Galena Nursing & Rehab Center
1220 E 8th Street, Galena, KS 66739 · Cherokee County · 45 certified beds · avg 37 residents/day · certified since Nov 1, 1992
Abuse citation flag (CMS)
Part of chain: AMERICARE SENIOR LIVING (23 facilities, chain avg rating 3.6★)
The abuse flag means inspectors cited this facility for abuse that caused harm to a resident within the past year, or potential for harm in each of the last two years. Source: CMS.
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
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 · Mar 30, 2026 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
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: Mar 24, 2026 (Past Non-Compliance)
▲ Actual harm, one-off · Mar 30, 2026 · F-0609 · triggered by a complaint
The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.
Why it matters: When incidents aren't reported promptly, abusers may continue harming residents and outside authorities can't step in.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Mar 24, 2026 (Past Non-Compliance)
▲ Actual harm, one-off · Mar 30, 2026 · F-0610 · triggered by a complaint
The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do.
Why it matters: When allegations aren't investigated, harm to residents can continue unchecked.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Mar 24, 2026 (Past Non-Compliance)
All citations in the current public record (23)
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 |
|---|---|---|
| Jun 24, 2026 | 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). |
| Jun 24, 2026 | 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. |
| Jun 24, 2026 | 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. |
| Jun 24, 2026 | D · Potential for harm, one-off | 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. |
| Jun 24, 2026 | C · Minimal risk, facility-wide | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. |
| Mar 30, 2026 | ▲ J · Immediate jeopardy, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Mar 30, 2026 | ▲ G · Actual harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Mar 30, 2026 | ▲ G · Actual harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint |
| Apr 16, 2025 | E · Potential for harm, repeated | 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. |
| Apr 16, 2025 | D · Potential for harm, one-off | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. |
| Apr 16, 2025 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Apr 16, 2025 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Apr 16, 2025 | 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. |
| Apr 16, 2025 | 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. |
| Apr 16, 2025 | D · Potential for harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| Apr 16, 2025 | 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. |
| Apr 16, 2025 | D · Potential for harm, one-off | 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. |
| Apr 16, 2025 | D · Potential for harm, one-off | The facility did not regularly inspect bed frames, mattresses, and bed rails for safety, or the rails and mattresses were not attached safely to the frames. |
| Jul 27, 2023 | 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. |
| Jul 27, 2023 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Jul 27, 2023 | E · Potential for harm, repeated | 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. |
| Jul 27, 2023 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. |
| Jul 27, 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (10 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 5 | 0 | F |
| 2025 | 10 | 0 | E |
| 2026 | 8 | 3 | J ▲ |
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 $21,645.
| Date | Type | Amount / length |
|---|---|---|
| Mar 30, 2026 | Fine | $21,645 |
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) | 4.18 | 4.58 | 3.95 | bottom 39% in Kansas; top 33% in the U.S. |
| Registered Nurse hours | 0.72 | 0.81 | 0.69 | bottom 50% in Kansas; top 34% in the U.S. |
| Weekend total nurse staffing | 3.54 | 4.05 | 3.50 | bottom 35% in Kansas; top 40% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.49 | 0.49 | 0.48 | top 42% in Kansas; top 34% in the U.S. |
| Total nursing staff turnover (%) | 66.0 | 48.1 | 45.8 | bottom 11% in Kansas; bottom 9% in the U.S. |
| RN turnover (%) | 57.1 | 42.0 | 42.9 | bottom 27% in Kansas; bottom 26% 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 3.81, RN 0.66, weekend 3.24. Staffing rating: 3/5.
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: 2/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Montgomery, Anna | Individual | 5% or Greater Indirect Ownership Interest | 50% | 01/01/2013 |
| Montgomery, Richard | Individual | 5% or Greater Indirect Ownership Interest | 50% | 08/01/1987 |
| R H Montgomery Properties, INC | Organization | 5% or Greater Direct Ownership Interest | 100% | 01/01/2003 |
| Americare Systems, INC. | Organization | Operational/Managerial Control | NOT APPLICABLE | 04/01/2002 |
| Crosson, Clay | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/17/2013 |
| Hatlestad, Steven | Individual | Contracted Managing Employee | NOT APPLICABLE | 04/01/2002 |
| Hatlestad, Steven | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2002 |
| Montgomery, Richard | Individual | Corporate Director | NOT APPLICABLE | 01/16/2003 |
| Reiker, James | Individual | Contracted Managing Employee | NOT APPLICABLE | 04/01/2002 |
| Reiker, James | Individual | W-2 Managing Employee | NOT APPLICABLE | 01/01/2003 |
| Reiker, James | Individual | Corporate Officer | NOT APPLICABLE | 04/01/2002 |
| Schade, Kyle | Individual | Contracted Managing Employee | NOT APPLICABLE | 03/01/2021 |
| Schade, Kyle | Individual | Corporate Officer | NOT APPLICABLE | 03/01/2021 |
| Windham, Jaclyn | Individual | W-2 Managing Employee | NOT APPLICABLE | 01/01/2019 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
- "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 often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
- "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 |
|---|---|---|---|---|---|
| Communities of Wildwood Ranch | 2.3 mi | Joplin, MO | ★★★★☆ | 5/5 | |
| Westgate | 2.3 mi | Joplin, MO | ★★☆☆☆ | 2/5 | |
| Quaker Hill Manor | 4.3 mi | Baxter Springs, KS | ★★★★☆ | 4/5 | |
| Aspire Senior Living Joplin | 4.9 mi | Joplin, MO | ★☆☆☆☆ | 1/5 | |
| Joplin Gardens | 5.8 mi | Joplin, MO | ★☆☆☆☆ | 2/5 | |
| NHC Healthcare, Joplin | 8.0 mi | Joplin, MO | ★★☆☆☆ | 3/5 | |
| Aspire Senior Living Webb City | 10.4 mi | Webb City, MO | ★☆☆☆☆ | 2/5 | |
| Higher Call Nursing Center | 12.0 mi | Quapaw, OK | ★☆☆☆☆ | 1/5 | |
| Medicalodges Columbus | 14.4 mi | Columbus, KS | ★★★☆☆ | 2/5 | |
| Seneca Nursing | 15.9 mi | Seneca, MO | ★☆☆☆☆ | 2/5 | |
| Eastwood Manor | 16.6 mi | Commerce, OK | ★★☆☆☆ | 3/5 | |
| Windridge Nursing and Rehabilitation Center | 17.3 mi | Miami, OK | ★★★★★ | 5/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 175233.