Hospital District #1 of Rice County
A critical access hospital in Lyons, Kansas 67554
619 South Clark Avenue, Lyons, Kansas 67554. (620) 257-5173.
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The short answer
Record last released by CMS on Oct 20, 2026.
- Not rated CMS’s overall rating
- Not rated patient survey rating
- 2 deficiencies cited in the last three years
- 25 beds
Each figure’s source sits beside it, in its section below.
What these words mean2
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
What did inspectors find?
The last inspection on record was on Aug 29, 2025: a complaint inspection.
2 deficiencies cited in the last three years.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
When those deficiencies happened
2 deficiencies in 1 month of the last 36. Last cited Aug 2025. Most serious: Standard-level. The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
Each deficiency, as cited
Rule titles as CMS’s inspectors cite them, set in sentence case.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
Aug 29, 2025: complaint inspection2 deficiencies
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Nursing Services
The inspectors’ words, 434 words
“NURSING SERVICES CFR(s): §485.635(d)(3) All drugs, biologicals, and intravenous medications must be administered by or under the supervision of a registered nurse, a doctor of medicine or osteopathy, or, where permitted by State law, a physician assistant, in accordance with written and signed orders, accepted standards of practice, and Federal and State laws. This Standard is not met as evidenced by: 45841 Based on observation, interview, record review, and facility policy review, the facility failed to ensure that medications were administered according to the standards of practice for 1 (Patient 8) of 2 patients observed for medication administration. Specifically, Patient 8’s identification was not verified prior to the administration of breathing treatments. Findings include: A facility policy titled, “Medication Administration,” revised 08/2023, revealed, “I. Patient Safety” included “A. Patient medications are administered using the five rights: right patient, right medication, right dose, right route and right time.” The policy also indicated, “II Personnel Authorized to Administer Medications,” which included “C. RN’s [sic] [registered nurses]/LPNs [licensed practical nurses] and Respiratory Therapists may administer respiratory medications.” The policy also indicated, “IX. Medication Management” included “B. Patient Identification,” which revealed, “1. Prior to administering medication, patient identity will be validated using the patient’s armband.” The policy continued, “C. Medication Administration,” which revealed, “1. Before administration, the individual administering the medication does the following,” which included “a. Verifies that the medication selected matches the medication order and product label.” Patient 8’s “History and Physical Examination,” dated 08/24/2025, revealed the facility admitted the patient due to an acute exacerbation of chronic obstructive pulmonary disease (COPD) with hypoxia. An observation on 08/27/25 at 4:10 PM revealed Respiratory Therapist (RT) #13 administered breathing treatments to Patient 8 without confirming the patient’s identity. The observation revealed RT #13 did not have a computer with him to compare the medications with the medication administration record. Patient 8’s “Patient Progress Notes,” dated 08/27/25 at 5:36 PM, revealed that on 08/27/25 at 4:10 PM, the patient received one inhaled dose of DuoNeb (a bronchodilator), 2.5 milligram (mg) albuterol sulfate and 0.5 mg ipratropium bromide per 3 milliliter (ml); and one nebulizer dose of Pulmicort (an inhaled corticosteroid), 0.25 mg budesonide. During an interview on 08/27/25 at 4:20 PM, following the medication administration with Patient 8, RT #13 stated that respiratory therapy staff did not have a mobile computer on wheels, and if a therapist had more than one patient, they carried a paper with them that listed out the patients, the treatments, and the treatment times. RT #13 stated that if he had more than one patient, he checked their name and date of birth.”
