Skilled nursing facility · CMS certification number 17E210
ACCESS MENTAL HEALTH
PEABODY, Kansas · Medicaid
Certified beds, as filed in Care Compare: 45
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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.
CMS lists this facility as a Special Focus Facility (Care Compare Special Focus Status: SFF)
In Care Compare’s provider information: Penalties: 5 · Fines: 3 · Fines, total amount: $114,739.00 · Payment denials: 2. The most recent penalty on file: December 10, 2025, Fine, $14,508. 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
No Medicare cost report on file for this facility.
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.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| No owner named in the filing | Ownership Data Not Available | Not stated in the filing | Not stated in the filing | Not stated in the filing |
Medicare enrollment
No owner listed for this facility in CMS’s Medicare enrollment ownership data.
Changes in ownership
No change in ownership appears in the CMS files on record since September 20, 2022.
Recent changes on this record
No change has appeared in the CMS files since this record began.
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | June 3, 2026 | June 3, 2026 | 2 | 5 |
| 2 | December 10, 2025 | December 10, 2025 | 26 | 7 |
| 3 | June 23, 2025 | June 23, 2025 | 17 | 8 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
45 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| June 3, 2026 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | No | Deficient, Provider has date of correction | July 17, 2026 |
| June 3, 2026 | Health | F 0814 | Nutrition and Dietary Deficiencies | Dispose of garbage and refuse properly. | C | No | Deficient, Provider has date of correction | July 17, 2026 |
| December 10, 2025 | Health | F 0584 | Resident Rights Deficiencies | 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. | E | Yes | Deficient, Provider has date of correction | January 23, 2026 |
| December 10, 2025 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | January 23, 2026 |
| December 10, 2025 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | January 23, 2026 |
| December 10, 2025 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | No | Deficient, Provider has date of correction | January 23, 2026 |
| December 10, 2025 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | January 23, 2026 |
| December 10, 2025 | Health | F 0740 | Quality of Life and Care Deficiencies | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | J | Yes | Past Non-Compliance | November 5, 2025 |
| December 10, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | January 23, 2026 |
| June 23, 2025 | Health | F 0552 | Resident Rights Deficiencies | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Yes | Deficient, Provider has date of correction | July 25, 2025 |
| June 23, 2025 | Health | F 0636 | Resident Assessment and Care Planning Deficiencies | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | E | Yes | Deficient, Provider has date of correction | August 7, 2025 |
| June 23, 2025 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | E | Yes | Deficient, Provider has date of correction | July 25, 2025 |
| June 23, 2025 | Health | F 0655 | Resident Assessment and Care Planning Deficiencies | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Yes | Deficient, Provider has date of correction | July 25, 2025 |
| June 23, 2025 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | E | Yes | Deficient, Provider has date of correction | July 25, 2025 |
| June 23, 2025 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Yes | Deficient, Provider has date of correction | July 25, 2025 |
| June 23, 2025 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Yes | Deficient, Provider has date of correction | July 25, 2025 |
| June 23, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | Yes | Deficient, Provider has date of correction | July 25, 2025 |
| June 23, 2025 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Yes | Deficient, Provider has date of correction | July 25, 2025 |
| January 15, 2025 | Health | F 0622 | Resident Rights Deficiencies | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | Yes | Deficient, Provider has date of correction | February 12, 2025 |
| January 15, 2025 | Health | F 0623 | Resident Rights Deficiencies | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Yes | Deficient, Provider has date of correction | February 12, 2025 |
| January 15, 2025 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | Yes | Deficient, Provider has date of correction | February 12, 2025 |
| January 15, 2025 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Yes | Deficient, Provider has date of correction | February 12, 2025 |
| January 15, 2025 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Yes | Deficient, Provider has date of correction | February 12, 2025 |
| January 15, 2025 | Health | F 0688 | Quality of Life and Care Deficiencies | 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. | D | Yes | Deficient, Provider has date of correction | February 12, 2025 |
| January 15, 2025 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Yes | Deficient, Provider has date of correction | February 12, 2025 |
| January 15, 2025 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | G | Yes | Deficient, Provider has date of correction | February 12, 2025 |
| January 15, 2025 | Health | F 0699 | Quality of Life and Care Deficiencies | Provide care or services that was trauma informed and/or culturally competent. | D | Yes | Deficient, Provider has date of correction | February 12, 2025 |
| January 15, 2025 | Health | F 0740 | Quality of Life and Care Deficiencies | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Yes | Deficient, Provider has date of correction | February 12, 2025 |
| January 15, 2025 | Health | F 0756 | Pharmacy Service Deficiencies | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Yes | Deficient, Provider has date of correction | February 12, 2025 |
| January 15, 2025 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Yes | Deficient, Provider has date of correction | February 12, 2025 |
| January 15, 2025 | Health | F 0758 | Pharmacy Service Deficiencies | 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. | D | Yes | Deficient, Provider has date of correction | February 12, 2025 |
| January 15, 2025 | Health | F 0801 | Nutrition and Dietary Deficiencies | 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. | F | Yes | Deficient, Provider has date of correction | February 12, 2025 |
| January 15, 2025 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Yes | Deficient, Provider has date of correction | February 12, 2025 |
| January 15, 2025 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Yes | Deficient, Provider has date of correction | February 12, 2025 |
| January 15, 2025 | Health | F 0887 | Infection Control Deficiencies | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | Yes | Deficient, Provider has date of correction | February 12, 2025 |
| October 10, 2024 | Health | F 0604 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | J | Yes | Deficient, Provider has date of correction | November 11, 2024 |
| October 10, 2024 | Health | F 0742 | Quality of Life and Care Deficiencies | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | J | Yes | Deficient, Provider has date of correction | November 11, 2024 |
| February 1, 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Yes | Deficient, Provider has date of correction | February 29, 2024 |
| February 1, 2024 | Health | F 0741 | Quality of Life and Care Deficiencies | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | G | Yes | Deficient, Provider has date of correction | February 29, 2024 |
| February 1, 2024 | Health | F 0835 | Administration Deficiencies | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | Yes | Deficient, Provider has date of correction | February 29, 2024 |
| February 1, 2024 | Health | F 0867 | Administration Deficiencies | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Yes | Deficient, Provider has date of correction | February 29, 2024 |
| January 16, 2024 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | Yes | Deficient, Provider has date of correction | February 20, 2024 |
| January 16, 2024 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | L | Yes | Deficient, Provider has date of correction | February 20, 2024 |
| January 16, 2024 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | L | Yes | Deficient, Provider has date of correction | February 20, 2024 |
| January 16, 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Yes | Deficient, Provider has date of correction | February 20, 2024 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| December 10, 2025 | Fine | $14,508 | 137411 | ||
| June 23, 2025 | Fine | $64,643 | 134827 | ||
| June 23, 2025 | Payment Denial | July 26, 2025 | 12 | ||
| January 15, 2025 | Fine | $35,588 | 134618 | ||
| January 16, 2024 | Payment Denial | February 13, 2024 | 16 |
From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | Legal Business Name Not Available |
| Date First Approved to Provide Medicare and Medicaid Services | 1982-01-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Marion |
| Telephone Number | 6209832165 |
| Special Focus Status | SFF |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 45 |
| Average Number of Residents per Day | 43.9 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on August 1, 2026.
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The citable document for ACCESS MENTAL HEALTH
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Kansas at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 17E210.