Bonner Springs Nursing & Rehab Center
520 E Morse Street · Bonner Springs, KS · 66012 · 9134412515
45 certified beds For profit - Limited Liability company Chain: Advena Living Communities
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing levels are well below research benchmarks for safe care.
- 3 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
2 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.
RN staffing in the bottom 10% nationally
0.23 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
90% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 3.11 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.23 | 0.55–0.75 |
| Weekend hours / resident-day | 2.60 | ≈ weekday level |
| Nursing turnover / year | 90% | median 45% |
| Fines (3-yr window) | 2 · $39,696 |
Inspection citations (60 in the current record)
-
Actual harm · G April 16, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected May 14, 2025 · Quality of Life and Care
-
Potential for harm · E April 16, 2025
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected May 14, 2025 · Resident Rights
-
Potential for harm · E April 16, 2025
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected May 14, 2025 · Resident Rights
-
Potential for harm · D April 16, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 14, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D April 16, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected May 14, 2025 · Pharmacy Service
-
Potential for harm · D April 16, 2025
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected May 14, 2025 · Pharmacy Service
-
Potential for harm · D April 16, 2025
Implement 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.
Corrected May 14, 2025 · Pharmacy Service
-
Potential for harm · D April 16, 2025
Ensure that residents are free from significant medication errors.
Corrected May 14, 2025 · Pharmacy Service
-
Potential for harm · D April 16, 2025
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected May 14, 2025 · Administration
-
Potential for harm · F April 16, 2025
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected May 14, 2025 · Administration
-
Potential for harm · F April 16, 2025
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected May 14, 2025 · Administration
-
Potential for harm · F April 16, 2025
Implement a program that monitors antibiotic use.
Corrected May 14, 2025 · Infection Control
-
Actual harm · G September 18, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected October 7, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · F July 9, 2024 · found via complaint
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected August 14, 2024 · Nutrition and Dietary
-
Potential for harm · F July 9, 2024 · found via complaint
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected August 14, 2024 · Nutrition and Dietary
-
Immediate jeopardy · J January 23, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 4, 2024 · Quality of Life and Care
-
Actual harm · G September 21, 2023 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected September 12, 2023 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D August 2, 2023
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected September 15, 2023 · Resident Rights
-
Potential for harm · F August 2, 2023
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected September 15, 2023 · Resident Rights
-
Potential for harm · D August 2, 2023
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected September 15, 2023 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D August 2, 2023
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected September 15, 2023 · Resident Rights
-
Potential for harm · D August 2, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected September 15, 2023 · Resident Assessment and Care Planning
-
Potential for harm · D August 2, 2023
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected September 15, 2023 · Resident Assessment and Care Planning
-
Potential for harm · D August 2, 2023
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected September 15, 2023 · Quality of Life and Care
-
Potential for harm · D August 2, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 15, 2023 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 18, 2024 | Fine | $31,135 |
| January 23, 2024 | Fine | $8,561 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 175401 · certified since November 1, 1996. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.