Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around December 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Hutchinson Operator, Llc during CMS and state inspections, most recent first.
A resident with a full code status did not receive CPR when found unresponsive, despite her documented wishes and facility policy. The resident's spouse initially requested CPR but then declined, leading to staff not performing resuscitative measures. This failure placed the resident and others with full code status in immediate jeopardy.
The facility failed to provide the services of a full-time certified dietary manager for its 42 residents, as observed on multiple occasions. Dietary staff preparing meals were not certified, and the facility's policy requiring a certified dietary manager or another qualified nutritional professional was not met, placing residents at risk for inadequate nutrition.
The facility failed to store food safely and did not adequately sanitize dishes for 42 residents, with outdated food found in the refrigerator and the dishwasher operating below the required sanitization temperature.
The facility failed to ensure an environment free from accident hazards with hot water temperatures exceeding safe limits and did not provide effective interventions to prevent further falls for a resident with a history of multiple falls, placing residents at risk for injuries.
The facility failed to discard outdated insulin flex pens for three residents and expired stock medications, placing residents at risk for ineffective medication. Observations and staff confirmations revealed that the facility's policies on labeling and storage of medications were not followed.
The facility failed to provide five residents with the most recent CDC vaccination information statement (VIS) before administering flu and pneumonia vaccinations. The residents' records showed the use of outdated consent forms, confirmed by an administrative nurse, placing the residents at risk for uninformed decision-making.
A resident with a history of protein-calorie malnutrition, neuropathy, and a Stage 2 pressure ulcer on the left heel experienced recurring blisters due to the facility's failure to provide consistent off-loading and timely care plan revisions. Despite the care plan's directives, the facility did not adequately address the resident's pressure ulcer prevention needs, leading to ongoing skin breakdown issues.
A facility failed to provide necessary behavioral health care for a resident with PTSD, major depressive disorder, and anxiety disorder. Despite recommendations from an APRN to increase the resident's Sertraline dosage and refer her to psychotherapy, the facility did not follow up with the referral. This resulted in untreated and ongoing mental health concerns for the resident.
The facility failed to ensure a coordinated plan of care for a resident receiving hospice services. Despite the resident's diagnoses of malignant neoplasm of the lung, COPD, and shortness of breath, the facility's care plan lacked information regarding hospice services and coordination of care. Observations and interviews confirmed the absence of necessary hospice documentation, placing the resident at risk for inappropriate end-of-life care.
Failure to Initiate CPR for Full Code Resident
Penalty
Summary
The facility failed to provide cardiopulmonary resuscitation (CPR) to a resident, R1, who was designated as full code, indicating she desired resuscitative measures. On the day of the incident, Licensed Nurse (LN) G left R1's room to obtain a breathing treatment, and upon returning, was informed by Certified Medication Aide (CMA) R that R1 was unresponsive. LN G assessed R1 and found a weak apical pulse. Despite R1's full code status, CPR was not initiated after R1's spouse, who was not the designated power of attorney, initially requested CPR but then recanted and instructed staff not to start compressions. R1's medical history included chronic obstructive pulmonary disease (COPD), lymphedema, congestive heart failure, and hypertension. Her electronic medical record and care plan clearly documented her full code status, and she had signed a Full-Code Resuscitate Directive. Despite this, staff did not perform CPR when R1 was found without a heartbeat, placing her and other residents with full code status in immediate jeopardy. The facility's policy required CPR to be initiated unless a Do Not Resuscitate (DNR) order was in place, which was not the case for R1. Interviews with staff revealed confusion and hesitation in following the resident's code status. LN G confirmed that she asked R1's spouse multiple times about starting compressions, and despite his initial agreement, he later declined. Administrative Nurse D stated that the staff should have followed the resident's code status, but CPR was not initiated due to the spouse's instructions. This failure to act according to the resident's documented wishes and facility policy led to the deficiency being cited.
Removal Plan
- Nursing staff were re-educated on initiating the current code status. Review the code status with the resident and/or DPOA and if changes are desired, notify the provider.
- Educated nurses to initiate advance directives as ordered until new orders are obtained from the provider.
- Residents were audited and updated as needed for desired code status.
- Residents' code statuses were audited for validation of code status.
