3/5
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.
3/5
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.
Paramount Community Living and Rehab INC is a 101-bed skilled nursing and rehabilitation facility at 200 SW 14th Street in Newton, Kansas, part of a continuing care retirement community in Harvey County. Medicare, Medicaid, and private pay accepted, with most residents on long-term stays averaging 125 days.
CMS scores the facility 2 stars, 27.8 percent below Kansas average, driven by a health inspection sub-rating running 24.8 percent below state mean. The latest inspection found the facility in full compliance with zero deficiencies; across 3 inspections since 2021, the facility recorded 26 total citations, all moderate or minor in severity, with no critical or serious findings and no fines or payment denials in the past three years. Staffing is the facility’s clear strength: nurse hours reach 5h 32m per resident daily, 18 percent above Kansas average, with CNA hours running 53 percent above state figure and weekend nursing hours 37 percent above. Physical therapist hours run 150 percent above the Kansas mean. The community operates near capacity with limited availability at 93 percent occupancy, well above Kansas’s 79.5 percent average and ranked 50th out of 217 state facilities.
An active resident council is in place. Care levels within the CCRC are independent living cottages, assisted living, rapid recovery, and 24-hour skilled nursing.
The community caters to long-term Medicaid and private-pay residents in Newton within a full-continuum CCRC setting.
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.
|
30m per day | ▼ 29% 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.
|
39m per day | ▼ 4% 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.
|
4h 20m per day | ▲ 61% 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.
|
5h 5m per day | ▲ 42% 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.
|
3m per day | ▲ 34% 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.
|
18m per day | ▼ 41% State avg: 30m per day · National avg: 28m per day |
Higher than the Kansas average: 79.5%
Paramount Community Living and Rehab Inc is administered by Gretchen Sapp.
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.
|
132 | 100 | This facility has 32% more total deficiencies than a typical Kansas assisted living residence (132 vs. KS avg 100).↑ 32% worse |
|
Deficiencies per year
Average deficiencies per year since 2012.
|
9.4 | 7.1 | This facility has 32% more deficiencies per year than a typical Kansas assisted living residence (9.4 vs. KS avg 7.1).↑ 32% 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 Mar 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.
20 of 26 citations resulted from standard inspections; and 6 of 26 came from combined inspections (standard and complaint).
In line with State average
State average: N/A
In line with State average
State 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 average
State average ratio: 0 : 0
0% compared with State average
State 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.
42 total: 18 full-time employees and 24 contractors.
42
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hours
Assists with medical care and medications.
36 total: 21 full-time employees and 15 contractors.
36
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hours
Helps with daily care and mobility.
83 total: 80 full-time employees and 3 contractors.
83
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.1 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
861 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Medication Aide/Technician | 61 | 0 | 61 | 18,870 | 92 | 100% | 7.8 |
| Certified Nursing Assistant | 80 | 3 | 83 | 17,116 | 92 | 100% | 7.1 |
| Physical Therapist | 30 | 0 | 30 | 6,951 | 92 | 100% | 5.9 |
| Licensed Practical Nurse | 21 | 15 | 36 | 5,185 | 92 | 100% | 7.9 |
| Registered Nurse | 18 | 24 | 42 | 2,585 | 91 | 99% | 8 |
| Clinical Nurse Specialist | 4 | 0 | 4 | 1,286 | 80 | 87% | 7.6 |
| Other Dietary Services Staff | 3 | 0 | 3 | 701 | 66 | 72% | 6.6 |
| Administrator | 1 | 0 | 1 | 472 | 62 | 67% | 7.6 |
| Mental Health Service Worker | 1 | 0 | 1 | 472 | 59 | 64% | 8 |
| Speech Language Pathologist | 2 | 0 | 2 | 426 | 65 | 71% | 5.5 |
| Respiratory Therapy Technician | 3 | 0 | 3 | 370 | 64 | 70% | 5.5 |
| Nurse Practitioner | 2 | 0 | 2 | 352 | 45 | 49% | 7.8 |
| Physical Therapy Assistant | 1 | 0 | 1 | 309 | 60 | 65% | 5.1 |
| Qualified Social Worker | 3 | 0 | 3 | 307 | 56 | 61% | 5.3 |
| Physical Therapy Aide | 3 | 0 | 3 | 226 | 53 | 58% | 4.1 |
| RN Director of Nursing | 1 | 0 | 1 | 152 | 19 | 21% | 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.
10.9
In line with State average
State average: 10.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
23.1
11% worse than State average
State 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
17.3%
9% better than State average
State average: 19.0%
Percent of long-stay residents whose ability to move independently worsened
23.5%
21% worse than State average
State average: 19.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
28.4%
20% worse than State average
State average: 23.8%
Percent of long-stay residents experiencing one or more falls with major injury
3.0%
31% better than State average
State average: 4.4%
Percent of long-stay high risk residents with pressure ulcers
3.5%
24% better than State average
State average: 4.6%
Percent of long-stay residents with a urinary tract infection
0.6%
80% better than State average
State average: 3.1%
Percent of long-stay residents who lose too much weight
7.2%
42% worse than State average
State average: 5.1%
Percent of long-stay residents who have depressive symptoms
6.2%
20% worse than State average
State average: 5.2%
Percent of long-stay residents who received an antipsychotic medication
11.3%
33% better than State average
State average: 16.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
86.3%
6% worse than State average
State average: 91.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than State average
State average: 95.5%
Number of hospitalizations per 1,000 long-stay resident days.
1.06
42% better than State average
State average: 1.84
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.74
19% better than State average
State 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
83.5%
10% better than State average
State average: 75.6%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than State average
State average: 2.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
87.5%
19% better than State average
State average: 73.5%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
21.1%
8% better than State average
State average: 23.0%
Percentage of short-stay residents who had an outpatient emergency department visit.
16.9%
44% worse than State average
State average: 11.7%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than State average
State average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
50.0%
7% worse than State average
State average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
52.7%
In line with State average
State average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
43% of new residents, usually for short-term rehab.
4% of new residents, often for short stays.
53% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
92
Residents meet regularly to discuss policies, care quality, and activities
Part of a Continuing Care Retirement Community offering multiple care levels
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 Paramount Community Living and Rehab Inc 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).
Most residents stay for extended periods and receive ongoing daily care.
Most new residents arrive under Medicaid (53% of admissions), and a typical Medicaid stay runs around 6 - 7 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Newton's city center to Paramount Community Living and Rehab Inc's address, calculated via Google Maps.
Add your location
The information below is reported by the Kansas Department for Aging and Disability Services.
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| Paramount Community Living and Rehab Inc |
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IL
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Newton | - | 101 | - | 81 | - |
| Homestead of Osawatomie |
NH
AL
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Osawatomie | - | 40 | - | 13 | Suite |
| Brookdale Rosehill |
NH
AL
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Shawnee | - | 92 | A+ | 54 | Studio / 1 Bed |
| Meadowlark Hills Retirement Community |
NH
HC
IL
NC
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Manhattan (Meadowlark Road) | - | 134 | - | 28 | 1 Bed / 2 Bed / 3 Bed |
| Ascension Living Via Christi Village McLean |
NH
AL
IL
MC
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Wichita (Indian Hills) | - | 95 | - | 47 | Studio / 1 Bed |
Paramount Community Living and Rehab Inc is legally operated by Ehc Newton Realty Inc, and administered by Gretchen Sapp.
Paramount Community Living and Rehab Inc has a walk score of 81. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
According to KS state health department records, Paramount Community Living and Rehab Inc's license number is 175385.
Paramount Community Living and Rehab Inc's occupancy is 91%.
Paramount Community Living and Rehab Inc is registered as a non-profit in KS.
Gretchen Sapp is the administrator of Paramount Community Living and Rehab Inc.
Paramount Community Living and Rehab Inc has 101 beds.
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