The Shepherd's Center
101 Cedar Ridge Drive · Cimarron, KS · 67835 · 6208553498
28 certified beds Non profit - Corporation
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results have improved across recent cycles.
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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.
Red flags
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
3 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
3 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.
61% 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: 2 of 5 Inspections: 1 of 5 Staffing: 5 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.03 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.13 | 0.55–0.75 |
| Weekend hours / resident-day | 2.74 | ≈ weekday level |
| Nursing turnover / year | 61% | median 45% |
| Fines (3-yr window) | 1 · $13,627 |
Inspection citations (26 in the current record)
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Potential for harm · D November 17, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected December 10, 2025 · Resident Rights
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Potential for harm · E November 17, 2025
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected December 10, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 17, 2025
Ensure each resident receives an accurate assessment.
Corrected December 10, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 17, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected December 10, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 17, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected December 10, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 17, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected December 10, 2025 · Resident Assessment and Care Planning
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Potential for harm · F November 17, 2025
Observe each nurse aide's job performance and give regular training.
Corrected December 10, 2025 · Nursing and Physician Services
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Potential for harm · F November 17, 2025
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 December 10, 2025 · Nutrition and Dietary
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Potential for harm · F November 17, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 10, 2025 · Nutrition and Dietary
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Potential for harm · F November 17, 2025
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 December 10, 2025 · Administration
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Potential for harm · F November 17, 2025
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected December 10, 2025 · Administration
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Potential for harm · F November 17, 2025
Provide and implement an infection prevention and control program.
Corrected December 10, 2025 · Infection Control
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Potential for harm · F November 17, 2025
Implement a program that monitors antibiotic use.
Corrected December 10, 2025 · Infection Control
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Immediate jeopardy · J June 27, 2024 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected July 10, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · L June 27, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected July 10, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · L June 27, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected July 10, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E February 8, 2024
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected March 1, 2024 · Resident Assessment and Care Planning
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Potential for harm · D February 8, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 1, 2024 · Resident Assessment and Care Planning
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Potential for harm · E February 8, 2024
Provide activities to meet all resident's needs.
Corrected March 1, 2024 · Quality of Life and Care
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Potential for harm · D February 8, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected March 1, 2024 · Quality of Life and Care
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Potential for harm · D February 8, 2024
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 1, 2024 · Pharmacy Service
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Potential for harm · F February 8, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 1, 2024 · Nutrition and Dietary
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Potential for harm · F February 8, 2024
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected March 1, 2024 · Administration
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Potential for harm · F February 8, 2024
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected March 1, 2024 · Administration
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Potential for harm · F February 8, 2024
Provide and implement an infection prevention and control program.
Corrected March 1, 2024 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 27, 2024 | Fine | $13,627 |
Better-scoring options nearby
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 175570 · certified since March 13, 2024. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.