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

AZRIA HEALTH GREAT BEND

GREAT BEND, KS · 85 certified beds · Last Life Safety survey June 25, 2026

CMS Certification Number 175291 · first certified April 1994

Ownership

Operated by AZRIA HEALTH · For profit - Limited Liability company

Ownership changed February 1, 2021 (change of ownership)to AZRIA HEALTH WOODHAVEN from GREAT BEND-LTC, LLC

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

28 citations — more than 51% 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 1 citation; the earlier surveys in the window averaged 9. With 4 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens February 2028 — about 17 months from now. This facility’s last Life Safety survey was June 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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8 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.

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 28 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.

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	28
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
November 24, 2020	5
April 5, 2022	14
November 7, 2023	8
June 25, 2026	1

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	2023-11-07
K-0324	Provide properly protected cooking facilities.	3	2023-11-07
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	2	2023-11-07
K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	2	2023-11-07
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	2	2023-11-07
K-0920	Ensure proper usage of power strips and extension cords.	2	2023-11-07
K-0712	Have simulated fire drills held at unexpected times.	2	2023-11-07
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	2	2022-04-05

What the citations cover

Citations by CMS category

Smoke Deficiencies 12
Egress Deficiencies 5
Miscellaneous Deficiencies 5
Gas, Vacuum, and Electrical Systems Deficiencies 4
Other 2

Citations by CMS category
Category	Citations
Smoke Deficiencies	12
Egress Deficiencies	5
Miscellaneous Deficiencies	5
Gas, Vacuum, and Electrical Systems Deficiencies	4
Services Deficiencies	2

Every citation on file

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

June 25, 2026 — 1 citation

Citations issued on June 25, 2026
Tag	What the surveyor checks	Status
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 (June 26, 2026)

November 7, 2023 — 8 citations

Citations issued on November 7, 2023
Tag	What the surveyor checks	Status
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (January 18, 2024)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (January 18, 2024)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (January 18, 2024)
K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	Waiver has been granted (December 15, 2023)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (January 18, 2024)
K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.	Deficient, Provider has date of correction (January 18, 2024)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (January 18, 2024)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (January 18, 2024)

April 5, 2022 — 14 citations

Citations issued on April 5, 2022
Tag	What the surveyor checks	Status
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 (June 6, 2022)
K-0291	Install emergency lighting that can last at least 1 1/2 hours.	Deficient, Provider has date of correction (June 6, 2022)
K-0293	Have properly located and lighted "Exit" signs.	Deficient, Provider has date of correction (June 6, 2022)
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	Deficient, Provider has date of correction (June 6, 2022)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (June 6, 2022)
K-0325	Have properly installed hallway dispensers for alcohol-based hand rub.	Deficient, Provider has date of correction (June 6, 2022)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (June 6, 2022)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (June 6, 2022)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (June 6, 2022)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (June 6, 2022)
K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	Waiver has been granted (May 10, 2022)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (June 6, 2022)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (June 6, 2022)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (June 6, 2022)

November 24, 2020 — 5 citations

Citations issued on November 24, 2020
Tag	What the surveyor checks	Status
K-0291	Install emergency lighting that can last at least 1 1/2 hours.	Deficient, Provider has date of correction (January 27, 2021)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (January 27, 2021)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (January 27, 2021)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (January 27, 2021)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (January 27, 2021)

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