Marion County

Access Mental Health

In Medicare’s Special Focus Facility program
Medicare rating
Rating withheld
8
findings of immediate jeopardy, the most serious kind
$114,739
in federal fines recorded since 2025

Medicare withholds the star rating from every home in its Special Focus Facility program. This rating is not missing. It is withheld.

500 Peabody, Peabody, KS 66866 · (620) 983-2165
45 beds · about 44 residents on a typical day · for-profit limited liability company

Staffing

This home did not file staffing data with Medicare for this release. We are not going to estimate it. Federal rules still require a licensed nurse on duty around the clock and a registered nurse for eight hours a day, and nothing here says whether this home met them. Ask the home for its daily staffing sheet, which it must post where you can see it.

Where the benchmark comes from

Staffing is the measure most closely linked to how residents do, and the one families almost never see. How much nursing care a resident needs depends on how sick they are, so we compare this home against the level its own residents are expected to need. The marker on the first two bars shows that level. It is a research benchmark, not a legal limit. The hours shown are the hours the home filed with Medicare, before any adjustment for how sick its residents are.

What inspectors found

Inspectors visit every nursing home and write up what they find. This home has 45 findings on record going back to 2024, 38 of them after someone filed a complaint.

The 10 serious findings here

Immediate jeopardy December 10, 2025 From a complaint

Behavioral health services not provided

The home did not arrange the specialist behavior and mental health services a resident needed.

The home had already fixed this before inspectors arrived.

Medicare’s wording

Federal tag F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Actual harm January 15, 2025 From a complaint

Nutrition

A resident did not get enough food or fluids to stay healthy.

The home fixed this on February 12, 2025.

Medicare’s wording

Federal tag F692Provide enough food/fluids to maintain a resident's health.

Immediate jeopardy October 10, 2024 From a complaint

Physical restraints

The home used a device to stop a resident moving freely when there was no medical need.

The home fixed this on November 11, 2024.

Medicare’s wording

Federal tag F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Immediate jeopardy October 10, 2024 From a complaint

Treatment for mental illness missed

The home did not treat a resident who was struggling to adjust or cope emotionally.

The home fixed this on November 11, 2024.

Medicare’s wording

Federal tag F742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

Immediate jeopardy February 1, 2024 From a complaint

Accidents and supervision

The home did not keep the building free of hazards, or did not supervise a resident closely enough to prevent an accident.

The home fixed this on February 29, 2024.

Medicare’s wording

Federal tag F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Actual harm February 1, 2024 From a complaint

Too few mental health staff

The home did not employ enough staff skilled in mental health and behavior care.

The home fixed this on February 29, 2024.

Medicare’s wording

Federal tag F741Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

Immediate jeopardy January 16, 2024 From a complaint

Accidents and supervision

The home did not keep the building free of hazards, or did not supervise a resident closely enough to prevent an accident.

The home fixed this on February 20, 2024.

Medicare’s wording

Federal tag F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Immediate jeopardy January 16, 2024 From a complaint

Failure to investigate

The home did not properly look into a reported incident.

The home fixed this on February 20, 2024.

Medicare’s wording

Federal tag F610Respond appropriately to all alleged violations.

Immediate jeopardy January 16, 2024 From a complaint

Late reporting

The home did not report a suspected incident within the time the law requires.

The home fixed this on February 20, 2024.

Medicare’s wording

Federal tag F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Immediate jeopardy January 16, 2024 From a complaint

Resident not protected from abuse or neglect

The home did not protect a resident from abuse or neglect by anyone.

The home fixed this on February 20, 2024.

Medicare’s wording

Federal tag F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Everything on record

Immediate jeopardy 8 Has caused, or was likely to cause, serious injury, harm, impairment or death
Actual harm 2 A resident was hurt
Potential for harm 34 Could have caused harm. No one was hurt. The most common kind.
No harm1Rule was broken but no resident was put at risk. Usually paperwork or procedure.

293 of the 296 nursing homes in Kansas have fewer findings of harm or immediate jeopardy on record than this one.

Medicare has blocked payment for new admissions at this home 2 times, for 28 days in total. The most recent block lasted 12 days and started July 26, 2025.

What these levels mean

Immediate jeopardy The most serious finding there is. Medicare’s words: noncompliance that has caused, or is likely to cause, serious injury, harm, impairment, or death. About 2 in every 100 findings nationally.

Actual harm A resident was really hurt, not just put at risk. About 3 in every 100 findings.

The letter is Medicare’s own code for how many residents were involved. Immediate jeopardy covers J, K and L. Actual harm covers G, H and I. The later the letter, the more residents were affected.

The plain-English line under each finding describes the rule the inspector cited. It is not an account of what happened. Medicare’s own wording of the rule is printed with it, and the full inspection report is the record of the incident.

This home has 1 finding under three federal tags that are counted together, and they do not all mean abuse: F600 is abuse or neglect, F602 is the wrongful use of a resident’s belongings or money, and F603 is involuntary seclusion. Medicare also publishes a separate abuse warning icon, which is narrower and time-limited, and this home does not currently carry it.

What you can do

Numbers only go so far. These are two things most families do not know they can do.

Ask for today’s staffing sheet

Every nursing home must post how many nurses are working each shift, keep 18 months of it, and show it to you on request. Ask for today’s, then last Saturday’s. Weekends are when staffing thins out.

Call the ombudsman before you decide

Every state has a free, confidential long-term care ombudsman. You can ask how many complaints a specific home has had and what they were about. You can find your state’s office through its department of aging.

Where this comes from

Inspection findings, staffing hours, fines and star ratings on this page are published by the Centers for Medicare & Medicaid Services, a federal agency, and are current as of August 1, 2026. We reload after each monthly release, and the footer of every page shows both the release date and the date we loaded it. The federal ID for this home is 17E210.

What these numbers do not say

Fines can be appealed and reduced. The amount shown is what CMS had recorded as of this release. Medicare’s penalties file covers a rolling window of the last few years rather than a home’s whole history, so this is what Medicare publishes today and not everything this home has ever been fined. The year beside the figure above is the earliest fine Medicare still lists for it.

The level of care residents here are expected to need, and the gap, are not Medicare figures. We work them out from this home’s own Medicare case-mix score using the published CASE formula (Harrington and others, Journal of the American Geriatrics Society, 2025). It is a research benchmark, not a legal limit.

Inspection findings are recorded by state inspectors on behalf of Medicare. Staffing hours come from payroll records the home files with Medicare, and Medicare audits a sample of them. Star ratings partly reflect quality measures the home reports about itself, which is why we show inspections and staffing separately rather than only the star.