The Shepherd's Center
101 Cedar Ridge Drive, Cimarron, KS 67835 · Gray County · 28 certified beds · avg 26 residents/day · certified since Mar 13, 2024
SFF Candidate
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · 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, facility-wide · Jun 27, 2024 · 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 (L): A life-threatening or extremely dangerous situation existed throughout the facility. The single most serious citation CMS can issue.
Corrected: Jul 10, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, facility-wide · Jun 27, 2024 · 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 (L): A life-threatening or extremely dangerous situation existed throughout the facility. The single most serious citation CMS can issue.
Corrected: Jul 10, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Jun 27, 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: Jul 10, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (26)
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 |
|---|---|---|
| Nov 17, 2025 | F · Potential for harm, facility-wide | The facility did not observe each nurse aide's job performance or provide regular training as required. |
| Nov 17, 2025 | F · Potential for harm, facility-wide | The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. |
| Nov 17, 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. |
| Nov 17, 2025 | F · Potential for harm, facility-wide | The facility did not conduct and document a facility-wide assessment of what staff, supplies, and resources it needs to care for its residents properly — during everyday operations, nights, weekends, and emergencies. |
| Nov 17, 2025 | F · Potential for harm, facility-wide | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. |
| Nov 17, 2025 | 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. |
| Nov 17, 2025 | F · Potential for harm, facility-wide | 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 17, 2025 | E · Potential for harm, repeated | The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. |
| Nov 17, 2025 | 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). |
| Nov 17, 2025 | 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. |
| Nov 17, 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. |
| Nov 17, 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. |
| Nov 17, 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. |
| Jun 27, 2024 | ▲ L · Immediate jeopardy, facility-wide | 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 |
| Jun 27, 2024 | ▲ L · Immediate jeopardy, facility-wide | 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 |
| Jun 27, 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 |
| Feb 8, 2024 | 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 8, 2024 | 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. |
| Feb 8, 2024 | F · Potential for harm, facility-wide | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. |
| Feb 8, 2024 | 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. |
| Feb 8, 2024 | E · Potential for harm, repeated | 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. |
| Feb 8, 2024 | E · Potential for harm, repeated | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. |
| Feb 8, 2024 | 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. |
| Feb 8, 2024 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Feb 8, 2024 | 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. |
| Feb 8, 2024 | D · Potential for harm, one-off | The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (10 → 13).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 13 | 3 | L ▲ |
| 2025 | 13 | 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 $13,627.
| Date | Type | Amount / length |
|---|---|---|
| Jun 27, 2024 | Fine | $13,627 |
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) | 4.90 | 4.58 | 3.95 | top 33% in Kansas; top 15% in the U.S. |
| Registered Nurse hours | 1.66 | 0.81 | 0.69 | top 3% in Kansas; top 3% in the U.S. |
| Weekend total nurse staffing | 4.28 | 4.05 | 3.50 | top 37% in Kansas; top 16% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.74 | 0.49 | 0.48 | top 15% in Kansas; top 14% in the U.S. |
| Total nursing staff turnover (%) | 58.1 | 48.1 | 45.8 | bottom 23% in Kansas; bottom 19% in the U.S. |
| RN turnover (%) | 33.3 | 42.0 | 42.9 | top 34% in Kansas; top 33% 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 3.11, RN 1.05, weekend 2.71. 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: 2/5 · long-stay residents: 2/5 · short-stay residents: —/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Calhoun, Debora | Individual | Managing Control - Governing Body | NOT APPLICABLE | 11/16/2016 |
| Coast, James | Individual | Managing Control - Governing Body | NOT APPLICABLE | 02/16/2024 |
| Rincon, Tabitha | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/01/2018 |
| Rincon, Tabitha | Individual | ADP of the SNF | NOT APPLICABLE | 07/24/2025 |
| Schartz, Steven | Individual | Managing Control - Governing Body | NOT APPLICABLE | 02/16/2024 |
| Schowengerdt, Andrew | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/01/2016 |
| Schowengerdt, Andrew | Individual | ADP of the SNF | NOT APPLICABLE | 11/16/2016 |
| Vogel, Gerald | Individual | Managing Control - Governing Body | NOT APPLICABLE | 02/16/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "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 safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
- "How often do you evaluate your nurse aides and what ongoing training do they receive?"
- "Do you have a qualified dietician on staff, and how involved are they in each resident's nutrition plan?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How do you decide you have enough staff and resources for your resident population, including nights and weekends?"
- "How does your quality committee work, and can you give an example of a problem it recently identified and fixed?"
- "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 |
|---|---|---|---|---|---|
| Bethel Home | 16.3 mi | Montezuma, KS | ★★★★★ | 4/5 | |
| Trinity Manor | 18.2 mi | Dodge City, KS | ★★★★☆ | 4/5 | |
| Sunporch of Dodge City | 18.4 mi | Dodge City, KS | ★★★☆☆ | 3/5 | |
| Kansas Soldiers Home | 18.5 mi | Fort Dodge, KS | ★★★☆☆ | 2/5 | |
| Manor of the Plains | 18.8 mi | Dodge City, KS | ★★★☆☆ | 3/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 175570.