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LOCUST GROVE VILLAGE Inspection Report, Violations & Safety Grade (LA CROSSE, Kansas)

701 W 6TH STREET, LA CROSSE, Kansas 67548

Phone: 7852222574

CMS Overall:3/5

Overview & Bed Count

Certified Beds
38
Avg Residents/Day
36.1
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
County
Rush
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall3/5
Health2/5
Staffing5/5
Quality3/5

Nurse Staffing Check

MetricThis FacilityKansas AvgDifference
RN Hours per Resident per Day0.750.73+0.02
Total Nurse Hours per Resident per Day4.284.13+0.15
CMS Staffing Rating5/53.5/5-
Nursing Staff Turnover52.2%48%-

Health Citation History

20 health citations on record

DateCategoryDescriptionSeverity
2026-07-22Nursing and Physician Services DeficienciesHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.F – Moderate Harm Potential
2026-07-22Nutrition and Dietary DeficienciesEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.F – Moderate Harm Potential
2026-07-22Nutrition 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
2026-07-22Pharmacy 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.E – Moderate Harm Potential
2026-07-22Freedom 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
2026-07-22Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D – Moderate Harm Potential
2026-07-22Pharmacy 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
2026-07-22Administration DeficienciesArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.D – Moderate Harm Potential
2026-07-22Infection Control DeficienciesDevelop and implement policies and procedures for flu and pneumonia vaccinations.D – Moderate Harm Potential
2025-08-14Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.J – Immediate Jeopardy
2024-09-11Nutrition and Dietary DeficienciesEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.F – Moderate Harm Potential
2024-09-11Pharmacy 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.E – Moderate Harm Potential
2024-09-11Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.E – Moderate Harm Potential
2024-09-11Quality of Life and Care DeficienciesTry different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.D – Moderate Harm Potential
2024-09-11Pharmacy 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
2024-09-11Pharmacy 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
2023-01-31Pharmacy 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.E – Moderate Harm Potential
2023-01-31Quality 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
2023-01-31Pharmacy 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
2023-01-31Pharmacy 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

20 fire safety citations on record

DateCategoryDescriptionSeverity
2026-07-22Emergency Preparedness DeficienciesEstablish roles under a Waiver declared by secretary.F – Moderate Harm Potential
2026-07-22Egress DeficienciesAdd doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.F – Moderate Harm Potential
2026-07-22Egress DeficienciesProvide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.F – Moderate Harm Potential
2026-07-22Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2026-07-22Gas, Vacuum, and Electrical Systems DeficienciesHave proper medical gas storage and administration areas.E – Moderate Harm Potential
2026-07-22Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.D – Moderate Harm Potential
2026-07-22Smoke DeficienciesProvide properly protected cooking facilities.D – Moderate Harm Potential
2024-09-11Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2024-09-11Smoke DeficienciesProvide properly protected cooking facilities.E – Moderate Harm Potential
2024-09-11Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.E – Moderate Harm Potential
2024-09-11Smoke DeficienciesProperly select, install, inspect, or maintain portable fire extinguishes.E – Moderate Harm Potential
2024-09-11Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.E – Moderate Harm Potential
2024-09-11Services DeficienciesHave properly installed electrical wiring and gas equipment.E – Moderate Harm Potential
2023-01-31Construction DeficienciesMeet requirements for sections of health care facilities separated by fire resistive construction.F – Moderate Harm Potential
2023-01-31Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.F – Moderate Harm Potential
2023-01-31Gas, Vacuum, and Electrical Systems DeficienciesEnsure that personnel concerned with handling of medical gases and cylinders are trained on the risk.F – Moderate Harm Potential
2023-01-31Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.E – Moderate Harm Potential
2023-01-31Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.E – Moderate Harm Potential
2023-01-31Miscellaneous DeficienciesTo conduct inspection, testing and maintenance of fire doors by qualified individuals.E – Moderate Harm Potential
2023-01-31Smoke DeficienciesProvide properly protected cooking facilities.D – Moderate Harm Potential

Total Penalties & Fines

$12,779
Total Fine Amount (CMS)
1
Number of Fines
1
Total Penalties
DateTypeFine AmountPayment Denial
2025-08-14Fine$12,779-

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