Nursing homeActive

Mitchell County Hospital Health Systems Ltcu

400 W 8th Street, Beloit, KS 67420785738959036 certified beds · 33 residentsGovernment - CountyMedicare and Medicaid
Surveys on file
3
since 2021
Deficiencies
14
0140
Penalties · 3 yrs
none on file
Last survey
2025-02-06
Standard
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 5
Staffing 5
Quality 1
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Kansas Department for Aging and Disability Services · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2025-02-06Standard020CMS-2567 (Care Compare)
2023-05-31Standard080CMS-2567 (Care Compare)
2021-11-22Standard040CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Kansas Department for Aging and Disability Services publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2025-02-06Standard survey · 2 deficienciesOfficial report
F700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-25Record 175505-20250206-F700
F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-03-25Record 175505-20250206-F882
2023-05-31Standard survey · 8 deficienciesOfficial report
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-29Record 175505-20230531-F610
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-29Record 175505-20230531-F656
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-29Record 175505-20230531-F657
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-29Record 175505-20230531-F689
F692Provide enough food/fluids to maintain a resident's health.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-29Record 175505-20230531-F692
F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-29Record 175505-20230531-F744
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-29Record 175505-20230531-F756
F758Implement 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-29Record 175505-20230531-F758
2021-11-22Standard survey · 4 deficienciesOfficial report
F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-12-16Record 175505-20211122-F625
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-12-16Record 175505-20211122-F684
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-12-16Record 175505-20211122-F756
F758Implement 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-12-16Record 175505-20211122-F758

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day1.30
Facility
Kansas
National
Kansas 0.71 · National 0.69
Total nurse hours per resident day4.79
Facility
Kansas
National
Kansas 4.07 · National 3.86
Weekend total nurse hours4.03
Facility
Kansas
National
Kansas 3.60 · National 3.42
Total nursing staff turnover28%
Facility
Kansas
National
Kansas 48% · National 46%
Registered nurse turnover0%
Facility
Kansas
National
Kansas 42% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityKansasNational
Percentage of long-stay residents with pressure ulcers
lower is better
5.5%4.4%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
7.5%4.3%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
16.2%18.1%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
11.9%2.9%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.0%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
37.4%17.9%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
9.1%4.9%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
37.1%23.2%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Cleveland, Nicki
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Eilert, Leanne
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Gavino, Luigi
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Kircher, Janelle
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Marozas, Christine
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Mitchell County Hospital Health Systems
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Simmons, Stephanie
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Kircher, Janelle
Individual
ADP OF THE SNFNOT APPLICABLE
Kircher, Janelle
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Marozas, Christine
Individual
TRUSTEE OF THE SNFNOT APPLICABLE
Marozas, Christine
Individual
ADP OF THE SNFNOT APPLICABLE
Marozas, Christine
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Mitchell County Hospital Health Systems
Organization
DIRECT OWNERSHIP INTERESTNOT APPLICABLE
Mitchell County Hospital Health Systems
Organization
TRUSTEE OF THE SNFNOT APPLICABLE
Mitchell County Hospital Health Systems
Organization
ADP OF THE SNFNOT APPLICABLE

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Kansas.

No county cost figures on file for Mitchell.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Hilltop Lodge Health And Rehabilitation Center
Beloit
0.1 mi2026-06-161312
The Nicol Home
Glasco
16.4 mi2026-06-100110
Lincoln Park Manor Inc
Lincoln
28.9 mi2025-08-200250
Downs Care And Rehab
Downs
23.4 mi2026-06-240140
Sunset Home Inc
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24.6 mi2025-03-260142
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01