Trego Co-Lemke Memorial Hospital Ltcu
320 N 13th St · Wakeeney, KS · 67672 · 7857432182
37 certified beds Government - County Hospital-based
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection results are getting worse cycle over cycle, not better.
- Staffing hours comfortably above national benchmarks.
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
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.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
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: 4 of 5 Inspections: 3 of 5 Staffing: 5 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 5.68 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.82 | 0.55–0.75 |
| Weekend hours / resident-day | 4.68 | ≈ weekday level |
| Nursing turnover / year | 15% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (18 in the current record)
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Immediate jeopardy · J November 19, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected November 17, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 4, 2025
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected July 18, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 4, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected July 18, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 4, 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 18, 2025 · Quality of Life and Care
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Potential for harm · E June 4, 2025
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected July 18, 2025 · Nursing and Physician Services
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Potential for harm · D June 4, 2025
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected July 18, 2025 · Pharmacy Service
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Potential for harm · F June 4, 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 July 18, 2025 · Nutrition and Dietary
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Potential for harm · F June 4, 2025
Provide and implement an infection prevention and control program.
Corrected July 18, 2025 · Infection Control
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Potential for harm · D June 4, 2025
Implement a program that monitors antibiotic use.
Corrected July 18, 2025 · Infection Control
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Potential for harm · D September 20, 2023
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected October 5, 2023 · Resident Rights
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Potential for harm · D September 20, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected October 5, 2023 · Resident Assessment and Care Planning
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Potential for harm · D September 20, 2023
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected October 5, 2023 · Quality of Life and Care
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Potential for harm · D September 20, 2023
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected October 5, 2023 · Pharmacy Service
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Potential for harm · D September 20, 2023
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected October 5, 2023 · Pharmacy Service
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Potential for harm · D September 20, 2023
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 October 5, 2023 · Pharmacy Service
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Potential for harm · D September 20, 2023
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 October 5, 2023 · Administration
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No harm found · C September 20, 2023
Post nurse staffing information every day.
Corrected October 5, 2023 · Nursing and Physician Services
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Potential for harm · F May 26, 2022
Provide and implement an infection prevention and control program.
Corrected June 9, 2022 · Infection Control
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 17A020 · certified since March 31, 1974. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.