1/5
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.
1/5
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.
Located in Salina, Kansas, Smoky Hill Rehabilitation Center is a skilled nursing and rehabilitation facility with 90 beds. The center is on Johnstown Avenue in a neighborhood with a Walkability Score of 76, making it easy for families and visitors to access nearby services. Healthmark Group owns the facility. Medicare, Medicaid, and private pay are accepted, giving families several ways to cover short-term recovery stays and longer-term care.
The community has an occupancy rate of 74%. Residents stay an average of 230 days, including those receiving short-term rehabilitation and those requiring longer stays. Daily nurse staffing averages 2 hours and 35 minutes per resident. Registered nurses, licensed practical nurses, nurse aides, and other support staff work together to provide direct resident care.
The facility focuses on post-acute care and rehabilitation services. Its rehabilitation programs support residents recovering from illness, injury, surgery, and other health conditions. The combination of skilled nursing care and rehabilitation services makes it a suitable option for families seeking post-acute support.
State inspections reviewed the facility’s performance over the years. Earlier concerns were addressed, and recent surveys confirmed compliance with all regulations. The center’s efforts to improve quality and maintain resident safety have helped it meet state requirements.
Families considering Smoky Hill Rehabilitation Center should take a tour and ask staff about rehabilitation programs, care planning, and daily routines.
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.
| 16m per day | ▼ 63% 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.
| 26m per day | ▼ 36% 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.
| 1h 25m per day | ▼ 47% 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.
| 2h 2m per day | ▼ 43% 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 | ▼ 68% 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 | ▼ 52% State avg: 30m per day · National avg: 28m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Lower than the Kansas average: 79.5%Smoky Hill Rehabilitation Center is administered by Swede C Swagerty.
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.
| 379 | 100 | This facility has 279% more total deficiencies than a typical Kansas assisted living residence (379 vs. KS avg 100).↑ 279% worse |
|
Deficiencies per year
Average deficiencies per year since 2011.
| 25.3 | 6.7 | This facility has 278% more deficiencies per year than a typical Kansas assisted living residence (25.3 vs. KS avg 6.7).↑ 278% 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 Sep 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.
31 of 64 citations resulted from standard inspections; 20 of 64 resulted from complaint investigations; and 13 of 64 came from combined inspections (standard and complaint).
344% worse than Kansas averageKansas average: 0.9
567% worse 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.
0% compared with Kansas average
14% better than Kansas average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
17 total: 7 full-time employees and 10 contractors.
17
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursAssists with medical care and medications.
23 total: 8 full-time employees and 15 contractors.
23
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursHelps with daily care and mobility.
69 total: 26 full-time employees and 43 contractors.
69
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
4,819 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 26 | 43 | 69 | 7,276 | 92 | 100% | 9.4 |
| Licensed Practical Nurse | 8 | 15 | 23 | 2,359 | 91 | 99% | 9.4 |
| Medication Aide/Technician | 9 | 2 | 11 | 1,105 | 72 | 78% | 10.8 |
| Registered Nurse | 7 | 10 | 17 | 1,075 | 78 | 85% | 9.4 |
| Other Dietary Services Staff | 1 | 0 | 1 | 538 | 59 | 64% | 9.1 |
| Nurse Practitioner | 1 | 0 | 1 | 480 | 64 | 70% | 7.5 |
| Dietitian | 1 | 0 | 1 | 454 | 58 | 63% | 7.8 |
| Physical Therapy Aide | 0 | 1 | 1 | 452 | 61 | 66% | 7.4 |
| Qualified Social Worker | 0 | 2 | 2 | 427 | 67 | 73% | 6.2 |
| Speech Language Pathologist | 0 | 1 | 1 | 378 | 67 | 73% | 5.6 |
| Administrator | 1 | 0 | 1 | 270 | 36 | 39% | 7.5 |
| RN Director of Nursing | 0 | 4 | 4 | 184 | 14 | 15% | 11.5 |
| Dental Services Staff | 1 | 0 | 1 | 98 | 13 | 14% | 7.5 |
| Physical Therapy Assistant | 0 | 1 | 1 | 85 | 32 | 35% | 2.6 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 63 | 23 | 25% | 2.7 |
| Medical Director | 0 | 2 | 2 | 60 | 12 | 13% | 2.5 |
| Mental Health Service Worker | 1 | 0 | 1 | 24 | 4 | 4% | 6.1 |
| Occupational Therapy Aide | 0 | 1 | 1 | 15 | 5 | 5% | 3 |
| Occupational Therapist | 0 | 1 | 1 | 12 | 1 | 1% | 11.5 |
Includes penalties issued in 2023-2025
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)
225% higher than Kansas averageKansas average: $44K
107% more fines than Kansas averageKansas average: 2.4
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
2
500% more payment denials than Kansas averageKansas average: 0.3
Penalties are imposed by CMS for violations of federal nursing home regulations.
