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THE SHEPHERD'S CENTER

101 CEDAR RIDGE DRIVE
CIMARRON, KS 67835 · 6208553498 · Gray County
⚠ Special Focus Candidate. CMS lists this facility as a candidate for the Special Focus Facility program due to a history of serious quality problems.

CMS Star Ratings

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Facility Facts

Certified beds28
OwnershipNon profit - Corporation
State rank#235

By the numbers

26
Health citations (3 cycles)
3
Immediate-jeopardy (J/K/L)
0
Actual-harm (G/H/I)
$13,627
Federal fines (CMPs)
The trend: Citations are rising — 13 in the most recent cycle versus 3 two cycles ago.

Recent Health Citations

Nov 17, 2025 · Health survey · F-tag 0657
D — No actual harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Nov 17, 2025 · Health survey · F-tag 0656
D — No actual harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Nov 17, 2025 · Health survey · F-tag 0655
D — No actual harm
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Nov 17, 2025 · Health survey · F-tag 0641
D — No actual harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Nov 17, 2025 · Health survey · F-tag 0628
D — No actual harm
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Nov 17, 2025 · Health survey · F-tag 0636
E — No actual harm
Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Nov 17, 2025 · Health survey · F-tag 0881
F — No actual harm
Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Nov 17, 2025 · Health survey · F-tag 0880
F — No actual harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Nov 17, 2025 · Health survey · F-tag 0867
F — No actual harm
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Nov 17, 2025 · Health survey · F-tag 0838
F — No actual harm
Administration Deficiencies
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Nov 17, 2025 · Health survey · F-tag 0812
F — No actual harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nov 17, 2025 · Health survey · F-tag 0801
F — No actual harm
Nutrition and Dietary Deficiencies
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Nov 17, 2025 · Health survey · F-tag 0730
F — No actual harm
Nursing and Physician Services Deficiencies
Observe each nurse aide's job performance and give regular training.
Jun 27, 2024 · Health survey · F-tag 0602
J — Immediate jeopardy
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
Details
Correction status: Corrected Jul 10, 2024 — Deficient, Provider has date of correction
Inspection cycle: 3
Survey origin: Complaint investigation
Jun 27, 2024 · Health survey · F-tag 0610
L — Immediate jeopardy
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Details
Correction status: Corrected Jul 10, 2024 — Deficient, Provider has date of correction
Inspection cycle: 3
Survey origin: Complaint investigation
Jun 27, 2024 · Health survey · F-tag 0609
L — Immediate jeopardy
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Details
Correction status: Corrected Jul 10, 2024 — Deficient, Provider has date of correction
Inspection cycle: 3
Survey origin: Complaint investigation
Feb 8, 2024 · Health survey · F-tag 0947
D — No actual harm
Nursing and Physician Services Deficiencies
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Feb 8, 2024 · Health survey · F-tag 0756
D — No actual harm
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Feb 8, 2024 · Health survey · F-tag 0695
D — No actual harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Feb 8, 2024 · Health survey · F-tag 0656
D — No actual harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Showing the 20 most recent citations. View the full inspection record on CMS Care Compare →

More facilities in Kansas →

How to read this page. Star ratings and citation counts come from the Centers for Medicare & Medicaid Services (CMS) Care Compare August 2026 dataset, covering the three most recent inspection cycles. Scope/severity letters: D–F no actual harm, G–I actual harm, J–L immediate jeopardy to resident health or safety.

Source: CMS Care Compare, August 2026 dataset. Updated quarterly. Figures come from public CMS records; contact info@theskilledreport.com for corrections.