Show Inspection Reports
Total health inspections
5
Kansas average 4.5
Last Health inspection on Apr 2025
Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Meadowlark Hills Retirement Community
Senior Living, Independent Living & Assisted Living · Manhattan
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
Meadowlark Hills Retirement Community
Senior Living in Manhattan
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
Meadowlark Hills Retirement Community accepts Medicare, Medicaid, and private pay.
Overview of Meadowlark Hills Retirement Community
Enjoy your best years at Meadowlark Hills Retirement Community, an outstanding community in Manhattan, KS, offering independent living. Featuring beautifully designed and spacious one- to three-bedroom floor plans, the community ensures residents are comfortable and safe. A hassle-free living is also guaranteed, especially with maintenance services and convenient apartment features.
Thriving local shops and recreational spaces surround the area, providing residents with unending leisure and wellness opportunities. Residents also enjoy various dining options with delightful restaurants in the area. The community is ideal for those looking to live independently in retirement, especially with its warm and welcoming environment.
Quality ratings
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.
Staffing hours breakdown
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 nursing care / resident
This home is ranked 16th out of 130 homes in Kansas.
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.
This home is ranked 16th out of 130 homes in Kansas.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.
5h 43m per day
Rank #16 / 130Nurse hours — state benchmarkedThis home is ranked 16th out of 130 homes in Kansas.Shows adjusted nurse hours per resident per day benchmarked to the Kansas average, with a ranking across 130 Kansas SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.
vs Kansas avg
+22%
| Staff type | Hours / day | vs state avg |
|---|---|---|
|
Total Nursing (Weekend)
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 17m per day |
Capacity and availability
This home is often near full
Occupancy higher than 95% suggests steady demand, but availability may be limited.
Occupancy rate
126.3%
Rank #1 / 134Occupancy rate — state benchmarkedThis home is ranked 1st out of 134 homes in Kansas.Shows this facility's occupancy rate versus the Kansas average, with its statewide rank out of 134. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay
157 days
Occupancy rate
126.3%
Rank #1 / 134Occupancy rate — state benchmarkedThis home is ranked 1st out of 134 homes in Kansas.Shows this facility's occupancy rate versus the Kansas average, with its statewide rank out of 134. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay
157 days
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Breakdown by payment type
Medicare
37% of new residents, usually for short-term rehab.
Typical stay
3 - 4 months
Private pay
45% of new residents, often for short stays.
Typical stay
8 - 9 months
Medicaid
18% of new residents, often for long-term daily care.
Typical stay
11 - 12 months
Finances and operations
Voluntary non-profit community
Home revenue
$39.7M
Surplus of revenue
$3.8M
Voluntary non-profit community
Home revenue
$39.7M Rank #8 / 131Revenue — state benchmarkedThis home is ranked 8th out of 131 homes in Kansas.Shows this facility's annual revenue compared to the Kansas SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.
Surplus of revenue
$3.8M
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #4 / 131Payroll — state benchmarkedThis home is ranked 4th out of 131 homes in Kansas.Shows total annual staff payroll benchmarked to the Kansas average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
$17.6M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #4 / 131Payroll — state benchmarkedThis home is ranked 4th out of 131 homes in Kansas.Shows total annual staff payroll benchmarked to the Kansas average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$18.0M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$35.6M
51 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score: 28 / 100 Rank #30 / 50Walk Score — state benchmarkedThis home is ranked 30th out of 50 homes in Kansas.Shows how walkable this facility's neighborhood is compared to the average Walk Score across Kansas SNFs. Higher scores benefit residents, families, and staff.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
About this community
Staffing
Key information about the people who lead and staff this community.
ContactDavid Deubler, Director
Accept Medicare
Rehabilitation Services
Respite Care
Nursing Services
24-Hour Staffing
Fitness Services
Massage Services
Prairie Star Restaurant
Salon
Spiritual Life
Trail System
Transportation
Specific ProgramsHealthcare Households, Cancer Program, Memory Program, Parkinson's Program, Vital Connections, Home Health Care, Outpatient Therapy, Physician Services
Religious ServicesYes
Operating HoursMonday – Friday, 8 a.m. – 5:30 p.m., Saturday & Sunday, 9 a.m. to 4 p.m.
What does this home offer?
Housing Options: 1 Bed / 2 Bed / 3 Bed
Building Type: 3-story
Dining Services
Beauty Services
Transportation Services
Exercise Programs
Types of Care at Meadowlark Hills Retirement Community
Independent Living
Assisted Living
Access & Eligibility
Ways to qualify for care at this community, including accepted programs.
Medicare Accepted
This facility is certified for eligible Medicare services.
Inspection History
In Kansas, the Department for Aging and Disability Services, Survey and Certification Commission performs the unannounced inspections required for facility licensing and federal certification.
