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Nursing homeFAID #4578

Osage Nursing Center Rehabilitation & Skilled Nursing

1017 MAIN STREET, OSAGE CITY, KS, 66523

(785) 528-3138

45 licensed beds

CMS rates Osage Nursing Center Rehabilitation & Skilled Nursing 4 out of 5 overall. Federal inspectors issued 69 citations across 7 inspections in the last three years, with no federal fines. Listing last updated 2026-11-06.

★★★★★4/5CMS Five-Star overall4/5 health inspections3/5 staffing3/5 quality measuresSource: CMS Care Compare

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Address

1017 Main Street

Osage City, KS 66523

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Public record summary

What we can show you for free.

Bed capacity

State license

N070003

CMS facility ID

175256

Care type

Nursing home

Facility name

Osage Nursing Center Rehabilitation & Skilled Nursing

Legal entity

Osage Nursing & Rehabilitation Center

Street address

1017 MAIN STREET

City / state / ZIP

Osage City, KS 66523

Phone

(785) 528-3138

State license #

N070003

About this facility — Osage Nursing Center Rehabilitation & Skilled Nursing

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

It is one of 5 senior care facilities in Osage City 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 Americare Senior Living, a group of 23 facilities on this site.

Federal inspectors have cited Osage Nursing Center Rehabilitation & Skilled Nursing 69 times across 7 inspections in the last three years, including 2 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

Americare Senior Living

Ownership type

For profit - Limited Liability company

Administrator

Susan Billinger

Registered owners & officers

R H Montgomery Properties, Inc

Direct owner — 100% stake — since 2003

Montgomery, Anna

Indirect owner — 50% stake — since 2013

Montgomery, Richard

Indirect owner — 50% stake — since 1981

Americare Systems, Inc.

Operational control — since 2002

Moon, Natasha

Managing employee — since 2021

Schade, Kyle

Managing employee · Officer — since 2021

Regulatory standing

Licensed / certified since

1993-08-01

CMS overall rating

4 of 5 stars

Health deficiencies

3 at the last standard inspection

Federal fines

None on record

Last standard inspection

2026-07-08

Nurse staffing

4.3 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$238 per day (≈ $7,240/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

76% Medicaid · 7% Medicare · 17% private/other

Occupancy

76% (fiscal year 2023)

Vs. state median

23% 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 2 food-safety citations on its three-year record — flagged below among the inspections.

2026-07-08Health inspection3 citations

F-0686

D · No harm found

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

Corrected 2026-07-14

F-0689

D · No harm found

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

Corrected 2026-07-14

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2026-07-14

2024-09-05Health inspectionComplaint-triggered12 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 2024-10-07

F-0584

E · No harm foundFrom a complaint

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 2024-10-07

F-0656

D · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-10-07

F-0677

D · No harm found

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

Corrected 2024-10-07

F-0686

D · No harm found

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

Corrected 2024-10-07

F-0689

D · No harm found

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

Corrected 2024-10-07

F-0690

E · No harm found

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2024-10-07

F-0812

F · No harm foundFood safetyFrom a complaint

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

Corrected 2024-10-07

F-0814

F · No harm foundFood safetyFrom a complaint

Dispose of garbage and refuse properly.

Corrected 2024-10-07

F-0851

F · No harm found

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

Corrected 2024-10-07

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-10-07

F-0921

F · 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 2024-10-07

4 earlier / fire-safety inspections (54 citations)

2022-12-08Health inspection12 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 2023-01-07

F-0558

D · No harm found

Reasonably accommodate the needs and preferences of each resident.

Corrected 2023-01-07

F-0582

D · No harm found

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2023-01-07

F-0655

D · No harm found

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2023-01-07

F-0688

D · No harm found

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.

Corrected 2023-01-07

F-0689

D · No harm found

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

Corrected 2023-01-07

F-0727

F · No harm found

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Corrected 2023-01-07

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 2023-01-07

F-0757

D · No harm found

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

Corrected 2023-01-07

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 2023-01-07

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 2023-01-07

F-0849

D · No harm found

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 2023-01-07

2026-07-08Fire-safety inspection14 citations

E-0009

F · No harm found

Include a process for Emergency Preparedness collaboration.

Corrected 2026-08-28

E-0022

F · No harm found

Establish policies and procedures for sheltering.

Corrected 2026-08-28

E-0023

F · No harm found

Establish policies and procedures for medical documentation.

Corrected 2026-08-28

K-0161

D · No harm found

Use approved construction type or materials.

Corrected 2026-09-17

K-0211

E · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2026-09-08

K-0222

E · No harm found

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2026-09-17

K-0291

E · No harm found

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

Corrected 2026-08-24

K-0343

F · No harm found

Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

Corrected 2026-09-17

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2026-09-17

K-0363

E · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2026-08-24

K-0511

E · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2026-08-24

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2026-09-17

K-0761

F · No harm found

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

Corrected 2026-09-17

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 2026-09-17

2024-09-05Fire-safety inspection15 citations

E-0039

F · No harm found

Conduct testing and exercise requirements.

