Gove County Medical Center
A critical access hospital in Quinter, Kansas 67752
520 West 5th Street, Quinter, Kansas 67752. (785) 754-3341.
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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 (needs attention)
- 25 beds
Each figure’s source sits beside it, in its section below.
What these words mean3
- 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.
- Condition-level deficiency
- 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.
What did inspectors find?
The last inspection on record was on Sep 17, 2025: a complaint inspection.
2 deficiencies cited in the last three years, 1 of them at condition level, the most serious.
1 deficiency at condition level, the more serious of CMS’s two levels
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 Sep 2025. Most serious: Condition-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.
Sep 17, 2025: complaint inspection2 deficiencies
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Compliance With Fed, St, And Local Laws
The inspectors’ words, 136 words
“COMPLIANCE WITH FED, ST, AND LOCAL LAWS CFR(s): The CAH and its staff are in compliance with applicable Federal, State and local laws and regulations. This Condition is not met as evidenced by: 52950 Based on policy review, document review, and interview, the Critical Access Hospital (CAH) failed to comply with State and Local regulations by allowing a non-licensed scrub technologist act in a supervisory role in the operating room. Failure to comply with state regulations has the potential to place patients at risk for unsafe operative care, errors in judgement regarding patient condition, and failure to meet professional standards of nursing practice. Findings Include: The CAH failed to follow state and local regulation by failing to ensure surgical suite nursing services were under the direction and supervision of a registered nurse (RN). (Refer to C-0818)”
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Licensure, Cert., Or Reg Of Personnel
The inspectors’ words, 968 words
“LICENSURE, CERT., OR REG OF PERSONNEL CFR(s): Staff of the CAH are licensed, certified, or registered in accordance with applicable Federal, State, and local laws and regulations. This Standard is not met as evidenced by: 52950 Based on policy review, document review, record review, and interview, the Critical Access Hospital (CAH) failed to follow state and local regulation by failing to ensure surgical suite nursing services were under the direction and supervision of a registered nurse (RN). This deficient practice poses a risk to the health and safety of patients, placing nursing staff under the supervision of unlicensed personnel. Findings Include: Review of the Kansas Hospital Regulations, showed, “28-34-17b. Surgical Services ... (3) Surgical suite nursing services shall be under the direction and supervision of a registered nurse who is qualified by training and experience in operating room management and techniques...” Review of “AORN PERIOPERTIVE NURSING: Scope and Standards of Practice,” dated 2021, showed, “ ...Standard 12. Leadership: The perioperative RN leads within the profession and practice setting ...Supervises peers, colleagues, assistive health personnel, as assigned and appropriate ...” Review of CAH job description titled, “Scrub Tech\Central Sterile Tech,” dated 03/2022, showed, “ ...The OR Scrub Tech/Central Sterile Tech assists the surgical team in the care of the patient in the operating room, assists in preparing the room and patient for surgery, functions as the scrub nurse during surgical procedures, and assists in the transfer of patients to the post-anesthesia recovery area and in the turnover of the operating room ...” Further review of the job description revealed qualifications included, high school diploma, GED or equivalent, on the job training provided, and Surgical Technologist certification preferred. Review of a CAH job description titled, “FT-PT-PRN [Fulltime-Part Time-As Needed] Operating Room (OR) Nurse Job Description,” dated 06/2025, and a CAH job description titled, “Operating Room (OR) RN Clinical Coordinator”, dated 08/2023 showed, “ ...Reporting Relationship: Reports to OR Supervisor ...” Review of hospital document titled, “Organizational Chart,” approved 04/25/25, revealed Staff A, scrub tech was the OR Supervisor over OR Personnel. Review of Staff A, scrub tech’s personnel file, showed, Staff A was hired as an operating room scrub tech on 08/05/21. Review of a letter dated 07/14/25, revealed the CAH offered the OR Supervisor position to Staff A. The letter included Staff