All states › Kansas › Downs › Downs Care and Rehab
1218 Kansas Street Downs, KS 67437 · Osborne County
CMS certification number 175201 · See this home on Medicare Care Compare
Is Downs Care and Rehab a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Downs Care and Rehab as of October 2026.
CMS rates it 5 out of 5 stars overall, above the Kansas average of 3.1.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.65 hours per resident per day at Downs Care and Rehab, below the Kansas median of 3.96 (US median: 3.72). About 0.99 of those hours are from registered nurses. On weekends it falls to 3.12 hours, 15% below its all-week average. 28.9% of nursing staff left within a year (Kansas median 47.5%). That is lower than most homes in Kansas, a sign of a steadier team.
About this nursing home
Paying for care at Downs Care and Rehab: Medicare and Medicaid
Downs Care and Rehab is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Kansas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on June 24, 2026 and found 6 deficiencies. In total, inspectors issued 18 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: 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.
What the inspections found
Over the last three years, inspectors issued 18 citations at Downs Care and Rehab across 3 inspection dates. None were at the actual-harm or immediate-jeopardy levels; 18 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were pharmacy service (4) and nutrition and dietary (3). The most serious was cited under the CMS rule to "procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards" (tag F0812, level F, June 24, 2026). 1 citation was under CMS's abuse, neglect and exploitation rules.
June 24, 2026 · 6 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FProvide and implement an infection prevention and control program.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
DEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
DEnsure medication error rates are not 5 percent or greater.
July 31, 2024 · 8 citations
FEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
EHonor 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.
EMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DEnsure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DImplement 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.
DEnsure 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.
August 18, 2022 · 4 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FProvide and implement an infection prevention and control program.
DProvide safe, appropriate dialysis care/services for a resident who requires such services.
DEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Questions to ask on a tour of Downs Care and Rehab
- CMS cited the home under its abuse and neglect rules on June 24, 2026. How are staff trained, and how are concerns reported?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 5/5 | 4/5 | 5/5 | 4/5 |
| August 2026 | 5/5 | 4/5 | 5/5 | 3/5 |
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Location
Hospitals near Downs Care and Rehab
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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9.5 mi
Osborne County Memorial Hospital OsborneEmergency roomMedian ER visit 1h 52m for patients treated and sent home
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22.4 mi
Smith County Memorial Hospital Smith CenterEmergency roomMedian ER visit 1h 47m for patients treated and sent home
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23.3 mi
Mitchell County Hospital Health Systems BeloitEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 29m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
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Other Mission Health Communities nursing homes in Kansas
- Wakefield Care and Rehab · Wakefield · 5 stars
- Wellington Health and Rehab · Wellington · 5 stars
- Onaga Operator · Onaga · 4 stars
- Arma Operator · Arma · 4 stars
- Smith Center Health and Rehab · Smith Center · 4 stars
- Pratt Health and Rehab · Pratt · 4 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 29 Mission Health Communities nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.