Velarion Records

Skilled nursing facility · CMS certification number 175550

SHAWNEE POST ACUTE REHABILITATION CENTER

OVERLAND PARK, Kansas · Medicare and Medicaid

Certified beds, as filed in Care Compare: 101

Download this facility’s record (CSV)

A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.

In Care Compare’s provider information: Penalties: 1 · Fines: 1 · Fines, total amount: $28,558.00 · Payment denials: 0. The most recent penalty on file: March 27, 2024, Fine, $28,558. Every penalty on file ↓

For this facility: the citable document with full history — $295 · an email when this record changes — $99/month

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 28, 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$15,089,098CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,161,521CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$11,927,577CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$12,426,479CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$498,902CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$540CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$498,362CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$498,398 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
FigureAs filedWhere it comes from
Total facility beds, all components101CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components36,966CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days1,620CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days21,933CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days6,107CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components29,660CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges54CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges11CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges196CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components261CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days30CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,993.91CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days113.64CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1433944, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended December 31, 2023

Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 25, 2024.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$15,757,597CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,352,652CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$12,404,945CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$13,546,274CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,141,329CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$5,007CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,136,322CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,136,322 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
FigureAs filedWhere it comes from
Total facility beds, all components130CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components37,168CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components349CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days36.7CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,116.44CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days106.5CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1390286, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended December 31, 2022

Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 24, 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$15,070,515CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,606,422CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$11,464,093CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$13,233,399CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,769,306CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$23,451CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,745,855CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,745,937 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
FigureAs filedWhere it comes from
Total facility beds, all components130CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components35,538CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components277CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days37.06CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,133.29CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days128.3CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1363065, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended December 31, 2021

Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 16, 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$16,402,338CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$4,415,713CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$11,986,625CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$12,291,628CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$305,003CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,572CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$303,431CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$304,375 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
FigureAs filedWhere it comes from
Total facility beds, all components130CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components37,034CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components368CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days29.94CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,003.29CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days100.64CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1331920, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended December 31, 2020

Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on September 21, 2021.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$15,141,489CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$4,314,396CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$10,827,093CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$11,415,251CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$588,158CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$5,537CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$582,621CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$582,638 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
FigureAs filedWhere it comes from
Total facility beds, all components130CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components37,414CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components238CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days35.08CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days2,544.78CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days157.2CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1300668, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended December 31, 2019

Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 14, 2020.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$14,390,385CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$4,548,226CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,842,159CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$11,556,278CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,714,119CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,228CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,711,891CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,713,240 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
FigureAs filedWhere it comes from
Total facility beds, all components130CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components35,805CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components358CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days26.13CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,217.44CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days100.01CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1271255, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2018, ended December 31, 2018

Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 16, 2019.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$12,567,606CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,798,209CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,769,397CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,500,442CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,731,045CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$3,396CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,727,649CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,727,649 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
FigureAs filedWhere it comes from
Total facility beds, all components130CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components30,859CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components417CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days23.85CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,116CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days74CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1237021, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2017, ended December 31, 2017

Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 21, 2018.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$12,107,983CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,504,800CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,603,183CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,815,420CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$2,212,237CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$3,856CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$2,208,381CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$2,208,381 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
FigureAs filedWhere it comes from
Total facility beds, all components159CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components28,390CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components573CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days20.72CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days422.94CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days49.55CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1207318, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2016, ended December 31, 2016

Cost report for January 1, 2016 to December 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on July 18, 2017.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$9,878,174CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,931,402CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,946,772CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,810,098CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,863,326CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$35,402CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,827,924CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,827,924 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
FigureAs filedWhere it comes from
Total facility beds, all components130CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components15,508CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components685CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days22.12CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days22.64CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1169636, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2015, ended December 31, 2015

Cost report for November 19, 2015 to December 31, 2015 — a reporting period of 42 days, not a full year, on form CMS-2540-10, settled, processed by CMS on July 27, 2016.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$293,948CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$95,920CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$198,028CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$1,225,407CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,027,379CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$984CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,026,395CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,026,395 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
FigureAs filedWhere it comes from
Total facility beds, all components130CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components430CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components18CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days22.07CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days23.89CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1138348, read from the public cost report file SNF10FY2016.zip.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated September 1, 2026 (Care Compare ownership).

