Access Mental Health

500 Peabody · Peabody, KS · 66866 · 6209832165

45 certified beds For profit - Limited Liability company

Why this verdict

  • On the federal Special Focus list of the most persistently poor performers.
  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $122,551 in fines in the last 24 months.
  • Staffing hours comfortably above national benchmarks.
  • Inspection results have improved across recent cycles.

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Red flags

Special Focus Facility

CMS has designated this facility one of the most persistently poor performers in the country — it is under increased inspection and enforcement.

1 immediate-jeopardy citation in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

4 abuse-related citations at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

$122,551 in federal fines in the last 24 months

3 fines — CMS fines are reserved for verified, serious non-compliance.

Score breakdown

Inspection record 30% of score 17
Serious harm & abuse 20% 18
Staffing 20% 90
Federal penalties 15% 0
Trend 10% 92
Context 5% 0

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: not rated Inspections: not rated Staffing: not rated Quality measures: not rated

Total nurse hours / resident-day3.48 min · 4.1 strong
RN hours / resident-day0.55–0.75
Weekend hours / resident-day≈ weekday level
Nursing turnover / year29%median 45%
Fines (3-yr window)3 · $122,551

Inspection citations (45 in the current record)

  • Immediate jeopardy · J December 10, 2025 · found via complaint

    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    Corrected November 5, 2025 · Quality of Life and Care

  • Potential for harm · D December 10, 2025

    Ensure each resident receives an accurate assessment.

    Corrected January 23, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D December 10, 2025

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected January 23, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D December 10, 2025

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected January 23, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D December 10, 2025

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected January 23, 2026 · Quality of Life and Care

  • Potential for harm · D December 10, 2025

    Provide and implement an infection prevention and control program.

    Corrected January 23, 2026 · Infection Control

  • Potential for harm · E December 10, 2025 · found via complaint

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Corrected January 23, 2026 · Resident Rights

  • Potential for harm · D June 23, 2025 · found via complaint

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Corrected July 25, 2025 · Resident Rights

  • Potential for harm · E June 23, 2025 · found via complaint

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    Corrected August 7, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E June 23, 2025 · found via complaint

    Ensure each resident receives an accurate assessment.

    Corrected July 25, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D June 23, 2025 · found via complaint

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Corrected July 25, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E June 23, 2025 · found via complaint

    Ensure medication error rates are not 5 percent or greater.

    Corrected July 25, 2025 · Pharmacy Service

  • Potential for harm · E June 23, 2025 · found via complaint

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected July 25, 2025 · Nutrition and Dietary

  • Potential for harm · F June 23, 2025 · found via complaint

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected July 25, 2025 · Nutrition and Dietary

  • Potential for harm · F June 23, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected July 25, 2025 · Infection Control

  • Potential for harm · D June 23, 2025 · found via complaint

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Corrected July 25, 2025 · Infection Control

  • Actual harm · G January 15, 2025 · found via complaint

    Provide enough food/fluids to maintain a resident's health.

    Corrected February 12, 2025 · Quality of Life and Care

  • Potential for harm · D January 15, 2025 · found via complaint

    Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

    Corrected February 12, 2025 · Resident Rights

  • Potential for harm · D January 15, 2025 · found via complaint

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Corrected February 12, 2025 · Resident Rights

  • Potential for harm · D January 15, 2025 · found via complaint

    Ensure each resident receives an accurate assessment.

    Corrected February 12, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D January 15, 2025 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected February 12, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D January 15, 2025 · found via complaint

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected February 12, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D January 15, 2025 · found via complaint

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    Corrected February 12, 2025 · Quality of Life and Care

  • Potential for harm · D January 15, 2025 · found via complaint

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected February 12, 2025 · Quality of Life and Care

  • Potential for harm · D January 15, 2025 · found via complaint

    Provide care or services that was trauma informed and/or culturally competent.

    Corrected February 12, 2025 · Quality of Life and Care

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
December 10, 2025Fine$22,320
June 23, 2025Fine$64,643
June 23, 2025Payment Denial12 days
January 15, 2025Fine$35,588
January 16, 2024Payment Denial16 days

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 17E210 · certified since January 1, 1982. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.