Downs Care and Rehab
1218 KANSAS STREET, Downs, KS 67437
Downs, Kansas · CMS verdict
Downs Care and Rehab holds a 4 of 5 CMS overall star rating - above the Kansas state average of 3.0, reflecting above-average quality on the federal five-star scale.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
Downs Care and Rehab in Downs, Kansas holds a CMS overall rating of 4 of 5 stars and a PlainElderCare Quality & Compliance Index of 69 of 100 (grade D). The 45-bed facility operates where a semi-private nursing-home room in Kansas runs a median of $8,669 per month. Figures are from CMS Nursing Home Compare.
PlainElderCare Quality & Compliance Index
A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall rating of 4 of 5 stars. How this is calculated.
How the 69 is built
Each segment is a dimension's weighted points toward the score, summing to 69.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Data insights
Quality ratings
On Care Compare (data as of April 2026), Downs Care and Rehab carries an overall CMS quality rating of 4 out of 5 stars. That figure rolls up three sub-ratings tracked separately: health inspection (4/5), staffing (4/5), and quality measures (3/5).
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in Downs, Kansas, this facility operates 45 certified beds with an average daily census of roughly 41 residents - an occupancy rate of about 91%. The facility is classified under for profit - corporation ownership, a designation that can influence staffing patterns, reinvestment decisions, and admissions policy. At about 91% occupancy, this facility's bed usage looks steady and consistent with a stabilized operation.
Same-ownership peers
Within Kansas, Downs Care and Rehab is one of 86 for profit - corporation nursing homes CMS rates. Its 4-star overall rating sits above the for profit - corporation-segment average of 3.0 stars, ahead of roughly 60% of same-ownership peers in the state. Comparing a facility against its own ownership segment holds the business model roughly constant, which helps isolate facility-level performance from the staffing and reinvestment patterns that differ across for-profit, non-profit, and government operators.
Inspection record
On the regulatory side, federal and state surveyors have documented multiple deficiencies at this facility (14 total). CMS has levied no enforcement penalties over the equivalent window. This is a high deficiency count relative to most facilities; requesting the full survey report directly is the only way to see whether these are concentrated in one area or spread across the facility's operations.
Where these figures come from
The figures above come directly from the U.S. Centers for Medicare \& Medicaid Services Nursing Home Compare dataset for federal quality ratings, combined with the CareScout 2025 Cost of Care Survey of more than 15,000 elder-care providers nationwide and U.S. Census American Community Survey income data. Cost figures are monthly medians, refreshed annually with each new CareScout release; quality ratings are refreshed quarterly from the CMS Provider Information File. Read these state and county medians as benchmarks, then verify current rates with individual providers and consult care managers before making placement decisions. See our methodology for source vintage.
How Downs Care and Rehab compares to Kansas
CMS five-star sub-ratings (0–5) for this facility against the Kansas facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = Kansas state average. Higher is better on all four CMS measures.
Where Downs Care and Rehab ranks in Kansas
Among the 294 CMS-rated nursing homes in Kansas, Downs Care and Rehab’s 4-star overall rating is higher than 61% of them. The bars show how all Kansas homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
59 Kansas homes share this 4-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 45 |
| Residents | 41 |
| Ownership | For profit - Corporation |
| County | Osborne |
| Penalties | 0 |
| Deficiencies | 14 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What do families ask most?
What is the quality rating for Downs Care and Rehab? ▾
CMS rates Downs Care and Rehab at 4 out of 5 stars overall. The three sub-ratings behind that number: health inspection 4/5, staffing 4/5, quality measures 3/5.
How much does a nursing home cost per month in Kansas? ▾
CareScout's 2025 survey puts Kansas's median semi-private nursing home rate at $8,669 per month ($104,025 per year), with private rooms averaging $9,064 per month.
What services does Downs Care and Rehab offer? ▾
Downs Care and Rehab operates as a skilled nursing facility (45 beds with approximately 41 current residents) under for profit - corporation ownership. CMS inspections have recorded 14 deficiencies and 0 penalties there.
Does Downs Care and Rehab have any deficiencies or penalties? ▾
Downs Care and Rehab has multiple deficiencies (14 total) and 0 penalties recorded by CMS. A count this high is above what most facilities post; ask the facility directly for its plan of correction on the largest findings.
What are the alternatives to a nursing home in Kansas? ▾
In Kansas, alternatives include assisted living ($5,975/mo), home health aides ($6,435/mo), and adult day care ($4,333/mo).
Elder Care Guides
Explore PlainElderCare
Related Resources
Compare cost and CMS quality across the state on the Kansas elder-care overview, or see how facilities rank nationwide in our highest-rated states ranking.
Weigh nursing care against assisted living, home health, and adult day care, with national median costs, on our care types comparison, and learn how to fund it in our paying for elder care guide.
Source: CMS Nursing Home Compare. Provider ID: 175201.
Read our methodology - how this data is sourced, computed, and verified.