Owner or managerRoleTypeOwnership percentageAssociation
ENSIGN SERVICES INCADP OF THE SNFOrganizationNOT APPLICABLEsince 11/17/2015
GEHA, CHRISTOPHERADP OF THE SNFIndividualNOT APPLICABLEsince 06/12/2025
JIMENEZ, LUISADP OF THE SNFIndividualNOT APPLICABLEsince 06/12/2025
WELLTOWER OP, LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 01/29/2014
BURNAM, SOONCORPORATE OFFICERIndividualNOT APPLICABLEsince 01/28/2014
KEETCH, CHADCORPORATE OFFICERIndividualNOT APPLICABLEsince 03/01/2011
LEWIS, CORWINCORPORATE OFFICERIndividualNOT APPLICABLEsince 06/01/2021
SATO, AMICORPORATE OFFICERIndividualNOT APPLICABLEsince 09/09/2024
GATEWAY HEALTHCARE LLCDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 01/28/2014
THE ENSIGN GROUP INCINDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 01/28/2014
PORT, BARRYINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEsince 06/12/2025
GEHA, CHRISTOPHERMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 07/01/2023
JIMENEZ, LUISMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 09/26/2019
GEHA, CHRISTOPHEROPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 07/01/2023
JIMENEZ, LUISOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 09/26/2019

Medicare enrollment

As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of MAPLE HILLS HEALTHCARE, INC. (enrollment ID O20151028002575).

CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
CHRISTOPHER B GEHAIndividualADP OF THE SNFNot stated in the filing6/12/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ENSIGN SERVICES INCOrganizationADP OF THE SNFNot stated in the filing11/17/2015
Private equity company: No
Real estate investment trust: No
Holding company: No
LUIS ENRIQUE-ORTEGA JIMENEZIndividualADP OF THE SNFNot stated in the filing6/12/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
WELLTOWER OP, LLCOrganizationADP OF THE SNFNot stated in the filing1/29/2014
Private equity company: No
Real estate investment trust: No
Holding company: No
AMI SATOIndividualCORPORATE OFFICER09/9/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
CHAD KEETCHIndividualCORPORATE OFFICER03/1/2011
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
CORWIN LEWISIndividualCORPORATE OFFICER06/1/2021
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
SOON BURNAMIndividualCORPORATE OFFICER01/28/2014
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
GATEWAY HEALTHCARE LLCOrganizationDIRECT OWNERSHIP INTEREST1001/28/2014
Private equity company: No
Real estate investment trust: No
Holding company: No
THE ENSIGN GROUP INCOrganizationINDIRECT OWNERSHIP INTEREST1001/28/2014
Private equity company: No
Real estate investment trust: No
Holding company: No
CHRISTOPHER B GEHAIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing7/1/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
LUIS ENRIQUE-ORTEGA JIMENEZIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing9/26/2019
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
CHRISTOPHER B GEHAIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing7/1/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
LUIS ENRIQUE-ORTEGA JIMENEZIndividualOPERATIONAL/MANAGERIAL CONTROL09/26/2019
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
1February 18, 2026February 18, 202693
2March 27, 2024March 27, 2024248
3October 5, 2022October 5, 2022114

From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.

