Mitchell County Hospital Health Systems LTCU

Name: Mitchell County Hospital Health Systems LTCU
Address: 400 W 8TH STREET, Beloit, KS, 67420, US
Telephone: 7857389590

400 W 8th Street, Beloit, KS 67420 · Mitchell County · 36 certified beds · avg 33 residents/day · certified since Sep 1, 2008

5/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

5.80

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★★★5/5 · CMS overall rating: 4/5

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 (14)

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 6, 2025	E · Potential for harm, repeated	The facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program.
Feb 6, 2025	D · Potential for harm, one-off	The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly.
May 31, 2023	D · Potential for 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.
May 31, 2023	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.
May 31, 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.
May 31, 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.
May 31, 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.
May 31, 2023	D · Potential for harm, one-off	The facility did not provide the right treatment and services for residents with dementia or signs of dementia. Dementia care requires specific approaches, training, and patience.
May 31, 2023	D · Potential for harm, one-off	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.
May 31, 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.
Nov 22, 2021	D · Potential for harm, one-off	The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave.
Nov 22, 2021	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.
Nov 22, 2021	D · Potential for harm, one-off	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.
Nov 22, 2021	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 (8 → 2).

Year	Citations	Worst severity that year
2021	4	D
2023	8	D
2025	2	E

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)	5.80	4.58	3.95	top 13% in Kansas; top 5% in the U.S.
Registered Nurse hours	1.58	0.81	0.69	top 4% in Kansas; top 4% in the U.S.
Weekend total nurse staffing	4.88	4.05	3.50	top 19% in Kansas; top 7% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.77	0.49	0.48	top 13% in Kansas; top 13% in the U.S.
Total nursing staff turnover (%)	27.8	48.1	45.8	top 7% in Kansas; top 11% 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, 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 4.79, RN 1.30, weekend 4.03. 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: 1/5 · long-stay residents: 1/5 · short-stay residents: —/5

Who owns this facility

Government - County

Owner / manager	Type	Role	Stake	Since
Mitchell County Hospital Health Systems	Organization	Direct Ownership Interest	NOT APPLICABLE	07/01/2005
Cleveland, Nicki	Individual	Operational/Managerial Control	NOT APPLICABLE	06/02/2015
Eilert, Leanne	Individual	Operational/Managerial Control	NOT APPLICABLE	10/07/1999
Gavino, Luigi	Individual	Operational/Managerial Control	NOT APPLICABLE	06/26/2023
Kircher, Janelle	Individual	Managing Control - Governing Body	NOT APPLICABLE	02/07/2023
Kircher, Janelle	Individual	Operational/Managerial Control	NOT APPLICABLE	02/07/2023
Kircher, Janelle	Individual	ADP of the SNF	NOT APPLICABLE	05/13/2025
Marozas, Christine	Individual	Managing Control - Governing Body	NOT APPLICABLE	01/01/2021
Marozas, Christine	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2021
Marozas, Christine	Individual	Trustee of the SNF	NOT APPLICABLE	01/01/2021
Marozas, Christine	Individual	ADP of the SNF	NOT APPLICABLE	05/13/2025
Mitchell County Hospital Health Systems	Organization	Operational/Managerial Control	NOT APPLICABLE	07/01/2005
Mitchell County Hospital Health Systems	Organization	Trustee of the SNF	NOT APPLICABLE	07/01/2005
Mitchell County Hospital Health Systems	Organization	ADP of the SNF	NOT APPLICABLE	07/01/2005
Simmons, Stephanie	Individual	Operational/Managerial Control	NOT APPLICABLE	11/18/2010

Questions to ask on your visit

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

"Who is your infection preventionist, and what training do they have?"
"What alternatives do you try before using bed rails, and how do you involve families in that decision?"
"If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
"What specific dementia training do your staff receive, and how do you handle difficult moments without medication?"
"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
Hilltop Lodge Health and Rehabilitation Center	0.1 mi	Beloit, KS	★★☆☆☆	2/5
The Nicol Home	16.4 mi	Glasco, KS	★★★★☆	5/5

Compare this facility with the 2 closest →

All facilities in Beloit →

Facility data as of CMS processing date 2026-08-01. CCN 175505.

The Care File

Visit checklist — Mitchell County Hospital Health Systems LTCU

400 W 8th Street, Beloit, KS 67420 · 7857389590

Health inspection rating 5/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "Who is your infection preventionist, and what training do they have?"
☐ "What alternatives do you try before using bed rails, and how do you involve families in that decision?"
☐ "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
☐ "What specific dementia training do your staff receive, and how do you handle difficult moments without medication?"
☐ "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 175505 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)