401 E 6th, Fowler, KS 67844 (opens Google Maps) · Meade County · (620) 646-5215· 20 certified beds · avg 16 residents/day · certified since May 7, 2012 · 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 →
4/5
Health inspection rating (on-site)
inspected Feb 26, 2025
1
Serious findings on record
most recent Apr 30, 2024
$8,021
Fines, last 3 years
7.76
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, isolated · 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): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: May 23, 2024 (Deficient, Provider has date of correction)
Inspection findings in the public record
Showing the latest 3 of 9 inspection findings. Open the full record below to read every finding.
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
E · Potential for more than minimal harm, pattern
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. F-0582
J · Immediate jeopardy, isolated
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaintF-0689
View all 9 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
Feb 26, 2025
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
Feb 26, 2025
E · Potential for more than minimal harm, pattern
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. · F-0582
Apr 30, 2024
▲ J · Immediate jeopardy, isolated
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 · F-0689
May 10, 2023
E · Potential for more than minimal harm, pattern
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. · F-0919
May 10, 2023
D · Potential for more than minimal harm, isolated
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Aug 30, 2021
E · Potential for more than minimal harm, pattern
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
Aug 30, 2021
E · Potential for more than minimal harm, pattern
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
Aug 30, 2021
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 30, 2021
C · Potential for minimal harm, widespread
The facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program. · F-0882
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (2 → 2).
Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2021
All citations:
4
Serious citations (G–L):
0
2023
All citations:
2
Serious citations (G–L):
0
2024
All citations:
1
Serious citations (G–L):
1
2025
All citations:
2
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
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.
1 fine totaling $8,021, plus 1 Medicare payment denial period.
Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.
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)
Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityKansas averageU.S. average
Total nurse staffing (hours per resident per day)
This facility:
7.76
Kansas average:
4.58
U.S. average:
3.95
Registered Nurse hours
This facility:
2.69
Kansas average:
0.81
U.S. average:
0.69
Weekend total nurse staffing
This facility:
6.20
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)
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 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 5.50, RN 1.91, weekend 4.39.Comparing with Medicare Care Compare? Care Compare shows the raw figure (5.50 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.
No verified facility-specific private-pay price is available in our data for Fowler Residential Care. 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.
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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.
Facility data as of CMS processing date 2026-08-01. CCN 175526.
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The Care File
Visit checklist — Fowler Residential Care
401 E 6th, Fowler, KS 67844 · (620) 646-5215
Health inspection rating 4/5 · CMS overall 5/5· Fines (3y): $8,021
Most serious findings on record:
▲ Apr 30, 2024 (F-0689, Immediate jeopardy, isolated): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Questions for the administrator:
☐ "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 plan of correction for the findings in your most recent state inspection?"
☐ "CMS reports 37% total nursing staff turnover here — who on the care team has been with you longest?"
☐ "The ownership record on file lists 24 owning or managing parties — who makes the decisions about staffing levels?"
☐ "Can I visit again unannounced, at a mealtime or on a weekend?"
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 175526 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)