Smoky Hill Rehabilitation Center
1007 Johnstown Avenue · Salina, KS · 67401 · 7858237107
90 certified beds For profit - Corporation Chain: Hmg Healthcare
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing levels are well below research benchmarks for safe care.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
3 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
RN staffing in the bottom 10% nationally
0.26 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Total nurse staffing below 3.0 hours per resident-day
2.10 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
96% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 2.10 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.26 | 0.55–0.75 |
| Weekend hours / resident-day | 2.04 | ≈ weekday level |
| Nursing turnover / year | 96% | median 45% |
| Fines (3-yr window) | 5 · $147,090 |
Inspection citations (65 in the current record)
-
Immediate jeopardy · J February 19, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected February 20, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G February 19, 2026 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected March 6, 2026 · Quality of Life and Care
-
Potential for harm · D December 10, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected December 24, 2025 · Resident Rights
-
Potential for harm · E December 10, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected January 5, 2026 · Quality of Life and Care
-
Potential for harm · F September 3, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 17, 2025 · Nutrition and Dietary
-
Potential for harm · D April 23, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected July 17, 2025 · Resident Rights
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Potential for harm · D April 23, 2025
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected July 17, 2025 · Resident Rights
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Potential for harm · E April 23, 2025
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.
Corrected July 17, 2025 · Resident Rights
-
Potential for harm · D April 23, 2025
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected July 17, 2025 · Resident Rights
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Potential for harm · E April 23, 2025
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected July 17, 2025 · Resident Rights
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Potential for harm · D April 23, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected July 17, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 23, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected July 17, 2025 · Quality of Life and Care
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Potential for harm · D April 23, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected July 17, 2025 · Quality of Life and Care
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Potential for harm · D April 23, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected July 17, 2025 · Quality of Life and Care
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Potential for harm · D April 23, 2025
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected July 17, 2025 · Pharmacy Service
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Potential for harm · E April 23, 2025
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected July 17, 2025 · Pharmacy Service
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Potential for harm · D April 23, 2025
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected July 17, 2025 · Administration
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Potential for harm · D April 23, 2025
Provide and implement an infection prevention and control program.
Corrected July 17, 2025 · Infection Control
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Potential for harm · D April 23, 2025
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected July 17, 2025 · Infection Control
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Actual harm · G February 19, 2025 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected February 20, 2025 · Quality of Life and Care
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Actual harm · G February 19, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected February 20, 2025 · Pharmacy Service
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Immediate jeopardy · J September 18, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected August 27, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J September 18, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 27, 2024 · Quality of Life and Care
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Immediate jeopardy · J September 18, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 27, 2024 · Quality of Life and Care
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Actual harm · G July 8, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 27, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 19, 2026 | Fine | $18,530 |
| July 10, 2025 | Payment Denial | 14 days |
| February 19, 2025 | Fine | $10,339 |
| September 18, 2024 | Fine | $18,368 |
| July 8, 2024 | Fine | $27,599 |
| December 27, 2023 | Fine | $72,254 |
| December 27, 2023 | Payment Denial | 33 days |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 175185 · certified since April 17, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.