Agewise Living Inc

Nursing Home, Independent Living & Skilled Nursing · Sterling, KS

CMS overall rating

204 W. Washington Avenue, Sterling, KS 67579-1614 View map

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Agewise Living Inc accepts Medicare, Medicaid, and private pay.

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Agewise Living Inc accepts Medicare, Medicaid, and private pay.

Overview of Agewise Living

Sterling Village, the legal name for Agewise Living, operates as a 45-bed skilled nursing facility at 204 W. Washington Avenue in Sterling, Rice County, Kansas. Administrator Karen Smith directs operations for a nonprofit community providing long-term care, memory care, and respite services under Medicare and Medicaid certification. The facility maintains 24/7 medical oversight with licensed nurses managing medication administration and clinical emergencies.

Recent inspection findings exposed serious care gaps.

Two complaint investigations in January 2025 substantiated failures to follow resident care plans; one resident sustained a tibia fracture, another fell due to noncompliance with documented safety protocols. Eight deficiencies were cited, including gaps in medication regimen reviews, the absence of a full-time dietary manager, water management program noncompliance, insufficient staff training, and inadequate monitoring of physician-ordered fluid restrictions. The facility submitted corrective actions in February 2025 and achieved zero deficiencies on its March 19, 2025 follow-up survey.

Seven-year deficiency totals track slightly below the state average, yet more recent compliance data provides only partial reassurance given the nature of the January violations.

Nursing staffing measures 5 hours 2 minutes per resident daily; roughly 7% above Kansas standards.

A full-time certified dietary manager was hired in February 2025 to strengthen nutritional oversight. Physical therapy, occupational therapy, wound care, and specialized monitoring are available. Daily services include three meals, housekeeping, and personal laundry; residents occupy private or semi-private rooms equipped with 24-hour emergency call systems. An activity director organizes therapeutic programming and social engagement.

Occupancy sits at 58% (26 of 45 beds), considerably below the state average of 79.5%.

Quality-of-life measures reveal substantial resident decline patterns: 6.9% experience falls with major injury (58% above state norms), 10.6% of high-risk residents develop pressure ulcers (127% above average), and 27.9% show worsening walking ability (44% above baseline). These outcome measures suggest systemic challenges in care execution despite recent staffing improvements.

The community serves residents in small-town Kansas seeking skilled nursing with active daily programming, suitable for those who prioritize round-the-clock clinical staffing and therapeutic services in a rural setting.

Facility Direct Line (620) 278-3651 contact@agewisekc.com

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to Kansas state averages

Total nursing care / resident

5h 2m per day

This facility Kansas avg (4h 38m per day)

vs Kansas avg

+9%

5 of 6 metrics below state avg

Standout metric Nurse Aide is +4% above state avg

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.	38m per day	▼ 10% State avg: 42m 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.	28m per day	▼ 30% 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 47m per day	▲ 4% 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.	3h 29m per day	▼ 4% State avg: 3h 38m per day · National avg: 3h 27m 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.	1m per day	▼ 77% 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.	20m per day	▼ 32% State avg: 29m per day · National avg: 29m per day

Capacity and availability

274 days

45-bed community

A moderately sized community that may balance personal attention with shared amenities and social activities.

Walk Score: 44 / 100

Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Occupancy

Occupancy rate

58%

Lower than the Kansas average: 79.5%

Occupied beds

26 / 45

Average occupied beds in Kansas homes 50 beds

Facility TypeNursing Facility

StatusActive

CountyRice

License Number175299

Agewise Living Inc is administered by Karen Smith.

Owner NameAgewise Living Inc

Since 2013 · 13 years of data 105 deficiencies

Inspection Scorecard 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.

