B87

DERBY HEALTH & REHABILITATION, LLC

Grade B 87/100 composite score

For profit - Corporation

CMS Star Ratings

Overall
4/5
Health Insp.
4/5
Quality
4/5
Staffing
4/5
RN Staffing
Not rated

Certified Beds

74

Ownership

For profit - Corporation

Total Fines

None

Last Survey

N/A

731 KLEIN CIRCLE, DERBY, KS 67037
3167192400

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.67h
LPN
1.38h
CNA
3.37h
Total
5.42h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

AXIOM HEALTHCARE ALLIANCE, LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Sep 2020

100%

AXIOM CONSULTING LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jul 2015

9%

DENNIS L. ROSS POD TO TRUSTEE OF DENNIS L. ROSS LIVING TRUST U/A 4/4/1

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Sep 2020

5%

MATT LILLIE INVESTMENTS, INC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Sep 2020

8%

ROGER EVANS REVOCABLE TRUST

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Sep 2020

6%

WICHITA WELLNESS INC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Sep 2020

11%

EVANS, ROGER

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Sep 2020

6%

HERMES, FREDERICK

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Sep 2020

9%

LAKIN, GREGORY

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Sep 2020

11%

LILLIE, MATTHEW

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Sep 2020

8%

ROSS, ANN

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Sep 2020

5%

ROSS, DENNIS

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Sep 2020

5%

AXIOM HEALTHCARE SERVICES LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Oct 2009

BECNEL, CHANCE

IndividualCORPORATE OFFICERSince Sep 2020

KRUSE, BRENDA

IndividualCORPORATE OFFICERSince Oct 2014

HERMES, FREDERICK

IndividualW-2 MANAGING EMPLOYEESince Oct 2009

Penalties & Fines

No penalties or fines on record.

Health Inspection Deficiencies (12)

April 29, 2025Health1 deficiency
0689DMinimal harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected May 5, 2025
April 30, 2024Health7 deficiencies
0582DMinimal harm, Isolated

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Resident Rights Deficiencies

Corrected Jun 5, 2024
0602DMinimal harm, Isolated

Protect each resident from the wrongful use of the resident's belongings or money.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Jun 5, 2024
0689EMinimal harm, Pattern

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Jun 5, 2024
0693DMinimal harm, Isolated

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Quality of Life and Care Deficiencies

Corrected Jun 5, 2024
0756DMinimal harm, Isolated

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

Corrected Jun 5, 2024
0757DMinimal harm, Isolated

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Pharmacy Service Deficiencies

Corrected Jun 5, 2024
0812EMinimal harm, Pattern

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Jun 5, 2024
November 8, 2022Health4 deficiencies
0689DMinimal harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Nov 18, 2022
0690DMinimal harm, Isolated

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

Corrected Nov 18, 2022
0732CNo harm, Widespread

Post nurse staffing information every day.

Nursing and Physician Services Deficiencies

Corrected Nov 18, 2022
0761DMinimal harm, Isolated

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Pharmacy Service Deficiencies

Corrected Nov 18, 2022

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Frequently Asked Questions

What is the CareGrader rating for DERBY HEALTH & REHABILITATION, LLC?

DERBY HEALTH & REHABILITATION, LLC in DERBY, Kansas has a CareGrader grade of B (Good), with a composite score of 87.3 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for DERBY HEALTH & REHABILITATION, LLC?

DERBY HEALTH & REHABILITATION, LLC has an overall CMS star rating of 4 out of 5, a health inspection rating of 4/5, and a staffing rating of 4/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does DERBY HEALTH & REHABILITATION, LLC have?

DERBY HEALTH & REHABILITATION, LLC has 12 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

How many beds does DERBY HEALTH & REHABILITATION, LLC have?

DERBY HEALTH & REHABILITATION, LLC has 74 certified beds with approximately 68 current residents (92% occupancy). The facility is located at 731 KLEIN CIRCLE, DERBY, Kansas 67037. It is a for profit - corporation facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.