The Shepherd's Center
Inspection Findings
F-Tag F0628
Federal health inspectors cited THE SHEPHERD'S CENTER in CIMARRON, KS for a deficiency under regulatory tag F-F0628 during a standard health inspection conducted on 2025-11-17.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 13 deficiencies cited during this inspection of THE SHEPHERD'S CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-12-10.
F-Tag F0636
Federal health inspectors cited THE SHEPHERD'S CENTER in CIMARRON, KS for a deficiency under regulatory tag F-F0636 during a standard health inspection conducted on 2025-11-17.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 13 deficiencies cited during this inspection of THE SHEPHERD'S CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-12-10.
F-Tag F0641
Federal health inspectors cited THE SHEPHERD'S CENTER in CIMARRON, KS for a deficiency under regulatory tag F-F0641 during a standard health inspection conducted on 2025-11-17.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Ensure each resident receives an accurate assessment.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 13 deficiencies cited during this inspection of THE SHEPHERD'S CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-12-10.
F-Tag F0655
Federal health inspectors cited THE SHEPHERD'S CENTER in CIMARRON, KS for a deficiency under regulatory tag F-F0655 during a standard health inspection conducted on 2025-11-17.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 13 deficiencies cited during this inspection of THE SHEPHERD'S CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-12-10.
F-Tag F0656
Federal health inspectors cited THE SHEPHERD'S CENTER in CIMARRON, KS for a deficiency under regulatory tag F-F0656 during a standard health inspection conducted on 2025-11-17.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 13 deficiencies cited during this inspection of THE SHEPHERD'S CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-12-10.
F-Tag F0657
Federal health inspectors cited THE SHEPHERD'S CENTER in CIMARRON, KS for a deficiency under regulatory tag F-F0657 during a standard health inspection conducted on 2025-11-17.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 13 deficiencies cited during this inspection of THE SHEPHERD'S CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-12-10.
F-Tag F0730
Federal health inspectors cited THE SHEPHERD'S CENTER in CIMARRON, KS for a deficiency under regulatory tag F-F0730 during a standard health inspection conducted on 2025-11-17.
Category: Nursing and Physician Services Deficiencies
The facility was found deficient in the following area: Observe each nurse aide's job performance and give regular training.
Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 13 deficiencies cited during this inspection of THE SHEPHERD'S CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-12-10.
F-Tag F0801
Federal health inspectors cited THE SHEPHERD'S CENTER in CIMARRON, KS for a deficiency under regulatory tag F-F0801 during a standard health inspection conducted on 2025-11-17.
Category: Nutrition and Dietary Deficiencies
The facility was found deficient in the following area: 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.
Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 13 deficiencies cited during this inspection of THE SHEPHERD'S CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-12-10.
F-Tag F0812
Federal health inspectors cited THE SHEPHERD'S CENTER in CIMARRON, KS for a deficiency under regulatory tag F-F0812 during a standard health inspection conducted on 2025-11-17.
Category: Nutrition and Dietary Deficiencies
The facility was found deficient in the following area: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 13 deficiencies cited during this inspection of THE SHEPHERD'S CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-12-10.
F-Tag F0838
Federal health inspectors cited THE SHEPHERD'S CENTER in CIMARRON, KS for a deficiency under regulatory tag F-F0838 during a standard health inspection conducted on 2025-11-17.
Category: Administration Deficiencies
The facility was found deficient in the following area: Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 13 deficiencies cited during this inspection of THE SHEPHERD'S CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-12-10.
F-Tag F0867
Federal health inspectors cited THE SHEPHERD'S CENTER in CIMARRON, KS for a deficiency under regulatory tag F-F0867 during a standard health inspection conducted on 2025-11-17.
Category: Administration Deficiencies
The facility was found deficient in the following area: Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 13 deficiencies cited during this inspection of THE SHEPHERD'S CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-12-10.
F-Tag F0880
Federal health inspectors cited THE SHEPHERD'S CENTER in CIMARRON, KS for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2025-11-17.
Category: Infection Control Deficiencies
The facility was found deficient in the following area: Provide and implement an infection prevention and control program.
Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 13 deficiencies cited during this inspection of THE SHEPHERD'S CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-12-10.
F-Tag F0881
Federal health inspectors cited THE SHEPHERD'S CENTER in CIMARRON, KS for a deficiency under regulatory tag F-F0881 during a standard health inspection conducted on 2025-11-17.
Category: Infection Control Deficiencies
The facility was found deficient in the following area: Implement a program that monitors antibiotic use.
Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 13 deficiencies cited during this inspection of THE SHEPHERD'S CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-12-10.
THE SHEPHERD'S CENTER in CIMARRON, KS inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.