Since 2013 vs. Kansas state average

Overall vs. KS average

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	KS Average	vs. KS Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	105	100	This facility has 5% more total deficiencies than a typical Kansas nursing home (105 vs. KS avg 100).↑ 5% worse

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

The most recent inspection on March 19, 2025, found no deficiencies and confirmed the facility was in compliance with all surveyed regulations. Earlier inspections showed multiple deficiencies related primarily to resident care plan adherence, medication regimen reviews, dietary management, food safety, fall prevention, and staff training. Complaint investigations related to care plan adherence and resident safety were substantiated in January 2025, but no fines, immediate jeopardy findings, or license actions were listed in the available reports. Most prior deficiencies were corrected by subsequent revisit surveys, indicating the facility has taken steps to address identified issues. This suggests an improving trend with recent inspections showing compliance after periods of cited deficiencies.

Show Inspection Reports

Inspections since 2021

Total health inspections 3

State average 4.5

Last Health inspection on Jan 2025

Total health citations

State average 26.9

Citations per inspection

State average 6.07

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

6 of 18 citations resulted from standard inspections; and 12 of 18 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 5 years)

Critical health citations

100% better than State average

State average: 0.9

Serious health citations

122% worse than State average

State average: 0.9

0 critical citations State average: 0.9

2 serious citations State average: 0.9

16 moderate citations State average: 24.6

0 minor citations State average: 0.5

Citations history (last 5 years)

Infection Control moderate citation Jan 23, 2025

Corrected

Nursing Services moderate citation Jan 23, 2025

Corrected

Nutrition moderate citation Jan 23, 2025

Corrected

Nutrition moderate citation Jan 23, 2025

Corrected

Total staff 50

Employees 37

Contractors 13

Staff to resident ratio 1.92 : 1

14% fewer staff per resident than Kansas average

Avg staff/day 21

Average shift 6.9 hours

10% worse than Kansas average

Total staff hours (quarter) 13,353

Nursing staff breakdown

9 hours

10.3 hours

7.4 hours

Contractor staffing

1,061 contractor hours this quarter

Speech Language Pathologist: 4 Physical Therapy Assistant: 2 Medical Director: 1 Administrator: 1 Physical Therapy Aide: 1 Respiratory Therapy Technician: 1 Qualified Social Worker: 1 Occupational Therapy Aide: 1 Occupational Therapy Assistant: 1

Staff by category


Certified Nursing Assistant	13	0	13	4,250	92	100%	7.4
Medication Aide/Technician	12	0	12	3,796	92	100%	7.1
Licensed Practical Nurse	4	0	4	1,348	87	95%	10.3
Nurse Practitioner	2	0	2	932	65	71%	7.9
Registered Nurse	3	0	3	900	73	79%	9
Dental Services Staff	2	0	2	550	67	73%	8
Other Dietary Services Staff	1	0	1	517	63	68%	8.2
Administrator	0	1	1	488	61	66%	8
Physical Therapy Aide	0	1	1	223	63	68%	3.5
Speech Language Pathologist	0	4	4	195	62	67%	2.3
Physical Therapy Assistant	0	2	2	55	27	29%	2.1
Occupational Therapy Aide	0	1	1	29	4	4%	7.1
Respiratory Therapy Technician	0	1	1	27	36	39%	0.8
Qualified Social Worker	0	1	1	25	26	28%	1
Occupational Therapy Assistant	0	1	1	15	3	3%	5.1
Medical Director	0	1	1	3	3	3%	1

