Occupancy rate
75%
In line with Kansas averagePrimarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Nursing Home
Sandstone Heights Nursing Home
Sandstone Heights Nursing Home is a community-owned, not-for-profit residence located in Little River, Kansas. It provides a range of services including independent living, assisted living, and nursing home care. The facility emphasizes quality of life and offers various activities and therapy services to its residents.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
36
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
75%
Residents per day (avg)
23
Occupancy rate
75%
Residents per day (avg)
23
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Post-acute recovery
Temporary care
Transitional stays
Breakdown by payment type
Medicare
20% of new residents, usually for short-term rehab.
Typical stay
2 - 3 months
Private pay
62% of new residents, often for short stays.
Typical stay
5 - 6 months
Medicaid
18% of new residents, often for long-term daily care.
Typical stay
1 - 2 years
Finances and operations
Governmental community
Operated by state authorities.
Home revenue
$3.9M
Surplus of revenue
$275.8K
Governmental community
Operated by state authorities.
Home revenue
$3,908,379.00
Surplus of revenue
$275,816.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$1.7M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$1.9M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$3.6M
36-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
About this community
Occupancy
In line with Kansas averageOccupied beds
27 / 36
Average residents
50 per day
License details
Facility type
Nursing Facility | Assisted Living Facility
Status
Active
County:
RICE
Additional licensing details
License number:
175509
CMS Certification Number:
175509
Awards:
2003 Peak Award for Innovation in Home Environment, 2008 Certificate of Recognition for no Deficiencies on the State Survey
Ownership & operating entity
Sandstone Heights Nursing Home is administrated by TREY LOOK.
Owner name:
RICE COUNTY HOSPITAL DIST 2
Safety & Compliance
Wheelchair Accessible
Care Services
Nursing Services
Rehabilitation Services
Independent Living
Skilled Nursing
Amenities & Lifestyle
Programs & Activities
Activities
Planned activities include Bible Study, Church Service, Sing-A-Longs, Holiday/Birthday Parties, Bingo, and more.
Specific Programs
Blood pressure checks, assistance with Medicaid/Medicare, outpatient therapy, Bible Study, Church Service, Sing-A-Longs, Holiday/Birthday Parties, Bingo, Barbecues, Arts and Crafts, Pet Therapy, shopping trips.
Religious Services
Yes
Volunteer Programs
Yes
Dining & Nutrition
Food Description
Meals are planned by expert dietitians and food service workers, catering to each resident’s dietary needs. Friends and family can dine with residents for a small fee.
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.
28 visits/inspections
Show Inspection Reports
Latest inspection
Date:October 23, 2025
135 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Inspection Report Summary for Sandstone Heights Nursing Home
The most recent inspection on December 27, 2018, resulted in no deficiency citations. Earlier inspections showed a pattern of deficiencies primarily related to resident care, including fall assessments, pressure ulcer prevention and treatment, catheter care, and supervision to prevent accidents. Complaint investigations substantiated issues such as inadequate supervision leading to falls and elopement risks, as well as failures in timely reporting of resident falls and injuries. Enforcement actions included denial of payment for new Medicare and Medicaid admissions following findings related to pressure ulcers, but no license suspensions or fines were listed in the available reports. The facility’s record shows improvement over time, with the most recent inspection free of deficiencies after previous corrective actions were implemented.
Health Inspection History
Inspections
Total health inspections
4
Kansas average 4.5
Last Health inspection on Mar 2025
Total health citations
20
Citations per inspection
5
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
15 of 20 citations resulted from standard inspections; 1 of 20 resulted from complaint investigations; and 4 of 20 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
1
1
11% worse than Kansas averageKansas average: 0.9
Serious Health citations
1
1
11% worse than Kansas averageKansas average: 0.9
1 critical citation
1 serious citation
18 moderate citations
0 minor citations
Citations history (last 3 years)
Administration moderate citation
Mar 13, 2025
Corrected
Nutrition moderate citation
Mar 13, 2025
Corrected
Quality of Care serious citation
Mar 13, 2025
Corrected
Care Planning moderate citation
Mar 13, 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.
