nursing home in Beloit, KS
Mitchell County Hospital Health Systems Ltcu
400 W 8th Street, Beloit, KS 67420 · (785) 738-9590
★★★★★4
Above average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★5
- Staffing★★★★★5
- Quality measures★★★★★1
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Mitchell County Hospital Health Systems Ltcu at a glance
Mitchell County Hospital Health Systems Ltcu is a 36-bed government nursing home in Beloit, Kansas (Mitchell County).
CMS gives it 4 out of 5 stars on its overall star rating, better than the Kansas average of 3.1.
Residents receive about 4.8 hours of nursing care per day (1.3 of them from registered nurses), better than the state average of 4.1 hours.
Its most recent standard health inspection (February 6, 2025) found 2 health citations. The Kansas average is 9.5.
It has not received a federal fine in the past three years.
Nursing staff turnover is 27.8% per year (state average 48.1%).
Facility details
- Type
- Nursing home
- Ownership
- Government - County
- Beds
- 36
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- September 1, 2008
- Resident/family council
- Resident
- County
- Mitchell County
- CMS Certification Number
- 175505
Ratings
| Measure | This facility | Kansas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 4 / 5 | 3.1 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 5 / 5 | 2.9 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 5 / 5 | 3.5 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 1 / 5 | 3.2 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 1 / 5 | 3.1 / 5 | 3.8 / 5 | Worse |
Staffing
| Measure | This facility | Kansas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 4.79 hrs | 4.07 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 1.30 hrs | 0.71 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 3.16 hrs | 2.70 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 4.03 hrs | 3.60 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 27.8% | 48.1% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 0% | 42% | 42.9% | Better |
Inspections
| Measure | This facility | Kansas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 2 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 3 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 17 | 83.4 | 80.6 | Better |
Penalties
| Measure | This facility | Kansas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $20,430 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Kansas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 36 | 61 | 107 | |
| Average residents per day | 33 | 51 | 86 | |
| Occupancy | 90.8% | 82.4% | 80.9% |
Long-stay residents
| Measure | This facility | Kansas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 7.5% | 4.3% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 5.5% | 4.4% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 16.2% | 18.1% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 11.9% | 2.9% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 5.3% | 1.6% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 37.4% | 17.9% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 25.2% | 16.2% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 9.1% | 4.9% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 0% | 6.5% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 37.1% | 23.2% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 24.1% | 22.6% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 95.5% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 92.1% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Kansas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents given a pneumonia vaccine (higher is better) | 95.5% | 76.1% | 82% | Better |
Inspection citations
State inspectors cited this home for 14 health deficiencies and 24 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| February 6, 2025 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | F Potential harm, widespread | Corrected April 11, 2025 |
| February 6, 2025 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected April 11, 2025 |
| February 6, 2025 Fire safety | Ensure that smoke control systems are tested and documented in accordance with established engineering principles. Miscellaneous Deficiencies · Tag K0771 | F Potential harm, widespread | Corrected April 11, 2025 |
| February 6, 2025 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected April 11, 2025 |
| February 6, 2025 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | F Potential harm, widespread | Corrected April 11, 2025 |
| February 6, 2025 Fire safety | Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. Smoke Deficiencies · Tag K0343 | F Potential harm, widespread | Corrected April 11, 2025 |
| February 6, 2025 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | F Potential harm, widespread | Corrected April 11, 2025 |
| February 6, 2025 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | E Potential harm, pattern | Corrected April 11, 2025 |
| February 6, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected April 11, 2025 |
| February 6, 2025 Standard | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Infection Control Deficiencies · Tag F0882 | E Potential harm, pattern | Corrected March 25, 2025 |
| February 6, 2025 Standard | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Quality of Life and Care Deficiencies · Tag F0700 | D Potential harm, isolated | Corrected March 25, 2025 |
| May 31, 2023 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | F Potential harm, widespread | Corrected August 8, 2023 |
| May 31, 2023 Fire safety | Have restrictions on the use of highly flammable decorations. Miscellaneous Deficiencies · Tag K0753 | F Potential harm, widespread | Corrected August 8, 2023 |
| May 31, 2023 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected August 8, 2023 |
| May 31, 2023 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected August 8, 2023 |
| May 31, 2023 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | F Potential harm, widespread | Corrected August 8, 2023 |
| May 31, 2023 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected August 8, 2023 |