13 Certified Nursing Assistant

% of Days 100%

12 Medication Aide/Technician

% of Days 100%

4 Licensed Practical Nurse

% of Days 95%

2 Nurse Practitioner

% of Days 71%

3 Registered Nurse

% of Days 79%

2 Dental Services Staff

% of Days 73%

1 Other Dietary Services Staff

% of Days 68%

1 Administrator

% of Days 66%

1 Physical Therapy Aide

% of Days 68%

4 Speech Language Pathologist

% of Days 67%

2 Physical Therapy Assistant

% of Days 29%

1 Occupational Therapy Aide

% of Days 4%

1 Respiratory Therapy Technician

% of Days 39%

1 Qualified Social Worker

% of Days 28%

1 Occupational Therapy Assistant

% of Days 3%

1 Medical Director

% of Days 3%

View All Staffing Data

Total fines amount $38K

14% lower than Kansas average

Kansas average: $44K

Number of fines 2

17% fewer fines than Kansas average

Kansas average: 2.4

Payment Denials 0

100% fewer payment denials than Kansas average

Kansas average: 0.3

Fines amount comparison

This facility $38K

Kansas average $44K

Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

1 penalty in the past 3 years

Jan 23, 2025 · $24K

Civil Money Penalty Jan 23, 2025

$24K

Last updated: Jan 2026

High-risk clinical events score 14.3

37% worse than Kansas average

Kansas average: 10.5

Functional decline score 25.5

23% worse than Kansas average

Kansas average: 20.7

Long-stay resident measures

Need for Help with Daily Activities Increased 23.2%

22% worse than Kansas average

Kansas average: 19.0%

Walking Ability Worsened 27.9%

44% worse than Kansas average

Kansas average: 19.4%

Low Risk Residents with Bowel/Bladder Incontinence 25.3%

7% worse than Kansas average

Kansas average: 23.8%

Falls with Major Injury 6.9%

58% worse than Kansas average

Kansas average: 4.4%

High Risk Residents with Pressure Ulcers 10.6%

127% worse than Kansas average

Kansas average: 4.6%

Urinary Tract Infection 5.1%

63% worse than Kansas average

Kansas average: 3.1%

Lost Too Much Weight 3.0%

41% better than Kansas average

Kansas average: 5.1%

Depressive Symptoms 14.5%

180% worse than Kansas average

Kansas average: 5.2%

Antipsychotic Use 19.6%

16% worse than Kansas average

Kansas average: 16.9%

Pneumococcal Vaccine 53.5%

42% worse than Kansas average

Kansas average: 91.9%

Influenza Vaccine 76.0%

20% worse than Kansas average

Kansas average: 95.5%

Short-stay resident measures

Pneumococcal Vaccine 17.5%

77% worse than Kansas average

Kansas average: 75.6%

Antipsychotic medication increase 2.1%

In line with Kansas average

Kansas average: 2.2%

Influenza Vaccine 30.0%

59% worse than Kansas average

Kansas average: 73.5%

Breakdown by payment type

Medicare

53% of new residents, usually for short-term rehab.

Typical stay 2 months

Private pay

35% of new residents, often for short stays.

Typical stay 1 years

Medicaid

12% of new residents, often for long-term daily care.

Typical stay 4 - 5 years

Total residents 26

Medicare

19.2% of residents

Medicaid

69.2% of residents

Private pay or other

11.5% of residents

Programs & Services

Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Financial Trends

Historical financial and operational data for Agewise Living Inc from 2012–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 12/2023.