A’s signature, dated 07/18/25, to indicate acceptance of the OR Supervisor position. Staff A is a surgical technician, not a registered nurse. Per CAH Scrub Technician (scrub tech) job duties included assisting the surgical team and circulating nurse in the OR and cleaning the instruments. The scrub tech works under the direction of the registered nurse. During an interview on 09/16/25 at 4:31 PM, Staff A, OR Supervisor, stated that she had been a surgical tech for the last four years and started as the OR Supervisor on 07/21/25. Staff A stated that she had on the job training for two years and did not go to “professional school.” Patient 1 Review of Patient 1’s medical record showed, a 43-year-old male admitted on 09/04/25 for incision and drainage (I&D) right side buttocks abscess (a swollen area containing an accumulation of pus). Review of a document titled, “Incident Summary” date of 09/04/25, showed Patient 1 was ready for discharge but there were no discharge instructions available. The investigation findings revealed Staff B, RN Chief Clinical & Ancillary Services (CCAS) and former chief nursing officer (CNO), documented, Staff A, “is aware of the situation, has discussed the error with nursing supervisor and worked on a process with her staff.” Staff B’s recommendations included Staff A “to work with her team to ensure this is not a recurrent issue from RN staff...” Staff A, a scrub tech, was directed to act in a supervisory role for the reported nursing concerns regarding discharge orders for Patient 1. During an interview on 09/15/25 at 1:30 PM, Staff I, Registered Nurse, (RN), stated that Staff B, RN, informed her that Staff A, OR Supervisor is over the operating staff, and everyone is supposed to report to Staff A. Staff I stated that concerns of Staff A, being the OR supervisor was reported to Staff B, and she was told that Staff A is the boss, and if there were issues with that, they can leave. During a telephone interview on 09/15/25 at 2:31 PM with Staff J, RN, stated that when she came to work at the facility Staff A was working as the scrub tech was then offered the position of OR Supervisor. Staff J, a contractually employed RN, terminated her contract position early. Staff J stated that she was concerned about her nursing license while working under a scrub tech that does not have a nursing license. During an interview on 09/16/25 at 8:29 AM, Staff H, RN, Clinical Coordinator stated that her role is to be over the clinical staff, to train, educate and is the circulating nurse in surgery. Staff H stated that Staff B told her that Staff A is the supervisor, and to view it as being co-managers. Staff H stated that Staff B told her that she was not over anyone. During an interview, on 09/17/25 at 12:12 PM, Staff B, RN, confirmed Staff A, a scrub tech, OR Supervisor, would counsel RNs related to OR RN nursing duties. During an interview, on 09/17/25 at 1:15 PM, Staff C, Chief Executive Officer (CEO), stated that an RN must supervise an OR and nonclinical staff (Staff A) cannot provide directives to an RN. Staff C stated that the CAH OR staff follow guidelines from AORN for best practice. During an interview on 09/16/25 at 2:45 PM Staff C, confirmed Staff A, scrub tech, is neither licensed nor certified. Staff C stated it is not appropriate for Staff A to enforce or ensure OR staff complies to policies.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Sep 17, 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): 94% rated it 9 or 10 out of 10, and 97% would definitely recommend it.
- Deaths within 30 days, as CMS gives them (Jul 1, 2022 to Jun 30, 2025): pneumonia 17.2%. 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 16.8%. 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 88 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 2, 2004.
- Ownership: voluntary non-profit - other.
- It is not accredited by a private organisation, so the state carries out its routine inspections for Medicare.
- Cited at 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. in the last three years: it didn’t meet a whole condition of Medicare’s rules for hospitals.
- Voluntary non-profit - Other.
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.
- 93% 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?
- 3 owners or officers are people: Sheree Ann Flax (managing employee (on the payroll)); Conner Fiscarelli (corporate officer); Conner Fiscarelli (managing employee (on the payroll)).
- CMS’s Provider of Services file records 2 changes 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 Gove 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.