Failure to Employ Certified Dietary Manager
Penalty
Summary
The facility failed to provide the services of a full-time certified dietary manager for the 42 residents who resided in the facility and received their meals from the kitchen. On multiple occasions, it was observed that the dietary staff preparing meals were not certified dietary managers. Specifically, on 04/09/24, Dietary Staff BB, who was preparing breakfast, confirmed she was not a certified dietary manager. This was further verified by Administrative Staff A on 04/11/24. The facility's policy required the employment of a certified dietary manager or another qualified nutritional professional if the dietician was not full-time, but this requirement was not met. The facility's Food Service Staffing policy dated 10/2024 documented that the community would employ sufficient staff with the appropriate competencies and skills to carry out the function of the food and nutrition services. The policy outlined specific qualifications for the dietary manager role, including certification or relevant experience and education. The failure to employ a full-time certified dietary manager placed the residents at risk for inadequate nutrition, as there was no qualified individual to evaluate residents' nutritional concerns and oversee the ordering, preparing, and storage of food.
Improper Food Storage and Dish Sanitization
Penalty
Summary
The facility failed to store food in a safe and sanitary manner and did not adequately sanitize dishes for the 42 residents who resided in the facility and received meals from the kitchen. During an initial kitchen tour, it was observed that the upright refrigerator-freezer contained outdated food items, including a bag of pepperoni circles and Salisbury steak patties, both of which were past their expiration dates. Dietary Staff verified the presence of outdated food that needed to be discarded. Additionally, the dishwasher was found to be operating at temperatures below the required 120 degrees Fahrenheit for chemical sanitization, with recorded temperatures consistently between 105-110 degrees Fahrenheit. This was confirmed by both the Dishwasher Temperature Logs and observations of the dishwasher in use. The facility's policies on Food Safety Requirements and Dishwashing Machine Use were not adhered to, as food was not stored according to safe food handling practices, and the dishwashing machine did not maintain the necessary sanitization temperature. Maintenance Staff later adjusted the water heater to 140 degrees Fahrenheit after being informed of the low dishwasher temperatures. However, the failure to store food properly and sanitize dishes adequately placed the residents at risk for foodborne illness.
Failure to Prevent Accident Hazards and Falls
Penalty
Summary
The facility failed to ensure an environment free from accident hazards when the accessible hot water at the dining room sink was found to be 131 degrees Fahrenheit. Maintenance staff had recently adjusted the hot water thermostat, which resulted in the elevated temperature. The facility's Safety of Water Temperatures policy mandates that water temperatures should not exceed 115 degrees Fahrenheit to prevent scalding. Despite periodic checks indicating temperatures above this limit, no corrective action was taken until the surveyor's observation, placing residents at risk for accidental skin injury. Additionally, the facility failed to provide effective interventions to prevent further falls for a resident with a history of multiple falls. The resident, who had diagnoses including heart disease, COPD, and psychosis, had a care plan that included various fall prevention measures such as wearing non-skid socks and using a call light for assistance. Despite these measures, the resident continued to experience falls, indicating that the interventions were not effective. The facility's Fall Risk Assessment policy requires the interdisciplinary team to review and update care plans based on the root cause of falls, but this was not adequately done for this resident. The resident's electronic medical record documented multiple falls over several months, with interventions such as education and medication reviews being implemented but proving ineffective. Observations and interviews with staff confirmed that the resident continued to self-transfer and fall despite repeated education and reminders. The facility's failure to implement different, effective interventions placed the resident at continued risk for injuries related to falls.
Failure to Discard Outdated Medications
Penalty
Summary
The facility failed to discard outdated insulin flex pens for three residents, placing them at risk for ineffective medication. Observations revealed that Resident 1's Lantus flex pen, Resident 32's Basaglar flex pen, and Resident 144's insulin glargine flex pen were all expired but still in use. Licensed Nurse I and Administrative Nurse D confirmed that the flex pens should have been labeled with the resident's name and discard dates, and that outdated pens should have been discarded. The facility's policies on labeling and storage of medications were not followed, leading to this deficiency. Additionally, an inspection of the north hall medication cart revealed expired stock medications, including acetaminophen, B1 vitamins, and Vitamin B complex tablets. Certified Medication Aide T verified the expiration dates and acknowledged that the medications were expired. The facility's Storage of Medications policy clearly states that outdated drugs should be returned to the pharmacy or destroyed, but this was not adhered to, resulting in the presence of expired medications in the cart.
