Kansas Struggles with Low-Care Nursing Home Residents, Ranking Among the Worst in the Nation

Libby Hastings • September 3, 2024

The United Health Foundation recently released the America’s Health Rankings® 2024 Senior Report, offering a detailed look into the health and well-being of older adults across the United States. The report examines 52 measures of health from 24 distinct data sources, providing a comprehensive overview of how each state supports its aging population. Unfortunately, Kansas continues to lag in a crucial area—low-care nursing home residents.


Kansas ranks #47 in the nation (same as last year, 2023) for the percentage of low-care residents in nursing homes, meaning that a higher proportion of older adults who require minimal assistance are still being placed in institutional settings. With 17% of Kansas nursing home residents classified as low-care, the state is among the worst in the nation, surpassed only by Missouri and Oklahoma, which have even higher percentages.


Alaska wasn’t rated in this category, which means Kansas might be the 4th worst, or possibly the 3rd worst, depending on how you interpret the data. In contrast, Hawaii leads the nation with only 2.6% of its nursing home residents classified as low-care, followed by Maine at 2.9%. Montana narrowly edged out Kansas, ranking 46th with 16.3%.


This troubling statistic highlights the need for more readily available long-term care services and supports within Kansas communities, allowing residents aged 65 and older the option to delay or avoid institutional care. The availability of these services is vital for maintaining the independence and quality of life for older adults.


In the broader context of national healthcare rankings, Kansas fares somewhat better, coming in at 25th overall. However, neighboring states show a wide range of rankings, with Colorado ranking 2nd, Nebraska at 14th, Missouri at 41st, and Oklahoma close to the bottom at 46th.


The report also identifies other critical areas where Kansas must improve:


  • Drug Deaths Among Older Adults: The number of drug-related deaths per 100,000 adults aged 65 and older has risen dramatically in Kansas, increasing by 61% from 5.7 (2017-2019) to 9.2 (2020-2022).
  • Healthcare Disparities: There is a significant disparity in avoiding care due to cost among older adults in Kansas. Those with less than a high school education are 15.2 times more likely to avoid care compared to those with a college degree.


These findings underscore the importance of addressing the systemic issues in Kansas’ long-term care and healthcare systems to ensure that all older adults have access to the care they need, regardless of their level of required assistance or socioeconomic status. As the state continues to rank poorly in areas like low-care nursing home residents, it’s clear that more needs to be done to support our aging population.

Understanding the Special Focus Facility Program

By Libby Hastings • April 21, 2025
Understanding the Special Focus Facility (SFF) Program: What Families Need to Know When Choosing a Nursing Home in Kansas When searching for a nursing home for a loved one, families often look for a place that will offer safe, reliable, and compassionate care. One important—but often overlooked—resource that can help inform that decision is the Special Focus Facility (SFF) Program , managed by the Centers for Medicare & Medicaid Services (CMS). What Is the Special Focus Facility (SFF) Program? The SFF Program was created by CMS to address the most persistent quality problems in nursing homes across the country. Every nursing home that accepts Medicare or Medicaid is regularly inspected to ensure it meets health and safety standards. Most nursing homes will have a few issues identified during these inspections—typically six to seven deficiencies on average—but some facilities consistently fall far below acceptable standards. These nursing homes: Have twice as many deficiencies as the average facility, Have more serious issues , including those that cause actual harm to residents, And show a long-term pattern of poor performance over a span of about three years. Facilities like these may fix issues temporarily, but often fail to address the root causes—resulting in a harmful cycle of repeated violations. That’s where the SFF program comes in. How the SFF Program Works CMS uses inspection data to score nursing homes based on both the number and severity of their deficiencies. Facilities with the highest scores (i.e., the most and most serious problems) are added to a list of SFF candidates . Each state is allowed only a limited number of active SFFs at a time—currently, only 88 facilities nationwide can be enrolled in the program. However, CMS maintains a much longer list of SFF candidates that also meet the criteria but haven't yet been selected for the program due to space limits. Once a facility is chosen as an active SFF: It is inspected every six months instead of the usual once a year. It may face progressive enforcement , such as financial penalties or losing eligibility for Medicare and Medicaid. It must show real, lasting improvements to graduate from the program. A facility "graduates" from the SFF program only after it has two consecutive inspections (after being named an SFF) with no more than 12 relatively minor deficiencies and none at a higher severity level. If a facility continues to have serious violations, CMS may consider terminating its participation in Medicare and/or Medicaid. Why This Matters to Kansas Familie s Being informed about a nursing home’s history can help protect your loved ones. Facilities in the SFF program—or on the candidate list—have serious quality concerns. While some may be working hard to improve, others may continue to struggle with systemic issues that put residents at risk. As of March 2025, the following nursing homes in Kansas are included in the Special Focus Facility (SFF) program: Excel Healthcare and Rehab Topeka (recently closed) Access Mental Health (Peabody) The following facilities in Kansas are currently on the SFF candidate list : Clearwater Nursing and Rehabilitation Center Good Samaritan Society- Liberal Kearny County Hospital Long-Term Care Unit Legacy at College Hill (Wichita) Legacy on 10th Avenue (Topeka) Medicalodges Jackson County Medicalodges Post Acute Care Center (Kansas City) Meridian Rehabilitation and Health Care Center (Wichita) Riverbend Post Acute Rehabilitation (Kansas City) Tanglewood Nursing and Rehabilitation (Topeka) The following facilities graduated from the SFF program: Advena Living of Cherryvale Life Care Center of Osawatomie Anew Healthcare Oxford is a facility that is no longer participating in the Medicare and Medicaid Program. We encourage families to take time to research and ask questions when considering a nursing home. You can access the full national SFF and candidate list on the CMS website here . KABC offers free unbiased Consumer Information Reports on all licensed adult care facilities in Kansas, helping you make an informed choice when deciding between long-term care options. Final Thoughts The Special Focus Facility Program exists to push underperforming nursing homes to do better—but it’s also a signal to the public. When selecting long-term care, knowing whether a facility is on this list can be an important part of making the best choice for your loved one. If you have questions about how to find quality nursing home care in Kansas or want help understanding a facility’s inspection history, don’t hesitate to reach out to our team.

Advocacy in Action (April 2025): Legislative Recap

April 2, 2025
As we move further into 2025, we want to share an update on our legislative advocacy efforts this session. KABC remains committed to championing policies that protect and support older adults and individuals in long-term care. Here’s a look at key legislative developments and where things stand: