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Nursing home

Sandstone Heights

Little River, Kansas · Rice County

  • 440 State Street, Little River, KS 67457 · Directions
  • (620) 897‑6266
  • Medicare overall rating: 2 of 5 starsMedicare overall rating
  • Ownership: Non-profit – other
  • 20 health citations in its last 3 inspection cycles (most serious: level J), $67,763 in fines. See the inspection record

Summary

Sandstone Heights is a Medicare-certified nursing home in Little River, Kansas, with 36 certified beds. Medicare overall rating: 2 of 5 stars. Most recent standard health inspection: 2025-03-13, with 5 health deficiencies. Medicare lists 2 fines. Ownership: non-profit – other. Source: Medicare (CMS) Provider Information, data updated 2026-10-01.

What is a nursing home?

A nursing home (skilled nursing facility) gives 24-hour nursing care and help with daily activities. Some people stay for a short time to recover after a hospital stay (rehabilitation); others live there long term. The homes listed here are certified by Medicare and/or Medicaid and inspected by the state.

Official Medicare data

Everything on this page comes from Medicare (CMS) data updated 2026-10-01. It is information, not a recommendation. Call the nursing home and visit before you decide, and talk with your doctor.

In a medical emergency, call 911.

At a glance

Medicare overall rating: 2 of 5 starsMedicare overall rating
36Certified beds
Health inspections: 2 of 5 starsHealth inspections

Quick answers

Where is Sandstone Heights?
440 State Street, Little River, KS 67457, in Rice County, Kansas.
What is the phone number of Sandstone Heights?
(620) 897-6266, as listed by Medicare (CMS).
What is the Medicare star rating of Sandstone Heights?
Medicare overall rating: 2 out of 5 stars (CMS data updated 2026-10-01).
Has Sandstone Heights been fined?
Medicare lists 2 fines totaling $67,763 and 1 payment denial.
What did inspectors find at Sandstone Heights?
In its last three inspection cycles (November 4, 2021 to March 13, 2025), Medicare lists 20 health citations; the most serious was level J. 2 were level G or higher (actual harm or immediate jeopardy). 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.

Overall rating
Overall rating: 2 of 5 stars
Medicare’s summary of the three ratings below, from 1 star (much below average) to 5 stars (much above average).
Health inspections
Health inspections: 2 of 5 stars
Based on state health inspections and complaint investigations of about the last three years, compared with other nursing homes in the same state.
Staffing
Staffing: 5 of 5 stars
Based on how many hours nurses and aides spend with each resident per day (from payroll records) and how often staff leave.
Quality of resident care
Quality of resident care: 1 of 5 stars
Based on how residents do on measures such as falls with injury, pressure sores, getting better at moving around and going back to the hospital.
Short-stay residents (rehab)
Not rated
Quality rating for people who stay a short time, usually to recover after a hospital stay. Medicare (CMS) does not show this rating for this provider. This happens, for example, when a provider is new or has too few patients or survey answers.
Long-stay residents
Long-stay residents: 1 of 5 stars
Quality rating for people who live in the nursing home.

Inspections, fines and staffing

In its last three inspection cycles (November 4, 2021 to March 13, 2025), Sandstone Heights had 20 health citations; the most serious was level J (immediate jeopardy to resident health or safety). 2 of them were level G or higher (actual harm or immediate jeopardy). It was fined $67,763 in total (2 fines, the latest on March 13, 2025) and had 1 Medicare payment denial. Nurse staffing is 4.32 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
Scope and severity letters
SeriousnessIsolated (a few residents)Pattern (some)Widespread (many)
No actual harm, potential for minimal harmABC
No actual harm, potential for more than minimal harmDEF
Actual harm to residentsGHI
Immediate jeopardy to resident health or safetyJKL

Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.

Most recent cycle: March 13, 2025 — 5 health citations

Inspections in this cycle: March 13, 2025 (standard health inspection).

  • F0689 Level G March 13, 2025 · from a complaint · corrected May 21, 2025

    “Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”

    actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies

Show 4 less serious citations (levels A to F)
  • F0851 Level F March 13, 2025 · from a complaint · corrected April 2, 2025

    “Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.”