Deficiencies cited

44 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
February 18, 2026HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DNoDeficient, Provider has date of correctionMarch 24, 2026
February 18, 2026HealthF 0605Freedom from Abuse, Neglect, and Exploitation DeficienciesPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DNoDeficient, Provider has date of correctionMarch 24, 2026
February 18, 2026HealthF 0628Resident Rights DeficienciesProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DNoDeficient, Provider has date of correctionMarch 24, 2026
February 18, 2026HealthF 0676Quality of Life and Care DeficienciesEnsure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DNoDeficient, Provider has date of correctionMarch 24, 2026
February 18, 2026HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DNoDeficient, Provider has date of correctionMarch 24, 2026
February 18, 2026HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DNoDeficient, Provider has date of correctionMarch 24, 2026
February 18, 2026HealthF 0756Pharmacy Service DeficienciesEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DNoDeficient, Provider has date of correctionMarch 24, 2026
February 18, 2026HealthF 0761Pharmacy Service DeficienciesEnsure 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.DNoDeficient, Provider has date of correctionMarch 24, 2026
February 18, 2026HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.FNoDeficient, Provider has date of correctionMarch 24, 2026
March 27, 2024HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DYesDeficient, Provider has date of correctionApril 23, 2024
March 27, 2024HealthF 0582Resident Rights DeficienciesGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DYesDeficient, Provider has date of correctionApril 23, 2024
March 27, 2024HealthF 0623Resident Rights DeficienciesProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DYesDeficient, Provider has date of correctionApril 23, 2024
March 27, 2024HealthF 0625Resident Rights DeficienciesNotify 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.DYesDeficient, Provider has date of correctionApril 23, 2024
March 27, 2024HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.DYesDeficient, Provider has date of correctionApril 23, 2024
March 27, 2024HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.DYesDeficient, Provider has date of correctionApril 23, 2024
March 27, 2024HealthF 0688Quality of Life and Care DeficienciesProvide 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.DYesDeficient, Provider has date of correctionApril 23, 2024
March 27, 2024HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DYesDeficient, Provider has date of correctionApril 23, 2024
March 27, 2024HealthF 0690Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DYesDeficient, Provider has date of correctionApril 23, 2024
March 27, 2024HealthF 0692Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.GYesDeficient, Provider has date of correctionApril 23, 2024
March 27, 2024HealthF 0698Quality of Life and Care DeficienciesProvide safe, appropriate dialysis care/services for a resident who requires such services.DYesDeficient, Provider has date of correctionApril 23, 2024
March 27, 2024HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EYesDeficient, Provider has date of correctionApril 23, 2024
March 27, 2024HealthF 0758Pharmacy Service DeficienciesImplement 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.DYesDeficient, Provider has date of correctionApril 23, 2024
March 27, 2024HealthF 0759Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.DYesDeficient, Provider has date of correctionApril 23, 2024
March 27, 2024HealthF 0760Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.DYesDeficient, Provider has date of correctionApril 23, 2024
March 27, 2024HealthF 0801Nutrition and Dietary DeficienciesEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.FYesDeficient, Provider has date of correctionApril 23, 2024
March 27, 2024HealthF 0803Nutrition and Dietary DeficienciesEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.DYesDeficient, Provider has date of correctionApril 23, 2024
March 27, 2024HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EYesDeficient, Provider has date of correctionApril 23, 2024
March 27, 2024HealthF 0849Administration DeficienciesArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.DYesDeficient, Provider has date of correctionApril 23, 2024
March 27, 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DYesDeficient, Provider has date of correctionApril 23, 2024
March 27, 2024HealthF 0883Infection Control DeficienciesDevelop and implement policies and procedures for flu and pneumonia vaccinations.DYesDeficient, Provider has date of correctionApril 23, 2024
March 27, 2024HealthF 0941Administration DeficienciesDevelop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.FYesDeficient, Provider has date of correctionApril 23, 2024
March 27, 2024HealthF 0942Resident Rights DeficienciesEnsure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.FYesDeficient, Provider has date of correctionApril 23, 2024
March 27, 2024HealthF 0947Nursing and Physician Services DeficienciesEnsure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.FYesDeficient, Provider has date of correctionApril 23, 2024
November 20, 2023HealthF 0585Resident Rights DeficienciesHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.DYesDeficient, Provider has date of correctionNovember 30, 2023
October 5, 2022HealthF 0585Resident Rights DeficienciesHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.ENoDeficient, Provider has date of correctionNovember 3, 2022
October 5, 2022HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DNoDeficient, Provider has date of correctionNovember 3, 2022
October 5, 2022HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.DNoDeficient, Provider has date of correctionNovember 3, 2022
October 5, 2022HealthF 0692Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.GNoDeficient, Provider has date of correctionNovember 3, 2022
October 5, 2022HealthF 0740Quality of Life and Care DeficienciesEnsure each resident must receive and the facility must provide necessary behavioral health care and services.DNoDeficient, Provider has date of correctionNovember 3, 2022
October 5, 2022HealthF 0756Pharmacy Service DeficienciesEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DNoDeficient, Provider has date of correctionNovember 3, 2022
October 5, 2022HealthF 0757Pharmacy Service DeficienciesEnsure each resident’s drug regimen must be free from unnecessary drugs.DNoDeficient, Provider has date of correctionNovember 3, 2022
October 5, 2022HealthF 0761Pharmacy Service DeficienciesEnsure 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.DNoDeficient, Provider has date of correctionNovember 3, 2022
October 5, 2022HealthF 0804Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.DNoDeficient, Provider has date of correctionNovember 3, 2022
October 5, 2022HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.ENoDeficient, Provider has date of correctionNovember 3, 2022

From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
March 27, 2024Fine$28,55882375

From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeFor profit - Limited Liability company
Legal Business NameMAPLE HILLS HEALTHCARE, INC.
Date First Approved to Provide Medicare and Medicaid Services2015-11-19
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishJohnson
Telephone Number9133832001
Chain NameTHE ENSIGN GROUP
Chain ID507
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds101
Average Number of Residents per Day85.6
Overall Rating2
Health Inspection Rating2
QM Rating4
Long-Stay QM Rating4
Short-Stay QM Rating4
Processing Date2026-08-01

From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on August 1, 2026.

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