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CLAY CENTER PRESBYTERIAN MANOR Inspection Report, Violations & Safety Grade (CLAY CENTER, Kansas)

924 8TH STREET, CLAY CENTER, Kansas 67432

Phone: 7856325646

CMS Overall:5/5

Overview & Bed Count

Certified Beds
30
Avg Residents/Day
28.2
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
County
Clay
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall5/5
Health4/5
Staffing5/5
Quality2/5

Nurse Staffing Check

MetricThis FacilityKansas AvgDifference
RN Hours per Resident per Day1.260.73+0.53
Total Nurse Hours per Resident per Day6.104.13+1.97
CMS Staffing Rating5/53.5/5-
Nursing Staff Turnover51.1%48%-

Health Citation History

15 health citations on record

DateCategoryDescriptionSeverity
2026-07-08Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2026-07-08Freedom from Abuse, Neglect, and Exploitation DeficienciesPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.D – Moderate Harm Potential
2026-07-08Pharmacy Service DeficienciesEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D – Moderate Harm Potential
2026-07-08Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2024-08-14Administration DeficienciesElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.F – Moderate Harm Potential
2024-08-14Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D – Moderate Harm Potential
2024-08-14Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential
2024-08-14Quality of Life and Care DeficienciesEnsure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.D – Moderate Harm Potential
2024-08-14Pharmacy Service DeficienciesEnsure each resident’s drug regimen must be free from unnecessary drugs.D – Moderate Harm Potential
2024-08-14Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.D – Moderate Harm Potential
2023-03-07Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E – Moderate Harm Potential
2023-03-07Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.D – Moderate Harm Potential
2023-03-07Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D – Moderate Harm Potential
2023-03-07Quality of Life and Care DeficienciesProvide medically-related social services to help each resident achieve the highest possible quality of life.D – Moderate Harm Potential
2023-03-07Pharmacy Service DeficienciesImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.D – Moderate Harm Potential

Fire Safety Citation History

10 fire safety citations on record

DateCategoryDescriptionSeverity
2026-07-08Emergency Preparedness DeficienciesDevelop and maintain an Emergency Preparedness Program (EP).F – Moderate Harm Potential
2026-07-08Emergency Preparedness DeficienciesList the names and contact information of those in the facility.F – Moderate Harm Potential
2026-07-08Services DeficienciesHave properly installed electrical wiring and gas equipment.F – Moderate Harm Potential
2026-07-08Services DeficienciesHave elevators that firefighters can control in the event of a fire.F – Moderate Harm Potential
2026-07-08Smoke DeficienciesInstall corridor and hallway doors that block smoke.E – Moderate Harm Potential
2026-07-08Construction DeficienciesUse approved construction type or materials.D – Moderate Harm Potential
2026-07-08Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.D – Moderate Harm Potential
2024-08-14Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.F – Moderate Harm Potential
2023-03-07Smoke DeficienciesProvide properly protected cooking facilities.F – Moderate Harm Potential
2023-03-07Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.F – Moderate Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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