Colby, Kansas · CCN 175554 · Phone: 7854628295 · 60 beds · Ownership: Non Profit - Corporation
Citizens Medical Center Ltcu is a Medicare-certified skilled nursing facility (CCN 175554) in Colby, Kansas. It holds a CMS overall Five-Star rating of 4 of 5 stars on CMS Care Compare. FileFlo scores its CMS survey-readiness at 78/100 (Minor Gaps).
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Citizens Medical Center Ltcu is a Medicare- and Medicaid-certified skilled nursing facility in Colby, Kansas, operating under CMS Certification Number (CCN) 175554. 60-bed facility. Non Profit - Corporation. Independent (not part of a multi-facility chain). The facility is required to comply with the Requirements for Long-Term Care Facilities at 42 CFR Part 483.
Citizens Medical Center Ltcu has held its Medicare/Medicaid certification for approximately 9 years (certification date on file: 2017-01-19). Long-tenured facilities (15+ years) often have established F-tag remediation playbooks and a deeper standard-survey trail; newly-certified facilities (under 3 years) are subject to a different initial survey cadence under 42 CFR 488.308.
Local market context (Thomas County): Citizens Medical Center Ltcu is the only Medicare-certified skilled nursing facility in the same-county sample for Kansas. Sole-provider counties concentrate post-acute placement decisions into a single facility, which can either be operational leverage or a regulatory-visibility risk depending on quality trajectory.
CMS publishes Five-Star ratings for nursing homes monthly, drawn from the most recent three years of standard surveys, complaint surveys, and Minimum Data Set (MDS) submissions.
Long-Stay Quality Measure rating: ★★★★☆ (4 of 5). Long-stay measures cover residents in the facility 100+ days and include indicators like residents experiencing one or more falls with major injury, residents whose ability to move independently worsened, and residents with a urinary tract infection.
Short-Stay Quality Measure rating: ★★★★☆ (4 of 5). Short-stay measures cover post-acute residents discharged within 100 days and include rehospitalization within 30 days, successful return to community, and improvement in function.
Differentiating long-stay from short-stay QMs matters for placement decisions — a facility with strong short-stay QMs may still underperform on long-stay metrics, and vice versa.
Citizens Medical Center Ltcu has none of the four CMS-published red-flag indicators active at the most recent publish: not on the Special Focus Facility list, no Abuse Icon on Care Compare, no overdue inspection flag, and no recent change-of-ownership flag. Absence of these flags does not mean the facility is deficiency-free — see the survey history below.
Recent health deficiencies cited at last standard survey: 7. National average for facilities of this size is approximately 8 deficiencies per cycle. In its most recent reporting cycle, Citizens Medical Center Ltcu received 1 CMS fine totaling $17,124. Last documented standard health survey: 2024-08-07. CMS conducts standard surveys at most every 15 months for SNFs, with substandard-quality findings triggering more frequent revisits.
CMS health survey weighted score: 35. The weighted score multiplies deficiency severity (A-L) by scope (isolated, pattern, widespread); higher weighted scores translate directly into the Health Inspection star rating tier breakpoints CMS publishes monthly.
Total enforcement penalties assessed in the most recent reporting window: $1. This figure aggregates Civil Money Penalties (CMPs), DPNA-equivalent revenue impacts, and other monetary remedies under 42 CFR Part 488 Subpart F.
Citizens Medical Center Ltcu already meets the cadre-specific minimums scheduled to take effect on the May 2029 timeline under 89 FR 40876 (RN 1.132 HPRD vs the 0.55 floor; nurse-aide 2.634 HPRD vs the 2.45 floor). The constraint going forward is sustaining these levels under turnover pressure.
Total nurse staffing: 3.92 hours per resident day (HPRD), which is 0.44 hours above the 3.48 total HPRD floor that the CMS Minimum Staffing Standards rule (89 FR 40876, May 2024) phases in for rural-facility facilities by May 2029.
