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.
Owned by Carter Olson, The Nicol Home is a small nursing home in Glasco, Kansas, that serves residents in a rural setting. The area is car-dependent, so most errands and visits will require driving. With 32 beds, the home has a smaller, more personal scale. The facility has an occupancy rate of 94%, so it’s quite full for its size. It accepts Medicaid, Medicare, and private pay from families looking for options to cover long-term care or rehabilitation.
Residents stay an average of over 2 years. That suggests many residents stay for ongoing nursing care rather than short-term recovery alone. Nursing support averages about 4 hours and 45 minutes per resident each day. That care comes from registered nurses, nurse aides, and licensed practical nurses. The home also has an 8:1 staff-to-resident ratio to provide more individual attention.
Care services include rehabilitation, respite care, and short-term rehab options. Staff is available 24 hours a day. This may suit residents recovering from illness or injury or those who need long-term care with strong daily nursing support.
State inspections show the home has worked on past care-planning and quality concerns. Recent inspection results show compliance with regulatory requirements. They also reflect correction of earlier deficiencies. Families may still want to ask what changed and how staff now track care plans.
For families considering The Nicol Home, the small size may be a main draw. The strong staffing-to-resident ratio is also worth noting. Visiting family should plan to drive because of the rural Kansas location. Still, the quieter setting may suit residents who prefer a close-knit community.
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.
| 49m per day | ▲ 14% 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.
| 3h 4m 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.
| 4h 6m per day | ▲ 14% State avg: 3h 35m per day · National avg: 3h 26m 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.
| 43m per day | ▲ 43% State avg: 30m per day · National avg: 28m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Higher than the Kansas average: 79.5%The Nicol Home is administered by Carter Olson.
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.
| 198 | 100 | This facility has 98% more total deficiencies than a typical Kansas assisted living residence (198 vs. KS avg 100).↑ 98% worse |
|
Deficiencies per year
Average deficiencies per year since 2012.
| 14.1 | 7.1 | This facility has 99% more deficiencies per year than a typical Kansas assisted living residence (14.1 vs. KS avg 7.1).↑ 99% 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 Jul 2024
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.
14 of 24 citations resulted from standard inspections; 1 of 24 resulted from complaint investigations; and 9 of 24 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 8 RN Staff are full-time employees. No contractors work on this role.
8
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursAssists with medical care and medications.
All 3 LPN 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.
10.4 hoursHelps with daily care and mobility.
All 27 CNA Staff are full-time employees. No contractors work on this role.
27
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
321 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 27 | 0 | 27 | 7,426 | 92 | 100% | 8.2 |
| Licensed Practical Nurse | 3 | 0 | 3 | 1,811 | 92 | 100% | 10.4 |
| Registered Nurse | 8 | 0 | 8 | 1,340 | 92 | 100% | 7.7 |
| Other Dietary Services Staff | 5 | 0 | 5 | 792 | 79 | 86% | 7.3 |
| Administrator | 2 | 0 | 2 | 529 | 67 | 73% | 7.9 |
| Nurse Practitioner | 1 | 0 | 1 | 483 | 57 | 62% | 8.5 |
| Physical Therapist | 1 | 0 | 1 | 440 | 55 | 60% | 8 |
| Speech Language Pathologist | 0 | 1 | 1 | 217 | 66 | 72% | 3.3 |
| Occupational Therapy Aide | 0 | 1 | 1 | 21 | 3 | 3% | 7 |
| Physical Therapy Assistant | 0 | 2 | 2 | 17 | 7 | 8% | 2.4 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 16 | 23 | 25% | 0.7 |
| Medical Director | 0 | 1 | 1 | 15 | 3 | 3% | 5 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 12 | 3 | 3% | 4 |
| Mental Health Service Worker | 0 | 1 | 1 | 12 | 3 | 3% | 4 |
| Qualified Social Worker | 0 | 1 | 1 | 11 | 6 | 7% | 1.8 |
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.
16.9
62% worse than State averageState average: 10.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
36.8
78% 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
39.0%
105% worse than State averageState average: 19.0%
Percent of long-stay residents whose ability to move independently worsened
40.4%
109% worse than State averageState average: 19.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
31.0%
31% worse than State averageState average: 23.8%
Percent of long-stay residents experiencing one or more falls with major injury
5.3%
20% worse than State averageState average: 4.4%
Percent of long-stay high risk residents with pressure ulcers
0.0%
100% better than State averageState average: 4.6%
Percent of long-stay residents with a urinary tract infection
2.3%
28% better 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
0.0%
100% better than State averageState average: 5.2%
Percent of long-stay residents who received an antipsychotic medication
14.7%
13% better than State averageState average: 16.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
9% better than 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.
2.72
48% worse than State averageState average: 1.84
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.81
30% worse than State averageState average: 2.16
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
84% of new residents, usually for short-term rehab.
5% of new residents, often for short stays.
11% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
30Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
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 The Nicol Home from 2011–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
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 typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (84% of admissions), and a typical Medicare stay runs around 2 - 3 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Glasco's city center to The Nicol Home's address, calculated via Google Maps.
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The information below is reported by the Kansas Department for Aging and Disability Services.
| Lexington Park Assisted Living | NH AL IL SNF | Topeka (West Southwest 2) | - | 60 | A+ | 60 | studio / 1 bed |
| Larksfield Place Independent Living | NH AL IL MC RC SNF | Wichita | - | 80 | A+ | 32 | - |
| Brewster Place | NH AL IL MC RC SNF | Topeka (South/Southeast 1) | - | 141 | A+ | 56 | - |
| Aberdeen Village | NH AL IL MC SNF | Olathe (Aberdeen Village) | - | 60 | - | 45 | - |
| The Nicol Home | NH RC SNF | Glasco | - | 32 | - | 18 | - |
The Nicol Home has a walk score of 18. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to KS state health department records, The Nicol Home's license number is 175473.
The Nicol Home's occupancy is 94%.
The Nicol Home is registered as a non-profit in KS.
Carter Olson is the administrator of The Nicol Home.
The Nicol Home has 32 beds.
Yes — there is 1 photo of The Nicol Home in the photo gallery on this page.
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