Nursing home
Downs Care and Rehab
1218 Kansas Street, Downs, KS 67437 · Map
For profit - Corporation · Part of Mission Health Communities (40 facilities) · 45 certified beds
Downs Care and Rehab is a Medicare-certified nursing home in Downs, Kansas. CMS rates it 4 out of 5 stars overall (4/5 for staffing, 4/5 for health inspections). Nurse staffing is 3.56 hours per resident per day, below the Kansas average of 4.07. Its most recent inspection on Jul 31, 2024 cited 8 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Downs Care and Rehab compares
This facility vs. the Kansas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Kansas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.56 | 4.07 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.96 | 0.71 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.13 | 2.69 | 2.34 | below avg |
| Nursing staff turnover | 42.5% | 49.5% | 46.4% | below avg |
| Deficiencies cited, last inspection | 8.0 | 10.1 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
What inspectors found at Downs Care and Rehab
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
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.
Nutrition and Dietary Deficiencies · Jul 31, 2024 · Full report (PDF) - Potential for harm
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · Jul 31, 2024 · Full report (PDF) - Potential for harm
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.
Resident Rights Deficiencies · Jul 31, 2024 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · Jul 31, 2024 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · Jul 31, 2024 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Jul 31, 2024 · Full report (PDF) - Potential for harm
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Resident Assessment and Care Planning Deficiencies · Jul 31, 2024 · Full report (PDF) - Potential for harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Jul 31, 2024 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Aug 18, 2022 - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Aug 18, 2022 - Potential for harm
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.
Nursing and Physician Services Deficiencies · Aug 18, 2022 - Potential for harm
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · Aug 18, 2022
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 1218 Kansas Street
Downs, KS 67437 - CMS certification #
- 175201
- Ownership
- For profit - Corporation
- Certified beds
- 45
- Avg residents/day
- 40.5
- Provider type
- Medicare and Medicaid
- First certified
- 1991-02-01
- Chain
- Mission Health Communities (40 facilities)
- Setting
- Rural
Part of Mission Health Communities
Mission Health Communities operates 40 nursing facilities across the United States. View all Mission Health Communities facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Downs Care and Rehab using Google Maps.
Other public records
- Website says Respite stays, works with hospice
Full public records, with dates and sources
Care and services
From the community’s website
What Downs Care and Rehab says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Offers respite or short-term stays.
respite care
(page, checked Oct 12, 2026) - Offers hospice care on site or works with hospice providers.
Our community participates in Medicaid, Medicare Part A & B, private insurance, hospice, respite care, and participating HMO plans.
(page, checked Oct 12, 2026) - Apartment types named: private room, semi-private room.
private and semi-private rooms
(page, checked Oct 12, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Osborne County Memorial Hospital, Osborne. 8.9 miles away, straight line.
- Nearest Medicare nursing home
- Parkview Health and Rehabilitation Center, Osborne. 8.8 miles away, straight line.
- Nearest home health agency office
- Pivotal Health & Wellness, Inc, Courtland. 39.7 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Pharmacy. 9.2 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 67437 as rural (rural area).
- Hospice
- 2 Medicare hospices tell CMS they serve ZIP code 67437.
Solomon Valley Hospice, office in Beloit, 23.4 miles away, straight line - Nearest geriatric medicine practice
- Michael Reeh, MD, Hillsboro. 107.7 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- FEMA has a flood map for this community (effective November 26, 1976), but it is not in FEMA's digital flood map data, so the zone at this address could not be read. FEMA's Map Service Center has the map. (FEMA flood map)
- Wildfire risk to homes
- In Downs, KS, risk to homes is greater than 12% of communities in Kansas and 34% of communities nationwide. USDA rates the whole town or city, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
- FEMA National Risk Index
- Overall: very high. By hazard: inland flooding very high, wildfire relatively moderate, tornado very high, heat wave relatively low, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | See above |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
Looking for assisted living or memory care instead?
Frequently asked questions
Is Downs Care and Rehab a good nursing home?
CMS gives Downs Care and Rehab an overall rating of 4 out of 5 stars, including 4/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Downs Care and Rehab staffed?
Downs Care and Rehab reports 3.56 total nurse hours per resident per day, compared with the Kansas average of 4.07.
Has Downs Care and Rehab had inspection problems?
Its most recent CMS inspection cited 8 deficiencies.
How many beds does Downs Care and Rehab have?
Downs Care and Rehab is certified for 45 beds.