton, KS	★☆☆☆☆	2/5
Valley Health Care Center	10.0 mi	Valley Falls, KS	★★★★☆	4/5
Dooley Center	17.5 mi	Atchison, KS	★★★★★	5/5
Medicalodges Leavenworth	17.8 mi	Leavenworth, KS	★☆☆☆☆	1/5
Medicalodges Atchison	18.4 mi	Atchison, KS	★★★★☆	4/5
Tonganoxie Terrace	18.4 mi	Tonganoxie, KS	★☆☆☆☆	1/5
Atchison Senior Village Rehabilitation and Nursing	19.3 mi	Atchison, KS	★★★☆☆	3/5

Compare this facility with the 3 closest →

All facilities in Winchester →

Facility data as of CMS processing date 2026-08-01. CCN 17E294.

The Care File

Visit checklist — F W Huston Medical Center

408 Delaware Street, Winchester, KS 66097 · 9137744340

Health inspection rating 3/5 · CMS overall 3/5· Fines (3y): $0

Questions for the administrator:

☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How does your quality committee work, and can you share an example of a problem it identified and fixed?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
☐ "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
☐ "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
☐ "How do your actual daily staffing levels compare to what's reported on Medicare's Care Compare website?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 17E294 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)