COLBY OPERATOR, LLC
State inspectors recorded 1 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
Serious inspection findings
2024-08-12 — IMMEDIATE JEOPARDY (tag F0686, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Staffing, from payroll records
Nursing hours / resident / day
3.05
state median 3.05
Weekend staffing gap
−4%
fewer nursing hours on weekends · state median −6%
RN hours / resident / day
0.24
registered nurses only
Contract (agency) staff
16%
share of all nursing hours
Days with zero RN hours reported
20
with residents present
Nursing staff turnover
65%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
2 enforcement action(s), totaling $40,381 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-08-12 | Fine | $40,381 |
| 2024-08-12 | Payment Denial | payment denial |
Ownership
Ownership type: For profit - Partnership. Part of the MISSION HEALTH COMMUNITIES chain.
Other facilities under the same ownership, with their CMS overall ratings:
- Arrowhead Post Acute LLC (JONESBORO, GA) —
- DOWNS CARE AND REHAB (DOWNS, KS) —
- WILSON CARE AND REHAB (WILSON, KS) —
- PITTSBURG CARE AND REHAB (PITTSBURG, KS) —
- KAW RIVER CARE AND REHAB (EDWARDSVILLE, KS) —
- ONAGA OPERATOR, LLC (ONAGA, KS) —
- CHASE COUNTY CARE AND REHAB (COTTONWOOD FALLS, KS) —
- LANSING CARE AND REHAB (LANSING, KS) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2025-06-11 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2025-06-11 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-06-11 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-06-11 | F0729 | Nursing and Physician Services Deficiencies | F | not recorded |
| 2025-06-11 | F0757 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-08-12 | F0686 | Quality of Life and Care Deficiencies | J | not recorded |
| 2023-09-28 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2023-09-28 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-09-28 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-09-28 | F0661 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-09-28 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-09-28 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-09-28 | F0699 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-09-28 | F0732 | Nursing and Physician Services Deficiencies | C | not recorded |
| 2023-09-28 | F0760 | Pharmacy Service Deficiencies | D | not recorded |
| 2023-09-28 | F0761 | Pharmacy Service Deficiencies | E | not recorded |
| 2023-09-28 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2023-09-28 | F0851 | Administration Deficiencies | F | not recorded |
| 2023-09-28 | F0880 | Infection Control Deficiencies | F | not recorded |
| 2023-09-28 | F0925 | Environmental Deficiencies | F | not recorded |
| 2022-05-12 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2022-05-12 | F0690 | Quality of Life and Care Deficiencies | D | not recorded |
| 2022-05-12 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2022-05-12 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2022-05-12 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2022-05-12 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |