Downs Care and Rehab

1218 Kansas Street · Downs, KS · 67437 · 7854543321

45 certified beds For profit - Corporation Chain: Mission Health Communities

  • Staffing hours comfortably above national benchmarks.
  • No federal fines or payment denials in CMS’s 3-year window.

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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.

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Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 57
Serious harm & abuse 20% 100
Staffing 20% 80
Federal penalties 15% 100
Trend 10% 49
Context 5% 100

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

CMS ratings & staffing

Overall: 5 of 5 Inspections: 4 of 5 Staffing: 5 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day3.693.48 min · 4.1 strong
RN hours / resident-day1.090.55–0.75
Weekend hours / resident-day3.24≈ weekday level
Nursing turnover / year34%median 45%
Fines (3-yr window)none

Inspection citations (14 in the current record)

  • Potential for harm · E July 31, 2024

    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 August 31, 2024 · Resident Rights

  • Potential for harm · D July 31, 2024

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

    Corrected August 31, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D July 31, 2024

    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

    Corrected August 31, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D July 31, 2024

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected August 31, 2024 · Quality of Life and Care

  • Potential for harm · D July 31, 2024

    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 August 31, 2024 · Pharmacy Service

  • Potential for harm · D July 31, 2024

    Ensure 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.

    Corrected August 31, 2024 · Pharmacy Service

  • Potential for harm · F July 31, 2024

    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 31, 2024 · Nutrition and Dietary

  • Potential for harm · E July 31, 2024

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Corrected August 31, 2024 · Environmental

  • Potential for harm · D August 18, 2022

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Corrected September 22, 2022 · Quality of Life and Care

  • Potential for harm · D August 18, 2022

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    Corrected September 22, 2022 · Nursing and Physician Services

  • Potential for harm · F August 18, 2022

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

    Corrected September 22, 2022 · Nutrition and Dietary

  • Potential for harm · F August 18, 2022

    Provide and implement an infection prevention and control program.

    Corrected September 22, 2022 · Infection Control

  • Potential for harm · D July 15, 2021

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected August 15, 2021 · Resident Rights

  • Potential for harm · D July 15, 2021

    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 August 15, 2021 · Resident Rights

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 175201 · certified since February 1, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.