The Cedars: Data Analysis and Ratings
CMS Five Star Rating(4 out of 5):
1021 CEDARS DRIVE MCPHERSON, KS 67460
620-241-0919
Data date: April 01, 2023
The Most Important Data about The Cedars
We've looked at a lot of nursing homes, this is what we think you need to see first and if you don't want to spend a lot of time. (It's the tl;dr section.)
There is no indication of abuse occuring at The Cedars. (CMS flags facilities where abuse has either happened or is very likely.)
CMS 5-Star Overall Rating:
(4 out of 5):
(The national average overall star rating is 3 stars.)
Current Trend: Worsening
Total Nursing Hours Spent Per Resident Per Day: 4.91
(The national average is 3.74 )
According to our analysis, The Cedars is ranked #19 out of 22 skilled nursing homes within a 25 mile radius. See detailed information from recent inspection reports, nursing hours analysis, surverys, and information on owners and operators. Click here to view the ranked list of nursing homes near The Cedars.
What is this page all about?
Below is everything shred of information that we can find about The Cedars, along with our best effort to make sense of the data. Our purpose here is to help you to make good decisions when picking a nursing home and to keep you informed once you have chosen a home. We know from personal experience that choosing a nursing home is not something you do once and then you forget about it. In fact, it gets worse. Once you select a nursing home and get through the initial steps of figuring out how to pay for it, then the real worries start. Are they taking good care of me or my loved one? This is the question that will keep you up at night: Can I really trust these people? We wish we could answer this question, we can't. What he can do is churn through the tons of data and try and help you to make sense of it. We hope it helps.
General Data Card
These are the basic data points for the facility.
Data date: April 01, 2023
Address: 1021 CEDARS DRIVE
MCPHERSON, KS 67460
Phone: 620-241-0919
Ranking: The Cedars is ranked #2 out of 2 facilities within a 10 mile radius and #19 out of 22 facilities within a 25 mile radius.
Medicare Provider Number: 175380
Participating in Medicare Since: July 10, 1996
No. of Certified Beds: 77
No. of Residents: 39
Occupancy: 50.65 % (as of 05/21/2023 )
Amount fined in recent period: $7,019.94
Complaints filed: 1
Ratings History for The Cedars
Review of The Cedars Ratings and Inspection Scores
CMS regularly inspects every skilled nursing facility. (The timing is supposed to be annually, but since the beginning of the Covid pandemic, these inspections have not occured as frequently.) The results of the multi-day inspection is reduced to a series of scores which are then translated into the star ratings. The health inspection scores are an absolute value, so you can compare one facility's score directly to another. The Overall Star rating is based on the facility's performance as compared to other facilities in the same state, so you cannot easily compare one facility's Overall star rating to a facility in another state.
Ratings
| Overall Rating | 4: |
| Health Inspection Rating | 2: |
| Quality Rating | 5: |
| Staffing Rating | 5: |
Inspection Scores
| Cycle 1 Score (as of June 29, 2021) | 86 |
| Cycle 2 Score (as of September 09, 2019) | 48 |
| Cycle 3 Score (as of November 29, 2018) | 52 |
| Weighted All Cycles Score | 68 |
It has been 21 months since the most recent inspection.
What Goes Into the Nursing Home's 5-Star Rating
CMS has put a lot of effort into creating its very elaborate 5-Star Quality Rating System specifically to provide a quick way for residents and family members to easily understand how well a nursing home is performing and to make comparing nursing homes easier. The rating system allows people to easily compare facilities across numerous dimensions with the express purpose of identifying the best and best performing nursing homes. The rating system was initially developed in 2008 and the methodologies are regularly reviewed and updated.
The rating system has five separate ratings including:
- Overall rating
- Health Inspection rating
- Staff rating
- RN Staffing rating
- Quality Measures rating
Nursing homes are rated from 1-star to 5-stars with 1-star being the best rating and 5-star being the best rating. For the Health Inspection Rating the nursing homes in each state are ranked based on their weighted three year inspection score. The top 10 percent of nursing homes (those with the lowest scores) are awarded a 5-star rating; the bottom 20 percent (those with the highest scores) are awarded a 1-star rating. In between 1-star and 5-star, the remaining homes are divided equally into three tranches which correspond with the stars 2 to 4. The staff ratings and quality measure ratings follow a similar process but the divisions are based on a national ranking. The division between star ratings is called the “cut-rate”. Cut-rates are redefined periodically and are published by CMS. See the latest cut rates on this table.