Compare Nursing Homes around Kansas
The information below is reported by the Kansas Department for Aging and Disability Services.
Sandstone Heights Nursing Home
+66%
+18%
-12%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
KS 67457
38
-
GAINES, JOHN
70.2%
$2,844,495.00
$1,702,104.00
59.8%
23.30
5.4772
2
20
2
+66%+18%-12%-
Arma Operator LLC
+39%
-29%
+16%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
KS 66712
45
-
-
92.3%
$4,315,735.00
$2,297,709.00
53.2%
40
3.2675
-
15
1
+39%-29%+16%-
The Cottages Senior Care Living
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Garden City
12 Residents
20
-
-
-
-
-
-
-
-
-
-
-
-
Private Rooms
Access Mental Health LLC
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
KS 66866
45
-
-
-
-
-
-
-
-
-
-
-
-
-
-
Agewise Living Inc
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
KS 67579-1614
45
-
-
-
-
-
-
-
-
-
-
-
-
-
-
Sandstone Heights Nursing Home
Type of care:
SNF
AL
Community:
KS 67457
Bed Count:
38
Operator:
GAINES, JOHN
CCN:
175509
Occupancy:
70.2%
Home Revenue:
$2,844,495.00
Payroll Costs:
$1,702,104.00
Payroll %:
59.8%
Avg Residents/Day:
23.30
Overall Rating:
Adj Nurse Hours:
5.4772
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
2
Citations:
20
Severe Citations:
2
RN share vs State Avg:
+66%
+66%
Staffing vs State Avg:
+18%
+18%
Occupancy vs State Avg:
-12%
-12%
Arma Operator LLC
Type of care:
SNF
AL
Community:
KS 66712
Bed Count:
45
CCN:
175353
Occupancy:
92.3%
Home Revenue:
$4,315,735.00
Payroll Costs:
$2,297,709.00
Payroll %:
53.2%
Avg Residents/Day:
40
Overall Rating:
Adj Nurse Hours:
3.2675
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
15
Severe Citations:
1
RN share vs State Avg:
+39%
+39%
Staffing vs State Avg:
-29%
-29%
Occupancy vs State Avg:
+16%
+16%
Places of interest near Sandstone Heights Nursing Home
132.2 miles from city center
LITTLE RIVER, KS 67457
Calculate Travel Distance to Sandstone Heights Nursing Home
Add your location
Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
108
Total Staff
49
Employees
59
Contractors
12,952
Total Hours (Quarter)
20
Avg Staff/Day
7.1
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 18 | 8.9 | Yes |
| Licensed Practical Nurse | 11 | 9.8 | Yes |
| Certified Nursing Assistant | 44 | 7.3 | Yes |
Staff by Category
Administration ⓘ
2 staff
7.7hs shift avg
Nursing Staff ⓘ
89 staff
8hs shift avg
Physicians & Practitioners ⓘ
2 staff
7.6hs shift avg
Therapy Services ⓘ
10 staff
3.5hs shift avg
Activities & Recreation ⓘ
1 staff
7.7hs shift avg
Social Services ⓘ
1 staff
1.2hs shift avg
Dietary Services ⓘ
1 staff
8hs shift avg
Other Services ⓘ
2 staff
7.8hs shift avg
Contractor Analysis
13.6%
of total hours from contractors
1,767 contractor hours this quarter
Certified Nursing Assistant: 18
Speech Language Pathologist: 4
Medication Aide/Technician: 8
Registered Nurse: 13
Licensed Practical Nurse: 8
Physical Therapy Aide: 1
Occupational Therapy Aide: 1
Medical Director: 1
Physical Therapy Assistant: 1
Respiratory Therapy Technician: 1
Qualified Social Worker: 1
Mental Health Service Worker: 1
Occupational Therapy Assistant: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 26 | 18 | 44 | 4,520 | 91 | 100% | 7.3 |
| Registered Nurse | 5 | 13 | 18 | 1,781 | 89 | 98% | 8.9 |
| Medication Aide/Technician | 8 | 8 | 16 | 1,740 | 88 | 97% | 8.1 |
| Licensed Practical Nurse | 3 | 8 | 11 | 1,082 | 76 | 84% | 9.8 |
| Other Dietary Services Staff | 1 | 0 | 1 | 536 | 67 | 74% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 513 | 64 | 70% | 8 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 504 | 63 | 69% | 8 |
| Therapeutic Recreation Specialist | 1 | 0 | 1 | 467 | 61 | 67% | 7.7 |
| Occupational Therapy Aide | 1 | 1 | 2 | 432 | 62 | 68% | 6.6 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 431 | 60 | 66% | 7.2 |
| Speech Language Pathologist | 0 | 4 | 4 | 192 | 60 | 66% | 2.7 |
| Physical Therapy Aide | 0 | 1 | 1 | 146 | 53 | 58% | 2.8 |
