The Shepherd's Center
101 Cedar Ridge Drive · Cimarron, KS · 67835 · 6208553498
28 certified beds Non profit - Corporation
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results have improved across recent cycles.
Red flags
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
3 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
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.
61% 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: 2 of 5 Inspections: 1 of 5 Staffing: 5 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.03 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.13 | 0.55–0.75 |
| Weekend hours / resident-day | 2.74 | ≈ weekday level |
| Nursing turnover / year | 61% | median 45% |
| Fines (3-yr window) | 1 · $13,627 |
Inspection citations (26 in the current record)
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Potential for harm · D November 17, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected December 10, 2025 · Resident Rights
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Potential for harm · E November 17, 2025
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected December 10, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 17, 2025
Ensure each resident receives an accurate assessment.
Corrected December 10, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 17, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected December 10, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 17, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected December 10, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 17, 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 December 10, 2025 · Resident Assessment and Care Planning
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Potential for harm · F November 17, 2025
Observe each nurse aide's job performance and give regular training.
Corrected December 10, 2025 · Nursing and Physician Services
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Potential for harm · F November 17, 2025
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected December 10, 2025 · Nutrition and Dietary
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Potential for harm · F November 17, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 10, 2025 · Nutrition and Dietary
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Potential for harm · F November 17, 2025
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected December 10, 2025 · Administration
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Potential for harm · F November 17, 2025
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected December 10, 2025 · Administration
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Potential for harm · F November 17, 2025
Provide and implement an infection prevention and control program.
Corrected December 10, 2025 · Infection Control
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Potential for harm · F November 17, 2025
Implement a program that monitors antibiotic use.
Corrected December 10, 2025 · Infection Control
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Immediate jeopardy · J June 27, 2024 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected July 10, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · L June 27, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected July 10, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · L June 27, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected July 10, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E February 8, 2024
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected March 1, 2024 · Resident Assessment and Care Planning
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Potential for harm · D February 8, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 1, 2024 · Resident Assessment and Care Planning
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Potential for harm · E February 8, 2024
Provide activities to meet all resident's needs.
Corrected March 1, 2024 · Quality of Life and Care
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Potential for harm · D February 8, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected March 1, 2024 · Quality of Life and Care
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Potential for harm · D February 8, 2024
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected March 1, 2024 · Pharmacy Service
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Potential for harm · F February 8, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 1, 2024 · Nutrition and Dietary
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Potential for harm · F February 8, 2024
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected March 1, 2024 · Administration
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Potential for harm · F February 8, 2024
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected March 1, 2024 · Administration
-
Potential for harm · F February 8, 2024
Provide and implement an infection prevention and control program.
Corrected March 1, 2024 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 27, 2024 | Fine | $13,627 |
Better-scoring options nearby
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 175570 · certified since March 13, 2024. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.