Calculating the Overall Star Rating is done differently. According to CMS, the reason for adopting a different system is to give the Health Inspection Rating higher weight in the Overall Rating. So, since there are FIVE ratings and FIVE stars for each rating, there must also be a FIVE step process to calculate the Overall Rating (so symetrical!) :
- Begin with the Health Inspection Rating
- Add one star to the Health Inspection Rating if the Staffing Rating is at least four-stars and is higher than the Health Inspection Rating. (We will call this the "Adjusted Rating".)
- Subtract one star from the Health Inspection Rating if the Staffing Rating is one-star.
- Add a star to the Adjusted Rating if the Quality Measure Rating is 5-stars.
- Subtract one star from the Adjusted Rating if the Quality Measure Rating is 1-star.
Throughout the calculation of the Overall Rating, the rating cannot exceed 5-stars. The Overall Rating is capped at 2-stars if the Health Inspection rating is 1-star. No Overall Rating is awarded if the nursing home does not have a Health Inspection Rating (This effectively means that a nursing home is not rated until the home has been operating for more than two years.)
Changes in a nursing homes star rating can be due to the results of a new health inspection report, the processing of new complaints, the aging of older complaints, a new inspection control survey, a revisit, or the resolution of disputes that change the scope and or severity of deficiencies.
Most Recent Nursing Home Inspections
CMS is required to inspect each senior nursing facility at least annually. These inspections take several days. Additional follow-up inspections as conducted as needed or for certain purposes. Inspections stopped for more than seven months in 2020 due to the Covid pandemic. That stoppage has caused all inspections to be delayed as the inspectors continue to deal with a backlog. The table below shows the latest inspections for The Cedars including health, fire, and inspection control inspections:
| Inspection Type | Inspection Date |
|---|---|
| Fire Safety Standard | August 04, 2021 |
| Fire Safety Standard | August 21, 2019 |
| Fire Safety Standard | January 22, 2019 |
| Health Complaint | May 05, 2022 |
| Health Complaint | April 13, 2022 |
| Health Complaint | April 05, 2021 |
| Health Standard | June 29, 2021 |
| Health Standard | September 09, 2019 |
| Health Standard | November 29, 2018 |
| Infection Control | December 07, 2020 |
| Infection Control | July 14, 2020 |
Owner and Operator Information for The Cedars
Our database of owners and operators shows all direct owners of the nursing nurse, any managers and directors, and the most adjacent indirect owners of the facility (that is, if the direct owner is company, then the owners of that company.) Lists of nursing home owners are available and you can search for nursing home owners and operators on our site.
Business Entity Name:
CEDARS, INC.
Owners:
Managers and Directors:
- STEPHANIE BRYANT (OFFICER)
- STEPHANIE BRYANT (MANAGING EMPLOYEE)
- APRIL NEUFELDT (DIRECTOR)
Analysis of Nursing Hours Spent Per Patient
CMS provides detailed information about how long nursing staff spends with residents. This data includes nursing subcategories of Registered Nurse, Licensed Practical Nurse, and non-nursing Certified Nursing Assistants. More hours spend per patient should can indicate a better facility or it could indicate more complicated situations.
The nursing staff of The Cedars spends MORE time on average with its residents than the state average for total nursing homes spent per resident and MORE time than the national average for total nursing homes spent per resident.
| Type | Facility | State / National Avg |
|---|---|---|
| Registered Nurse (RN) | ||
| Hours | 0.60 | 0.71 / 0.65 |
| Case Mix | 0.29 | 0.34 / 0.39 |
| Adjusted | 0.80 | NA / NA |
| Licensed Practical Nurse (LPN) | ||
| Hours | 0.94 | 0.67 / 0.88 |
| Case Mix | 0.66 | NA / NA |
| Adjusted | 1.05 | NA / NA |
| Certified Nursing Assistants (CNA) | ||
| Hours | 3.37 | 2.57 / 2.21 |
| Case Mix | 2.08 | NA / NA |
| Adjusted | 3.29 | NA / NA |
| Total Licensed Staff | ||
| Hours | 1.55 | 1.39 / 1.53 |
| Physical Therapist (PT) | ||
| Hours | 0.04 | 0.05 / 0.07 |
| Total Nursing Homes Spent per Resident on Average | ||
| Hours | 4.91 | 3.96 / 3.74 |
| Case Mix | 3.03 | 2.96 / 3.16 |
| Adjusted | 5.12 | NA / NA |
Quality Measures
Quality measures are based both on patient survey information and on the results of actual claims that are filed with CMS. It is not clear what period is covered in the measures.
