Nursing Care Index

Twin Oaks Health And Rehab

Lansing, Leavenworth County, Kansas · CCN 175533 · For-profit (Partnership) · part of Midwest Health (11 facilities, chain average 3.9 stars)

CMS rates Twin Oaks Health And Rehab 5 of 5 overall as of August 2026. 70 certified beds, 61 residents a day on average. 17 citations on record from the current inspection cycles; no fines on record.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★★★★★ 5 of 5
Health inspections★★★★☆ 4 of 5
Staffing★★★★★ 5 of 5
Quality measures★★★★☆ 4 of 5
Quality: long-stay / short-stay5 / 2 of 5

Staffing

Total nurse staffing4.36645 hours per resident per day
Registered nurses0.79376 hours per resident per day
Weekend total4.17537 hours per resident per day
Nursing staff turnover43% (registered nurses 20%)
Administrators who left0

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2024-08-29 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2024-11-21
2024-08-29 Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Resident Rights Deficiencies · tag F0585
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-11-21
2024-08-29 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · tag F0656
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-11-21
2024-08-29 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-11-21
2024-08-29 Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Quality of Life and Care Deficiencies · tag F0700
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-11-21
2024-08-29 Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · tag F0883
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-11-21
2024-08-29 Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · tag F0732
C No actual harm, with potential for minimal harm; widespread Deficient, Provider has date of correction
2024-11-21
2023-02-23 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies · tag F0623
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-04-08
2023-02-23 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · tag F0657
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-04-08
2023-02-23 Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care Deficiencies · tag F0688
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-04-08
2023-02-23 Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · tag F0698
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-04-08
2021-08-23 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2021-09-23
2021-08-23 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2021-09-23
2021-08-23 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · tag F0690
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2021-09-23
2021-08-23 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · tag F0756
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2021-09-23
2021-08-23 Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · tag F0757
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2021-09-23
2021-08-23 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.
Pharmacy Service Deficiencies · tag F0758
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2021-09-23

Fines and payment denials

No fines or payment denials on record since 2023.

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Twin Oaks Health And Rehab Operations LLC
Organization
5% or greater direct ownership interest100%2013-12-31
Floyd C Eaton III Trust 2012
Organization
5% or greater indirect ownership interest2013-12-31
James Brett Klausman Trust 2012
Organization
5% or greater indirect ownership interest2013-12-31
Jamie N Eaton Trust 2012
Organization
5% or greater indirect ownership interest2013-12-31
Klaton Holding Co #2, Inc.
Organization
5% or greater indirect ownership interest2013-12-31
Michael Graham Klausman Trust 2012
Organization
5% or greater indirect ownership interest2013-12-31
Twin Oaks Independent Living, Inc.
Organization
5% or greater indirect ownership interest2013-12-31
Floyd C Eaton III Trust 2012
Organization
adp of the snf2024-11-25
James Brett Klausman Trust 2012
Organization
adp of the snf2024-11-25
Jamie N Eaton Trust 2012
Organization
adp of the snf2024-11-25
Klaton Holding Co #2, Inc.
Organization
adp of the snf2024-11-25
Michael Graham Klausman Trust 2012
Organization
adp of the snf2024-11-25
Midwest Health, Inc. 06122001
Organization
adp of the snf2024-11-25
Twin Oaks Health And Rehab Operations LLC
Organization
adp of the snf2024-11-25
Midwest Health, Inc. 06122001
Organization
operational/managerial control2013-12-31
Twin Oaks Health And Rehab Operations LLC
Organization
operational/managerial control2013-12-31
Collins, Dana
Individual
adp of the snf2025-03-27
Eaton, Floyd
Individual
indirect ownership interest2012-10-05
Klausman, James
Individual
indirect ownership interest2012-10-05
Collins, Dana
Individual
operational/managerial control2022-04-25
Eaton, Floyd
Individual
operational/managerial control2012-10-05
Klausman, James
Individual
operational/managerial control2012-10-05

What changed

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Leavenworth County.