Staffing mix: RN 1.132 HPRD, LPN 0.154 HPRD, CNA 2.634 HPRD. The same CMS final rule also phases in cadre-specific minimums of 0.55 RN HPRD and 2.45 nurse aide HPRD on the 2029 timeline; RN-specific shortfalls have historically been the most common single-facility staffing deficiency at standard surveys.
Weekend RN staffing: 0.846 HPRD. Weekend RN coverage is a separately reported CMS measure; facilities with low weekend RN HPRD frequently see resident-acuity-driven adverse events spike on the weekend shift.
Total nurse staff turnover: 60% annualized — extremely high (above the 60% red-flag threshold tracked by CMS).
RN-specific turnover: 41.7% annualized. RN turnover above 50% is the single strongest correlate with QM rating decline in CMS's own internal analyses.
Administrator turnover events in the most recent reporting window: 1. Multiple administrator changes in a 12-month window is associated with substantial leadership-discontinuity risk during the next standard survey.
Citizens Medical Center Ltcu is independently operated (not part of a multi-facility chain). Independent SNFs typically rely on internal compliance staff or contracted consultants rather than corporate-level survey-prep teams; this affects both how quickly Plans of Correction are produced and how F-tag remediation is documented across multiple shifts.
Provider type designation: Medicare And Medicaid.
The facility is classified by CMS as rural (outside metropolitan statistical areas). Rural SNFs face different challenges — referral pipeline depth, RN availability, ambulance distance for transfers — and CMS applies certain modifiers to the staffing minimums under hardship exemption pathways for rural facilities.
Peer comparisons use a same-state cohort of 200 Medicare-certified SNFs, pulled live from CMS Provider Data. The cohort excludes terminated and surrendered certifications.
FileFlo's compliance indicator for Citizens Medical Center Ltcu is 78/100 (Minor Gaps). The score is derived from publicly published health-deficiency counts, weighted survey scores, infection-control citations, fines, and staffing hours per resident day. It is not a CMS rating. The full survey-readiness audit (covering F-tags from the most recently cited deficiencies, infection control, staffing minimums, MDS accuracy) is at /tools/cms-survey-readiness-score.
FileFlo publishes a profile for every Medicare-certified nursing home so administrators, DONs, and family members can find the same publicly-published quality data without bouncing between Care Compare, the SFF list, and the CMS Provider Data Catalog. Field-level CFR citations are linked throughout. Dispute this record if any field is incorrect — we resync with CMS monthly and process correction requests within five business days.
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Citizens Medical Center Ltcu (CCN 175554) holds a CMS overall Five-Star rating of 4 of 5 stars on CMS Care Compare. CMS updates these ratings quarterly from the facility's submitted assessment and claims data.
Citizens Medical Center Ltcu is a Medicare-certified skilled nursing facility (CMS Certification Number 175554) in Colby, Kansas.
FileFlo scores Citizens Medical Center Ltcu's CMS survey-readiness at 78/100 (Minor Gaps). This is a FileFlo indicator built from CMS-published data, not an official CMS rating.
As a Medicare-certified skilled nursing facility, Citizens Medical Center Ltcu is surveyed against the Conditions of Participation in 42 CFR Part 483 — covering patient/resident rights, assessment and care planning, quality (QAPI), infection control, and aide services. Each CoP section is linked on this page.
Run FileFlo's free CMS survey-readiness audit for Citizens Medical Center Ltcu — it grades the skilled nursing facility against every Condition of Participation in 42 CFR Part 483 in about three minutes, names each gap's F-Tag, and requires no signup.
The 42 CFR Part 483 CoP sections a CMS survey actually checks, in plain English:
Compliance terms: F-Tag · Joint Commission. See the Skilled Nursing Facility directory and the Healthcare compliance guide →
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Data sourced from CMS Care Compare (publish 2026-04-01). Information may not reflect the facility's current status. Resync occurs monthly. Dispute this record · Claim this profile