| Desc. | Perc. | State Avg. / Comparison |
|---|---|---|
| Percentage of short-stay residents who were rehospitalized after a nursing home admission (qm521) | 25.7% |
21.6% Worse |
| Percentage of short-stay residents who had an outpatient emergency department visit (qm522) | 2.4% |
12.0% Better |
| Number of hospitalizations per 1000 long-stay resident days (qm551) | 1.0% |
1.8% Better |
| Number of outpatient emergency department visits per 1000 long-stay resident days (qm552) | 1.3% |
1.3% Worse |
| Percentage of long-stay residents whose need for help with daily activities has increased (qm401) | 5.8% |
17.1% Better |
| Percentage of long-stay residents who lose too much weight (qm404) | 3.9% |
5.8% Better |
| Percentage of low risk long-stay residents who lose control of their bowels or bladder (qm405) | 67.3% |
41.7% Worse |
| Percentage of long-stay residents with a catheter inserted and left in their bladder (qm406) | 2.0% |
2.6% Better |
| Percentage of long-stay residents with a urinary tract infection (qm407) | 2.8% |
3.6% Better |
| Percentage of long-stay residents who have depressive symptoms (qm408) | 2.3% |
5.9% Better |
| Percentage of long-stay residents who were physically restrained (qm409) | 0.0% |
0.1% Better |
| Percentage of long-stay residents experiencing one or more falls with major injury (qm410) | 3.2% |
5.0% Better |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine (qm415) | 99.5% |
88.8% Better |
| Percentage of long-stay residents who received an antipsychotic medication (qm419) | 8.1% |
18.1% Better |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine (qm430) | 82.4% |
71.4% Better |
| Percentage of short-stay residents who newly received an antipsychotic medication (qm434) | 0.0% |
2.3% Better |
| Percentage of long-stay residents whose ability to move independently worsened (qm451) | 11.2% |
17.1% Better |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication (qm452) | 24.8% |
22.7% Worse |
| Percentage of high risk long-stay residents with pressure ulcers (qm453) | 1.5% |
6.9% Better |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine (qm454) | 100.0% |
94.6% Better |
| Percentage of short-stay residents who made improvements in function (qm471) | 77.8% |
74.9% Better |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine (qm472) | 69.7% |
66.3% Better |
The Cedars Violations, Complaints and Fines
These are complaints and fines that are reported by CMS. Some of the data is not very recent, but we have decided to include it here so that you have as much information as possible.
Amount fined in recent period: $7,019.94, Complaints filed: 1
| Deficiency | Deficiency Date / Date Corrected |
|---|---|
| Ensure each resident receives an accurate assessment. (Health) | 11-29-2018 / 12-17-2018 |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Health) | 11-29-2018 / 12-17-2018 |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Health) | 11-29-2018 / 12-17-2018 |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. (Health) | 11-29-2018 / 12-17-2018 |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Health) | 11-29-2018 / 12-17-2018 |
| Have a plan that describes the process for conducting QAPI and QAA activities. (Health) | 11-29-2018 / 12-17-2018 |
| Address patient/client population and determine types of services needed. (Fire Safety) | 01-22-2019 / 02-22-2019 |
| Address subsistence needs for staff and patients. (Fire Safety) | 01-22-2019 / 02-22-2019 |
| Establish policies and procedures for sheltering. (Fire Safety) | 01-22-2019 / 02-22-2019 |
| Establish roles under a Waiver declared by secretary. (Fire Safety) | 01-22-2019 / 02-22-2019 |
| Provide primary/alternate means for communication. (Fire Safety) | 01-22-2019 / 02-22-2019 |
| Install proper backup exit lighting. (Fire Safety) | 01-22-2019 / 02-22-2019 |
| Install emergency lighting that can last at least 1 1/2 hours. (Fire Safety) | 01-22-2019 / 02-22-2019 |
| Have properly installed hallway dispensers for alcohol-based hand rub. (Fire Safety) | 01-22-2019 / 02-22-2019 |
| Have approved installation, maintenance and testing program for fire alarm systems. (Fire Safety) | 01-22-2019 / 02-22-2019 |
| Inspect, test, and maintain automatic sprinkler systems. (Fire Safety) | 01-22-2019 / 01-22-2019 |
| Install corridor and hallway doors that block smoke. (Fire Safety) | 01-22-2019 / 02-22-2019 |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. (Fire Safety) | 01-22-2019 / 02-22-2019 |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. (Fire Safety) | 01-22-2019 / 02-22-2019 |
| Meet other general requirements that are deficient. (Fire Safety) | 01-22-2019 / 02-22-2019 |
| Have properly installed electrical wiring and gas equipment. (Fire Safety) | 01-22-2019 / 02-22-2019 |
| Have simulated fire drills held at unexpected times. (Fire Safety) | 01-22-2019 / 02-22-2019 |
| Have restrictions on the use of highly flammable decorations. (Fire Safety) | 01-22-2019 / 02-22-2019 |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. (Fire Safety) | 01-22-2019 / 02-22-2019 |