Occupancy Rate 76.7% ↓ 5.5pp vs 2022

Net Patient Income -$854.9K ↓ ~$256.7K vs 2022

Payroll Costs $2.3M ↑ ~$453.6K vs 2022

Operating Margin -23.0% ↓ 5.9pp vs 2022

Metric	2012	2013	2014	2015	2016	2017	2018	2020	2021	2022	2023
Occupancy %	86.1%	75.6%	68.9%	72.2%	71.2%	67.5%	55.3%	68.5%	75.0%	82.2%	76.7%
Beds	55	55	55	55	55	55	55	45	45	45	45
Net Income	$156,350	-$361,508	-$614,808	-$559,095	-$479,819	-$242,792	-$555,478	$428,044	$315,902	-$303,315	$193,815
Gross Revenue	$3,363,342	$3,058,049	$2,977,726	$3,086,537	$3,071,232	$3,009,355	$2,549,024	$2,978,808	$3,442,793	$3,691,271	$3,907,674
Operating Expenses	$3,338,083	$3,420,251	$3,598,792	$3,549,470	$3,530,749	$3,326,204	$3,276,974	$2,994,513	$3,480,180	$4,103,429	$4,570,503
Net Patient Income	$105,821	-$409,269	-$675,727	-$623,961	-$516,300	-$295,425	-$650,179	-$185,638	-$179,770	-$598,243	-$854,941
Net Patient Revenue	$3,443,904	$3,010,982	$2,923,065	$2,925,509	$3,014,449	$3,030,779	$2,626,795	$2,808,875	$3,300,410	$3,505,186	$3,715,562
Payroll Costs	$1,951,824	$2,070,413	$2,027,674	$2,082,449	$2,091,102	$1,956,165	$1,986,135	$1,500,509	$1,664,285	$1,864,320	$2,317,930
Operating Margin %	3.1%	-13.6%	-23.1%	-21.3%	-17.1%	-9.8%	-24.8%	-6.6%	-5.5%	-17.1%	-23.0%
Medicare %	5.3%	5.3%	11.6%	6.5%	6.6%	7.1%	6.1%	9.0%	8.4%	8.6%	9.0%
Medicaid %	60.9%	53.7%	46.3%	55.4%	52.7%	43.0%	50.0%	56.8%	54.7%	48.2%	54.0%
Private %	33.8%	41.0%	42.1%	38.1%	40.7%	49.8%	43.9%	34.1%	36.9%	43.2%	37.1%
Net Patient Revenue/Day	$199	$198	$211	$202	$210	$224	$237	$249	$268	$260	$295
Cost/Day	$193	$225	$260	$245	$246	$246	$295	$266	$283	$304	$363
Avg Length of Stay	228.1 days	241.0 days	110.7 days	161.0 days	179.2 days	163.2 days	176.2 days	221.1 days	559.8 days	409.0 days	273.8 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$3.7M

Net patient income

-$854.9K

Nonprofit Nonprofit Corporation

Net patient revenue

$3.7M

Net patient income

-$854.9K

Other income

$1.0M

Payroll costs

$2.3M 62.4% of net patient revenue

Other operating costs

$2.3M

Total costs

$4.6M

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Most new residents arrive under Medicare (53% of admissions), and a typical Medicare stay runs around 2 months.

Coverage residents most often arrive under.

Medicare 53%

Private pay 35%

Medicaid 12%

Coverage residents most often leave under.

Medicare 41%

Private pay 54%

Medicaid 4%

0.0 miles from city center Estimated distance in miles from Sterling's city center to Agewise Living Inc's address, calculated via Google Maps.

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Info below is compiled from CMS reports & the KS Dept. for Aging & Disability Services (KDADS), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.


