The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited January 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
ROCK CREEK OF OTTAWA
OTTAWA, KS · Medicare-certified · 75 beds
Needs attention
For-profitChain member
2 of 5 overall
ROCK CREEK OF OTTAWA in Ottawa, KS has an overall rating of 2 out of 5 stars. Key concerns include a 1-star staffing rating, nurse staffing below the federal benchmark (3.46 vs. 4.1 hours per resident per day), and a recent federal penalty with $12,735 in fines over the last 24 months; its health inspection rating is 2 stars and quality measures are 5 stars.
Facility ratings
Health inspections
Staffing
3.4589 hrs/resident/day
Quality measures
Last inspection: January 27, 2026Penalties, last 24 months: $12,735recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4589.
Staffing detail
- Registered nurses
- 0.61
- Licensed practical nurses
- 0.46
- Nurse aides
- 2.39
- Weekend nursing
- 3.20
Hours per resident per day.
Total staff turnover: 65%
Registered nurse turnover: 60%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
3.8%Improving
Residents with a fall causing major injury
3.4%Improving
Residents with pressure ulcers (bedsores)
4.5%Worsening
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
5.5%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
11.8%Improving
Residents whose ability to walk got worse
8.2%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
25%Improving
Short-stay residents newly given an antipsychotic
0.8%Steady
Residents with a long-term catheter
1.6%Steady
Residents with new or worsening incontinence
33.7%Worsening
Residents with depressive symptoms
41.7%Worsening
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
99.1%Improving
Short-stay residents given the seasonal flu vaccine
88.7%Steady
Short-stay residents given the pneumonia vaccine
98%Worsening
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited January 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited August 2021 — widespread issue, potential for harm.
View the original federal record
F-Tag 727 — 42 CFR §483.35 — S/S: F
The home failed to properly label and securely store medications and biologicals. Cited January 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: E
The nursing home failed to provide needed care and help with daily activities for residents who could not do them on their own. Cited August 2021 — limited pattern, potential for harm.
View the original federal record
F-Tag 677 — 42 CFR §483.24(a)(2) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- PENALTY
A federal fine of $12,735 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 15 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $12,735 in total fines.
- $12,735
Federal fine
Jan 27, 2026
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of THE ENSIGN GROUP · 338 homes · 3.2 stars avg
- Occupancy
- 75.7 residents on an average day (101% of 75 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 31 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.