Clearwater Nursing & Rehab: Immediate Jeopardy Violation - KS
The immediate jeopardy citation, filed under regulatory tag F0689, found the facility failed to keep its environment free from accident hazards and failed to provide adequate supervision to prevent accidents from occurring. Inspectors classified it as an isolated incident, meaning they identified a specific situation rather than a pattern running through the facility. But isolated does not mean minor. Under the federal rating system, immediate jeopardy means the deficiency caused, or was likely to cause, serious injury, harm, impairment, or death to a resident. It is a finding that triggers mandatory corrective action and, in many cases, financial penalties.
The inspection was conducted on June 3, 2026, as part of a standard health survey.
Sixteen deficiencies in a single inspection is a significant number for any nursing facility. The immediate jeopardy finding sits at the top of a four-tier severity scale. Below it are deficiencies that cause actual harm, deficiencies with the potential for more than minimal harm, and deficiencies that represent minimal harm. An immediate jeopardy citation means inspectors concluded that whatever they found had already moved past potential risk. Something in that building, on or before the day inspectors arrived, created conditions where a resident could have been seriously hurt, or was.
The specific details of what inspectors found, the name of the resident involved, the nature of the hazard, and the sequence of events that led to the citation are not contained in the publicly available summary reviewed for this report. What is documented is the category of the failure, its severity level, and the fact that it had been corrected by the time the inspection record was finalized. The correction status is listed as past non-compliance, meaning the facility resolved the immediate jeopardy before or during the inspection process, bringing conditions back to an acceptable level in the eyes of regulators.
That resolution matters, but it does not erase what the record shows. A facility that reaches immediate jeopardy has, by definition, allowed conditions to deteriorate to the point where the federal government determined a resident's safety was in genuine danger.
Accident prevention and supervision are not abstract concepts in a nursing home. They are the daily work of every aide, nurse, and administrator on every shift. Residents of long-term care facilities are, by the nature of their conditions, among the most vulnerable people in any community. Many cannot walk without assistance. Many cannot call for help effectively. Many take medications that affect their balance, their alertness, their ability to recognize danger. The entire architecture of a nursing facility, from call lights to bed rails to staffing ratios, exists because the people living there cannot reliably protect themselves.
When a facility fails to keep that environment free from hazards, the consequences are not theoretical. Falls result in broken hips. Broken hips in elderly residents carry mortality rates that would alarm most people who have not looked at the data. Roughly one in five older adults who suffers a hip fracture dies within a year. Those who survive often never return to their prior level of function. Other accident scenarios carry their own trajectories: a resident who wanders into an unsafe area, a piece of equipment left where it should not be, a situation where no staff member was close enough or attentive enough to intervene before something went wrong.
The inspection report does not say which of those scenarios, or something else entirely, brought inspectors to cite this facility at the immediate jeopardy level. What it says is that the hazard was real, the supervision was inadequate, and the severity was the worst the system recognizes.
Clearwater Nursing & Rehabilitation Center is located in Clearwater, a small city in Sedgwick County in south-central Kansas. Like many rural and small-city nursing facilities, it serves a population with limited alternatives. Residents and families in communities like Clearwater often cannot simply choose a different facility if they are unhappy with the care being provided. Distance, cost, and availability constrain those choices in ways that residents of larger metropolitan areas may not face. That context does not excuse deficient care. It makes accountability more important, not less, because the market pressure that might otherwise push facilities toward improvement is weaker when residents have nowhere else to go.
The fifteen other deficiencies cited during the June inspection are not detailed in the summary available for this report. Their categories, severity levels, and specific findings remain outside what was provided. What is known is that inspectors arrived for a routine survey and left having documented problems across sixteen distinct areas of care and operation. A single immediate jeopardy finding is enough to draw scrutiny. Sixteen total deficiencies suggests inspectors found a facility with problems that extended beyond one bad moment on one bad day.
The correction status of past non-compliance, applied to the immediate jeopardy finding, indicates that regulators accepted the facility's corrective actions before the inspection cycle closed. This is a standard part of the process. When a facility is cited at immediate jeopardy, it must act quickly to remove the immediate threat. Inspectors typically verify that the jeopardy has been abated before they leave or shortly after. The facility then has a longer window to address the underlying systemic problems that allowed the jeopardy to occur.
Whether those underlying problems have been addressed at Clearwater Nursing & Rehabilitation Center is a question the inspection record, as summarized here, cannot answer. What the record can answer is that on or before June 3, 2026, something happened inside that facility that federal inspectors determined put a resident in immediate jeopardy of serious harm. The facility's own corrective action brought that specific threat to an end. The sixteen citations remain part of the public record.
For families with loved ones in the facility, or families considering it, that record is the starting point for the questions they should be asking. What was the hazard? What supervision failure allowed it to develop? What has changed to ensure it does not happen again? The inspection summary does not answer those questions. The facility's administrators can. Whether they will is another matter.
Nursing home inspection reports are public documents, available through the Centers for Medicare and Medicaid Services Care Compare database. They are also, in practice, difficult for most families to interpret without guidance. The gap between what is documented and what families actually know about the facilities caring for their relatives is one of the persistent failures of the oversight system. An immediate jeopardy citation is the system working as intended, inspectors identifying a serious problem and compelling a facility to fix it. But a system that works as intended still left a resident of Clearwater Nursing & Rehabilitation Center in a situation serious enough to earn that designation before anyone with regulatory authority was in the building to see it.
That is the part of the record that does not resolve when the inspection closes.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Clearwater Nursing & Rehabilitation Center from 2026-06-03 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: August 5, 2026 · Our methodology
CLEARWATER NURSING & REHABILITATION CENTER in CLEARWATER, KS was cited for immediate jeopardy violations during a health inspection on June 3, 2026.
Inspectors classified it as an isolated incident, meaning they identified a specific situation rather than a pattern running through the facility.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.