Downs Care and Rehab: Staffing, Turnover, and Inspection Record
Downs Care and Rehab is a 45-bed for-profit nursing home in Downs, Kansas, part of Mission Health Communities. In the CMS August 2026 release it reported 2.31 nurse aide hours per resident per day, 14% below the Kansas average of 2.70, and 35.1% nursing staff turnover (Kansas average 48.1%).
Downs Care and Rehab
1218 Kansas StreetDowns, KS 67437
Osborne County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Downs Care and Rehab, nurse aides logged 2.31 hours per resident per day, 14% below the Kansas average. With about 37 residents a day, that works out to roughly 85 aide hours a day, or about 11 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 12% below the all-days figure.
| Hours per resident per day | This home | Kansas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.31 | 2.70 | 2.32 |
| Licensed practical nurses | 0.46 | 0.65 | 0.86 |
| Registered nurses | 1.02 | 0.71 | 0.69 |
| All nursing staff | 3.79 | 4.07 | 3.86 |
| All nursing staff, weekends | 3.32 | 3.60 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
35.1% of nursing staff at Downs Care and Rehab left over the year CMS measured, against a Kansas average of 48.1% and a US average of 45.8%. Registered nurse turnover was 0.0%. 1 administrator left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Jun 24, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 6 health deficiencies (Kansas average 9.5). CMS lists no fines or payment denials for this home in the last three years.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Downs Care and Rehab holds 5 of 5 overall; the Kansas average is 3.1.
About Downs Care and Rehab
- Ownership: For profit - Limited Liability company
- Chain: Mission Health Communities, 30 homes
- Legal name: Downs Operator LLC
- Medicare and Medicaid certified since: Feb 1, 1991
- Councils: resident council
- Area: rural
Nursing homes near Downs Care and Rehab
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Parkview Health and Rehabilitation Center Osborne | 8.8 | 58 | 2.22 | 3.19 | 64.7% | 1 | None |
| Smith Center Health and Rehab Smith Center | 15.2 | 45 | 2.47 | 3.67 | 22.5% | 4 | $16,153 |
| Sunporch of Smith County Smith Center | 22.1 | 22 | 2.68 | 4.40 | 44.8% | 5 | None |
| Hilltop Lodge Health and Rehabilitation Center Beloit | 23.3 | 90 | 2.37 | 3.42 | 47.0% | 2 | $28,937 |
| Mitchell County Hospital Health Systems Ltcu Beloit | 23.4 | 36 | 3.16 | 4.79 | 27.8% | 4 | None |
| Lincoln Park Manor Inc Lincoln | 38.2 | 36 | 2.98 | 4.33 | 31.9% | 3 | None |
| Solomon Valley Manor Stockton | 38.8 | 30 | 2.93 | 4.25 | 28.6% | 3 | None |
| The Nicol Home Glasco | 39.3 | 32 | 2.98 | 4.54 | — | 4 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
Explore next
Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.