Quick answers
- Where is Downs Care and Rehab?
- 1218 Kansas Street, Downs, KS 67437, in Osborne County, Kansas.
- What is the phone number of Downs Care and Rehab?
- (785) 454-3321, as listed by Medicare (CMS).
- What is the Medicare star rating of Downs Care and Rehab?
- Medicare overall rating: 5 out of 5 stars (CMS data updated 2026-10-01).
- Has Downs Care and Rehab been fined?
- Medicare lists no fines for Downs Care and Rehab.
- What did inspectors find at Downs Care and Rehab?
- In its last three inspection cycles (August 18, 2022 to June 24, 2026), Medicare lists 18 health citations; the most serious was level F. See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (August 18, 2022 to June 24, 2026), Downs Care and Rehab had 18 health citations; the most serious was level F (no actual harm, potential for more than minimal harm). Medicare lists no fines or payment denials for it in the last three years. Nurse staffing is 3.65 hours per resident per day; the Kansas average is 4.13 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: June 24, 2026 — 6 health citations
Inspections in this cycle: June 24, 2026 (standard health inspection).
Show 6 citations (levels A to F, no actual harm)
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0880 Level F
“Provide and implement an infection prevention and control program.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0605 Level D
“Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.”
F0756 Level D
“Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.”
F0759 Level D
“Ensure medication error rates are not 5 percent or greater.”
Previous cycle: July 31, 2024 — 8 health citations
Inspections in this cycle: July 31, 2024 (standard health inspection).
Show 8 citations (levels A to F, no actual harm)
F0801 Level F
“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.”
F0584 Level E
“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.”
F0921 Level E
“Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.”
F0657 Level D
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
F0661 Level D
“Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0758 Level D
“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.”
F0761 Level D
“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.”
Earlier cycle: August 18, 2022 — 4 health citations
Inspections in this cycle: August 18, 2022 (standard health inspection).
Show 4 citations (levels A to F, no actual harm)
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0880 Level F
“Provide and implement an infection prevention and control program.”
F0698 Level D
“Provide safe, appropriate dialysis care/services for a resident who requires such services.”
F0726 Level D
“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.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (26)
K0921 Level F
“Ensure that testing and maintenance of electrical equipment is performed.”
K0363 Level E
“Install corridor and hallway doors that block smoke.”
K0161 Level D
“Use approved construction type or materials.”
K0353 Level D
“Inspect, test, and maintain automatic sprinkler systems.”
K0920 Level D
“Ensure proper usage of power strips and extension cords.”
K0712 Level F
“Have simulated fire drills held at unexpected times.”
K0914 Level F
“Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.”
K0321 Level E
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0353 Level E
“Inspect, test, and maintain automatic sprinkler systems.”
K0363 Level E
“Install corridor and hallway doors that block smoke.”
K0372 Level E
“Ensure smoke barriers are constructed to a 1 hour fire resistance rating.”
K0761 Level D
“To conduct inspection, testing and maintenance of fire doors by qualified individuals.”
K0291 Level F
“Install emergency lighting that can last at least 1 1/2 hours.”
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0712 Level F
“Have simulated fire drills held at unexpected times.”
K0761 Level F
“To conduct inspection, testing and maintenance of fire doors by qualified individuals.”
K0901 Level F
“Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.”
K0914 Level F
“Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.”
K0918 Level F
“Have generator or other power source capable of supplying service within 10 seconds.”
K0293 Level E
“Have properly located and lighted "Exit" signs.”
K0321 Level E
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0363 Level E
“Install corridor and hallway doors that block smoke.”
K0374 Level E
“Install smoke barrier doors that can resist smoke for at least 20 minutes.”
K0511 Level E
“Have properly installed electrical wiring and gas equipment.”
K0325 Level D
“Have properly installed hallway dispensers for alcohol-based hand rub.”
K0920 Level D
“Ensure proper usage of power strips and extension cords.”
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Kansas | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.99 | 0.73 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.46 | 0.66 | 0.86 |
| Nurse aide hours per resident per day | 2.21 | 2.74 | 2.35 |
| Total nurse staff hours per resident per day | 3.65 | 4.13 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 3.12 | 3.62 | 3.43 |
| RN hours per resident per day on the weekend | 0.71 | 0.51 | 0.48 |
| Nursing staff turnover (per year) | 28.9% | 48.0% | 45.3% |
| RN turnover (per year) | 0.0% | 42.6% | 42.5% |
| Administrators who left in the last year | 1.0 | 0.3 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Part of a group of 29 nursing homes: Mission Health Communities.
Legal business name: Downs Operator LLC.
Owners and managers Medicare lists (7)
| Name | Role | Share | Since |
|---|---|---|---|
| Coronado Operator, LLC | Direct owner | 100% | October 1, 2019 |
| Barres, LLC | Indirect owner | 5% | October 1, 2019 |
| Curis Holdings, LLC | Indirect owner | — | October 1, 2019 |
| T and C Capital Assets, LLC | Indirect owner | 5% | October 1, 2019 |
| Windward Health Partners LLC | Indirect owner | 90% | October 1, 2019 |
| Downs Operator LLC | Management company (operational or managerial control) | NOT APPLICABLE | October 1, 2019 |
| Mission Health Communities, LLC | Management company (operational or managerial control) | NOT APPLICABLE | October 1, 2019 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 45 |
| Average residents per day | 38.3 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – limited liability company |
| Group or chain (affiliated entity) | Mission Health Communities |
| Legal business name | Downs Operator LLC |
| First approved by Medicare/Medicaid | 1991-02-01 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 1218 Kansas Street, Downs, KS 67437 |
| County | Osborne County |
| State | Kansas |
| Phone | (785) 454‑3321 |
| CMS Certification Number | 175201 |
| Name in Medicare records | DOWNS CARE AND REHAB |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Parkview Health and Rehabilitation Center8.8 mi · Osborne, KS · 1 of 5 stars
- Smith Center Health and Rehab15 mi · Smith Center, KS · 4 of 5 stars
- Sunporch of Smith County22 mi · Smith Center, KS · 5 of 5 stars
- Hilltop Lodge Health and Rehabilitation Center23 mi · Beloit, KS · 2 of 5 stars
- Mitchell County Hospital Health Systems Ltcu23 mi · Beloit, KS · 4 of 5 stars
Nearest hospital emergency rooms
- Osborne County Memorial Hospital8.9 mi · Osborne, KS · Critical Access Hospital
- Smith County Memorial Hospital23 mi · Smith Center, KS · Critical Access Hospital
- Mitchell County Hospital Health Systems23 mi · Beloit, KS · Critical Access Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13