SNF
GRAND PLAINS SKILLED NURSING BY AMERICARE
CCN: 175566 · PRATT, KS 67124 · Pratt County
Abuse citation flag
Overview
- Address
- 331 NE STATE ROAD 61, PRATT, KS 67124
- Phone
- 6203309850
- Certified beds
- 60
- Avg daily residents
- 51 (84% of beds filled)
- Ownership
- For-profit LLC
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 2020-10-19
- Setting
- Rural
2 /5
★★★★★
CMS Overall Rating
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 3.35 | 3.19 | 4.05 | ≥ 3.48 | Below floor |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.34 | 0.56 | 0.41 | ≥ 0.55 | Below floor |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 0.70 | 0.71 | 0.84 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.31 | 1.92 | 2.80 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.03 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.01 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Total nurse (weekend)
2.79
hrs / resident / day
RN (weekend)
0.25
hrs / resident / day
Total nurse (adjusted, weekend)
3.39
hrs / resident / day
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Total nursing staff turnover
51.9%
annual
RN turnover
33.3%
annual
Administrators departed
2
last 12 months
Resident acuity
Nursing Case-Mix Index
1.13
near national average
Case-Mix Index Ratio
0.82
facility / state ratio
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2025-03-13 | 8 | 5 | 8 | 64 | 1 | 64 |
| Cycle 2/3 (prior) | 2023-06-27 | 5 | 5 | 0 | 36 | 1 | 36 |
Total weighted health score
57.0
lower is better
Deficiencies (17)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
1 A/B/C No actual harm — minor
14 D/E/F Actual harm — potential for minor
2 G/H/I Actual harm
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2025-10-01 | 2025-10-25 |
| 0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-10-01 | 2025-10-25 |
| 0610 | Respond appropriately to all alleged violations. | E | 2025-10-01 | 2025-10-25 |
| 0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-03-13 | 2025-04-10 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2025-03-13 | 2025-04-10 |
| 0814 | Dispose of garbage and refuse properly. | D | 2025-03-13 | 2025-04-10 |
| 0880 | Provide and implement an infection prevention and control program. | E | 2025-03-13 | 2025-04-10 |
| 0908 | Keep all essential equipment working safely. | E | 2025-03-13 | 2025-04-10 |
| 0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | C | 2023-06-27 | 2023-07-26 |
| 0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2023-06-27 | 2023-07-26 |
| 0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2023-06-27 | 2023-07-26 |
| 0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2023-06-27 | 2023-07-26 |
| 0761 | 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. | E | 2023-06-27 | 2023-07-26 |
| 0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2022-03-03 | 2022-04-01 |
| 0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2022-03-03 | 2022-04-01 |
| 0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | 2022-03-03 | 2022-04-01 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2022-03-03 | 2022-04-01 |
Financial Health (FY 2023)
Payer mix (share of resident days)
Medicare 15.9% Medicaid 60.5% Other 23.6%
Operating performance
Operating Margin
4.8%
Total Margin
5.5%
Occupancy Rate
93.6%
Cost per Resident Day
$29
Revenue & costs
Net Patient Revenue
$4.8M
Total Costs
$440K
Net Income
$265K
Balance sheet
Total Assets
$651K
Total Liabilities
$1.4M
Fund Balance
-$745K
Current Ratio
2.41
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: AMERICARE SENIOR LIVING
- Chain ID
34- Facilities in chain
- 23
- Legal business name
- AMERICARE AT GRAND PLAINS SKILLED NURSING AND REHABILITATION LLC
Chain-average star ratings (for peer context)
Overall
3.6
Health
3.6
Staffing
3.3
QM
3.1
Owner / manager organizations (3)
| Organization | Role | Association |
|---|---|---|
| HWJ LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 07/17/2018 |
| GRAND PLAINS SKILLED NURSING LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 08/11/2020 |
| AMERICARE SYSTEMS, INC. | OPERATIONAL/MANAGERIAL CONTROL | since 08/11/2020 |
Owner / manager individuals (8)
| Name | Role | Association |
|---|---|---|
| FORD, JULIANNA | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 07/17/2018 |
| MONTGOMERY, HENLEY | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 07/17/2018 |
| MONTGOMERY, WILLIAM | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 07/17/2018 |
| CROSSON, CLAY | OPERATIONAL/MANAGERIAL CONTROL | since 08/11/2020 |
| REIKER, JAMES | CORPORATE OFFICER | since 07/17/2018 |
| SCHADE, KYLE | CORPORATE OFFICER | since 03/01/2021 |
| SCHADE, KYLE | CONTRACTED MANAGING EMPLOYEE | since 03/01/2021 |
| TOWNS, BETH | W-2 MANAGING EMPLOYEE | since 12/10/2015 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- Yes — last 2 cycles
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 113 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $29 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 2.41 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 60.5% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 15.9% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $265,067 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $4,750,165 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 93.6% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | 4.8% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $650,862 | metrics.total_assets |
| Cost Report | Total Costs ($) | $439,524 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $-744,560 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $1,395,422 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | 5.5% | metrics.total_margin |
| Provider Information | Abuse Icon | Y | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.84285 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 2.80497 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.40712 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 4.05494 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 3.38567 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 50.5 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 0.70698 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 1.92140 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.55725 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 3.18563 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 2.80780 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 3.6 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 3.6 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 3.1 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 3.3 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 34 | Chain ID |
| Provider Information | Chain Name | AMERICARE SENIOR LIVING | Chain Name |
| Provider Information | City/Town | PRATT | City/Town |
| Provider Information | CMS Certification Number (CCN) | 175566 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Pratt | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 2020-10-19 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 2 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 37.6558 | Latitude |
| Provider Information | Legal Business Name | AMERICARE AT GRAND PLAINS SKILLED NURSING AND REHABILITATION LLC | Legal Business Name |
| Provider Information | Location | 331 NE STATE ROAD 61,PRATT,KS,67124 | Location |
| Provider Information | Long-Stay QM Rating | 2 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -98.716 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 2 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 60 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | — | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | 23 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 0 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.12853 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 0.81917 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 2 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | For profit - Limited Liability company | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 331 NE STATE ROAD 61 | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | GRAND PLAINS SKILLED NURSING BY AMERICARE | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 750 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 4 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 64 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 8 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 5 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2025-03-13 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 64 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 8 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 5 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2023-06-27 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 36 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 0 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 36 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 5 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.24715 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 33.3 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.03134 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 0.69543 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 2.31437 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.00735 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.33591 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 3.34571 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 5 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 3 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | KS | State |
| Provider Information | Telephone Number | 6203309850 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 0.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 2.79350 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 0 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 51.9 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 57.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | N | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 67124 | ZIP Code |