Sandstone Heights

440 State Street · Little River, KS · 67457 · 6208976266

36 certified beds Non profit - Other

Why this verdict

  • Federal penalties on record: $41,262 in fines in the last 24 months.
  • Inspection results have improved across recent cycles.

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Red flags

1 immediate-jeopardy citation in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

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.

Medicare/Medicaid payments were denied

CMS refused payment for new admissions for a period — one of its strongest enforcement tools.

Score breakdown

Inspection record 30% of score 44
Serious harm & abuse 20% 78
Staffing 20% 77
Federal penalties 15% 33
Trend 10% 79
Context 5% 100

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

CMS ratings & staffing

Overall: 3 of 5 Inspections: 2 of 5 Staffing: 5 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day3.833.48 min · 4.1 strong
RN hours / resident-day0.960.55–0.75
Weekend hours / resident-day3.54≈ weekday level
Nursing turnover / year53%median 45%
Fines (3-yr window)2 · $67,763

Inspection citations (20 in the current record)

  • Actual harm · G March 13, 2025 · found via complaint

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

    Corrected May 21, 2025 · Quality of Life and Care

  • Potential for harm · D March 13, 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 April 2, 2025 · Resident Rights

  • Potential for harm · D March 13, 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 April 2, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D March 13, 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 April 2, 2025 · Nutrition and Dietary

  • Potential for harm · F March 13, 2025 · found via complaint

    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

    Corrected April 2, 2025 · Administration

  • Immediate jeopardy · J January 16, 2024 · found via complaint

    Protect each resident from the wrongful use of the resident's belongings or money.

    Corrected January 29, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D June 15, 2023

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

    Corrected July 20, 2023 · Resident Rights

  • Potential for harm · D June 15, 2023

    Ensure each resident receives an accurate assessment.

    Corrected July 20, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D June 15, 2023

    Plan the resident's discharge to meet the resident's goals and needs.

    Corrected July 20, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D June 15, 2023

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

    Corrected July 20, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D June 15, 2023

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

    Corrected July 20, 2023 · Quality of Life and Care

  • Potential for harm · F June 15, 2023

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Corrected July 20, 2023 · Nursing and Physician Services

  • Potential for harm · E June 15, 2023

    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 July 20, 2023 · Pharmacy Service

  • Potential for harm · F June 15, 2023

    Provide and implement an infection prevention and control program.

    Corrected July 20, 2023 · Infection Control

  • Potential for harm · F June 15, 2023

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

    Corrected July 20, 2023 · Environmental

  • Potential for harm · D November 4, 2021

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

    Corrected December 10, 2021 · Quality of Life and Care

  • Potential for harm · D November 4, 2021

    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 December 10, 2021 · Pharmacy Service

  • Potential for harm · D November 4, 2021

    Provide and implement an infection prevention and control program.

    Corrected December 10, 2021 · Infection Control

  • Potential for harm · E November 4, 2021

    Implement a program that monitors antibiotic use.

    Corrected December 10, 2021 · Infection Control

  • Potential for harm · F November 4, 2021

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    Corrected December 10, 2021 · Infection Control

Federal penalties

DateTypeAmount / length
March 13, 2025Fine$41,262
March 13, 2025Payment Denial40 days
January 16, 2024Fine$26,501

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 175509 · certified since October 1, 2008. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.