B84

FAMILY HEALTH & REHABILITATION CENTER

Grade B 84/100 composite score

For profit - Limited Liability company

CMS Star Ratings

Overall
3/5
Health Insp.
3/5
Quality
4/5
Staffing
4/5
RN Staffing
Not rated

Certified Beds

72

Ownership

For profit - Limited Liability company

Total Fines

None

Last Survey

N/A

639 S MAIZE COURT, WICHITA, KS 67209
3164255600

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.54h
LPN
1.47h
CNA
3.54h
Total
5.56h
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 Sep 2020

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 Mar 2007

BECNEL, CHANCE

IndividualCORPORATE DIRECTORSince Aug 2018

KRUSE, BRENDA

IndividualW-2 MANAGING EMPLOYEESince Aug 2018

Penalties & Fines

No penalties or fines on record.

Health Inspection Deficiencies (18)

April 24, 2024Health11 deficiencies
0609DMinimal harm, Isolated

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected May 10, 2024
0610EMinimal harm, Pattern

Respond appropriately to all alleged violations.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected May 10, 2024
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 10, 2024
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 May 10, 2024
0698DMinimal harm, Isolated

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Quality of Life and Care Deficiencies

Corrected May 10, 2024
0755EMinimal harm, Pattern

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Pharmacy Service Deficiencies

Corrected May 10, 2024
0757DMinimal harm, Isolated

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

Pharmacy Service Deficiencies

Corrected May 10, 2024
0759EMinimal harm, Pattern

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies

Corrected May 10, 2024
0761EMinimal harm, Pattern

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 May 10, 2024
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected May 10, 2024
0947EMinimal harm, Pattern

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Nursing and Physician Services Deficiencies

Corrected May 10, 2024
August 31, 2022Health6 deficiencies
0583DMinimal harm, Isolated

Keep residents' personal and medical records private and confidential.

Resident Rights Deficiencies

Corrected Sep 25, 2022
0623DMinimal harm, Isolated

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

Corrected Sep 25, 2022
0677DMinimal harm, Isolated

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies

Corrected Sep 25, 2022
0757DMinimal harm, Isolated

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

Pharmacy Service Deficiencies

Corrected Sep 25, 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 Sep 25, 2022
0880FMinimal harm, Widespread

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Sep 25, 2022
January 7, 2021Health1 deficiency
0758DMinimal harm, Isolated

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

Corrected Jan 30, 2021

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Frequently Asked Questions

What is the CareGrader rating for FAMILY HEALTH & REHABILITATION CENTER?

FAMILY HEALTH & REHABILITATION CENTER in WICHITA, Kansas has a CareGrader grade of B (Good), with a composite score of 83.8 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 FAMILY HEALTH & REHABILITATION CENTER?

FAMILY HEALTH & REHABILITATION CENTER has an overall CMS star rating of 3 out of 5, a health inspection rating of 3/5, and a staffing rating of 4/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does FAMILY HEALTH & REHABILITATION CENTER have?

FAMILY HEALTH & REHABILITATION CENTER has 18 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 FAMILY HEALTH & REHABILITATION CENTER have?

FAMILY HEALTH & REHABILITATION CENTER has 72 certified beds with approximately 63 current residents (88% occupancy). The facility is located at 639 S MAIZE COURT, WICHITA, Kansas 67209. It is a for profit - limited liability company 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.