Fowler Residential Care
401 E 6th, Fowler, KS 67844 · Meade County · 20 certified beds · avg 16 residents/day · certified since May 7, 2012
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Apr 30, 2024 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: May 23, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (9)
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 |
|---|---|---|
| Feb 26, 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. |
| Feb 26, 2025 | E · Potential for harm, repeated | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. |
| Apr 30, 2024 | ▲ J · Immediate jeopardy, one-off | 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 |
| May 10, 2023 | E · Potential for harm, repeated | The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. |
| May 10, 2023 | 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. |
| Aug 30, 2021 | E · Potential for harm, repeated | 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. |
| Aug 30, 2021 | E · Potential for harm, repeated | 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. |
| Aug 30, 2021 | D · Potential for harm, one-off | 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 30, 2021 | C · Minimal risk, facility-wide | The facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (2 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 4 | 0 | E |
| 2023 | 2 | 0 | E |
| 2024 | 1 | 1 | J ▲ |
| 2025 | 2 | 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)
1 fine totaling $8,021, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Apr 30, 2024 | Fine | $8,021 |
| Apr 30, 2024 | Payment Denial | 6 days from May 17, 2024 |
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) | 7.76 | 4.58 | 3.95 | top 1% in Kansas; top 1% in the U.S. |
| Registered Nurse hours | 2.69 | 0.81 | 0.69 | top 1% in Kansas; top 1% in the U.S. |
| Weekend total nurse staffing | 6.20 | 4.05 | 3.50 | top 4% in Kansas; top 2% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 1.63 | 0.49 | 0.48 | top 1% in Kansas; top 2% in the U.S. |
| Total nursing staff turnover (%) | 37.0 | 48.1 | 45.8 | top 23% in Kansas; top 29% in the U.S. |
| RN turnover (%) | 14.3 | 42.0 | 42.9 | top 11% in Kansas; top 7% 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 5.50, RN 1.91, weekend 4.39. Staffing rating: 5/5.
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: 3/5 · long-stay residents: 3/5 · short-stay residents: —/5
Who owns this facility
Government - Hospital district
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Benton, Gilbert | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/17/2014 |
| Benton, Gilbert | Individual | ADP of the SNF | NOT APPLICABLE | 04/17/2014 |
| Fowler Hospital District | Organization | Operational/Managerial Control | NOT APPLICABLE | 05/07/2012 |
| Fowler Hospital District | Organization | ADP of the SNF | NOT APPLICABLE | 05/07/2012 |
| Knott, Cheryl | Individual | Managing Control - Governing Body | NOT APPLICABLE | 05/20/2015 |
| Knott, Cheryl | Individual | Corporate Officer | NOT APPLICABLE | 05/09/2014 |
| Knott, Cheryl | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/20/2015 |
| Knott, Cheryl | Individual | ADP of the SNF | NOT APPLICABLE | 05/20/2015 |
| McDowell, Karen | Individual | Managing Control - Governing Body | NOT APPLICABLE | 05/16/2025 |
| McDowell, Karen | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/16/2025 |
| McDowell, Karen | Individual | ADP of the SNF | NOT APPLICABLE | 05/16/2025 |
| Milford, Kevin | Individual | Managing Control - Governing Body | NOT APPLICABLE | 05/20/2015 |
| Milford, Kevin | Individual | Corporate Director | NOT APPLICABLE | 05/09/2014 |
| Milford, Kevin | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/20/2015 |
| Milford, Kevin | Individual | ADP of the SNF | NOT APPLICABLE | 05/20/2015 |
| Milford, Pam | Individual | Managing Control - Governing Body | NOT APPLICABLE | 05/16/2025 |
| Milford, Pam | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/16/2025 |
| Milford, Pam | Individual | ADP of the SNF | NOT APPLICABLE | 05/17/2020 |
| Norman, Gregg | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/16/2025 |
| Norman, Gregg | Individual | ADP of the SNF | NOT APPLICABLE | 05/16/2025 |
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 is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
- "Can you show me the call buttons in the bathrooms and bathing areas, and tell me your average response time when one is pressed?"
- "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
- "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Who is your infection preventionist, and what training do they have?"
- "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 |
|---|---|---|---|---|---|
| Meade District Hosp LTCU DBA Lone Tree Retirement | 10.1 mi | Meade, KS | ★★★★★ | 3/5 | |
| Minneola District Hospital LTCU | 10.7 mi | Minneola, KS | ★☆☆☆☆ | 1/5 |
Compare this facility with the 2 closest →
Facility data as of CMS processing date 2026-08-01. CCN 175526.