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

CATHOLIC CARE CENTER, INC

BEL AIRE, KS · 159 certified beds · Last Life Safety survey December 4, 2024

CMS Certification Number 175410 · first certified March 1997

Ownership

Independently operated (no chain recorded by CMS) · Non profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

Citations on file

Rolling three-year window

Life Safety surveys

In the same window

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within KS

42 citations — more than 88% 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

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

The latest survey found 23 citations; the earlier surveys in the window averaged 9.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window is open now: July 2026 to October 2026. This facility’s last Life Safety survey was December 2024. 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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7 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

7 of the 42 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)

5 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 42 Life Safety citations above. The Physical Environment Index

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

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.

Citations on file over three years, compared
Measure	Citations
This facility	42
Median facility in KS	27
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
June 28, 2021	7
February 27, 2023	12
December 4, 2024	23

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
K-0353	Inspect, test, and maintain automatic sprinkler systems.	3	2024-12-04
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	3	2024-12-04
K-0920	Ensure proper usage of power strips and extension cords.	3	2024-12-04
K-0363	Install corridor and hallway doors that block smoke.	2	2024-12-04
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	2	2023-02-27
E-0024	Establish policies and procedures for volunteers.	2	2024-12-04
K-0511	Have properly installed electrical wiring and gas equipment.	2	2024-12-04
K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.	2	2024-12-04

What the citations cover

Citations by CMS category

Smoke Deficiencies 15
Gas, Vacuum, and Electrical Systems Deficiencies 8
Emergency Preparedness Deficiencies 7
Miscellaneous Deficiencies 4
Other 8

Citations by CMS category
Category	Citations
Smoke Deficiencies	15
Gas, Vacuum, and Electrical Systems Deficiencies	8
Emergency Preparedness Deficiencies	7
Miscellaneous Deficiencies	4
Egress Deficiencies	4
Construction Deficiencies	2
Services Deficiencies	2

Every citation on file

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

December 4, 2024 — 23 citations

Citations issued on December 4, 2024
Tag	What the surveyor checks	Status
E-0007	Address patient/client population and determine types of services needed.	Deficient, Provider has date of correction (January 27, 2025)
E-0015	Address subsistence needs for staff and patients.	Deficient, Provider has date of correction (January 27, 2025)
E-0024	Establish policies and procedures for volunteers.	Deficient, Provider has date of correction (January 27, 2025)
E-0026	Establish roles under a Waiver declared by secretary.	Deficient, Provider has date of correction (January 27, 2025)
E-0037	Establish staff and initial training requirements.	Deficient, Provider has date of correction (January 27, 2025)
K-0131	Meet requirements for sections of health care facilities separated by fire resistive construction.	Deficient, Provider has date of correction (January 27, 2025)
K-0161	Use approved construction type or materials.	Deficient, Provider has date of correction (January 27, 2025)
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	Deficient, Provider has date of correction (January 27, 2025)
K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.	Deficient, Provider has date of correction (January 27, 2025)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (February 14, 2025)
K-0325	Have properly installed hallway dispensers for alcohol-based hand rub.	Deficient, Provider has date of correction (January 27, 2025)
K-0331	Construct fire resistant interior walls.	Deficient, Provider has date of correction (January 27, 2025)
K-0347	Properly provide smoke detection systems in areas open to corridors.	Deficient, Provider has date of correction (January 27, 2025)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (January 27, 2025)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (January 27, 2025)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (January 27, 2025)
K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes.	Deficient, Provider has date of correction (January 27, 2025)
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has date of correction (February 14, 2025)
K-0781	Have restrictions on the use of portable space heaters.	Deficient, Provider has date of correction (January 27, 2025)
K-0914	Ensure 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 27, 2025)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (January 27, 2025)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (February 14, 2025)
K-0923	Have proper medical gas storage and administration areas.	Deficient, Provider has date of correction (January 27, 2025)

February 27, 2023 — 12 citations

Citations issued on February 27, 2023
Tag	What the surveyor checks	Status
E-0022	Establish policies and procedures for sheltering.	Deficient, Provider has date of correction (March 9, 2023)
E-0024	Establish policies and procedures for volunteers.	Deficient, Provider has date of correction (March 9, 2023)
K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.	Deficient, Provider has date of correction (March 9, 2023)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (March 9, 2023)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (March 9, 2023)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (March 9, 2023)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (March 9, 2023)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (March 9, 2023)
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has date of correction (March 9, 2023)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (March 9, 2023)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (March 9, 2023)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (March 9, 2023)

June 28, 2021 — 7 citations

Citations issued on June 28, 2021
Tag	What the surveyor checks	Status
K-0223	Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.	Deficient, Provider has date of correction (August 5, 2021)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (August 5, 2021)
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	Deficient, Provider has date of correction (August 5, 2021)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (August 5, 2021)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (August 5, 2021)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Waiver has been granted (July 14, 2021)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (August 5, 2021)

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