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

KIOWA HOSPITAL DISTRICT MANOR

KIOWA, KS · 29 certified beds · Last Life Safety survey September 4, 2025

CMS Certification Number 17E597 · first certified July 1998

Ownership

Independently operated (no chain recorded by CMS) · Government - Hospital district

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

19
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
2
Tags cited more than once
Across separate surveys
10
Inspection & testing records
Of the citations on file

Position within KS

19 citations — more than 20% 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 5 citations; the earlier surveys in the window averaged 7. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens April 2027 — about 7 months from now. This facility’s last Life Safety survey was September 2025. 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

2 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

4 of the 19 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)

3 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 19 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.

This facility19KS median27National median11
Citations on file over three years, compared
MeasureCitations
This facility19
Median facility in KS27
Median facility nationally11

Survey history

Citations at each Life Safety survey
32022-02112024-0152025-09
Citations at each Life Safety survey
Survey dateCitations
February 16, 20223
January 4, 202411
September 4, 20255

Most-cited tags

Most-cited tags at this facility
K-03242K-07122E-00291K-02221K-05111K-03531E-00131K-03451
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0324Provide properly protected cooking facilities.22025-09-04
K-0712Have simulated fire drills held at unexpected times.22024-01-04
E-0029Develop a communication plan.12024-01-04
K-0222Add 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.12022-02-16
K-0511Have properly installed electrical wiring and gas equipment.12024-01-04
K-0353Inspect, test, and maintain automatic sprinkler systems.12025-09-04
E-0013Develop Emergency Preparedness policies and procedures.12024-01-04
K-0345Have approved installation, maintenance and testing program for fire alarm systems.12024-01-04

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 8
  • Emergency Preparedness Deficiencies 4
  • Miscellaneous Deficiencies 3
  • Gas, Vacuum, and Electrical Systems Deficiencies 2
  • Other 2
Citations by CMS category
CategoryCitations
Smoke Deficiencies8
Emergency Preparedness Deficiencies4
Miscellaneous Deficiencies3
Gas, Vacuum, and Electrical Systems Deficiencies2
Egress Deficiencies1
Services Deficiencies1

Every citation on file

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

September 4, 2025 — 5 citations

Citations issued on September 4, 2025
TagWhat the surveyor checksStatus
E-0018Establish procedures for tracking staff and patients during an emergency.Deficient, Provider has date of correction (December 31, 2025)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (December 31, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (December 31, 2025)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (December 31, 2025)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (December 31, 2025)

January 4, 2024 — 11 citations

Citations issued on January 4, 2024
TagWhat the surveyor checksStatus
E-0001Establish an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (March 28, 2024)
E-0013Develop Emergency Preparedness policies and procedures.Deficient, Provider has date of correction (March 28, 2024)
E-0029Develop a communication plan.Deficient, Provider has date of correction (March 28, 2024)
K-0325Have properly installed hallway dispensers for alcohol-based hand rub.Deficient, Provider has date of correction (March 28, 2024)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (March 28, 2024)
K-0364Install properly constructed windows in hallway walls or doors.Deficient, Provider has date of correction (March 28, 2024)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (March 28, 2024)
K-0700Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.Deficient, Provider has date of correction (March 28, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (March 28, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (March 28, 2024)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (March 28, 2024)

February 16, 2022 — 3 citations

Citations issued on February 16, 2022
TagWhat the surveyor checksStatus
K-0222Add 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 30, 2022)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (March 30, 2022)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (March 30, 2022)

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