Occupancy rate
75%
In line with Kansas averagePrimarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
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Nursing Home in Kansas
CMS overall rating
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.
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.
Sandstone Heights Nursing Home
Nursing Home in Kansas
CMS overall rating
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.
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.
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
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
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
$3.9M
Surplus of revenue
$275.8K
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
Facility TypeNursing Facility | Assisted Living Facility
StatusActive
CountyRice
License Number175509
CMS Certification Number175509
Awards2003 Peak Award for Innovation in Home Environment, 2008 Certificate of Recognition for no Deficiencies on the State Survey
Sandstone Heights Nursing Home is administrated by Trey Look.
Owner NameRICE COUNTY HOSPITAL DIST 2
Wheelchair Accessible
Rehabilitation Services
Skilled Nursing
Transportation
Therapy Services
Meals
Activities
Private Dining
Pet Therapy
Shopping Trips
ActivitiesPlanned activities include Bible Study, Church Service, Sing-A-Longs, Holiday/Birthday Parties, Bingo, and more.
Specific ProgramsBlood 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 ServicesYes
Volunteer ProgramsYes
Food DescriptionMeals 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
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
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.
Kansas average: 100 deficiencies
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
Kansas average 26.9
Citations per inspection
5
Kansas average 6.07
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
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Mar 13, 2025
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Mar 13, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Mar 13, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Mar 13, 2025
Corrected
Quality of Care serious citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Mar 13, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Mar 13, 2025
Corrected
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Mar 13, 2025
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
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.
Filter by care type
| Sandstone Heights Nursing Home |
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. | Little River | 38 | 70.2% | -12% | 5.48 | +66% | +18% | 2 | 20 | 5.0 | 2 | 23 | - | - | Gaines, John | $2.8M | $1.7M | 59.8% | 175509 | ||||
| Arma Operator LLC |
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. | Arma | 45 | 92.3% | +16% | 3.27 | +39% | -29% | 0 | 15 | 3.8 | 1 | 40 | - | - | - | $4.3M | $2.3M | 53.2% | 175353 | ||||
| The Cottages Senior Care Living | - |
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. | Garden City | 12 Residents | - | - | - | - | - | - | - | - | 0 | 0 | 0.0 | 0 | - | - | 20 | - | - | - | - | - |
| Access Mental Health LLC | - |
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. | Peabody | 45 | - | - | - | - | - | - | - | - | 0 | 0 | 0.0 | 0 | - | - | - | - | - | - | - | - |
| Agewise Living Inc | - |
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. | Sterling | 45 | - | - | - | - | - | - | - | - | 0 | 0 | 0.0 | 0 | - | - | - | - | - | - | - | - |
Places of interest near Sandstone Heights Nursing Home
132.2 miles from city center
Estimated distance in miles from LITTLE RIVER's city center to Sandstone Heights Nursing Home's address, calculated via Google Maps.
Calculate Travel Distance to Sandstone Heights Nursing Home
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
108
Employees
49
Contractors
59
Staff to resident ratio
4.91:1
117% better than Kansas averageKansas average ratio: 2.27:1
Avg staff/day
20
Average shift
7.1 hours
8% worse than Kansas averageKansas average: 7.7 hours
Total staff hours (quarter)
12,952
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
18
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
11
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.8 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
44
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
13.6%
1,767 contractor hours this quarter
Certified Nursing Assistant: 18
Registered Nurse: 13
Medication Aide/Technician: 8
Licensed Practical Nurse: 8
Speech Language Pathologist: 4
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
Staff by category
| 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 |
44 Certified Nursing Assistant
% of Days
100%
18 Registered Nurse
% of Days
98%
16 Medication Aide/Technician
% of Days
97%
11 Licensed Practical Nurse
% of Days
84%
1 Other Dietary Services Staff
% of Days
74%
1 Nurse Practitioner
% of Days
70%
1 Administrator
% of Days
70%
1 Dental Services Staff
% of Days
69%
1 Therapeutic Recreation Specialist
% of Days
67%
2 Occupational Therapy Aide
% of Days
68%
1 Clinical Nurse Specialist
% of Days
66%
4 Speech Language Pathologist
% of Days
66%
1 Physical Therapy Aide
% of Days
58%
1 Physical Therapy Assistant
% of Days
22%
1 Respiratory Therapy Technician
% of Days
33%
1 Qualified Social Worker
% of Days
14%
1 Mental Health Service Worker
% of Days
3%
1 Occupational Therapy Assistant
% of Days
3%
1 Medical Director
% of Days
3%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
22
Medicaid
14
63.6% of residents
Private pay or other
8
36.4% of residents
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
$275.8K
↓ ~$7.1K vs 2022
Total Payroll
$2.7M
↑ ~$116.3K vs 2022
Profit Margin
9.7%
↓ 1.5pp vs 2022
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