Corrected 2024-11-27

K-0211

F · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2024-11-27

K-0291

F · No harm found

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

Corrected 2024-11-27

K-0293

F · No harm found

Have properly located and lighted "Exit" signs.

Corrected 2024-11-27

K-0324

F · No harm found

Provide properly protected cooking facilities.

Corrected 2024-11-27

K-0345

F · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-11-27

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-11-27

K-0363

F · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2024-11-27

K-0372

F · No harm found

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

Corrected 2024-11-27

K-0511

F · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2024-11-27

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2024-11-27

K-0751

F · No harm found

Have restrictions on the use of flammable curtains.

Corrected 2024-11-27

K-0761

F · No harm found

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

Corrected 2024-11-27

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 2024-11-27

K-0920

F · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2024-11-27

2022-12-08Fire-safety inspection13 citations

E-0004

F · No harm found

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2023-02-27

E-0030

F · No harm found

List the names and contact information of those in the facility.

Corrected 2023-02-27

E-0036

F · No harm found

Establish emergency prep training and testing.

Corrected 2023-02-27

K-0211

F · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2023-02-27

K-0222

F · No harm found

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2023-02-27

K-0291

F · No harm found

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

Corrected 2023-02-27

K-0345

F · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-02-27

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-02-27

K-0363

E · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2023-02-27

K-0372

D · No harm found

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

Corrected 2023-02-27

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2023-02-27

K-0901

F · No harm found

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

Corrected 2023-02-27

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 2023-02-27

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 175256.

Quality of care & staffing

How it compares in Kansas.

Inspection citations, 3 years

More than 75% 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

4.3

Higher than 65% of nursing homes in the state

State median: 4.0

Nursing staff turnover, annual

67%

Higher than 89% of nursing homes in the state

State median: 48%

Resident outcomes

On 21 federal quality measures, this facility does better than the Kansas average on 7 and worse on 6. 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	20.0%	17.4%	13.5%	Worse than state
Lose too much weight	1.6%	4.8%	5.1%	Better than state
With a catheter inserted and left in their bladder	3.9%	1.4%	0.7%	Worse than state
With a urinary tract infection	0.0%	2.8%	1.5%	Better than state
Have depressive symptoms	0.7%	6.6%	13.5%	Better than state
Were physically restrained	0.0%	0.0%	0.1%	Better than state
Experiencing one or more falls with major injury	3.7%	4.2%	3.2%	Better than state
Assessed and appropriately given the pneumococcal vaccine	99.4%	92.9%	93.7%	Near state average
Ability to walk independently worsened	14.2%	14.5%	12.7%	Near state average
Received an antianxiety or hypnotic medication	36.6%	23.4%	19.5%	Worse than state
Assessed and appropriately given the seasonal influenza vaccine	100.0%	94.9%	95.3%	Near state average
With pressure ulcers	5.7%	4.4%	4.5%	Worse than state
With new or worsened bowel or bladder incontinence	18.0%	21.6%	18.3%	Better than state
Received an antipsychotic medication	28.0%	17.7%	15.4%	Worse than state
Hospitalizations per 1000 long-stay resident days	1.84	1.69	1.81	Near state average
Outpatient emergency department visits per 1000 long-stay resident days	1.88	2.00	1.69	Near state average

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	79.3%	77.1%	82.3%	Near state average
Newly received an antipsychotic medication	0.0%	1.6%	1.5%	Better than state
Were assessed and appropriately given the seasonal influenza vaccine	69.7%	75.4%	80.1%	Near state average
Were rehospitalized after a nursing home admission	21.7%	22.3%	23.4%	Near state average
Had an outpatient emergency department visit	14.3%	11.4%	11.8%	Worse 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.

F-0689 3 inspections. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
K-0211 3 inspections. Keep aisles, corridors, and exits free of obstruction in case of emergency.
K-0291 3 inspections. Install emergency lighting that can last at least 1 1/2 hours.
K-0353 3 inspections. Inspect, test, and maintain automatic sprinkler systems.
K-0363 3 inspections. Install corridor and hallway doors that block smoke.
K-0712 3 inspections. Have simulated fire drills held at unexpected times.

What its owners also hold

R H Montgomery Properties, Inc has an ownership stake on file at 15 nursing homes, averaging 3.4 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

Newman Regional Health, about 25 miles. CMS rating 2 of 5.
Va Eastern Kansas Healthcare System, about 28 miles. CMS rating 4 of 5.
Stormont Vail Hospital, about 30 miles. CMS rating 4 of 5.

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

Nearby facilities with inspection records

Brookside Retirement Community, Overbrook, about 17 miles. CMS rating 5 of 5.
Eskridge Care and Rehab, Eskridge, about 22 miles. CMS rating 4 of 5.
Emporia Presbyterian Manor, Emporia, about 26 miles. CMS rating 3 of 5.
Flint Hills Care and Rehabilitation Center, Emporia, about 26 miles. CMS rating 4 of 5.
The Gardens At Aldersgate, Topeka, about 26 miles. CMS rating 1 of 5.

Inside your report

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Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 69 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