| May 31, 2023 Fire safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914 | E Potential harm, pattern | Corrected August 8, 2023 |
| May 31, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected August 8, 2023 |
| May 31, 2023 Fire safety | 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. Egress Deficiencies · Tag K0222 | E Potential harm, pattern | Corrected August 8, 2023 |
| May 31, 2023 Fire safety | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0911 | D Potential harm, isolated | Corrected August 8, 2023 |
| May 31, 2023 Standard | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected June 29, 2023 |
| May 31, 2023 Standard | 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 · Tag F0657 | D Potential harm, isolated | Corrected June 29, 2023 |
| May 31, 2023 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected June 29, 2023 |
| May 31, 2023 Standard | 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 · Tag F0758 | D Potential harm, isolated | Corrected June 29, 2023 |
| May 31, 2023 Standard | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Tag F0756 | D Potential harm, isolated | Corrected June 29, 2023 |
| May 31, 2023 Standard | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Quality of Life and Care Deficiencies · Tag F0744 | D Potential harm, isolated | Corrected June 29, 2023 |
| May 31, 2023 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected June 29, 2023 |
| May 31, 2023 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected June 29, 2023 |
| November 22, 2021 Fire safety | Establish policies and procedures for medical documentation. Emergency Preparedness Deficiencies · Tag E0023 | F Potential harm, widespread | Corrected December 22, 2021 |
| November 22, 2021 Fire safety | Have stairways and smokeproof enclosures used as exits that meet safety requirements. Egress Deficiencies · Tag K0225 | F Potential harm, widespread | Corrected December 22, 2021 |
| November 22, 2021 Fire safety | Establish policies and procedures for volunteers. Emergency Preparedness Deficiencies · Tag E0024 | F Potential harm, widespread | Corrected December 22, 2021 |
| November 22, 2021 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | E Potential harm, pattern | Corrected December 22, 2021 |
| November 22, 2021 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected December 22, 2021 |
| November 22, 2021 Standard | 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 · Tag F0758 | D Potential harm, isolated | Corrected December 16, 2021 |
| November 22, 2021 Standard | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Tag F0756 | D Potential harm, isolated | Corrected December 16, 2021 |
| November 22, 2021 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected December 16, 2021 |
| November 22, 2021 Standard | 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. Resident Rights Deficiencies · Tag F0625 | D Potential harm, isolated | Corrected December 16, 2021 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| KIRCHER, JANELLE Individual | adp of the snf | NOT APPLICABLE | 05/13/2025 |
| MAROZAS, CHRISTINE Individual | adp of the snf | NOT APPLICABLE | 05/13/2025 |
| MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS Organization | adp of the snf | NOT APPLICABLE | 07/01/2005 |
| MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS Organization | direct ownership interest | NOT APPLICABLE | 07/01/2005 |
| KIRCHER, JANELLE Individual | managing control - governing body | NOT APPLICABLE | 02/07/2023 |
| MAROZAS, CHRISTINE Individual | managing control - governing body | NOT APPLICABLE | 01/01/2021 |
| CLEVELAND, NICKI Individual | operational/managerial control | NOT APPLICABLE | 06/02/2015 |
| EILERT, LEANNE Individual | operational/managerial control | NOT APPLICABLE | 10/07/1999 |
| GAVINO, LUIGI Individual | operational/managerial control | NOT APPLICABLE | 06/26/2023 |
| KIRCHER, JANELLE Individual | operational/managerial control | NOT APPLICABLE | 02/07/2023 |
| MAROZAS, CHRISTINE Individual | operational/managerial control | NOT APPLICABLE | 01/01/2021 |
| MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS Organization | operational/managerial control | NOT APPLICABLE | 07/01/2005 |
| SIMMONS, STEPHANIE Individual | operational/managerial control | NOT APPLICABLE | 11/18/2010 |
| MAROZAS, CHRISTINE Individual | trustee of the snf | NOT APPLICABLE | 01/01/2021 |
| MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS Organization | trustee of the snf | NOT APPLICABLE | 07/01/2005 |
Other nursing homes near Mitchell County Hospital Health Systems Ltcu
Hilltop Lodge Health and Rehabilitation Center
815 N Independence Avenue, Beloit, KS 67420 · under 1 mi
For-profit · 90 beds · Part of Recover-Care Healthcare
★★★★★2Below average- ★★★★★4Above average
Downs Care and Rehab
1218 Kansas Street, Downs, KS 67437 · 23.4 mi
For-profit · 45 beds · Part of Mission Health Communities
★★★★★5Much above average- ★★★★★1Much below average
- ★★★★★3Average
Parkview Health and Rehabilitation Center
811 N 1st St, Osborne, KS 67473 · 31 mi
For-profit · 58 beds · Part of Recover-Care Healthcare
★★★★★1Much below average
Frequently asked questions
What is Mitchell County Hospital Health Systems Ltcu's rating?
Mitchell County Hospital Health Systems Ltcu has 4 out of 5 stars on the CMS overall star rating. The average for Kansas nursing homes is 3.1 stars.
How many inspection citations did Mitchell County Hospital Health Systems Ltcu receive?
Its most recent standard health inspection found 2 citations, compared with a Kansas average of 9.5. Every citation is listed on this page with its severity.
Does Mitchell County Hospital Health Systems Ltcu accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Mitchell County Hospital Health Systems Ltcu?
It is government - county. The ownership section on this page lists the owners and managers reported to CMS.
Where is Mitchell County Hospital Health Systems Ltcu and how do I contact it?
Mitchell County Hospital Health Systems Ltcu is at 400 W 8th Street, Beloit, KS 67420. Phone: (785) 738-9590.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.