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Ascension Living Via Christi Village McLean	NH AL IL MC SNF	Wichita (Indian Hills)	95 Facility 95 KS AVG 69 Rank #43 / 223	33.7% Facility 33.7% KS AVG 76.8 Rank #199 / 206	-56%	4.47 Facility 4.47 KS AVG 4.63 Rank #72 / 141	+4%	-4%	$0 Facility $0 KS AVG $49.2k Rank #1 / 144	14 Facility 14 KS AVG 26.9 Rank #17 / 144	7.0 Facility 7.0 KS AVG 6.1 Rank #104 / 144	1	32	-	47 Facility 47 KS AVG 46 Rank #186 / 363	Abigail Poff	$7.8MFiscal year ending 06/2024 Facility $7.8MFiscal year ending 06/2024 KS AVG $7.3M Rank #67 / 143	$3.5MFiscal year ending 06/2024 Facility $3.5MFiscal year ending 06/2024 KS AVG $3.3M Rank #78 / 143	44.1%Fiscal year ending 06/2024 Facility 44.1%Fiscal year ending 06/2024 KS AVG 47.9% Rank #130 / 143	175543
Meadowlark Hills Retirement Community	NH HC IL SNF	Manhattan (Meadowlark Road)	134 Facility 134 KS AVG 69 Rank #12 / 223	87.3% Facility 87.3% KS AVG 76.8 Rank #65 / 206	+14%	5.72 Facility 5.72 KS AVG 4.63 Rank #14 / 141	+3%	+24%	$8.3k Facility $8.3k KS AVG $49.2k Rank #65 / 144	30 Facility 30 KS AVG 26.9 Rank #92 / 144	6.0 Facility 6.0 KS AVG 6.1 Rank #71 / 144	1	117	-	28 Facility 28 KS AVG 46 Rank #269 / 363	Lonnie Baker	$19.1MFiscal year ending 06/2024 Facility $19.1MFiscal year ending 06/2024 KS AVG $7.3M Rank #4 / 143	$17.0MFiscal year ending 06/2024 Facility $17.0MFiscal year ending 06/2024 KS AVG $3.3M Rank #4 / 143	88.8%Fiscal year ending 06/2024 Facility 88.8%Fiscal year ending 06/2024 KS AVG 47.9% Rank #108 / 143	175174
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Agewise Living Inc	NH IL SNF	Sterling	45 Facility 45 KS AVG 69 Rank #151 / 223	57.8% Facility 57.8% KS AVG 76.8 Rank #184 / 206	-25%	5.04 Facility 5.04 KS AVG 4.63 Rank #44 / 141	-41%	+9%	$24.2k Facility $24.2k KS AVG $49.2k Rank #105 / 144	18 Facility 18 KS AVG 26.9 Rank #38 / 144	6.0 Facility 6.0 KS AVG 6.1 Rank #71 / 144	2	26	-	44 Facility 44 KS AVG 46 Rank #207 / 363	Agewise Living Inc	$3.7MFiscal year ending 12/2023 Facility $3.7MFiscal year ending 12/2023 KS AVG $7.3M Rank #94 / 143	$2.3MFiscal year ending 12/2023 Facility $2.3MFiscal year ending 12/2023 KS AVG $3.3M Rank #103 / 143	62.4%Fiscal year ending 12/2023 Facility 62.4%Fiscal year ending 12/2023 KS AVG 47.9% Rank #85 / 143	175299

Nursing Home Explorer

Is Agewise Living Inc in a walkable area?

Agewise Living Inc has a walk score of 44. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the license number of Agewise Living Inc?

According to KS state health department records, Agewise Living Inc's license number is 175299.

What is the occupancy rate at Agewise Living Inc?

Agewise Living Inc's occupancy is 58%.

Are pets allowed at Agewise Living Inc?

No, Agewise Living Inc has a no-pet policy.

Does Agewise Living Inc operate as a for-profit or non-profit?

Agewise Living Inc is registered as a non-profit in KS.

Who is the administrator of Agewise Living Inc?

Karen Smith is the administrator of Agewise Living Inc.

How many beds does Agewise Living Inc have?

Agewise Living Inc has 45 beds.

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Agewise Living Inc

Overview of Agewise Living

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Contact Agewise Living Inc

Inspection History

Inspection Scorecard 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 Deficiencies are formal regulatory issues recorded during state inspections.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2021

Breakdown of citation severity (last 5 years)

Citations history (last 5 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

13 Certified Nursing Assistant

12 Medication Aide/Technician

4 Licensed Practical Nurse

2 Nurse Practitioner

3 Registered Nurse

2 Dental Services Staff

1 Other Dietary Services Staff

1 Administrator

1 Physical Therapy Aide

4 Speech Language Pathologist

2 Physical Therapy Assistant

1 Occupational Therapy Aide

1 Respiratory Therapy Technician

1 Qualified Social Worker

1 Occupational Therapy Assistant

1 Medical Director

Penalties and fines

Fines amount comparison

Fines amount comparison

Penalty History

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Nurse Aide Training

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly short-term rehab stays

Admissions

Discharges

Places of interest near Agewise Living Inc

Calculate Travel Distance to Agewise Living Inc

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