| Have restrictions on the use of portable space heaters. (Fire Safety) | 01-22-2019 / 02-22-2019 |
| Have generator or other power source capable of supplying service within 10 seconds. (Fire Safety) | 01-22-2019 / 02-22-2019 |
| Ensure proper usage of power strips and extension cords. (Fire Safety) | 01-22-2019 / 02-22-2019 |
| Have proper medical gas storage and administration areas. (Fire Safety) | 01-22-2019 / 02-22-2019 |
| Develop and maintain an Emergency Preparedness Program (EP). (Fire Safety) | 08-21-2019 / 09-20-2019 |
| Establish policies and procedures for medical documentation. (Fire Safety) | 08-21-2019 / 09-20-2019 |
| Establish methods for sharing information. (Fire Safety) | 08-21-2019 / 09-20-2019 |
| Install emergency lighting that can last at least 1 1/2 hours. (Fire Safety) | 08-21-2019 / 09-20-2019 |
| Have properly installed hallway dispensers for alcohol-based hand rub. (Fire Safety) | 08-21-2019 / 09-20-2019 |
| Have approved installation, maintenance and testing program for fire alarm systems. (Fire Safety) | 08-21-2019 / 09-20-2019 |
| Inspect, test, and maintain automatic sprinkler systems. (Fire Safety) | 08-21-2019 / 09-20-2019 |
| Have simulated fire drills held at unexpected times. (Fire Safety) | 08-21-2019 / 09-20-2019 |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. (Fire Safety) | 08-21-2019 / 09-20-2019 |
| Have generator or other power source capable of supplying service within 10 seconds. (Fire Safety) | 08-21-2019 / 09-20-2019 |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Health) | 09-09-2019 / 09-19-2019 |
| 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. (Health) | 09-09-2019 / 09-19-2019 |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Health) | 09-09-2019 / 09-19-2019 |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Health) | 09-09-2019 / 09-19-2019 |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Health) | 09-09-2019 / 09-19-2019 |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. (Health) | 09-09-2019 / 09-19-2019 |
| 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. (Health) | 09-09-2019 / 09-19-2019 |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Health) | 04-05-2021 / 04-23-2021 |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Health) | 06-29-2021 / 07-11-2021 |
| Respond appropriately to all alleged violations. (Health) | 06-29-2021 / 07-11-2021 |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Health) | 06-29-2021 / 07-11-2021 |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Health) | 06-29-2021 / 07-11-2021 |
| 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. (Health) | 06-29-2021 / 07-11-2021 |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (Health) | 06-29-2021 / 07-11-2021 |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Health) | 06-29-2021 / 07-11-2021 |
| Meet other general requirements. (Fire Safety) | 08-04-2021 / 09-08-2021 |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. (Fire Safety) | 08-04-2021 / 09-08-2021 |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. (Fire Safety) | 08-04-2021 / 09-08-2021 |
| Provide properly protected cooking facilities. (Fire Safety) | 08-04-2021 / 09-08-2021 |
| Have properly installed hallway dispensers for alcohol-based hand rub. (Fire Safety) | 08-04-2021 / 09-08-2021 |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. (Fire Safety) | 08-04-2021 / 09-08-2021 |
| Inspect, test, and maintain automatic sprinkler systems. (Fire Safety) | 08-04-2021 / 09-08-2021 |
| Properly select, install, inspect, or maintain portable fire extinguishes. (Fire Safety) | 08-04-2021 / 09-08-2021 |
| Install corridor and hallway doors that block smoke. (Fire Safety) | 08-04-2021 / 09-08-2021 |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. (Fire Safety) | 08-04-2021 / 09-08-2021 |
| Have properly installed electrical wiring and gas equipment. (Fire Safety) | 08-04-2021 / 09-08-2021 |
| Have simulated fire drills held at unexpected times. (Fire Safety) | 08-04-2021 / 09-08-2021 |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. (Fire Safety) | 08-04-2021 / 09-08-2021 |
| Have generator or other power source capable of supplying service within 10 seconds. (Fire Safety) | 08-04-2021 / 09-08-2021 |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Health) | 04-13-2022 / 04-28-2022 |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. (Health) | 05-05-2022 / 05-06-2022 |
Hospitals Near The Cedars
Quite often skilled nursing facilities and hospitals work closely together to help patients recover or manage a terminal illness. Hospitals deals with acute care while nursing homes treat patients for a longer period of time. New residents at skilled nursing homes typically come from a hospital and nursing home residents may be readmitted to a hospital if their recovery does not proceed well. (Hospital readmission rates are closely monitored by CMS.) Consequently it is important that you consider which hospitals are near a nursing home which choosing one. Below is a list of hospitals near The Cedars.
