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Nursing homeFAID #4542

Downs Care & Rehabilitation Center

1218 KANSAS STREET, DOWNS, KS, 67437

(785) 454-3321

45 licensed beds

CMS rates Downs Care & Rehabilitation Center 5 out of 5 overall. Federal inspectors issued 44 citations across 6 inspections in the last three years, with no federal fines. Listing last updated 2026-11-06.

★★★★★5/5CMS Five-Star overall4/5 health inspections5/5 staffing4/5 quality measuresSource: CMS Care Compare

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Address

1218 Kansas Street

Downs, KS 67437

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Public record summary

What we can show you for free.

Bed capacity

State license

N071001

CMS facility ID

175201

Care type

Nursing home

Facility name

Downs Care & Rehabilitation Center

Legal entity

Downs Care and Rehab

Street address

1218 KANSAS STREET

City / state / ZIP

Downs, KS 67437

Phone

(785) 454-3321

State license #

N071001

About this facility — Downs Care & Rehabilitation Center

Downs Care & Rehabilitation Center is a Medicare/Medicaid-certified skilled nursing facility in Downs, Kansas. It is licensed for 45 beds — close to the median for skilled nursing facilities in Kansas (52 beds).

It is one of 1 senior care facility in Downs and 296 skilled nursing facilities across Kansas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Mission Health Communities, a group of 30 facilities on this site.

Federal inspectors have cited Downs Care & Rehabilitation Center 44 times across 6 inspections in the last three years, including 3 food-safety citations; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

Mission Health Communities

Ownership type

For profit - Limited Liability company

Administrator

Debra Howell

Registered owners & officers

Coronado Operator, Llc

Direct owner — 100% stake — since 2019

Windward Health Partners Llc

Indirect owner — 90% stake — since 2019

Barres, Llc

Indirect owner — 5% stake — since 2019

T and C Capital Assets, Llc

Indirect owner — 5% stake — since 2019

Curis Holdings, Llc

Indirect owner — since 2019

Downs Operator Llc

Operational control — since 2019

Lindeman, Stuart

Operational control — since 2019

Mission Health Communities, Llc

Operational control — since 2019

Thomas, Tina

Operational control — since 2019

Yoakum, Jamie

Officer — since 2024

Regulatory standing

Federal court records

4 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)

Licensed / certified since

1991-02-01

CMS overall rating

5 of 5 stars

Health deficiencies

6 at the last standard inspection

Federal fines

None on record

Last standard inspection

2026-06-24

Nurse staffing

3.7 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$280 per day (≈ $8,510/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

60% Medicaid · 9% Medicare · 31% private/other

Occupancy

71% (fiscal year 2023)

Vs. state median

9% below the KS median of $309/day — full state cost breakdown

Services & coverage

Licensed beds

Licensed as

Nursing Facility

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 3 food-safety citations on its three-year record — flagged below among the inspections.

2026-06-24Health inspection6 citations

F-0550

D · No harm found

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

Corrected 2026-07-29

F-0605

D · No harm found

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

Corrected 2026-07-29

F-0756

D · No harm found

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

Corrected 2026-07-30

F-0759

D · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2026-07-30

F-0812

F · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2026-07-29

F-0880

F · No harm found

Provide and implement an infection prevention and control program.

Corrected 2026-07-29

2024-07-31Health inspection8 citations

F-0584

E · No harm found

Honor 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.

Corrected 2024-08-31

F-0657

D · No harm found

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2024-08-31

F-0661

D · No harm found

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

Corrected 2024-08-31

F-0677

D · No harm found

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

Corrected 2024-08-31

F-0758

D · No harm found

Implement 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.

Corrected 2024-08-31

F-0761

D · No harm found

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 2024-08-31

F-0801

F · No harm foundFood safety

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 2024-08-31

F-0921

E · No harm found

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

Corrected 2024-08-31

4 earlier / fire-safety inspections (30 citations)

2022-08-18Health inspection4 citations

F-0698

D · No harm found

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2022-09-22

F-0726

D · No harm found

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.

Corrected 2022-09-22

F-0812

F · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2022-09-22

F-0880

F · No harm found

Provide and implement an infection prevention and control program.

Corrected 2022-09-22

2026-06-24Fire-safety inspection5 citations

K-0161

D · No harm found

Use approved construction type or materials.

Corrected 2026-08-14

K-0353

D · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2026-08-14

K-0363

E · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2026-08-14

K-0920

D · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2026-08-14

K-0921

F · No harm found

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2026-08-14

2024-07-31Fire-safety inspection7 citations

K-0321

E · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-11-13

K-0353

E · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-11-13

K-0363

E · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2024-11-13

K-0372

E · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-11-13

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2024-11-13

K-0761

D · No harm found

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2024-11-13

K-0914

F · No harm found

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2024-11-13

2022-08-18Fire-safety inspection14 citations

K-0291

F · No harm found

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2022-11-23

K-0293

E · No harm found

Have properly located and lighted "Exit" signs.

Corrected 2022-11-23

K-0321

E · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2022-11-23

K-0325

D · No harm found

Have properly installed hallway dispensers for alcohol-based hand rub.

Corrected 2022-11-23

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-11-23

K-0363

E · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2022-11-23

K-0374

E · No harm found

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2022-11-23

K-0511

E · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2022-11-23

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2022-11-23

K-0761

F · No harm found

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2022-11-23

K-0901

F · No harm found

Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.

Corrected 2022-11-23

K-0914

F · No harm found

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2022-11-23

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2022-11-23

K-0920

D · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2022-11-23

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 175201.

Quality of care & staffing

How it compares in Kansas.

Inspection citations, 3 years

More than 33% of nursing homes in the state

State median: 53

Federal fines, 3 years

No federal fines on record

State median: $0

Nurse staffing, hours per resident per day

3.7

Higher than 27% of nursing homes in the state

State median: 4.0

Nursing staff turnover, annual

29%

Higher than 7% of nursing homes in the state

State median: 48%

Resident outcomes

On 18 federal quality measures, this facility does better than the Kansas average on 7 and worse on 5. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	16.1%	17.4%	13.5%	Near state average
Lose too much weight	2.8%	4.8%	5.1%	Better than state
With a catheter inserted and left in their bladder	1.9%	1.4%	0.7%	Worse than state
With a urinary tract infection	5.6%	2.8%	1.5%	Worse than state
Have depressive symptoms	7.3%	6.6%	13.5%	Worse than state
Were physically restrained	0.0%	0.0%	0.1%	Better than state
Experiencing one or more falls with major injury	1.3%	4.2%	3.2%	Better than state
Assessed and appropriately given the pneumococcal vaccine	98.7%	92.9%	93.7%	Near state average
Ability to walk independently worsened	13.0%	14.5%	12.7%	Better than state
Received an antianxiety or hypnotic medication	24.2%	23.4%	19.5%	Near state average
Assessed and appropriately given the seasonal influenza vaccine	97.4%	94.9%	95.3%	Near state average
With pressure ulcers	4.6%	4.4%	4.5%	Near state average
With new or worsened bowel or bladder incontinence	17.9%	21.6%	18.3%	Better than state
Received an antipsychotic medication	43.3%	17.7%	15.4%	Worse than state
Hospitalizations per 1000 long-stay resident days	1.98	1.69	1.81	Worse than state
Outpatient emergency department visits per 1000 long-stay resident days	1.99	2.00	1.69	Near state average

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	91.5%	77.1%	82.3%	Better than state
Newly received an antipsychotic medication	0.0%	1.6%	1.5%	Better than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

K-0353 3 inspections. Inspect, test, and maintain automatic sprinkler systems.
K-0363 3 inspections. Install corridor and hallway doors that block smoke.
F-0812 2 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F-0880 2 inspections. Provide and implement an infection prevention and control program.
K-0920 2 inspections. Ensure proper usage of power strips and extension cords.
K-0321 2 inspections. Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

What its owners also hold

Windward Health Partners Llc has an ownership stake on file at 34 nursing homes, averaging 2.9 of 5 on CMS's overall rating.
Barres, Llc has an ownership stake on file at 34 nursing homes, averaging 2.9 of 5 on CMS's overall rating.
T and C Capital Assets, Llc has an ownership stake on file at 33 nursing homes, averaging 2.9 of 5 on CMS's overall rating.
Curis Holdings, Llc has an ownership stake on file at 16 nursing homes, averaging 2.9 of 5 on CMS's overall rating.

Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.

Verify & compare

Where to check, and what's nearby.

Who to contact in Kansas

Licensing: Kansas Department for Aging and Disability Services (KDADS)
Adult Protective Services: 800-922-5330. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Osborne County Memorial Hospital, about 8.9 miles.
Smith County Memorial Hospital, about 23 miles.
Mitchell County Hospital Health Systems, about 23 miles. CMS rating 3 of 5.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Parkview Health and Rehabilitation Center, Osborne, about 8.8 miles. CMS rating 1 of 5.
Smith Center Health and Rehab, Smith Center, about 15 miles. CMS rating 4 of 5.
Sunporch of Smith County, Smith Center, about 22 miles. CMS rating 5 of 5.
Hilltop Lodge Health and Rehabilitation Center, Beloit, about 23 miles. CMS rating 2 of 5.
Mitchell County Hospital Health Systems Ltcu, Beloit, about 23 miles. CMS rating 4 of 5.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 44 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered