2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Operated by Leisure Homestead Association, Leisure Homestead at Stafford is a nursing home at 405 Grand Avenue in rural Stafford, Kansas. The 40-bed facility accepts Medicaid, Medicare, and private pay, offering multiple ways for families to arrange care. The home has an occupancy rate of 88%. Residents stay for an average of 298 days, including short-term rehabilitation and longer-term nursing care.
The community offers a breadth of clinical support. Rehabilitation and therapy services, including physical, occupational, and speech therapy on staff. Respite care and hospice services are also available for families navigating transitions or end-of-life planning. Daily nurse staffing averages 4 hours and 4 minutes per resident to support skilled and ongoing supportive care needs.
Leisure Homestead operates as a nursing home facility with independent living cottages, which may appeal to families looking at graduated levels of care. Dining services include prepared meals for residents. The Meals on Wheels program extends into the surrounding community, a practical service for nearby seniors seeking support.
The car-dependent setting has a Walk Score of 22, which reflects Stafford’s rural character. The town is quiet and cohesive, but most trips to services or appointments will require a drive.
From an inspection standpoint, the facility addressed prior concerns around food handling and infection control. Chemical safety and environmental management were also part of earlier deficiencies. These deficiencies were corrected, and the home’s inspection record has steadily improved. The facility has been responsive to identified areas and has successfully implemented corrective measures.
The home’s 24-hour staffing model provides a consistent presence for residents. It supports clinical programs and daily care operations, providing consistent attention to rehabilitation-focused admissions and permanent residents.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 20m per day | ▼ 52% State avg: 43m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 40m per day | ■ Avg State avg: 40m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 18m per day | ▼ 14% State avg: 2h 41m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 46m per day | ▼ 23% State avg: 3h 35m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 0m per day | ▼ 88% State avg: 2m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 18m per day | ▼ 39% State avg: 30m per day · National avg: 28m per day |
Higher than the Kansas average: 79.5%Leisure Homestead at Stafford is administered by James Younie.
In Kansas, the Department for Aging and Disability Services, Survey and Certification Commission performs the unannounced inspections required for facility licensing and federal certification.
This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Kansas state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | KS Average | vs. KS Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 200 | 100 | This facility has 100% more total deficiencies than a typical Kansas assisted living residence (200 vs. KS avg 100).↑ 100% worse |
|
Deficiencies per year
Average deficiencies per year since 2012.
| 14.3 | 7.1 | This facility has 101% more deficiencies per year than a typical Kansas assisted living residence (14.3 vs. KS avg 7.1).↑ 101% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
State average N/A
Last Health inspection on Aug 2025
State average N/A
State average N/A
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
19 of 20 citations resulted from standard inspections; and 1 of 20 came from combined inspections (standard and complaint).
In line with State averageState average: N/A
In line with State averageState average: N/A
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
0% compared with State averageState average ratio: 0 : 0
0% compared with State averageState average: 0 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 3 RN Staff are full-time employees. No contractors work on this role.
3
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hoursAssists with medical care and medications.
All 5 LPN Staff are full-time employees. No contractors work on this role.
5
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.1 hoursHelps with daily care and mobility.
All 14 CNA Staff are full-time employees. No contractors work on this role.
14
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
481 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 14 | 0 | 14 | 4,697 | 92 | 100% | 8 |
| Medication Aide/Technician | 6 | 0 | 6 | 2,707 | 92 | 100% | 8.2 |
| Licensed Practical Nurse | 5 | 0 | 5 | 2,133 | 92 | 100% | 10.1 |
| Registered Nurse | 3 | 0 | 3 | 672 | 65 | 71% | 9.7 |
| Dental Services Staff | 1 | 0 | 1 | 581 | 61 | 66% | 9.5 |
| Administrator | 1 | 0 | 1 | 568 | 71 | 77% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 426 | 45 | 49% | 9.5 |
| Speech Language Pathologist | 0 | 1 | 1 | 187 | 58 | 63% | 3.2 |
| Physical Therapy Aide | 0 | 1 | 1 | 179 | 60 | 65% | 3 |
| Medical Director | 0 | 1 | 1 | 24 | 3 | 3% | 8 |
| Occupational Therapy Aide | 0 | 1 | 1 | 24 | 3 | 3% | 8 |
| Mental Health Service Worker | 0 | 1 | 1 | 24 | 3 | 3% | 8 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 16 | 2 | 2% | 8 |
| Physical Therapy Assistant | 0 | 1 | 1 | 14 | 3 | 3% | 4.7 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 13 | 3 | 3% | 4.3 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
13.5
29% worse than State averageState average: 10.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
27.4
32% worse than State averageState average: 20.7
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
30.1%
58% worse than State averageState average: 19.0%
Percent of long-stay residents whose ability to move independently worsened
25.7%
33% worse than State averageState average: 19.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
26.3%
11% worse than State averageState average: 23.8%
Percent of long-stay residents experiencing one or more falls with major injury
4.0%
10% better than State averageState average: 4.4%
Percent of long-stay high risk residents with pressure ulcers
7.9%
69% worse than State averageState average: 4.6%
Percent of long-stay residents with a urinary tract infection
7.9%
153% worse than State averageState average: 3.1%
Percent of long-stay residents who lose too much weight
0.0%
100% better than State averageState average: 5.1%
Percent of long-stay residents who have depressive symptoms
1.7%
66% better than State averageState average: 5.2%
Percent of long-stay residents who received an antipsychotic medication
12.4%
27% better than State averageState average: 16.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
92.1%
In line with State averageState average: 91.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than State averageState average: 95.5%
Number of hospitalizations per 1,000 long-stay resident days.
1.75
5% better than State averageState average: 1.84
Number of outpatient emergency department visits per 1,000 long-stay resident days.
3.08
43% worse than State averageState average: 2.16
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
70.3%
7% worse than State averageState average: 75.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
17% of new residents, usually for short-term rehab.
57% of new residents, often for short stays.
26% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
33Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Leisure Homestead at Stafford from 2013–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Most residents stay for extended periods and receive ongoing daily care.
Most new residents arrive under private pay (57% of admissions), and a typical private pay stay runs around 4 - 5 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Stafford's city center to Leisure Homestead at Stafford's address, calculated via Google Maps.
Add your location
The information below is reported by the Kansas Department for Aging and Disability Services.
| Leisure Homestead at Stafford | NH ADC AL HC IL RC | Stafford | - | 40 | - | 22 | - |
| Homestead of Osawatomie | NH AL | Osawatomie | - | 40 | - | 13 | Suite |
| Brookdale Rosehill | NH AL | Shawnee | - | 92 | A+ | 54 | Studio / 1 Bed |
| Meadowlark Hills Retirement Community | NH HC IL NC | Manhattan (Meadowlark Road) | - | 134 | - | 28 | 1 Bed / 2 Bed / 3 Bed |
| Ascension Living Via Christi Village McLean | NH AL IL MC | Wichita (Indian Hills) | - | 95 | - | 47 | Studio / 1 Bed |
Leisure Homestead at Stafford is legally operated by Leisure Homestead Association, and administered by James Younie.
Leisure Homestead at Stafford has a walk score of 22. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to KS state health department records, Leisure Homestead at Stafford's license number is 175530.
Leisure Homestead at Stafford's occupancy is 88%.
Leisure Homestead at Stafford is registered as a non-profit in KS.
James Younie is the administrator of Leisure Homestead at Stafford.
Leisure Homestead at Stafford has 40 beds.
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
