Nortonville Health Care Center

412 E Walnut St · Nortonville, KS · 66060 · 9138866400

45 certified beds For profit - Limited Liability company Chain: Anew Healthcare

Why this verdict

  • Carries CMS’s abuse warning icon.
  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (4 citations).
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Staffing levels are well below research benchmarks for safe care.

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Red flags

Special Focus Facility candidate

CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.

CMS abuse warning

CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.

4 immediate-jeopardy citations 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.

1 abuse-related citation at the actual-harm level

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

4 actual-harm citations in the most recent cycle

Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.

$271,205 in federal fines in the last 24 months

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

RN staffing in the bottom 10% nationally

0.24 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.

Total nurse staffing below 3.0 hours per resident-day

2.82 reported hours vs the 3.48 minimum CMS's own staffing study recommends.

73% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 0
Serious harm & abuse 20% 0
Staffing 20% 38
Federal penalties 15% 0
Trend 10% 24
Context 5% 10

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

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 1 of 5

Total nurse hours / resident-day2.823.48 min · 4.1 strong
RN hours / resident-day0.240.55–0.75
Weekend hours / resident-day2.65≈ weekday level
Nursing turnover / year73%median 45%
Fines (3-yr window)4 · $271,205

Inspection citations (74 in the current record)

  • Immediate jeopardy · L January 14, 2026

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected March 12, 2026 · Quality of Life and Care

  • Immediate jeopardy · L January 14, 2026

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected March 12, 2026 · Pharmacy Service

  • Immediate jeopardy · L January 14, 2026

    Provide and implement an infection prevention and control program.

    Corrected March 12, 2026 · Infection Control

  • Actual harm · G January 14, 2026

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected March 12, 2026 · Quality of Life and Care

  • Actual harm · G January 14, 2026

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected March 12, 2026 · Quality of Life and Care

  • Actual harm · G January 14, 2026

    Provide safe, appropriate pain management for a resident who requires such services.

    Corrected March 12, 2026 · Quality of Life and Care

  • Potential for harm · D January 14, 2026

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Corrected March 12, 2026 · Resident Rights

  • Potential for harm · D January 14, 2026

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Corrected March 12, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · F January 14, 2026

    Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.

    Corrected March 12, 2026 · Resident Rights

  • Potential for harm · F January 14, 2026

    Provide activities to meet all resident's needs.

    Corrected March 12, 2026 · Quality of Life and Care

  • Potential for harm · D January 14, 2026

    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 March 12, 2026 · Quality of Life and Care

  • Potential for harm · D January 14, 2026

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

    Corrected March 12, 2026 · Quality of Life and Care

  • Potential for harm · D January 14, 2026

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

    Corrected March 12, 2026 · Quality of Life and Care

  • Potential for harm · F January 14, 2026

    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 March 12, 2026 · Nursing and Physician Services

  • Potential for harm · F January 14, 2026

    Observe each nurse aide's job performance and give regular training.

    Corrected March 12, 2026 · Nursing and Physician Services

  • Potential for harm · D January 14, 2026

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

    Corrected March 12, 2026 · Quality of Life and Care

  • Potential for harm · E January 14, 2026

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected March 12, 2026 · Pharmacy Service

  • Potential for harm · E January 14, 2026

    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 March 12, 2026 · Pharmacy Service

  • Potential for harm · D January 14, 2026

    Provide or obtain dental services for each resident.

    Corrected March 12, 2026 · Quality of Life and Care

  • Potential for harm · F January 14, 2026

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Corrected March 12, 2026 · Administration

  • Potential for harm · F January 14, 2026

    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

    Corrected March 12, 2026 · Administration

  • Potential for harm · F January 14, 2026

    Have a plan that describes the process for conducting QAPI and QAA activities.

    Corrected March 12, 2026 · Administration

  • Potential for harm · F January 14, 2026

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Corrected March 12, 2026 · Administration

  • Potential for harm · F January 14, 2026

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

    Corrected March 12, 2026 · Administration

  • Potential for harm · F January 14, 2026

    Implement a program that monitors antibiotic use.

    Corrected March 12, 2026 · Infection Control

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

Federal penalties

DateTypeAmount / length
January 14, 2026Fine$171,350
January 14, 2026Payment Denial49 days
November 19, 2025Fine$21,275
July 31, 2025Fine$33,005
August 26, 2024Fine$45,575

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 175323 · certified since November 1, 1994. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.