The data displayed corresponds to the last 6 years.
Health Inspection History
Inspections
Total health citations
30
Rank #86 / 132Health citations — state benchmarkedThis home is ranked 86th out of 132 homes in Kansas.Shows this facility's total health deficiency citations benchmarked to the Kansas state average, with a ranking across all 132 KS SNFs. Lower citation counts earn a better rank.
Kansas average 26.9
Citations per inspection
6
Rank #72 / 132Citations per inspection — state benchmarkedThis home is ranked 72nd out of 132 homes in Kansas.Shows average deficiency citations per CMS inspection for this facility versus the Kansas mean across 132 SNFs with citation data. Lower is better.
Kansas average 6.07
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
28 of 30 citations resulted from standard inspections; and 2 of 30 resulted from complaint investigations.
Breakdown of citation severity (last 5 years)
Critical Health citations
0
100% better than Kansas averageKansas average: 0.9
Serious Health citations
1
1
11% worse than Kansas averageKansas average: 0.9
0 critical citations
1 serious citation
29 moderate citations
0 minor citations
Citations history (last 5 years)
Administration moderate citation
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Apr 09, 2025
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Apr 09, 2025
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Apr 09, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Apr 09, 2025
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Apr 09, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Apr 09, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Apr 09, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Apr 09, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Financial Assistance for
Senior Living in Kansas
Meadowlark Hills Retirement Community is located in Manhattan, Kansas.
Here are the financial assistance programs available to residents in Kansas.
Places of interest near Meadowlark Hills Retirement Community
2.5 miles from city center
Estimated distance in miles from Manhattan's city center to Meadowlark Hills Retirement Community's address, calculated via Google Maps.
Calculate Travel Distance to Meadowlark Hills Retirement Community
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
327
Employees
303
Contractors
24
Staff to resident ratio
2.79:1
23% better than Kansas averageKansas average ratio: 2.27:1
Avg staff/day
92
Average shift
6.9 hours
10% worse than Kansas averageKansas average: 7.7 hours
Total staff hours (quarter)
57,965
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
31
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
29
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
186
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.5 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
4.1%
2,391 contractor hours this quarter
Speech Language Pathologist: 8
Physical Therapy Assistant: 5
Respiratory Therapy Technician: 5
Physical Therapy Aide: 3
Qualified Social Worker: 3
Staff by category
| Certified Nursing Assistant | 186 | 0 | 186 | 26,535 | 91 | 100% | 6.5 |
| Medication Aide/Technician | 33 | 0 | 33 | 8,989 | 91 | 100% | 7.1 |
| Registered Nurse | 31 | 0 | 31 | 8,181 | 91 | 100% | 8.4 |
| Licensed Practical Nurse | 29 | 0 | 29 | 6,430 | 91 | 100% | 8.3 |
| Clinical Nurse Specialist | 7 | 0 | 7 | 3,152 | 65 | 71% | 8 |
| Speech Language Pathologist | 0 | 8 | 8 | 777 | 70 | 77% | 4.3 |
| Physical Therapy Aide | 0 | 3 | 3 | 586 | 65 | 71% | 4.5 |
| Nurse Practitioner | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Administrator | 1 | 0 | 1 | 496 | 62 | 68% | 8 |
| Occupational Therapy Aide | 1 | 0 | 1 | 448 | 60 | 66% | 7.5 |
| Physical Therapy Assistant | 0 | 5 | 5 | 417 | 70 | 77% | 3.7 |
| Respiratory Therapy Technician | 0 | 5 | 5 | 349 | 64 | 70% | 3.8 |
| Qualified Social Worker | 0 | 3 | 3 | 262 | 69 | 76% | 3.3 |
| Other Dietary Services Staff | 3 | 0 | 3 | 158 | 20 | 22% | 7.5 |
| Dental Services Staff | 2 | 0 | 2 | 96 | 6 | 7% | 8 |
| Nurse Aide in Training | 8 | 0 | 8 | 50 | 10 | 11% | 4.5 |
186 Certified Nursing Assistant
% of Days
100%
33 Medication Aide/Technician
% of Days
100%
31 Registered Nurse
% of Days
100%
29 Licensed Practical Nurse
% of Days
100%
7 Clinical Nurse Specialist
% of Days
71%
8 Speech Language Pathologist
% of Days
77%
3 Physical Therapy Aide
% of Days
71%
1 Nurse Practitioner
% of Days
71%
1 Mental Health Service Worker
% of Days
71%
1 Administrator
% of Days
68%
1 Occupational Therapy Aide
% of Days
66%
5 Physical Therapy Assistant
% of Days
77%
5 Respiratory Therapy Technician
% of Days
70%
3 Qualified Social Worker
% of Days
76%
3 Other Dietary Services Staff
% of Days
22%
2 Dental Services Staff
% of Days
7%
8 Nurse Aide in Training
% of Days
11%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
117
Medicare
17
14.5% of residents
Medicaid
100
85.5% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Family Member Group
Family members meet regularly to discuss policies, care quality, and activities
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
CCRC
Part of a Continuing Care Retirement Community offering multiple care levels
Active Family Council
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
Active Resident Council
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.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.1
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.1
In line with Kansas averageKansas average: 10.5
