Sandstone Heights
440 State Street, Little River, KS 67457 · Rice County · 36 certified beds · avg 26 residents/day · certified since Oct 1, 2008
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 1/5
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 · Jan 16, 2024 · F-0602 · triggered by a complaint
The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds.
Why it matters: Residents can lose money, jewelry, or cherished possessions to theft or misuse.
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: Jan 29, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Mar 13, 2025 · 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 (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: May 21, 2025 (Deficient, Provider has date of correction)
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 |
|---|---|---|
| Mar 13, 2025 | ▲ G · Actual 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. · from a complaint |
| Mar 13, 2025 | F · Potential for harm, facility-wide | The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records. · from a complaint |
| Mar 13, 2025 | 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. |
| Mar 13, 2025 | 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. · from a complaint |
| Mar 13, 2025 | D · Potential for harm, one-off | 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. · from a complaint |
| Jan 16, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint |
| Jun 15, 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. |
| Jun 15, 2023 | F · Potential for harm, facility-wide | 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 15, 2023 | F · Potential for harm, facility-wide | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. |
| Jun 15, 2023 | E · Potential for harm, repeated | 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. |
| Jun 15, 2023 | D · Potential for harm, one-off | The facility did not treat residents with respect and dignity, or did not let them keep and use their own personal belongings. |
| Jun 15, 2023 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Jun 15, 2023 | D · Potential for harm, one-off | The facility did not properly plan a resident's discharge to meet the resident's goals and needs after leaving. |
| Jun 15, 2023 | D · Potential for harm, one-off | When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care. |
| Jun 15, 2023 | 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. |
| Nov 4, 2021 | F · Potential for harm, facility-wide | The facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program. |
| Nov 4, 2021 | E · Potential for harm, repeated | 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. |
| Nov 4, 2021 | 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. |
| Nov 4, 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. |
| Nov 4, 2021 | 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (9 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 5 | 0 | F |
| 2023 | 9 | 0 | F |
| 2024 | 1 | 1 | J ▲ |
| 2025 | 5 | 1 | G ▲ |
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)
2 fines totaling $67,763, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Mar 13, 2025 | Fine | $41,262 |
| Mar 13, 2025 | Payment Denial | 40 days from Apr 11, 2025 |
| Jan 16, 2024 | Fine | $26,501 |
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) | 4.75 | 4.58 | 3.95 | top 39% in Kansas; top 17% in the U.S. |
| Registered Nurse hours | 1.26 | 0.81 | 0.69 | top 13% in Kansas; top 8% in the U.S. |
| Weekend total nurse staffing | 4.32 | 4.05 | 3.50 | top 35% in Kansas; top 15% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.81 | 0.49 | 0.48 | top 11% in Kansas; top 11% in the U.S. |
| Total nursing staff turnover (%) | 58.8 | 48.1 | 45.8 | bottom 21% in Kansas; bottom 18% in the U.S. |
| RN turnover (%) | 40.0 | 42.0 | 42.9 | top 48% in Kansas; top 46% 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 4.18, RN 1.11, weekend 3.80. 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: 1/5 · long-stay residents: 1/5 · short-stay residents: —/5
Who owns this facility
Non profit - Other
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Rice County Hospital District No 2 | Organization | 5% or Greater Direct Ownership Interest | 100% | 07/01/1989 |
| Decker, James | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2003 |
| Decker, James | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2003 |
| Lehman, Abigail | Individual | Managing Control - Governing Body | NOT APPLICABLE | 02/01/2023 |
| Look, Trey | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2022 |
| Look, Trey | Individual | ADP of the SNF | NOT APPLICABLE | 06/27/2025 |
| Olander, Randall | Individual | Managing Control - Governing Body | NOT APPLICABLE | 07/13/2015 |
| Olander, Randall | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/13/2015 |
| Schlosser, Todd | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2017 |
| Schlosser, Todd | Individual | ADP of the SNF | NOT APPLICABLE | 06/27/2025 |
| Turner, Nancy | Individual | Managing Control - Governing Body | NOT APPLICABLE | 02/01/2025 |
| Wempe, John | Individual | Managing Control - Governing Body | NOT APPLICABLE | 02/01/2021 |
| Whorton, Allen | Individual | Managing Control - Governing Body | NOT APPLICABLE | 02/01/2021 |
| Whorton, Allen | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2025 |
| Willard, David | Individual | Managing Control - Governing Body | NOT APPLICABLE | 02/01/2025 |
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 safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How do your actual daily staffing levels compare to what's reported on Medicare's Care Compare website?"
- "If my family member goes to the hospital, how long will you hold their bed, and will we get that in writing?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How many hours a day is a registered nurse physically in the building, including weekends?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "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 |
|---|---|---|---|---|---|
| Riverview Estates | 14.5 mi | Marquette, KS | ★☆☆☆☆ | 1/5 | abuse |
| Sterling Village | 16.5 mi | Sterling, KS | ★★★☆☆ | 2/5 | |
| Pleasant View Home | 17.6 mi | Inman, KS | ★★★☆☆ | 3/5 | |
| McPherson Operator, LLC | 19.0 mi | McPherson, KS | ★★★☆☆ | 3/5 | |
| The Cedars | 19.8 mi | McPherson, KS | ★★★☆☆ | 4/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 175509.