Spring Hill Care and Rehab

251 E Wilson Avenue · Spring Hill, KS · 66083 · 9135923100

45 certified beds For profit - Limited Liability company Chain: Mission Health Communities

Why this verdict

  • Carries CMS’s abuse warning icon.
  • 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).
  • Inspection results are getting worse cycle over cycle, not better.

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Red flags

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.

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.

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.

84% 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 39
Serious harm & abuse 20% 40
Staffing 20% 69
Federal penalties 15% 71
Trend 10% 40
Context 5% 100

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

CMS ratings & staffing

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

Total nurse hours / resident-day3.693.48 min · 4.1 strong
RN hours / resident-day1.050.55–0.75
Weekend hours / resident-day3.45≈ weekday level
Nursing turnover / year84%median 45%
Fines (3-yr window)1 · $21,645

Inspection citations (36 in the current record)

  • Immediate jeopardy · J November 18, 2025 · 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 17, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D July 22, 2025 · found via complaint

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

    Corrected September 16, 2025 · Resident Rights

  • Potential for harm · D July 22, 2025 · found via complaint

    Provide routine and 24-hour emergency dental care for each resident.

    Corrected September 16, 2025 · Quality of Life and Care

  • Potential for harm · D June 11, 2025 · found via complaint

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected July 23, 2025 · Resident Rights

  • Potential for harm · D June 11, 2025 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected July 23, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D June 11, 2025 · found via complaint

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

    Corrected July 23, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D June 11, 2025 · found via complaint

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

    Corrected July 23, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D June 11, 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 July 23, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D June 11, 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 July 23, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D June 11, 2025 · found via complaint

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

    Corrected July 23, 2025 · Quality of Life and Care

  • Potential for harm · D June 11, 2025 · found via complaint

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

    Corrected July 23, 2025 · Quality of Life and Care

  • Potential for harm · E June 11, 2025 · found via complaint

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

    Corrected July 23, 2025 · Quality of Life and Care

  • Potential for harm · D June 11, 2025 · found via complaint

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected July 23, 2025 · Quality of Life and Care

  • Potential for harm · D June 11, 2025 · found via complaint

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

    Corrected July 23, 2025 · Quality of Life and Care

  • Potential for harm · D June 11, 2025 · found via complaint

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

    Corrected July 23, 2025 · Pharmacy Service

  • Potential for harm · D June 11, 2025 · found via complaint

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected July 23, 2025 · Pharmacy Service

  • Potential for harm · F June 11, 2025 · 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 July 23, 2025 · Nutrition and Dietary

  • Potential for harm · F June 11, 2025 · found via complaint

    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 July 23, 2025 · Administration

  • Potential for harm · D June 11, 2025 · found via complaint

    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 July 23, 2025 · Administration

  • Potential for harm · E June 11, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected July 23, 2025 · Infection Control

  • No harm found · C June 11, 2025 · found via complaint

    Post nurse staffing information every day.

    Corrected July 23, 2025 · Nursing and Physician Services

  • No harm found · C June 11, 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 July 23, 2025 · Administration

  • Potential for harm · D October 4, 2023

    Reasonably accommodate the needs and preferences of each resident.

    Corrected November 2, 2023 · Resident Rights

  • Potential for harm · E October 4, 2023

    Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

    Corrected November 2, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D October 4, 2023

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

    Corrected November 2, 2023 · Resident Rights

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

Federal penalties

DateTypeAmount / length
November 18, 2025Fine$21,645

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 175425 · certified since March 1, 1998. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.