Nursing homeActiveSpecial Focus Facility candidate · what this means

The Shepherd's Center

101 Cedar Ridge Drive, Cimarron, KS 67835620855349828 certified beds · 26 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
3
since 2024
Deficiencies
26
0233
Penalties · 3 yrs
$13,627
1 fine
Last survey
2025-11-17
Standard
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 1
Staffing 5
Quality 2
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
2025-11-17Standard0130CMS-2567 (Care Compare)
2024-06-27Complaint003CMS-2567 (Care Compare)
2024-02-08Standard0100CMS-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.

2025-11-17Standard survey · 13 deficienciesOfficial report
F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-10Record 175570-20251117-F628
F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-12-10Record 175570-20251117-F636
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-10Record 175570-20251117-F641
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-10Record 175570-20251117-F655
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 2025-12-10Record 175570-20251117-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 2025-12-10Record 175570-20251117-F657
F730Observe each nurse aide's job performance and give regular training.Scope/severity FStandard
Staffing
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-12-10Record 175570-20251117-F730
F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-12-10Record 175570-20251117-F801
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-12-10Record 175570-20251117-F812
F838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-12-10Record 175570-20251117-F838
F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-12-10Record 175570-20251117-F867
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-12-10Record 175570-20251117-F880
F881Implement a program that monitors antibiotic use.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-12-10Record 175570-20251117-F881
2024-06-27Complaint survey · 3 deficienciesOfficial report
F602Protect each resident from the wrongful use of the resident's belongings or money.Scope/severity JHarm
Abuse & neglect
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-07-10Record 175570-20240627-F602
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity LHarm
Abuse & neglect
Widespread; immediate jeopardy to resident health or safety.Corrected 2024-07-10Record 175570-20240627-F609
F610Respond appropriately to all alleged violations.Scope/severity LHarm
Abuse & neglect
Widespread; immediate jeopardy to resident health or safety.Corrected 2024-07-10Record 175570-20240627-F610
2024-02-08Standard survey · 10 deficienciesOfficial report
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-03-01Record 175570-20240208-F655
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 2024-03-01Record 175570-20240208-F656
F679Provide activities to meet all resident's needs.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-03-01Record 175570-20240208-F679
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-01Record 175570-20240208-F695
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 2024-03-01Record 175570-20240208-F756
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-03-01Record 175570-20240208-F812
F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-03-01Record 175570-20240208-F851
F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-03-01Record 175570-20240208-F867
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-03-01Record 175570-20240208-F880
F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-01Record 175570-20240208-F947

Penalties & enforcement

DateActionAmountSource
2024-06-27Civil money penalty$13,627CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day1.05
Facility
Kansas
National
Kansas 0.71 · National 0.69
Total nurse hours per resident day3.11
Facility
Kansas
National
Kansas 4.07 · National 3.86
Weekend total nurse hours2.71
Facility
Kansas
National
Kansas 3.60 · National 3.42
Total nursing staff turnover58%
Facility
Kansas
National
Kansas 48% · National 46%
Registered nurse turnover33%
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
7.6%4.4%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
6.0%4.3%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
21.4%18.1%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
2.6%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
22.5%17.9%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
6.9%4.9%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
31.2%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
Rincon, Tabitha
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Schowengerdt, Andrew
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Calhoun, Debora
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Coast, James
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Rincon, Tabitha
Individual
ADP OF THE SNFNOT APPLICABLE
Schartz, Steven
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Schowengerdt, Andrew
Individual
ADP OF THE SNFNOT APPLICABLE
Vogel, Gerald
Individual
MANAGING CONTROL - GOVERNING BODYNOT 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 Gray.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Bethel Home
Montezuma
16.3 mi2025-01-16070
Sunporch Of Dodge City
Dodge City
18.4 mi2026-03-170110
Trinity Manor
Dodge City
18.2 mi2025-01-23032
Kansas Soldiers Home
Fort Dodge
18.5 mi2025-08-071191
Manor Of The Plains
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18.8 mi2025-09-112130
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