  • F0625 Level D March 13, 2025 · corrected April 2, 2025

    “Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.”

  • F0657 Level D March 13, 2025 · from a complaint · corrected April 2, 2025

    “Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”

  • F0812 Level D March 13, 2025 · from a complaint · corrected April 2, 2025

    “Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”

Previous cycle: June 15, 2023 — 9 health citations

Inspections in this cycle: June 15, 2023 (standard health inspection); March 13, 2025 (complaint investigation).

Show 9 citations (levels A to F, no actual harm)
  • F0727 Level F June 15, 2023 · corrected July 20, 2023

    “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.”

  • F0880 Level F June 15, 2023 · corrected July 20, 2023

    “Provide and implement an infection prevention and control program.”

  • F0921 Level F June 15, 2023 · corrected July 20, 2023

    “Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.”

  • F0761 Level E June 15, 2023 · corrected July 20, 2023

    “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.”

  • F0557 Level D June 15, 2023 · corrected July 20, 2023

    “Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.”

  • F0641 Level D June 15, 2023 · corrected July 20, 2023

    “Ensure each resident receives an accurate assessment.”

  • F0660 Level D June 15, 2023 · corrected July 20, 2023

    “Plan the resident's discharge to meet the resident's goals and needs.”

  • F0661 Level D June 15, 2023 · corrected July 20, 2023

    “Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.”

  • F0677 Level D June 15, 2023 · corrected July 20, 2023

    “Provide care and assistance to perform activities of daily living for any resident who is unable.”

Earlier cycle: November 4, 2021 — 6 health citations

Inspections in this cycle: November 4, 2021 (standard health inspection); January 16, 2024 (complaint investigation).

  • F0602 Level J January 16, 2024 · from a complaint · corrected January 29, 2024

    “Protect each resident from the wrongful use of the resident's belongings or money.”

    immediate jeopardy to resident health or safety; isolated (a few residents) · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Show 5 less serious citations (levels A to F)
  • F0882 Level F November 4, 2021 · corrected December 10, 2021

    “Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.”

  • F0881 Level E November 4, 2021 · corrected December 10, 2021

    “Implement a program that monitors antibiotic use.”

  • F0689 Level D November 4, 2021 · corrected December 10, 2021

    “Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”

  • F0761 Level D November 4, 2021 · corrected December 10, 2021

    “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.”

  • F0880 Level D November 4, 2021 · corrected December 10, 2021

    “Provide and implement an infection prevention and control program.”

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 (31)
  • E0007 Level F March 13, 2025 · corrected April 29, 2025

    “Address patient/client population and determine types of services needed.”

  • E0015 Level F March 13, 2025 · corrected April 29, 2025

    “Address subsistence needs for staff and patients.”

  • E0018 Level F March 13, 2025 · corrected April 29, 2025

    “Establish procedures for tracking staff and patients during an emergency.”

  • E0026 Level F March 13, 2025 · corrected April 29, 2025

    “Establish roles under a Waiver declared by secretary.”

  • E0030 Level F March 13, 2025 · corrected May 1, 2025

    “List the names and contact information of those in the facility.”

  • K0161 Level F March 13, 2025 · corrected May 13, 2025

    “Use approved construction type or materials.”

  • K0222 Level F March 13, 2025 · corrected May 1, 2025

    “Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.”

  • K0321 Level F March 13, 2025 · corrected April 29, 2025

    “Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”

  • K0324 Level F March 13, 2025 · corrected May 9, 2025

    “Provide properly protected cooking facilities.”

  • K0353 Level F March 13, 2025 · corrected May 13, 2025

    “Inspect, test, and maintain automatic sprinkler systems.”

  • K0363 Level F March 13, 2025 · corrected April 30, 2025

    “Install corridor and hallway doors that block smoke.”

  • K0372 Level F March 13, 2025 · corrected May 2, 2025

    “Ensure smoke barriers are constructed to a 1 hour fire resistance rating.”

  • K0511 Level F March 13, 2025 · corrected May 5, 2025

    “Have properly installed electrical wiring and gas equipment.”

  • K0712 Level F March 13, 2025 · corrected May 5, 2025

    “Have simulated fire drills held at unexpected times.”

