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

HOEGER HOUSE

OLATHE, KS · 34 certified beds · Last Life Safety survey May 14, 2025

CMS Certification Number 175491 · first certified October 2006

Ownership

Operated by GOOD SAMARITAN SOCIETY · Non profit - Corporation

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

43
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
12
Tags cited more than once
Across separate surveys
15
Inspection & testing records
Of the citations on file

Position within KS

43 citations — more than 90% 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 8 citations; the earlier surveys in the window averaged 17.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens January 2027 — about 3 months from now. This facility’s last Life Safety survey was May 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

5 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

18 of the 43 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)

4 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 43 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.

This facility43KS median27National median11
Citations on file over three years, compared
MeasureCitations
This facility43
Median facility in KS27
Median facility nationally11

Survey history

Citations at each Life Safety survey
112022-01242023-0882025-05
Citations at each Life Safety survey
Survey dateCitations
January 27, 202211
August 31, 202324
May 14, 20258

Most-cited tags

Most-cited tags at this facility
K-03533K-07123K-03542E-00362K-03452K-09142K-02222K-03242
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0353Inspect, test, and maintain automatic sprinkler systems.32025-05-14
K-0712Have simulated fire drills held at unexpected times.32025-05-14
K-0354Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.22023-08-31
E-0036Establish emergency prep training and testing.22023-08-31
K-0345Have approved installation, maintenance and testing program for fire alarm systems.22025-05-14
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.22025-05-14
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.22025-05-14
K-0324Provide properly protected cooking facilities.22025-05-14

What the citations cover

Citations by CMS category
  • Emergency Preparedness Deficiencies 18
  • Smoke Deficiencies 10
  • Miscellaneous Deficiencies 6
  • Gas, Vacuum, and Electrical Systems Deficiencies 3
  • Other 6
Citations by CMS category
CategoryCitations
Emergency Preparedness Deficiencies18
Smoke Deficiencies10
Miscellaneous Deficiencies6
Gas, Vacuum, and Electrical Systems Deficiencies3
Egress Deficiencies3
Services Deficiencies1
Construction Deficiencies1
Electrical Deficiencies1

Every citation on file

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

May 14, 2025 — 8 citations

Citations issued on May 14, 2025
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 (August 26, 2025)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (August 26, 2025)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (August 26, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (August 26, 2025)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (August 26, 2025)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (August 26, 2025)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (August 26, 2025)
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 (August 26, 2025)

August 31, 2023 — 24 citations

Citations issued on August 31, 2023
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (November 16, 2023)
E-0007Address patient/client population and determine types of services needed.Deficient, Provider has date of correction (November 16, 2023)
E-0009Include a process for Emergency Preparedness collaboration.Deficient, Provider has date of correction (November 16, 2023)
E-0015Address subsistence needs for staff and patients.Deficient, Provider has date of correction (November 16, 2023)
E-0018Establish procedures for tracking staff and patients during an emergency.Deficient, Provider has date of correction (November 16, 2023)
E-0023Establish policies and procedures for medical documentation.Deficient, Provider has date of correction (November 16, 2023)
E-0024Establish policies and procedures for volunteers.Deficient, Provider has date of correction (November 16, 2023)
E-0025Create arrangements with other facilities to receive patients.Deficient, Provider has date of correction (November 16, 2023)
E-0026Establish roles under a Waiver declared by secretary.Deficient, Provider has date of correction (November 16, 2023)
E-0032Provide primary/alternate means for communication.Deficient, Provider has date of correction (November 16, 2023)
E-0035Provide family notifications of emergency plan.Deficient, Provider has date of correction (November 16, 2023)
E-0036Establish emergency prep training and testing.Deficient, Provider has date of correction (November 16, 2023)
E-0037Establish staff and initial training requirements.Deficient, Provider has date of correction (November 16, 2023)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (November 16, 2023)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (November 16, 2023)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (November 16, 2023)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (November 16, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (November 16, 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 (November 16, 2023)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (November 16, 2023)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (November 16, 2023)
K-0901Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.Deficient, Provider has date of correction (November 16, 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 (November 16, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (November 16, 2023)

January 27, 2022 — 11 citations

Citations issued on January 27, 2022
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (April 20, 2022)
E-0009Include a process for Emergency Preparedness collaboration.Deficient, Provider has date of correction (April 20, 2022)
E-0036Establish emergency prep training and testing.Deficient, Provider has date of correction (April 20, 2022)
E-0037Establish staff and initial training requirements.Deficient, Provider has date of correction (April 20, 2022)
K-0161Use approved construction type or materials.Deficient, Provider has date of correction (April 20, 2022)
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 (April 20, 2022)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (April 20, 2022)
K-0354Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.Deficient, Provider has date of correction (April 20, 2022)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (April 20, 2022)
K-0711Provide a written emergency evacuation plan.Deficient, Provider has date of correction (April 20, 2022)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (April 20, 2022)

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