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
18.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
18.7
10% better than Kansas averageKansas average: 20.7
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
18.3%
Percent of long-stay residents whose need for help with daily activities has increased
18.3%
In line with Kansas averageKansas average: 19.0%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
16.4%
Percent of long-stay residents whose ability to move independently worsened
16.4%
15% better than Kansas averageKansas average: 19.4%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
21.5%
Percent of low risk long-stay residents who lose control of their bowels or bladder
21.5%
10% better than Kansas averageKansas average: 23.8%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
4.7%
Percent of long-stay residents experiencing one or more falls with major injury
4.7%
8% worse than Kansas averageKansas average: 4.4%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
3.9%
Percent of long-stay high risk residents with pressure ulcers
3.9%
16% better than Kansas averageKansas average: 4.6%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
3.2%
Percent of long-stay residents with a urinary tract infection
3.2%
In line with Kansas averageKansas average: 3.1%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
7.0%
Percent of long-stay residents who lose too much weight
7.0%
38% worse than Kansas averageKansas average: 5.1%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.8%
Percent of long-stay residents who have depressive symptoms
0.8%
85% better than Kansas averageKansas average: 5.2%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
17.4%
Percent of long-stay residents who received an antipsychotic medication
17.4%
In line with Kansas averageKansas average: 16.9%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.8%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.8%
9% better than Kansas averageKansas average: 91.9%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
99.1%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
99.1%
In line with Kansas averageKansas average: 95.5%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
32% better than Kansas averageKansas average: 75.6%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Kansas averageKansas average: 2.2%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
94.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
94.7%
29% better than Kansas averageKansas average: 73.5%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
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)
Total fines amount
$8K
81% lower than Kansas averageKansas average: $44K
Number of fines
1
59% fewer fines than Kansas averageKansas average: 2.4
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
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
Fines amount comparison
Fines amount comparison
This facility
$8K
Kansas average
$44K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Feb 3, 2025 · $8K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 3, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 3, 2025
$8K
Last updated: Jan 2026
Compare Senior Living around Manhattan The information below is reported by the Kansas Department for Aging and Disability Services.
Filter by care type
| Meadowlark Hills Retirement Community |
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Manhattan (Meadowlark Road) | 134 | No | 28 | 1 Bed / 2 Bed / 3 Bed | 100.0% | - | - |
| Ascension Living Via Christi Village Manhattan |
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Manhattan (Willow Grove Road) | 129 | No | 10 | 1 Bed / 2 Bed / 3 Bed | 92.5% | Michael Fuchs | 41 |
| Birchwood Villas |
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. | Manhattan | - | No | 1 | 1 Bed / 2 Bed / 3 Bed | - | - | - |
| Colorado Plaza Senior Apartments |
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. | Manhattan (Colorado Street) | - | Yes | 82 | 1 Bed / 2 Bed / 3 Bed | - | - | - |
| Garden Grove Apartments |
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. | Manhattan (Westloop Shopping Center) | - | Yes | 61 | 1 Bed / 2 Bed / 3 Bed | - | - | - |
Financial Trends
Historical financial and operational data for Meadowlark Hills Retirement Community based on CMS SNF Cost Reports.
Occupancy Rate
126.3%
↑ 7.3pp vs 2023
Net Income
$3.8M
↑ ~$1.7M vs 2023
Total Payroll
$17.6M
↑ ~$1.2M vs 2023
Profit Margin
16.6%
↑ 7.2pp vs 2023
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Frequently Asked Questions about Meadowlark Hills Retirement Community
What neighborhood is Meadowlark Hills Retirement Community in?
Meadowlark Hills Retirement Community is in the Meadowlark Road neighborhood of Manhattan.
Is Meadowlark Hills Retirement Community in a walkable area?
Meadowlark Hills Retirement Community has a walk score of 28. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Are there photos of Meadowlark Hills Retirement Community?
Yes — there is 1 photo of Meadowlark Hills Retirement Community in the photo gallery on this page.
What is the address of Meadowlark Hills Retirement Community?
Meadowlark Hills Retirement Community is located at 2121 Meadowlark Rd, Manhattan, KS 66502.
Is Meadowlark Hills Retirement Community Medicare or Medicaid certified?
Yes — Meadowlark Hills Retirement Community is a CMS-certified provider of Medicare and Medicaid.
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