Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

ATCHISON SENIOR VILLAGE REHABILITATION AND NURSING

ATCHISON, KS · 45 certified beds · Last Life Safety survey February 12, 2026

CMS Certification Number 175531 · first certified March 2013

Ownership

Operated by THE ENSIGN GROUP · For profit - Limited Liability company

  • Ownership changed March 1, 2024 (change of ownership)to ATCHISON SENIOR VILLAGE REHABILITATION AND NURSING CENTER from COUNTY OF ATCHISON
29
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
7
Tags cited more than once
Across separate surveys
11
Inspection & testing records
Of the citations on file

Position within KS

29 citations — more than 56% of the 296 certified nursing homes in KS. Compared within KS rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 2 citations; the earlier surveys in the window averaged 13.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens October 2027 — about 12 months from now. This facility’s last Life Safety survey was February 2026. Facilities in KS are typically surveyed 20–22 months after the last one (median 21), measured over 298 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

3 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

5 of the 29 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

6 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 29 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.
  • F-0584 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.

How that compares

Citations on file over three years

Compared with the median facility in KS, and nationally. Surveyors differ markedly between states, so the KS figure is the meaningful one.

This facility29KS median27National median11
Citations on file over three years, compared
MeasureCitations
This facility29
Median facility in KS27
Median facility nationally11

Survey history

Citations at each Life Safety survey
172022-11102024-0422026-02
Citations at each Life Safety survey
Survey dateCitations
November 2, 202217
April 17, 202410
February 12, 20262

Most-cited tags

Most-cited tags at this facility
K-09203K-05112E-00392K-07122K-09142K-03112K-03632K-03531
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0920Ensure proper usage of power strips and extension cords.32026-02-12
K-0511Have properly installed electrical wiring and gas equipment.22024-04-17
E-0039Conduct testing and exercise requirements.22024-04-17
K-0712Have simulated fire drills held at unexpected times.22024-04-17
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.22024-04-17
K-0311Have an enclosure around a vertical opening shaft.22026-02-12
K-0363Install corridor and hallway doors that block smoke.22024-04-17
K-0353Inspect, test, and maintain automatic sprinkler systems.12022-11-02

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 8
  • Gas, Vacuum, and Electrical Systems Deficiencies 6
  • Emergency Preparedness Deficiencies 5
  • Services Deficiencies 3
  • Other 7
Citations by CMS category
CategoryCitations
Smoke Deficiencies8
Gas, Vacuum, and Electrical Systems Deficiencies6
Emergency Preparedness Deficiencies5
Services Deficiencies3
Miscellaneous Deficiencies3
Egress Deficiencies2
Electrical Deficiencies1
Construction Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

February 12, 2026 — 2 citations

Citations issued on February 12, 2026
TagWhat the surveyor checksStatus
K-0311Have an enclosure around a vertical opening shaft.Deficient, Provider has date of correction (April 1, 2026)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (April 1, 2026)

April 17, 2024 — 10 citations

Citations issued on April 17, 2024
TagWhat the surveyor checksStatus
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (June 13, 2024)
K-0311Have an enclosure around a vertical opening shaft.Deficient, Provider has date of correction (June 13, 2024)
K-0341Install a fire alarm system that can be heard throughout the facility.Deficient, Provider has date of correction (June 13, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (June 13, 2024)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (June 13, 2024)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (June 13, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (June 13, 2024)
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Deficient, Provider has date of correction (June 13, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (June 13, 2024)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (June 13, 2024)

November 2, 2022 — 17 citations

Citations issued on November 2, 2022
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (January 10, 2023)
E-0036Establish emergency prep training and testing.Deficient, Provider has date of correction (January 10, 2023)
E-0037Establish staff and initial training requirements.Deficient, Provider has date of correction (January 10, 2023)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (January 10, 2023)
K-0163Install noncombustible or limited-combustible interior walls.Deficient, Provider has date of correction (January 10, 2023)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (January 10, 2023)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (January 10, 2023)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (January 10, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Waiver has been granted (January 10, 2023)
K-0354Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.Deficient, Provider has date of correction (January 10, 2023)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (January 10, 2023)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (January 10, 2023)
K-0711Provide a written emergency evacuation plan.Deficient, Provider has date of correction (January 10, 2023)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (January 10, 2023)
K-0901Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.Deficient, Provider has date of correction (January 10, 2023)
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Deficient, Provider has date of correction (January 10, 2023)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (January 10, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.