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Infection Prevent & Control Policies
The inspectors’ words, 552 words
“INFECTION PREVENT & CONTROL POLICIES CFR(s): The infection prevention and control program, as documented in its policies and procedures, employs methods for preventing and controlling the transmission of infections within the CAH and between the CAH and other healthcare settings; This Standard is not met as evidenced by: 45841 Based on observation, interview, facility policy review, and review of an endoscope’s reprocessing manual, the facility failed to ensure infection control procedures were followed during 1 of 1 observation of a reusable endoscope being reprocessed. Specifically, Licensed Practical Nurse (LPN) #11 did not brush the used endoscope’s buttons or channels, per the manual’s instructions, prior to placing the endoscope in a reprocessing machine. Findings include: A facility policy titled, “High-Level Disinfection (HLD) Policy,” dated 06/09/15, indicated, “Purpose: To establish standardized procedures for the high-level disinfection of reusable semi-critical medical devices in accordance with AORN [Association of Perioperative Registered Nurses] guidelines, ensuring patient and staff safety and reducing the risk of infection transmission.” An endoscope reprocessing manual provided by facility staff, revealed Section “5.3 Precleaning the endoscope and accessories” included “Preparation,” “Wipe the insertion section,” “Aspirate water,” “Flushing the air/water channel with water and air,” and “Flush the auxiliary water channel.” The manual also revealed Section “5.5 Manually cleaning the endoscope and accessories” revealed that manual steps to clean the endoscope included “Clean the external surface,” “Brush the channels,” “Aspirate detergent solution through the instrument channel and the suction channel,” “Flush the air/water channel with detergent solution,” “Flush the auxiliary water channel with detergent solution,” “Immerse the endoscope and accessories in detergent solution,” “Remove detergent solution from all channels,” and “Dry external surfaces.”. The manual revealed, “Brush the channels,” included a “Warning,” which revealed, “Be sure to thoroughly brush the inside of the instrument channel, the instrument channel port, the suction channel, and the suction cylinder of the endoscope. Insufficient brushing may pose an infection control risk.” An observation of LPN #11 pre-cleaning a used reusable endoscope on 08/28/25 at 8:20 AM, revealed that after a procedure, the endoscope was transported in a container that was marked to indicate that it was dirty, to the reprocessing room. The endoscope was placed directly into a reprocessing machine. The endoscope’s channels or buttons were not brushed prior to being placed in the reprocessing machine. During an interview on 08/28/25 at 8:24 AM, LPN #11 stated that if an endoscope was soiled, he used a brush to clean the channels, and this was usually done before the endoscope was placed in the machine. LPN #11 stated that he did not do that on this endoscope because it was not a completed procedure, and the endoscope was not very soiled because the procedure was not completed. LPN #11 stated there were two endoscopes that were used for colonoscopies and two that were used for esophagogastroduodenoscopies (EGDs). During an interview on 08/28/25 at 8:36 AM, Registered Nurse (RN) #10, who was the Surgery Manager, stated that representatives for the processing machine had provided endoscope processing education with the staff when the machine was replaced. During an interview on 08/28/25 at 9:54 AM, RN #10 stated LPN #11 revealed that he had forgotten an endoscope brush for the endoscope processing that was observed. RN #10 stated that the process was to preclean, perform manual cleaning, and then disinfect used endoscopes.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Aug 29, 2025 | Complaint inspection | 2 deficiencies cited |
How do patients fare?
- CMS gives no overall CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.: “There are too few measures or measure groups reported to calculate a star rating or measure group score.”
- Of the measures behind its CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System., CMS counts against the national value: mortality, 0 better and 0 worse of 2; readmission, 0 better and 0 worse of 3.
- CMS gives no CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.: “The number of cases/patients is too few to report a star rating.”
- In CMS’s patient survey (Oct 1, 2024 to Sep 30, 2025): 91% rated it 9 or 10 out of 10, and 93% would definitely recommend it.
- Deaths within 30 days, as CMS gives them (Jul 1, 2022 to Jun 30, 2025): pneumonia 16.6%. CMS gives no comparison with the national rate for them in this release.
- Readmissions within 30 days, as CMS gives them (Jul 1, 2023 to Jun 30, 2025): pneumonia 17%. CMS gives no comparison with the national rate for them in this release.
- After outpatient care, compared by CMS: unplanned hospital visits after a colonoscopy, no different than the national rate.
- Emergency department patients spent a median of 100 minutes there before leaving (Oct 1, 2024 to Sep 30, 2025), and 0% left before being seen.
CMS, Hospital General Information, Patient survey (HCAHPS) - Hospital, Healthcare Associated Infections - Hospital, Timely and Effective Care - Hospital and Medicare Spending Per Beneficiary - Hospital. Released Aug 13, 2026. Updated quarterly.