| Physical Therapy Assistant | 0 | 1 | 1 | 30 | 20 | 22% | 1.5 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 27 | 30 | 33% | 0.9 |
| Qualified Social Worker | 0 | 1 | 1 | 16 | 13 | 14% | 1.2 |
| Mental Health Service Worker | 0 | 1 | 1 | 12 | 3 | 3% | 4 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 11 | 3 | 3% | 3.6 |
| Medical Director | 0 | 1 | 1 | 3 | 3 | 3% | 1 |
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
22 residents
Residents by payment source
Medicaid
14 residents (63.6%)
Private pay or other
8 residents (36.4%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, 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.
9.9
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.9
5% better than Kansas averageKansas average: 10.5
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.4
In line with 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
18.2%
Percent of long-stay residents whose need for help with daily activities has increased
18.2%
In line with Kansas averageKansas average: 19.0%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
18.5%
Percent of long-stay residents whose ability to move independently worsened
18.5%
5% 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
27.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
27.4%
15% worse than Kansas averageKansas average: 23.8%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
9.1%
Percent of long-stay residents experiencing one or more falls with major injury
9.1%
107% worse than Kansas averageKansas average: 4.4%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
3.8%
Percent of long-stay high risk residents with pressure ulcers
3.8%
18% better than Kansas averageKansas average: 4.6%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
9.3%
Percent of long-stay residents with a urinary tract infection
9.3%
197% worse than Kansas averageKansas average: 3.1%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
0.0%
Percent of long-stay residents who lose too much weight
0.0%
100% better than Kansas averageKansas average: 5.1%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Kansas averageKansas average: 5.2%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
22.6%
Percent of long-stay residents who received an antipsychotic medication
22.6%
34% worse than Kansas averageKansas average: 16.9%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
9% better than Kansas averageKansas average: 91.9%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Kansas averageKansas average: 95.5%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
96.5%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
96.5%
28% better than Kansas averageKansas average: 75.6%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
16.1%
Percent of short-stay residents who newly received an antipsychotic medication
16.1%
644% worse than Kansas averageKansas average: 2.2%
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
$90K
105% higher than Kansas averageKansas average: $44K
Number of fines
2
17% 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.
1
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
200% more payment denials than Kansas averageKansas average: 0.3
Fines amount comparison
Fines amount comparison
This facility
$90K
Kansas average
$44K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 13, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 13, 2025
$63K
Payment Denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Mar 13, 2025
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Mar 13, 2025
40 days
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 16, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 16, 2024
$27K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Sandstone Heights Nursing Home based on CMS SNF Cost Reports.
Occupancy Rate
70.2%
↑ 3.1pp vs 2022
Net Income
$275,816
↓ ~$7K vs 2022
Total Payroll
$2,683,924
↑ ~$116K vs 2022
Profit Margin
9.7%
↓ 1.5pp vs 2022
Loading trend charts...
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