4/5
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.
4/5
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 Megan Lawrence, Medicalodges Independence is a skilled nursing home in Independence, Kansas, serving residents who need post-acute rehabilitation and ongoing nursing care. The 45-bed facility is operated by Medicalodges Independence and administered by Danielle Brumbelow. Medicare and private pay are accepted, providing families flexibility in how they cover short-term recovery and longer-term stays.
The facility’s occupancy rate is 96%. Residents stay an average of 117 days, including those recovering from hospitalization or surgery and those transitioning to longer-term care.
The facility’s nursing support is substantial. Total nurse staffing averages 4 hours and 11 minutes per resident each day. Residents are supported by registered nurses, licensed practical nurses, nurse aides, and certified nursing assistants working together. This level of hands-on support makes it well-suited for residents who require close monitoring and assistance with activities of daily living. The facility also offers rehabilitation services, respite care, and short-term rehab programs, which reflect a clinical focus on recovery and function.
The facility’s location has a Walkability Score of 79 out of 100, so most errands can be accomplished on foot, and visitors can navigate the neighborhood comfortably. Residents enjoy a wide range of menu options and special dietary preparations daily. Amenities include a barbershop and salon, spiritual services, social and family spaces, and transportation services.
State inspections show the facility’s attention to quality-of-care processes and documented corrective actions. Follow-up visits confirmed improvements over time. Families touring Medicalodges Independence can ask how the home maintains its daily care and safety standards.
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 | ▼ 13% 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.
| 29m per day | ▼ 28% 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 32m per day | ▼ 6% 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 8m per day | ▼ 12% 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 | ▼ 51% 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.
| 15m per day | ▼ 50% State avg: 30m per day · National avg: 28m per day |
Higher than the Kansas average: 79.5%Medicalodges Independence is legally operated by Medicalodges Independence, and administered by Danielle Brumbelow.
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.
| 106 | 100 | This facility has 6% more total deficiencies than a typical Kansas nursing home (106 vs. KS avg 100).↑ 6% worse |
|
Deficiencies per year
Average deficiencies per year since 2011.
| 7.1 | 6.7 | This facility has 6% more deficiencies per year than a typical Kansas nursing home (7.1 vs. KS avg 6.7).↑ 6% 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 Jun 2025
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.
16 of 17 citations resulted from standard inspections; and 1 of 17 resulted from complaint investigations.
100% better than Kansas averageKansas average: 0.9
100% better 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.
34% 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.
5 total: 4 full-time employees and 1 contractor.
5
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.6 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.
11 hoursHelps with daily care and mobility.
All 25 CNA Staff are full-time employees. No contractors work on this role.
25
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
913 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 25 | 0 | 25 | 7,725 | 92 | 100% | 7.5 |
| Medication Aide/Technician | 5 | 0 | 5 | 1,992 | 92 | 100% | 10.5 |
| Licensed Practical Nurse | 3 | 0 | 3 | 1,343 | 80 | 87% | 11 |
| Registered Nurse | 4 | 1 | 5 | 1,292 | 88 | 96% | 10.6 |
| Dietitian | 1 | 0 | 1 | 570 | 69 | 75% | 8.3 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 557 | 66 | 72% | 8.4 |
| Administrator | 1 | 0 | 1 | 542 | 64 | 70% | 8.5 |
| Nurse Practitioner | 1 | 0 | 1 | 530 | 56 | 61% | 9.5 |
| RN Director of Nursing | 1 | 0 | 1 | 494 | 54 | 59% | 9.1 |
| Dental Services Staff | 1 | 0 | 1 | 450 | 49 | 53% | 9.2 |
| Physical Therapy Aide | 0 | 3 | 3 | 429 | 67 | 73% | 6.3 |
| Speech Language Pathologist | 0 | 4 | 4 | 251 | 60 | 65% | 3.9 |
| Qualified Social Worker | 0 | 1 | 1 | 70 | 40 | 43% | 1.7 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 63 | 30 | 33% | 2.1 |
| Physical Therapy Assistant | 0 | 5 | 5 | 45 | 35 | 38% | 1.2 |
| Occupational Therapy Assistant | 0 | 2 | 2 | 28 | 8 | 9% | 3.4 |
| Medical Director | 0 | 1 | 1 | 14 | 3 | 3% | 4.7 |
| Occupational Therapy Aide | 0 | 2 | 2 | 12 | 3 | 3% | 3.8 |
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.
9.4
11% better than Kansas averageKansas average: 10.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
20.4
In line with 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
17.7%
7% better than Kansas averageKansas average: 19.0%
Percent of long-stay residents whose ability to move independently worsened
13.4%
31% better than Kansas averageKansas average: 19.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
30.1%
27% worse than Kansas averageKansas average: 23.8%
Percent of long-stay residents experiencing one or more falls with major injury
2.8%
35% better than Kansas averageKansas average: 4.4%
Percent of long-stay high risk residents with pressure ulcers
3.6%
23% better than Kansas averageKansas average: 4.6%
Percent of long-stay residents with a urinary tract infection
0.7%
77% better than Kansas averageKansas average: 3.1%
Percent of long-stay residents who lose too much weight
9.4%
85% worse than Kansas averageKansas average: 5.1%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Kansas averageKansas average: 5.2%
Percent of long-stay residents who received an antipsychotic medication
10.9%
36% 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%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
96.3%
27% better than Kansas averageKansas average: 75.6%
Percent of short-stay residents who newly received an antipsychotic medication
2.0%
10% better than Kansas averageKansas average: 2.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
36% 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.
29% of new residents, usually for short-term rehab.
71% of new residents, often for short stays.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
43Residents 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 Medicalodges Independence from 2011–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 10/2023.
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).
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Most new residents arrive under private pay (71% of admissions), and a typical private pay stay runs around 5 - 6 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Independence's city center to Medicalodges Independence's address, calculated via Google Maps.
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The information below is reported by the Kansas Department for Aging and Disability Services.
| Montgomery Place by Americare | NH HC | Independence | 43
Facility
43
KS AVG
69
Rank
#184 / 224 | 77.0% | -3% | 4.39 | -2% | -5% | $0 | 16 | 8.0 | - | 37 | - |
50
Facility
50
KS AVG
46
Rank
#168 / 363 | Hwj LLC | $3.1M | $1.9M | 60.4% | 175511 | ||||
| Medicalodges Independence | NH ADC AL HC NC PC RC | Independence | 45
Facility
45
KS AVG
69
Rank
#152 / 224 | 95.6% | +20% | 4.18 | -23% | -10% | $0 | 17 | 4.3 | - | 42 | - |
79
Facility
79
KS AVG
46
Rank
#21 / 363 | Megan Lawrence | $3.7M | $2.1M | 56.1% | 175464 |
Medicalodges Independence is located in INDEPENDENCE, Kansas.
Here are the financial assistance programs available to residents in Kansas.
Medicalodges Independence is legally operated by City Of Independence, and administered by Danielle Brumbelow.
Medicalodges Independence has a walk score of 79. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
According to KS state health department records, Medicalodges Independence's license number is 175464.
Medicalodges Independence's occupancy is 96%.
Medicalodges Independence is registered as a for-profit in KS.
Danielle Brumbelow is the administrator of Medicalodges Independence.
Medicalodges Independence has 45 beds.
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