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Nursing HomeMedicaid Investigative

Smoky Hill Rehabilitation Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

1007 Johnstown Avenue, Salina, KS 6740190 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.2/5

based on 40 Google reviews

5
4
3
2
1
Smoky Hill Rehabilitation Center Nursing Home in Salina, KS — Street View
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6/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (17 vs median 9.0)
  • High staff turnover (93%)
  • High RN turnover (100%)

Bottom 25% in KS · Below recommended RN staffing · Significantly below average staffing · Very high staff turnover · Worst in HMG HEALTHCARE chain · $126,993 in fines

Source: Medicare data

What this means for your family

While some families report positive experiences with recent facility updates and specific staff members, there are recurring, serious reports of medication errors and slow response times. We strongly advise you to conduct an unannounced visit during evening or weekend hours to observe staffing levels and call-light response times firsthand before making a decision.

Google Reviews

Google Reviews

40 reviews on Google
Smoky Hill Rehabilitation Center receives highly polarized feedback, with some families praising the facility's recent updates and friendly staff, while others report severe concerns regarding neglect and poor clinical care. Multiple reviewers have raised alarms about medication management errors, long response times for call lights, and inconsistent hygiene standards. Families considering this facility should be aware of the stark contrast between recent positive reports and serious allegations of systemic understaffing and communication failures.

Quality Themes

Tap a score for details
Food2.0Staff5.0Clean4.0Activities5.0Meds1.0MemoryN/AComms3.0Value2.0

Strengths

  • Friendly and welcoming staff
  • Recent facility updates and improvements
  • Responsive communication from specific staff members
  • Inviting common areas

Concerns

  • Medication management errors and missed doses (mentioned by 4 reviewers)
  • Long wait times for call light responses (mentioned by 4 reviewers)
  • Inconsistent hygiene and lack of bathing for residents (mentioned by 3 reviewers)
  • Understaffing and reliance on agency staff (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

2343.0'18(4)1.02.6'21(5)3.44.2'23(5)3.73.5'25(11)2.1'26(7)

Distribution · 46 analyzed

5
24
4
1
3
0
2
0
1
21

How They Respond to Reviews

87%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed you are active in responding to feedback online; how do you use that family input to make concrete improvements to the care experience here?
  • 2With the recent updates to the facility, what specific changes have you implemented to ensure residents receive more consistent support with daily hygiene and bathing routines?
  • 3Could you walk me through the current protocol for medication administration to ensure accuracy and timely delivery for residents?
  • 4I understand that staffing can be a challenge in this industry; what steps are you taking to reduce reliance on agency staff and ensure residents are familiar with their primary caregivers?
  • 5When a resident uses their call light, what is your internal goal for response time, and how do you monitor that to ensure no one is left waiting?
  • 6What does a typical day look like for residents in terms of social engagement, and how do you ensure those activities remain consistent regardless of staffing levels?

Personalized based on this facility's data


Key Review Excerpts

The staff and specifically Chelsea made sure that my father was well taken care of and always updated us on his condition.

Long-term resident's family · 2024★★★★★

Smoky Hill has really updated the place in the last couple of years!!! I have had several friends stay there and had there parents stay there as they age and it has been a great experience!

Community member/Visitor · 2026★★★★★

My sister had to go to this facility; before her arrival the facility already had covid issues. When she arrived the communication between hospital and facility was so poor, she went without some of her meds for days.

Sibling of resident · 2023☆☆☆☆
Source: 40 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.26hrs
35%
Registered nurses for medical care
Total Nursing
2.10hrs
51%
All nurses + aides combined
Staff Turnover
96%
Lower is better (< 30% = good)
RN Turnover
100%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

13

measures

Worse Than Avg

4

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility29.8%
Worse than Avg
Here
29.8%
US
15.5%
KS
18.1%
Saline
19.1%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility6.5%
Better than Avg
Here
6.5%
US
15.3%
KS
17.5%
Saline
20.3%
😔

Residents with depression symptoms

↓ Lower is better
This Facility1.4%
Better than Avg
Here
1.4%
US
12.1%
KS
6.0%
Saline
6.6%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility8.4%
Better than Avg
Here
8.4%
US
14.4%
KS
18.4%
Saline
18.5%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.1%
Better than Avg
Here
99.1%
US
93.4%
KS
91.7%
Saline
95.4%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
5.3%
KS
5.0%
Saline
4.8%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility98.1%
Better than Avg
Here
98.1%
US
79.8%
KS
73.8%
Saline
70.9%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
81.8%
KS
75.6%
Saline
76.7%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
KS
2.1%
Saline
2.0%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

19deficiencies
7penalties
Well above state avg (10.1)
34 complaint-triggered
$126,993 in fines

Smoky Hill has a concerning pattern of family-filed complaints, triggering 33 of 86 deficiencies across 12 surveys, including serious issues with resident protection from abuse and neglect. The most recurring problems involve accident prevention and safety, wound care management, and resident rights violations. While all deficiencies show correction dates, the persistent complaints about basic care and safety suggest ongoing quality concerns that families should carefully investigate before placement.

Feb 19, 2026Complaint
2
0600Immediate jeopardy · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0695Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

Dec 10, 2025Complaint
2
0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Sep 3, 2025Complaint
1
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Apr 23, 2025Routine
21
0161Potential for harm · WidespreadCorrected

Construction Deficiencies

Use approved construction type or materials.

0321Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0363Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0511Potential for harm · WidespreadCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

0625Potential for harm · PatternCorrected

Resident Rights Deficiencies

Notify 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.

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure 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 locked compartments, separately locked, compartments for controlled drugs.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0582Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

0623Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

0657Potential for harm · IsolatedCorrected

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.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0758Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

0849Potential for harm · IsolatedCorrected

Administration Deficiencies

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0883Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

0222Potential for harm · IsolatedCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Feb 19, 2025Complaint
2
0697Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

0760Actual harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Sep 18, 2024Complaint
3
0600Immediate jeopardy · IsolatedResolved (past non-compliance)

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0684Immediate jeopardy · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0689Immediate jeopardy · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Federal Penalties

Fine

Feb 19, 2026

$18,530

Payment Denial

Jul 10, 2025

14-day denial

Fine

Feb 19, 2025

$10,339

Fine

Sep 18, 2024

$18,368

Fine

Jul 8, 2024

$27,599

Fine

Dec 27, 2023

$72,254

Payment Denial

Dec 27, 2023

33-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Smoky Hill Rehabilitation Center

Organization Type

for profit

Chain Affiliation

Chain Name

Hmg Healthcare

Chain Size

33 facilities nationwide

Chain avg rating: 3.2/5 · Rank 33 of 33 (Worst)

Ownership & Management

Owners

Culp, Roland

Owner

32%

Healthmark Group Ltd

Owner · Organization

Hmg Park Manor of Salina LLC

Owner · Organization

Hmg Services LLC

Owner · Organization

Hm Group LLC

Owner (parent company) · Organization

Hmg Healthcare LLC

Owner (parent company) · Organization

Culp, Roland

Owner (parent company)

Daspit, Laurence

Owner (parent company)

Pico, Ana

Owner (parent company)

Prince, Derek

Owner (parent company)

Prince, Derek

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Key personnel

Culp, RolandManaging Control - Governing BodyDaspit, LaurenceManaging Control - Governing BodyPrince, DerekManaging Control - Governing BodyCibc Bank USAManagerForvis Mazars LlpManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 5 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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