Failure to Provide Updated CDC VIS Before Vaccinations
Penalty
Summary
The facility failed to provide five residents with the most recent CDC vaccination information statement (VIS) before administering flu and pneumonia vaccinations. The residents' records showed that the facility used outdated consent forms with information from the 08/15/19 influenza, the 10/30/19 PCV13, and the 10/30/19 PPSV23 CDC guidelines. This deficiency was confirmed by Administrative Nurse E, who verified that the residents had not been provided the most recent VIS before vaccinations. The facility's Vaccination of Residents policy, dated 09/2023, required that residents or their representatives be provided with information and education regarding the benefits and potential side effects of the vaccinations before receiving them. The failure to provide the most recent CDC VIS placed the residents at risk for uninformed decision-making.
Failure to Prevent Pressure Ulcer in Resident
Penalty
Summary
The facility failed to provide appropriate interventions to prevent a pressure injury for a resident (R22) who had recurring blisters on the left heel and was at risk for skin breakdown. Despite having a care plan that identified the risk for skin breakdown due to muscle loss, the facility did not revise the care plan when heel blisters were first noted in December 2023 and re-occurred in February 2024. The resident's medical history included protein-calorie malnutrition, adult failure to thrive, neuropathy, chronic pancreatitis, and a Stage 2 pressure ulcer on the left heel. The resident required moderate assistance for eating and was dependent on staff for all other activities of daily living. The care plan directed staff to complete weekly skin assessments and notify the primary care physician if abnormalities were noted, and to keep off-loading boots on 24 hours a day except during transfers. Observations and documentation revealed that the resident had a recurring blister on the left heel that was not adequately addressed. The facility's Pressure Injury Treatment Guidelines policy directed staff to determine the cause of pressure, relieve and redistribute pressure, implement pressure-redistributing devices, notify the physician and family, and initiate a skin documentation protocol and care plan. However, the facility failed to provide consistent off-loading and timely revisions to the care plan, which contributed to the resident's ongoing pressure ulcer issues. The resident was observed with different types of foot protectors and inconsistent wound care, indicating a lack of adherence to the prescribed interventions.
Failure to Provide Necessary Behavioral Health Care
Penalty
Summary
The facility failed to provide necessary behavioral health care and services for a resident diagnosed with PTSD, major depressive disorder, and anxiety disorder. The resident's care plan included monitoring for symptoms such as crying, wandering, and aggression, and directed staff to closely monitor the resident for clinical worsening and suicidal thoughts. Despite recommendations from an APRN to increase the resident's Sertraline dosage and refer her to psychotherapy, the facility did not follow up with the referral for psychotherapy. This lack of follow-up was confirmed by administrative staff and a nurse consultant, who also noted that staff lacked information related to the resident's triggers. Observations revealed that the resident was receiving her morning medications, including Sertraline, but there was no evidence in the clinical record of a psychotherapy appointment or follow-up on mental health services. The facility's Behavioral Health Services policy stated that residents should receive necessary behavioral health care and services to attain or maintain the highest practicable physical, mental, and psychosocial well-being. However, the facility did not adhere to this policy, resulting in untreated and ongoing mental health concerns for the resident.
Failure to Coordinate Hospice Care for Resident
Penalty
Summary
The facility failed to ensure a coordinated plan of care for Resident 141, who was receiving hospice services. The resident's electronic health record revealed diagnoses of malignant neoplasm of the lung, COPD, and shortness of breath. Despite being admitted with a hospice provider of choice, the facility's nursing baseline care plan lacked any information regarding the resident's hospice services and evidence of coordination of care between the hospice and the facility. Observations and interviews confirmed that the facility did not have the necessary hospice documentation, such as admitting notes, assessments, and a hospice care plan, in the electronic health records or in a separate binder at the nurse's station as required by the facility's policy. Consultant GG and Administrative Nurse D verified the absence of hospice information, and Social Service X instructed the hospice provider to bring a binder to the facility. The facility's Hospice Program policy required written identification of hospice services and coordination between the hospice medical director and the attending physician. The lack of coordination and documentation placed Resident 141 at risk for inappropriate end-of-life care.
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What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Hutchinson
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Diversicare Of Hutchinson | 0.3 mi | — | 1 | 0 |
| Good Samaritan Society - Hutchinson Village | 0.5 mi | — | 17 | 0 |
| Wesley Towers Inc | 1.9 mi | — | 17 | 0 |
| Mennonite Friendship Communities Inc | 4.2 mi | — | 0 | 0 |
| Buhler Sunshine Home | 8.2 mi | — | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.