Nursing HomeInspections

Sandstone Heights

Nursing home in Little River, KS

Medicare & Medicaid certified1★ overall (CMS)

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Public-record details

Address
440 State Street, Little River, KS 67457
Phone
(620) 897-6266
Listed under
Nonprofit
Medicare CCN
175509
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
2 of 5
Staffing rating
4 of 5
Quality measures rating
1 of 5
Certified beds
36
Average residents per day
26
Ownership
Nonprofit, other
Legal business name
Rice County Hospital District No 2
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Oct 1, 2008
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 175509. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Mar 13, 2025. CMS lists 20 health citations for this facility across its last three standard inspection cycles and complaint inspections (Nov 4, 2021 to Mar 13, 2025): 5 from complaint inspections, 2 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

InspectionCitationSeverity
Mar 13, 2025Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Resident Rights		D
Potential for more than minimal harm, isolated
Mar 13, 2025Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 13, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 13, 2025Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Administration · complaint inspection		F
Potential for more than minimal harm, widespread
Mar 13, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		G
Actual harm, isolated
Jan 16, 2024Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		J
Immediate jeopardy, isolated
Jun 15, 2023Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Resident Rights		D
Potential for more than minimal harm, isolated
Jun 15, 2023Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jun 15, 2023Plan the resident's discharge to meet the resident's goals and needs.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jun 15, 2023Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jun 15, 2023Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jun 15, 2023Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in…
Pharmacy Service		E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 20. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $67,763 and 1 denial of Medicare payment for new admissions in the last three years.

Mar 13, 2025Fine: $41,262
Mar 13, 2025Payment denial for 40 days from Apr 11, 2025
Jan 16, 2024Fine: $26,501

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
4.18 hours
Registered nurse (RN) time per resident per day
1.11 hours
Nurse aide time per resident per day
2.43 hours
Total nurse staffing on weekends
3.80 hours
Nursing staff turnover (yearly)
59%
RN turnover (yearly)
40%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.