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.
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.
| 37m 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.
| 33m per day | ▼ 16% 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.
| 1h 47m per day | ▼ 34% 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 24m per day | ▼ 33% 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.
| 1m per day | ▼ 62% 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.
| 22m per day | ▼ 26% State avg: 30m per day · National avg: 28m per day |
Higher than the Kansas average: 79.5%Lakepoint El Dorado LLC is administered by Lori Dashner.
Key information about the people who lead and staff this community.
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, citation, 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.
| 158 | 100 | This facility has 58% more total deficiencies than a typical Kansas nursing home (158 vs. KS avg 100).↑ 58% worse |
|
Deficiencies per year
Average deficiencies per year since 2012.
| 11.3 | 7.1 | This facility has 59% more deficiencies per year than a typical Kansas nursing home (11.3 vs. KS avg 7.1).↑ 59% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Kansas average 4.5
Last Health inspection on Dec 2024
Kansas average 26.9
Kansas average 6.07
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
4 of 25 citations resulted from standard inspections; 2 of 25 resulted from complaint investigations; and 19 of 25 came from combined inspections (standard and complaint).
122% worse than Kansas averageKansas average: 0.9
11% worse than Kansas averageKansas average: 0.9
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
44% fewer staff per resident than Kansas average
0% compared with Kansas average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 5 RN 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.
8.3 hoursAssists with medical care and medications.
All 7 LPN Staff are full-time employees. No contractors work on this role.
7
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursHelps with daily care and mobility.
All 31 CNA Staff are full-time employees. No contractors work on this role.
31
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
869 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 31 | 0 | 31 | 6,819 | 92 | 100% | 7.4 |
| Medication Aide/Technician | 10 | 0 | 10 | 3,240 | 92 | 100% | 8.8 |
| Licensed Practical Nurse | 7 | 0 | 7 | 3,156 | 92 | 100% | 9.4 |
| Registered Nurse | 5 | 0 | 5 | 1,991 | 92 | 100% | 8.3 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 968 | 65 | 71% | 7.7 |
| Nurse Practitioner | 1 | 0 | 1 | 527 | 62 | 67% | 8.5 |
| Administrator | 1 | 0 | 1 | 519 | 61 | 66% | 8.5 |
| Other Dietary Services Staff | 1 | 0 | 1 | 451 | 61 | 66% | 7.4 |
| Dental Services Staff | 1 | 0 | 1 | 438 | 54 | 59% | 8.1 |
| Physical Therapy Aide | 0 | 2 | 2 | 323 | 64 | 70% | 4.9 |
| Speech Language Pathologist | 0 | 2 | 2 | 233 | 65 | 71% | 3.6 |
| Qualified Social Worker | 0 | 2 | 2 | 160 | 58 | 63% | 2.8 |
| Physical Therapy Assistant | 0 | 1 | 1 | 81 | 41 | 45% | 2 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 72 | 42 | 46% | 1.7 |
Includes penalties issued in 2023-2024
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 (Data as of Jan 2026)
27% lower than Kansas averageKansas average: $44K
24% more fines than Kansas averageKansas average: 2.4
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Kansas averageKansas average: 0.3
Penalties are imposed by CMS for violations of federal nursing home regulations.
3 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 24, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 30, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 14, 2023Last updated: Jan 2026
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.
15.3
46% worse than Kansas averageKansas average: 10.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
32.4
56% worse than Kansas averageKansas 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
33.1%
74% worse than Kansas averageKansas average: 19.0%
Percent of long-stay residents whose ability to move independently worsened
30.4%
57% worse than Kansas averageKansas average: 19.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
33.6%
41% worse than Kansas averageKansas average: 23.8%
Percent of long-stay residents experiencing one or more falls with major injury
4.1%
7% better than Kansas averageKansas average: 4.4%
Percent of long-stay high risk residents with pressure ulcers
3.5%
24% better than Kansas averageKansas average: 4.6%
Percent of long-stay residents with a urinary tract infection
7.3%
134% worse than Kansas averageKansas average: 3.1%
Percent of long-stay residents who lose too much weight
5.2%
In line with Kansas averageKansas average: 5.1%
Percent of long-stay residents who have depressive symptoms
6.4%
25% worse than Kansas averageKansas average: 5.2%
Percent of long-stay residents who received an antipsychotic medication
15.1%
11% better than Kansas averageKansas average: 16.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
9% better than Kansas averageKansas average: 91.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Kansas averageKansas average: 95.5%
Number of hospitalizations per 1,000 long-stay resident days.
1.36
26% better than Kansas averageKansas average: 1.84
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.16
In line with Kansas averageKansas average: 2.16
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.5%
30% better than Kansas averageKansas average: 75.6%
Percent of short-stay residents who newly received an antipsychotic medication
1.6%
25% better than Kansas averageKansas average: 2.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
97.8%
33% better than Kansas averageKansas average: 73.5%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
13.7%
40% better than Kansas averageKansas average: 23.0%
Percentage of short-stay residents who had an outpatient emergency department visit.
7.3%
38% better than Kansas averageKansas average: 11.7%
Percentage of SNF residents who experience falls with major injury during their stay.
1.6%
109% worse than Kansas averageKansas average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
46.7%
13% worse than Kansas averageKansas average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
48.1%
5% worse than Kansas averageKansas average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
26% of new residents, usually for short-term rehab.
47% of new residents, often for short stays.
27% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
55Residents 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 Lakepoint El Dorado LLC from 2011–2023, 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).
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
New residents most often arrive under private pay (47% of admissions), and a typical private pay 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 El Dorado's city center to Lakepoint El Dorado LLC's address, calculated via Google Maps.
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45
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KS AVG
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| Lakepoint El Dorado LLC | NH AL | El Dorado | 65
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KS AVG
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KS AVG
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Lakepoint El Dorado LLC is located in EL DORADO, Kansas.
Here are the financial assistance programs available to residents in Kansas.
Lakepoint El Dorado LLC has a walk score of 59. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
According to KS state health department records, Lakepoint El Dorado LLC's license number is 175124.
Lakepoint El Dorado LLC's occupancy is 85%.
Lori Dashner is the administrator of Lakepoint El Dorado LLC.
Lakepoint El Dorado LLC has 65 beds.
Yes — there is 1 photo of Lakepoint El Dorado LLC in the photo gallery on this page.
Lakepoint El Dorado LLC is located at 1313 S High Street, El Dorado, KS 67042-3751.
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