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Nursing homesKansas › Access Mental Health

Access Mental Health

500 Peabody, Peabody, KS 66866 · 6209832165 · 45 certified beds

OverallNot rated
Health inspectionsNot rated
StaffingNot rated
Quality measuresNot rated
Special Focus: CMS lists this facility as SFF — among the facilities with the most serious ongoing compliance problems in the country.

Ownership

CMS lists no chain affiliation for this facility. Ownership type on record: For profit - Limited Liability company.

Inspection deficiencies

All-time on record: 45 deficiency citations, including 8 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).

Survey dateDeficiencySev.TypeStatus
2026-06-03Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. DHealthDeficient, Provider has no plan of correction
2026-06-03Dispose of garbage and refuse properly. CHealthDeficient, Provider has no plan of correction
2025-12-10Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Jcomplaintcorrected 2025-11-05
2025-12-10Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Ecomplaintcorrected 2026-01-23
2025-12-10Ensure each resident receives an accurate assessment. DHealthcorrected 2026-01-23
2025-12-10Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. DHealthcorrected 2026-01-23
2025-12-10Ensure services provided by the nursing facility meet professional standards of quality. DHealthcorrected 2026-01-23
2025-12-10Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. DHealthcorrected 2026-01-23
2025-12-10Provide and implement an infection prevention and control program. DHealthcorrected 2026-01-23
2025-06-23Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Fcomplaintcorrected 2025-07-25
2025-06-23Provide and implement an infection prevention and control program. Fcomplaintcorrected 2025-07-25
2025-06-23Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Ecomplaintcorrected 2025-08-07
2025-06-23Ensure each resident receives an accurate assessment. Ecomplaintcorrected 2025-07-25
2025-06-23Ensure medication error rates are not 5 percent or greater. Ecomplaintcorrected 2025-07-25
2025-06-23Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Ecomplaintcorrected 2025-07-25
2025-06-23Ensure that residents are fully informed and understand their health status, care and treatments. Dcomplaintcorrected 2025-07-25
2025-06-23Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Dcomplaintcorrected 2025-07-25
2025-06-23Develop and implement policies and procedures for flu and pneumonia vaccinations. Dcomplaintcorrected 2025-07-25
2025-01-15Provide enough food/fluids to maintain a resident's health. Gcomplaintcorrected 2025-02-12
2025-01-15Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Fcomplaintcorrected 2025-02-12
2025-01-15Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Fcomplaintcorrected 2025-02-12
2025-01-15Develop and implement policies and procedures for flu and pneumonia vaccinations. Ecomplaintcorrected 2025-02-12
2025-01-15Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Dcomplaintcorrected 2025-02-12
2025-01-15Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Dcomplaintcorrected 2025-02-12
2025-01-15Ensure each resident receives an accurate assessment. Dcomplaintcorrected 2025-02-12
2025-01-15Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Dcomplaintcorrected 2025-02-12
2025-01-15Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Dcomplaintcorrected 2025-02-12
2025-01-15Provide 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. Dcomplaintcorrected 2025-02-12
2025-01-15Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Dcomplaintcorrected 2025-02-12
2025-01-15Provide care or services that was trauma informed and/or culturally competent. Dcomplaintcorrected 2025-02-12
2025-01-15Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Dcomplaintcorrected 2025-02-12
2025-01-15Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Dcomplaintcorrected 2025-02-12
2025-01-15Ensure each resident’s drug regimen must be free from unnecessary drugs. Dcomplaintcorrected 2025-02-12
2025-01-15Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Dcomplaintcorrected 2025-02-12
2025-01-15Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Dcomplaintcorrected 2025-02-12
2024-10-10Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Jcomplaintcorrected 2024-11-11
2024-10-10Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. Jcomplaintcorrected 2024-11-11
2024-02-01Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Jcomplaintcorrected 2024-02-29
2024-02-01Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. Gcomplaintcorrected 2024-02-29
2024-02-01Administer the facility in a manner that enables it to use its resources effectively and efficiently. Fcomplaintcorrected 2024-02-29

Federal penalties

DateTypeAmount
2025-12-10Fine$22,320
2025-06-23Fine$64,643
2025-06-23Payment Denial12 days payment denial
2025-01-15Fine$35,588
2024-01-16Payment Denial16 days payment denial

Ownership & control records (CMS filings)

No detailed ownership records on file.

Compare nearby (Marion County)

Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 17E210. Corrections: data@carerecords.org.