6 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Jul 10, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 19, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 18, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 8, 2024Last updated: Jan 2026
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.
4.4
58% better than Kansas averageKansas average: 10.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
14.0
33% better than 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
10.8%
43% better than Kansas averageKansas average: 19.0%
Percent of long-stay residents whose ability to move independently worsened
6.5%
67% better than Kansas averageKansas average: 19.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
24.7%
In line with Kansas averageKansas average: 23.8%
Percent of long-stay residents experiencing one or more falls with major injury
2.9%
33% better than Kansas averageKansas average: 4.4%
Percent of long-stay high risk residents with pressure ulcers
0.5%
90% better than Kansas averageKansas average: 4.6%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Kansas averageKansas average: 3.1%
Percent of long-stay residents who lose too much weight
1.5%
71% better than Kansas averageKansas average: 5.1%
Percent of long-stay residents who have depressive symptoms
1.8%
65% better than Kansas averageKansas average: 5.2%
Percent of long-stay residents who received an antipsychotic medication
29.0%
71% worse than Kansas averageKansas average: 16.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.2%
8% better than Kansas averageKansas average: 91.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.4%
In line with Kansas averageKansas average: 95.5%
Number of hospitalizations per 1,000 long-stay resident days.
1.81
In line with Kansas averageKansas average: 1.84
Number of outpatient emergency department visits per 1,000 long-stay resident days.
3.03
40% worse than Kansas averageKansas 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
99.6%
32% better than Kansas averageKansas average: 75.6%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Kansas averageKansas average: 2.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
98.1%
33% better than Kansas averageKansas average: 73.5%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
19.4%
16% better than Kansas averageKansas average: 23.0%
Percentage of short-stay residents who had an outpatient emergency department visit.
18.2%
56% worse than Kansas averageKansas average: 11.7%
Percentage of SNF residents who experience falls with major injury during their stay.
1.4%
81% worse than Kansas averageKansas average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
32.0%
40% worse than Kansas averageKansas average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
49.6%
In line with Kansas averageKansas average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
60% of new residents, usually for short-term rehab.
29% of new residents, often for short stays.
11% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
64Residents 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 Smoky Hill Rehabilitation Center from 2011–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
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 typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (60% of admissions), and a typical Medicare stay runs around 29 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Salina's city center to Smoky Hill Rehabilitation Center's address, calculated via Google Maps.
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Smoky Hill Rehabilitation Center is located in SALINA, Kansas.
Here are the financial assistance programs available to residents in Kansas.
Smoky Hill Rehabilitation Center is legally operated by Ccp Smoky Hill 7350 LLC, and administered by Swede C Swagerty.
Smoky Hill Rehabilitation Center has a walk score of 76. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
According to KS state health department records, Smoky Hill Rehabilitation Center's license number is 175185.
Smoky Hill Rehabilitation Center's occupancy is 74%.
Smoky Hill Rehabilitation Center is registered as a for-profit in KS.
Swede C Swagerty is the administrator of Smoky Hill Rehabilitation Center.
Smoky Hill Rehabilitation Center has 90 beds.
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