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-stay | 5 / 2 of 5 |
Staffing
| Total nurse staffing | 4.36645 hours per resident per day |
|---|---|
| Registered nurses | 0.79376 hours per resident per day |
| Weekend total | 4.17537 hours per resident per day |
| Nursing staff turnover | 43% (registered nurses 20%) |
| Administrators who left | 0 |
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.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 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.
| Name | Role | Share | Since |
|---|---|---|---|
| Twin Oaks Health And Rehab Operations LLC Organization | 5% or greater direct ownership interest | 100% | 2013-12-31 |
| Floyd C Eaton III Trust 2012 Organization | 5% or greater indirect ownership interest | — | 2013-12-31 |
| James Brett Klausman Trust 2012 Organization | 5% or greater indirect ownership interest | — | 2013-12-31 |
| Jamie N Eaton Trust 2012 Organization | 5% or greater indirect ownership interest | — | 2013-12-31 |
| Klaton Holding Co #2, Inc. Organization | 5% or greater indirect ownership interest | — | 2013-12-31 |
| Michael Graham Klausman Trust 2012 Organization | 5% or greater indirect ownership interest | — | 2013-12-31 |
| Twin Oaks Independent Living, Inc. Organization | 5% or greater indirect ownership interest | — | 2013-12-31 |
| Floyd C Eaton III Trust 2012 Organization | adp of the snf | — | 2024-11-25 |
| James Brett Klausman Trust 2012 Organization | adp of the snf | — | 2024-11-25 |
| Jamie N Eaton Trust 2012 Organization | adp of the snf | — | 2024-11-25 |
| Klaton Holding Co #2, Inc. Organization | adp of the snf | — | 2024-11-25 |
| Michael Graham Klausman Trust 2012 Organization | adp of the snf | — | 2024-11-25 |
| Midwest Health, Inc. 06122001 Organization | adp of the snf | — | 2024-11-25 |
| Twin Oaks Health And Rehab Operations LLC Organization | adp of the snf | — | 2024-11-25 |
| Midwest Health, Inc. 06122001 Organization | operational/managerial control | — | 2013-12-31 |
| Twin Oaks Health And Rehab Operations LLC Organization | operational/managerial control | — | 2013-12-31 |
| Collins, Dana Individual | adp of the snf | — | 2025-03-27 |
| Eaton, Floyd Individual | indirect ownership interest | — | 2012-10-05 |
| Klausman, James Individual | indirect ownership interest | — | 2012-10-05 |
| Collins, Dana Individual | operational/managerial control | — | 2022-04-25 |
| Eaton, Floyd Individual | operational/managerial control | — | 2012-10-05 |
| Klausman, James Individual | operational/managerial control | — | 2012-10-05 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Twin Oaks Health And Rehab.
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.