This information is based on the most recent Hospital data. Historical data is not available.
| Hospital | 5-Star Overall Rating |
|---|---|
|
HUTCHINSON REGIONAL MEDICAL CENTER INC 1701 E 23RD AVENUE HUTCHINSON, KS 67502 |
3 |
|
MCPHERSON HOSPITAL 1000 HOSPITAL DRIVE MCPHERSON, KS 67460 |
3 |
|
NMC HEALTH 600 MEDICAL CENTER DRIVE NEWTON, KS 67114 |
5 |
|
MERCY HOSPITAL, INC 218 E PACK STREET MOUNDRIDGE, KS 67107 |
Not Available |
|
SUMMIT SURGICAL, LLC 1818 EAST 23RD AVENUE HUTCHINSON, KS 67502 |
Not Available |
|
LINDSBORG COMMUNITY HOSPITAL 605 W LINCOLN STREET LINDSBORG, KS 67456 |
Not Available |
|
PRAIRIE VIEW INC 1901 E FIRST STREET PO BOX 467 NEWTON, KS 67114 |
Not Available |
Medical Professionals Associated with The Cedars
These are the doctors who are affiliated with The Cedars. The data is from the most recent period. Historical data is not available.
- JAMES LARZALERE ( FAMILY PRACTICE )
- PAUL ULLOM-MINNICH ( FAMILY PRACTICE - PARTNERS IN FAMILY CARE LLC )
- DAVID BULLER ( FAMILY PRACTICE - MCPHERSON HOSPITAL, INC. )
- GREGORY THOMAS ( FAMILY PRACTICE - MCPHERSON HOSPITAL, INC. )
- SHEILA GORMAN ( FAMILY PRACTICE - MCPHERSON HOSPITAL, INC. )
- TRENTON VANEATON ( FAMILY PRACTICE - MCPHERSON HOSPITAL, INC. )
Detailed Analysis Pages:
Depending on the nursing home, this page can get really long. So, we have also broken up the data onto separate pages to allow you to find what you want more easily. We will keep adding to these pages as we continue to analyze the nursing home database.
CMS Five Star Ratings and Quality Measures for The Cedars
Five different rating results plus detailed inspection numbers and quality measures for The Cedars.
Covid Infections at The Cedars
This report is updated weekly and shows new and historical infection levels.
Nursing Hours Analysis for The Cedars
How long a nurse spends with a resident can be an important factor in their recovery. This page shows the average nursing hours spent per resident for RNs, LPNs, CNAs, PTs and all licensed staff.
Ownership Details for The Cedars
A list of all of the registered owners for The Cedars. This includes direct and indirect owners and managers.
Noted Deficiencies for The Cedars
A list of all of the deficiencies for the facility. This includes a description, type of deficiency, incident date and when the facility reports that the incident was corrected.
Comparison Ranking of Nearby Skilled Nursing Facilities
How does The Cedars compare to other skilled nursing facilities? This list shows the competitive set within a 25 mile radius.
Best Nursing Homes in MCPHERSON, KS
Homes that you should consider. A list ranking the best skilled nursing facilities in MCPHERSON based on their weighted inspection score as of April 01, 2023.
Worst Nursing Homes in MCPHERSON, KS
Homes that you avoid if possible. A list ranking the worst skilled nursing facilities in MCPHERSON based on their weighted inspection score as of April 01, 2023.
Other Data Periods:
Data on The Cedars is available for the following periods:
