MEADOWBROOK REHABILITATION HOSPITAL

GARDNER, KS · 42 beds · For profit - Limited Liability company

0 Trust Score
Grade: F CRITICAL Risk → Stable

Red Flags

  • 1-star health inspection rating (lowest possible)
  • 2 citation(s) at the highest severity level — immediate risk to residents
  • 1 citation(s) where residents suffered actual harm
  • $103,102 in fines over 3 years

Green Flags

No positive signals identified yet.

Quick Facts

★☆☆☆☆
CMS Overall
★☆☆☆☆
Health Inspection
14
1.4x state avg
Deficiencies
$103,102
Fines (3-yr)
★★☆☆☆
Staffing

Violation Timeline

September 15, 2025

14 deficiencyies
F0583 Potential Harm Scope/Severity: E

Resident Rights Deficiencies

Show details

Keep residents' personal and medical records private and confidential.

F0605 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Show details

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

F0628 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

Show details

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

F0637 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

Show details

Assess the resident when there is a significant change in condition

F0684 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

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

F0686 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

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

F0688 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

F0689 Immediate Jeopardy Scope/Severity: J

Quality of Life and Care Deficiencies

Show details

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

F0726 Potential Harm Scope/Severity: E

Nursing and Physician Services Deficiencies

Show details

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.

F0756 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

Show details

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

F0757 Potential Harm Scope/Severity: E

Pharmacy Service Deficiencies

Show details

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

F0761 Potential Harm Scope/Severity: F

Pharmacy Service Deficiencies

Show details

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.

F0804 Potential Harm Scope/Severity: E

Nutrition and Dietary Deficiencies

Show details

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

F0851 No Harm Scope/Severity: C

Administration Deficiencies

Show details

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

November 11, 2024

2 deficiencyies
F0600 Actual Harm Scope/Severity: G

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Show details

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

F0609 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Show details

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

January 24, 2024

4 deficiencyies
F0550 Potential Harm Scope/Severity: E

Resident Rights Deficiencies

Show details

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

F0558 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

Show details

Reasonably accommodate the needs and preferences of each resident.

F0609 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Show details

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

F0610 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Show details

Respond appropriately to all alleged violations.

See full violation history →

Staffing

0.75
RN hrs/res/day
0.47
LPN hrs/res/day
1.82
CNA hrs/res/day
2.74
Weekend hrs/res/day
55%
Total nurse turnover
27%
RN turnover

A nurse checks on each resident roughly every 7.9 hours on average.

Fines & Penalties

  • Fine Apr 6, 2025
    $83,310
  • Fine Nov 11, 2024
    $10,477
  • Fine Feb 28, 2023
    $9,315
Total $103,102

Ownership

For profit - Limited Liability company Chain: RECOVER-CARE HEALTHCARE
  • KANSAS SNF HOLDINGS LLC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 02/28/2025

    NO PERCENTAGE PROVIDED Organization
  • MAD FAMILY HOLDINGS LLC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 02/28/2025

    NO PERCENTAGE PROVIDED Organization
  • NATR TRUST

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 02/28/2025

    NO PERCENTAGE PROVIDED Organization
  • RARMNA HOLDINGS LLC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 02/28/2025

    NO PERCENTAGE PROVIDED Organization
  • RATR TRUST

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 02/28/2025

    NO PERCENTAGE PROVIDED Organization
  • RNR HOLDINGS LLC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 02/28/2025

    NO PERCENTAGE PROVIDED Organization
  • WETR TRUST

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 02/28/2025

    NO PERCENTAGE PROVIDED Organization
  • MRC SNF MANAGEMENT LLC

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 03/01/2020

    Organization
  • JAWARA, MUSU

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 03/01/2022

    Individual
  • LILLIG, MARY

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 02/28/2025

    Individual
  • MARGULIES, ZISHA

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 02/28/2025

    Individual