  • K0918 Level F March 13, 2025 · corrected May 13, 2025

    “Have generator or other power source capable of supplying service within 10 seconds.”

  • K0920 Level F March 13, 2025 · corrected May 1, 2025

    “Ensure proper usage of power strips and extension cords.”

  • K0211 Level E March 13, 2025 · corrected May 9, 2025

    “Keep aisles, corridors, and exits free of obstruction in case of emergency.”

  • K0711 Level E March 13, 2025 · corrected April 29, 2025

    “Provide a written emergency evacuation plan.”

  • E0004 Level F June 15, 2023 · corrected July 31, 2023

    “Develop and maintain an Emergency Preparedness Program (EP).”

  • K0353 Level F June 15, 2023 · corrected July 31, 2023

    “Inspect, test, and maintain automatic sprinkler systems.”

  • K0712 Level F June 15, 2023 · corrected July 31, 2023

    “Have simulated fire drills held at unexpected times.”

  • K0918 Level F June 15, 2023 · corrected July 31, 2023

    “Have generator or other power source capable of supplying service within 10 seconds.”

  • K0926 Level F June 15, 2023 · corrected July 31, 2023

    “Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.”

  • K0761 Level E June 15, 2023 · corrected July 31, 2023

    “To conduct inspection, testing and maintenance of fire doors by qualified individuals.”

  • K0362 Level D June 15, 2023 · corrected July 31, 2023

    “Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.”

  • K0511 Level D June 15, 2023 · corrected July 31, 2023

    “Have properly installed electrical wiring and gas equipment.”

  • K0345 Level F November 4, 2021 · corrected December 22, 2021

    “Have approved installation, maintenance and testing program for fire alarm systems.”

  • K0353 Level F November 4, 2021 · corrected December 22, 2021

    “Inspect, test, and maintain automatic sprinkler systems.”

  • K0712 Level F November 4, 2021 · corrected December 22, 2021

    “Have simulated fire drills held at unexpected times.”

  • K0914 Level F November 4, 2021 · corrected December 22, 2021

    “Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.”

  • K0918 Level F November 4, 2021 · corrected December 22, 2021

    “Have generator or other power source capable of supplying service within 10 seconds.”

Fines and payment denials

Total fines over about the last three years: $67,763 (2 fines). A payment denial means Medicare stopped paying for new admissions for a time.

DatePenaltyAmount or length
March 13, 2025Fine$41,262
March 13, 2025Payment denialfrom April 11, 2025, 40 days
January 16, 2024Fine$26,501

Source: Medicare (CMS) Penalties file, data updated October 1, 2026.

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.

MeasureThis homeKansasNational
Registered nurse (RN) hours per resident per day1.090.730.69
Licensed practical nurse (LPN) hours per resident per day0.640.660.86
Nurse aide hours per resident per day2.592.742.35
Total nurse staff hours per resident per day4.324.133.90
Total nurse staff hours per resident per day on the weekend3.923.623.43
RN hours per resident per day on the weekend0.850.510.48
Nursing staff turnover (per year)51.4%48.0%45.3%
RN turnover (per year)25.0%42.6%42.5%
Administrators who left in the last year0.00.30.5

Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.

Owners and operator

Legal business name: Rice County Hospital District No 2.

Owners and managers Medicare lists (1)
NameRoleShareSince
Rice County Hospital District No 2Direct owner100%July 1, 1989

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

TypeNursing home
Certified beds36
Average residents per day26.2
Takes part inMedicare and Medicaid
OwnershipNon-profit – other
Legal business nameRice County Hospital District No 2
First approved by Medicare/Medicaid2008-10-01
Resident and family councilsResident council
Sprinklers in all required areasYes
Changed ownership in the last 12 monthsNo
Address440 State Street, Little River, KS 67457
CountyRice County
StateKansas
Phone(620) 897‑6266
CMS Certification Number175509
Name in Medicare recordsSANDSTONE HEIGHTS
CorrectionsReport 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).

Nearest hospital emergency rooms

Sources

  1. Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
  2. Medicare Care Compare — official Medicare profile of this provider
  3. Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
  4. Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
  5. Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
  6. Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
  7. State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
  8. Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
  9. Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
  10. Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13