CMS, Complications and Deaths - Hospital and Unplanned Hospital Visits - Hospital. Released Sep 30, 2026. Updated quarterly.
| Measure | Rating |
|---|---|
| Overall ratingCMS’s overall hospital quality star rating, 1 to 5 | Not rated |
| Patient survey ratingCMS star rating from its survey of the hospital’s patients (HCAHPS), 1 to 5 | Not rated |
Is it certified, and in good standing?
- Medicare-certified critical access hospital since Jan 1, 2001.
- Ownership: government - hospital district or authority.
- It is not accredited by a private organisation, so the state carries out its routine inspections for Medicare.
- No For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual. deficiency on record in the last three years.
- Government - Hospital District or Authority.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
Has it been penalized?
- CMS doesn’t publish fines or other penalties for hospitals.
- CMS’s HAC Reduction Program file has no result for it: the program covers general acute care hospitals Medicare pays under its inpatient prospective payment system.
- 2 deficiencies cited in the last three years came from inspections that included a complaint investigation.
CMS, Hospital-Acquired Condition (HAC) Reduction Program. Released Aug 13, 2026. Updated yearly.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
What do patients say about their care?
- CMS doesn’t publish staffing levels for hospitals.
- 90% of its health care workers got a flu shot (Oct 1, 2024 to Mar 31, 2025).
CMS, Patient survey (HCAHPS) - Hospital and Timely and Effective Care - Hospital. Released Aug 13, 2026. Updated quarterly.
Who owns it?
- 9 owners or officers are people: Linda Brunk (corporate officer); Weston Tallman (corporate officer); Weston Tallman (corporate director); Weston Tallman (managing employee (on the payroll)); Gayla Schubert (corporate officer); Sheri L Bennett (corporate director); Marcia Diasio (corporate officer); George M Stover (managing employee (on the payroll)); Terry L David (corporate director).
- CMS’s Provider of Services file records no change of ownership.
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, Hospital All Owners and Hospital Enrollments. Released Sep 29, 2026. Updated monthly.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
How does it compare nearby?
- No other hospital CMS lists is in Rice County.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
What the record doesn’t say
- CMS doesn’t publish fines or other penalties for hospitals, so none are shown. The one payment cut CMS publishes for each hospital, under its Hospital-Acquired Condition Reduction Program, is shown where it applies.
- Only complaints that led to a citation appear; complaints that didn’t aren’t published.
- Most hospitals are accredited by a private organisation (The Joint Commission, DNV and others) whose routine inspections stand in for the state’s; those reports aren’t public, and QCOR holds only the state’s surveys: no inspection on record here doesn’t mean none took place.
- QCOR says its hospital inspection data are complete only through September 17, 2026, while it moves to a new system.
- CMS doesn’t publish staffing levels for hospitals.
- In its September 2026 release CMS gives no comparison with the national rate for death and readmission rates, though it gives the rates.
Sources
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Centers for Medicare & Medicaid Services, Hospital General Information (xubh-q36u).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Patient survey (HCAHPS) - Hospital.
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Healthcare Associated Infections - Hospital (77hc-ibv8).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Complications and Deaths - Hospital (ynj2-r877).
Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Unplanned Hospital Visits - Hospital (632h-zaca).
Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Timely and Effective Care - Hospital (yv7e-xc69).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Medicare Spending Per Beneficiary - Hospital (rrqw-56er).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital-Acquired Condition (HAC) Reduction Program (yq43-i98g).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated yearly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Provider of Services File - Hospital & Non-Hospital Facilities (Hospital_and_other.DATA.Q3_2026.csv).
Released Oct 14, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, QCOR Hospital 2567 statements of deficiencies (Hospital_2567s_2010_to_2026YTD.xlsx).
Released Oct 20, 2026 and checked Oct 27, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital All Owners (Hospital_All_Owners_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital Enrollments (Hospital_Enrollments_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the hospital
The public record above comes first. Anything the hospital adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the hospital will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the hospital”, and paying will never change a finding, a rating or the order of results.