2114 N 127th Court East, Wichita, KS 67228 · Sedgwick County · (316) 500-8800
76 certified beds, about 69 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2013
CMS Care Compare ratings, data as of September 1, 2026 · CCN 175532 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on May 7, 2026, inspectors cited 5 health deficiencies (the Kansas average is 9.5, the national average 9.2).
Of 42 health citations since November 2022, 3 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $8,827 in the last three years; the largest was $8,827, and the latest is dated November 14, 2024.
Nurses and nurse aides worked 4.80 hours per resident per day, against 4.07 across Kansas and 3.86 nationally. Registered nurses accounted for 0.91 of those hours.
67.3% of nursing staff left within the year CMS measured (Kansas average 48.1%).
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 42 health citations on file.
Inspectors wroteBased on observation, record review, and interview, the facility failed to prepare and serve food under sanitary conditions to prevent potential for food borne bacteria.
Inspectors wroteBased on interviews, observation, and record review, the facility failed to ensure adequate hand hygiene during dressing change and medication administration for Resident (R) 48. Additionally, the facility failed to properly transport clean personal linens.
Inspectors wroteBased on interview, observation, and record review, the facility failed to address and resolve a grievance for Resident (R) 18 and failed to notify the resident of any actions or the status of the grievance.
Inspectors wroteBased on observation, interview, and record review, the facility failed to obtain a 14-day stop date or a specified duration with physician rationale for an as-needed (PRN) order for lorazepam (treatment of anxiety) medication for Resident (R) R66. Additionally failed to monitor antipsychotic medication for Resident (R) 18.
Inspectors wroteBased on observation, interviews, and record review, the facility failed to ensure Resident (R) 48's feeding tube (G-tube: tube surgically placed through an artificial opening into the stomach) was monitored for placement prior to administration of medications and enteral nutrition (provision of nutrients through the gastrointestinal tract when the resident cannot ingest, chew, or swallow food).
Inspectors wroteThe facility identified a census of 66 residents, with 10 residents sampled. Based on observation, interview, and record review, the facility failed to prevent the development of facility-acquired pressure ulcers (localized injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure, or pressure in combination with shear and/or friction) on Resident (R)1's right and left buttock when staff failed to adequately monitor wounds after the initial development including measurements, presence of infection, drainage and effectiveness of treatments, failed to implement routine repositioning in the bed and the wheelchair until after the wounds progressed, and did not implement standard interventions such as low air loss mattress (a medical-grade mattress designed to prevent and treat pressure injuries by continuously circulating air to reduce moisture and [...]
Inspectors wroteThe facility reported a census of 29 residents. The sample included three residents reviewed for medications. Based on observation, interview, and record review, the facility failed to prevent the significant medication error of cognitively impaired Resident (R) 1. On 10/11/24, Certified Medication Aide (CMA) R incorrectly administered R2's medications to R1, which included clopidogrel (antiplatelet medication) 75 mg (milligram), morphine (opioid medication used to treat severe pain) extended release (ER) 15 mg, as well as acetaminophen (analgesic) 650 mg. On 10/11/24 at 06:00 AM, during nursing shift report, Licensed Nurse (LN) G ensured that CMA R knew that R1 had a jejunostomy tube (J-Tube, a soft plastic tube surgically inserted into the small intestine to deliver food and medicine) and R1 could not receive any medications by mouth. [...]
Inspectors wroteThe facility reported a census of 57 residents. The facility identified three kitchen/food service areas. Based on observation, interview, and record review, the facility failed to store, prepare, and serve food under sanitary conditions for the residents of the facility. This placed the affected residents at risk for decreased palatability of food and food-borne illness.
Inspectors wroteThe facility reported a census of 57 residents with 17 residents sampled. Based on interview, observation, and record review, the facility failed to protect the privacy and dignity of residents that were dependent on staff assistance for eating when staff labeled the residents as feeders. This practice had the potential to lead to negative psychosocial effects related to dignity.
Inspectors wroteThe facility reported a census of 57 residents which included 17 residents sampled, with four residents reviewed for hospitalization. Based on observation, interview, and record review, the facility failed to provide four residents, Resident (R) 22, R3, R8 and R32 and/or their representative with a written notice specifying the duration and cost of the bed hold policy, at the time of the residents transfers to the hospital. This deficient practice placed these residents at risk to not be allowed to return to their former rooms at the facility.
Inspectors wroteThe facility reported a census of 57 residents and the facility identified five residents that had impaired cognition that were independently mobile. Based on observation, interview, and record review, the facility failed to provide a secure door to the maintenance shop area located in the main hallway that led to resident units. The maintenance shop contained multiple chemicals that documented to Keep out of Reach of Children and were harmful or fatal if ingested that included the following: Micro Kill disinfectant, neutral floor cleaner, goo gone, Mold [NAME] Rapid Cleaner, bleach, spray paint and insect cleaner. Furthermore, the facility failed to have a functional alarm on an unsecured door that led to the outside. [...]
Inspectors wroteThe facility reported a census of 57 residents. The facility identified 20 residents that resided on the 400 hall on 07/21/24. Based on interview and record review, the facility failed to ensure 12 of the 20 residents (R) 30, R8, R11, R32, R42, R26, R39, R48, R13, R36, R4 and R29, received medications from 07/21/24 from 06:00 PM to 07/22/24 at 06:00 AM shift, when Licensed Nurse I failed to administer medications, as ordered by the physician.
Inspectors wroteThe facility had a census of 57 residents. The sample included 17 residents. Based on observation, interview, and record review, the facility failed to ensure Resident (R) 6 reviewed during the medication administration pass, remained free of medication errors. Twenty-five medication opportunities were observed with twelve medication errors. This placed the resident at risk for adverse reactions from the medications and resulted in a medication error rate of 48%. Findings Included: - Resident 6's medical diagnoses included diabetes mellitus (DM-when the body cannot use glucose, not enough insulin made, or the body cannot respond to the insulin), hypertension (HTN-elevated blood pressure) and heart failure (a condition with low heart output and the body becomes congested with fluid). The Electronic Health Record (EHR) revealed the following physician medications: [...]
Inspectors wroteThe facility reported a census of 57 residents. The facility identified 20 residents that resided on the 400 hall on 07/21/24. Based on interview and record review, the facility failed to maintain medical records on each resident that were complete, accurately documented, readily accessible for seven residents when Licensed Nurse I failed to document medications/ treatments/assessments from 07/21/24 at 06:00 PM to 07/22/24 at 06:00 AM.
Inspectors wroteThe facility reported a census of 57 residents. The sample included 17 residents. Based on observation, interview, and record review, the facility failed to maintain an effective infection control program related to the sanitary manner medications administered and lacked proper hand hygiene during medication administration. This deficient practice had the potential to spread possible infections to the residents in the facility.
Inspectors wroteThe facility reported a census of 57 residents. The sample included 17 residents. Based on observation, interview, and record review, the facility failed to include Resident (R)21 for the development and continued planning of the resident's care plan quarterly. This deficient practice placed the residents at risk for impaired care and services. This practice had the potential to lead to negative psychosocial effects related to safety and uncommunicated needs.
Inspectors wroteThe facility reported a census of 57 residents with 17 residents sampled. Based on observation, interview, and record review, the facility failed to verify Resident (R)8's advanced directives (a legal document in which a person specified what actions should be taken for their health, which may or may not include a do not resuscitate [DNR-decision whether or not to withhold medical intervention in the event the resident's heart stops] order). Additionally, the facility failed to obtain proper authorization for a DNR for R3 when the facility allowed the resident's guardian to consent. These deficient practices had the potential to lead to uncommunicated needs specifically to end-of-life care.
Inspectors wroteThe facility reported a census of 57 residents with 17 residents sampled that included one resident reviewed for baseline care plan. Based on interviews, observations, and record review, the facility failed to develop a person-centered baseline care plan for one resident, Resident (R) 153. This deficient practice had the potential to lead to uncommunicated needs.
Inspectors wroteThe facility identified a census of 57 residents which included 17 residents sampled and reviewed for care plan development. Based on interview, observations, and record review, the facility failed to develop a comprehensive person-centered care plan for one resident, Resident (R)30's, regarding oxygen delivery or nebulized (a device which changes liquid medication into a mist easily inhaled into the lungs) medication administration. This deficient practice had the potential to lead to uncommunicated needs which could lead to negative impacts on the resident's physical well-being.
Inspectors wroteThe facility reported a census of 57 residents with 17 residents selected for review. Based on observation, interview, and record review, the facility failed to accurately revise two residents care plans after Resident (R)22 and R9's had a fall. This placed the residents at risk for uncommunicated care needs.
Inspectors wroteThe facility identified a census of 57 residents which included 17 residents in the sample. Based on observations, interviews, and record review, the facility failed to provide services to meet professional standards of care related to the unsanitary manner medications administered when CMA II dropped Resident (R)6's medications, picked them up from the floor and the medication cart, and administered the medications to the resident.
Inspectors wroteThe facility identified a census of 57 residents. The sample included 17 residents. Based on observation, record review, and interviews, the facility failed to ensure Resident (R)19, who was dependent on staff, received care for removal of facial hair. Additionally, the facility failed to ensure (R)40, who was dependent on staff, received care for removal of facial hair and oral care. These deficient practices placed the residents at risk for decreased psychosocial well-being.
Inspectors wroteThe facility census totaled 57 residents with 17 residents included in the sample, that included five residents reviewed for pressure ulcers. Based on observation, interview, and record review, the facility failed to use effective infection control practices when providing wound care to one Resident (R103), who admitted with a pressure ulcer (localized injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure, or pressure in combination with shear and/or friction) This deficient practice had the potential to inhibit wound healing.
Inspectors wroteThe facility reported a census of 57 residents, with three residents sampled for urinary catheters. Based on observation, record review and interview, the facility failed to provide proper care to prevent urinary infection for one Resident (R103), when staff failed to properly handle the urinary catheter collection bag to ensure the bag remained below the level of the bladder to prevent urine backflow and the development of urinary tract infection.
Inspectors wroteThe facility reported a census of 57 residents with 17 residents selected for review which included four residents reviewed for respiratory care. Based on observation, interview, and record review, the facility failed to properly clean and store the nebulizer (a device for administering inhaled medications) for Resident (R)30. Additionally, the facility failed to obtain a physician's order to administer oxygen to R1 and replace a contaminated cannula for R1. These deficient practices had the potential to have a negative impact on the residents' physical and psychosocial well-being.
Inspectors wroteThe facility reported a census of 57 residents. Based on observation, interview and record review, the facility failed to store medications properly for three residents, Resident (R)8, R153 and R22, all of whom had over-the-counter medications stored in their individual bedrooms. The facility failed to screen the residents for safety related to medication storage and safe self-medication administration.
Inspectors wroteThe facility identified a census of 49 residents. The sample included 15 residents, with five residents reviewed for pressure ulcer (localized injury to the skin and/or underlying tissue usually over a bony prominence, because of pressure, or pressure in combination with shear and/or friction). Based on observation, record review, and interviews, the facility failed to prevent the redevelopment of a pressure related injury for Resident (R) 33 and failed to ensure pressure reducing measures were in place for R9. This deficient practice placed R33 and R9 at increased risk of development or worsening of pressure related injuries.
Inspectors wroteThe facility identified a census of 49 residents. The sample included 15 residents. Based on observation, record review, and interviews, the facility failed to provide Registered Nurse (RN) coverage eight consecutive hours a day, seven days a week. This placed all residents who resided in the facility at risk of lack of assessment and inappropriate care.
Inspectors wroteThe facility had a census of 49 residents. The sample included 15 residents. Based on observation, record review and interview, the facility failed to secure 21 pressurized medical oxygen tanks in a safe, locked area, and out of reach of the five cognitively impaired independently mobile residents. The facility additionally failed to utilize a gait belt for safe transfers for Resident (R) 6. This deficient practice placed the affected residents at risk for preventable accidents and injuries. Findings Included: - On 11/28/22 at 07:15AM an environmental inspection of Reddy Hall was completed. An inspection of the Utility Storage Room revealed the entry door was not securely locked. A sign posted on the door noted Oxygen Storage. The room contained 21 pressurized oxygen cylinder tanks stored with unpressurized tanks. [...]
Inspectors wroteThe facility had a census of 49 residents. The sample included 15 residents. Based on observation, record review and interview the facility failed to properly store and secure medications on two of three nursing units. This placed the affected residents at risk for complications related to unnecessary medication administration. Finding Included: - On 11/28/22 at 07:17AM an environmental inspection of Berlin-[NAME] Hall was completed. A walk-through of the resident's day room revealed a grey storage bin located outside the medication room. A sign displayed on the box stated, Cycle fill medications - due not start using until the morning of November 24th. An inspection of the unlocked bin revealed around 90 partially used pharmacy bubble cards for multiple residents on the unit. No staff monitored the storage bin during the walk-through. [...]
Inspectors wroteThe facility identified a census of 49 residents. The sample included 15 residents. Five of the sampled residents were reviewed for unnecessary medications. Based on observation, record review and interview the facility failed to ensure the provider ackowledged and responded to the Consultant Pharmacist (CP) recommendation in a timely manner for a prescribed, as needed (PRN) Ativan (lorazepam-an antianxiety medication that calm and relax people with excessive anxiety, nervousness, or tension) had the required 14-day stop date for Resident (R)2, R10, and R32. The CP further failed to identify and report R12's antihypertensive (a medication used to treat elevated blood pressure) medications given outside the physician ordered parameters. This deficient practice placed R2, R10, R32, and R12 at risk for unnecessary medication administration and possible adverse side effects.
Inspectors wroteThe facility reported a census of 49 residents. The facility identified three kitchen/food service areas. Based on observation, interview, and record review, the facility failed to store, prepare, and serve food under sanitary conditions for the residents of the facility. This placed the affected residents at risk for decreased palatability of food and food-borne illness.
Inspectors wroteThe facility identified a census of 49 residents. Based on observation, record review and interview, the facility failed to ensure staff followed infection control standard of practice. The facility failed to practice proper hand hygiene, failed to ensure a urinary catheter (the insertion of a hollow tube into the bladder to drain the urine into a collection bag) bag was kept off the floor, failed to ensure sanitary storage of oxygen tubing, and failed to ensure face mask covered nose and mouth. This placed the residents at risk for increased infection and transmission of communicable disease.
Inspectors wroteThe facility identified a census of 49 residents. The sample included 15 residents. Based on observation, record review, and interviews, the facility failed to ensure foot pedals were available and utilized for Resident (R) 11's wheelchair to prevent her feet from dragging on the floor while the staff propelled R11 in the chair. This deficient practice placed R11 at risk for preventable injuries.
Inspectors wroteThe facility identified a census of 49 residents. The sample included 15 residents with two residents reviewed for notification of changes. Based on observations, interviews, and record reviews, the facility failed to notify Resident (R) 43's resident representative of a change in condition. This deficient practice placed the resident at risk for delayed treatment decisions and decreased psychosocial well-being. Findings Included: [...]
Inspectors wroteThe facility identified a census of 49 residents. The sample included 15 residents with 15 reviewed for activities of daily living (ADL). Based on observations, record review, and interviews, the facility failed to provide consistent bathing opportunities for R196. This deficient practice placed R196 at risk for preventable infections and decreased psychosocial well-being. Findings Included: - The Medical Diagnosis section within R196's Electronic Medical Records (EMR) included diagnoses of hydrocephalus (fluid build-up in the brain's cavities), muscle weakness, cognitive communication deficit, type two diabetes mellitus (when the body cannot use glucose, not enough insulin made or the body cannot respond to the insulin), and hypertensive heart disease (chronic high blood pressure that damages the heart). [...]
Inspectors wroteThe facility identified a census of 49 residents. The sample included 15 residents with 15 reviewed for quality of care. Based of observations, record review, and interviews, the facility failed to ensure physician's order were in place for R197's care related to his Wound-Vac (vacuum assisted closure machine used to aid in wound healing). This deficient practice placed R197 at risk for complication related to ineffective wound care. Findings Included: [...]
Inspectors wroteThe facility identified a census of 49 residents. The sample included 15 residents with two reviewed for bowel and bladder management. Based of observations, record review, and interviews, the facility failed to implement an individualized bowel and bladder toileting program for Residents (R)196 and failed to provide sanitary Foley catheter care (tube inserted into the bladder to drain urine into a collection bag) for (R)197. This deficient practice placed the residents at risk for complications related urinary tract infections. Findings Included: [...]
Inspectors wroteThe facility identified a census of 49 residents. The sampled included 15 residents. Based on observation, record review and interview, the facility failed to ensure one resident (R) 12's supplemental oxygen tubing was stored appropriately when not in use. This deficient practice places R12 at risk for respiratory complications and increased infection.
Inspectors wroteThe facility identified a census of 49 residents. The sample included 15 residents. Five sampled residents were reviewed for unnecessary medications. Based on observation, record review, and interview, the facility failed to ensure nursing staff administered R12's antihypertensive medication (a medication used to lower an elevated blood pressure) metoprolol within physician ordered parameters. The deficient practice placed R12 at risk for unnecessary medication administration and possible adverse side effects.
Inspectors wroteThe facility identified a census of 49 residents. The sample included 15 residents. Five of the sampled residents were reviewed for unnecessary medications. Based on observation, record review and interview the facility failed to ensure a 14-day stop date or an appropriate rationale for continued use and a duration for as needed (PRN) Ativan (lorazepam, an antianxiety- class of medications that calm and relax people with excessive anxiety, nervousness, or tension) for Resident (R) 2, R10, and R32. This deficient practice placed R2, R10, and R32, at risk for unnecessary medication administration and possible adverse side effects.
Inspectors wroteThe facility identified a census of 49 residents. Based on observation, record review, and interviews, the facility failed to retain the daily posted nursing staffing data for the 18 months as required.
15 fire safety citations on file: 6 on May 7, 2026, 7 on August 19, 2024, 2 on November 30, 2022.
| Date | Penalty | Amount or length |
|---|---|---|
| November 14, 2024 | Fine | $8,827 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Kansas | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.80 | 4.07 | 3.86 |
| Registered nurses | 0.91 | 0.71 | 0.69 |
| All nursing staff on weekends | 4.15 | 3.60 | 3.42 |
| Nurse aides | 3.15 | ||
| Licensed practical nurses | 0.74 | ||
| Nursing staff turnover (share who left in a year) | 67.3% | 48.1% | 45.8% |
| Registered nurse turnover | 50.0% | 42.0% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.54 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 5.06 on weekdays and 4.15 on weekends, 18% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.09 in April to June 2025 to 4.80 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.80 | 0.91 | 5.06 | 4.15 | 0.2% | 0 of 90 | 69 |
| Oct to Dec 2025 | 4.97 | 0.86 | 5.21 | 4.36 | 0.9% | 0 of 92 | 67 |
| Jul to Sep 2025 | 4.82 | 0.79 | 5.12 | 4.08 | 0.9% | 0 of 92 | 68 |
| Apr to Jun 2025 | 5.09 | 0.94 | 5.38 | 4.35 | 5.2% | 0 of 91 | 62 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Kansas, Jan to Mar 2026 | 4.01 | 0.67 | 4.19 | 3.56 | 4.8% | 0.6% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Kansas, all employers | |||
| CNAs (nursing assistants) | $18.27 | $17.41 to $21.24 | 24,610 |
| LPNs and LVNs | $29.69 | $27.05 to $33.40 | 7,530 |
| Registered nurses | $38.14 | $35.24 to $45.53 | 33,800 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Kansas | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 19.5 | 17.9 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.6 | 1.6 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 7.8 | 2.9 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 6.6 | 4.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.9 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 29.4 | 16.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 8.1 | 4.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 12.7 | 18.1 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 17.5 | 22.4 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 6.8 | 11.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.2 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.9 | 2.1 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Avita Health and Rehab at Reeds Cove's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (60.4% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
60.4% this home
Better than the national rate
US median of homes 51.5% · Kansas: 42 better, 17 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 150 eligible stays.
9.7% this home
No different from the national rate
US median of homes 10.7% · Kansas: 3 better, 0 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 159 eligible stays.
6.3% this home
No different from the national rate
US median of homes 7.1% · Kansas: 3 better, 0 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 95 eligible stays.
48.0% this home
Median of homes: Kansas55.7% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 73 residents counted.
0.0% this home
Median of homes: Kansas0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 98 residents counted.
6.3% this home
Median of homes: Kansas2.1% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 98 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Kansas99.3% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 12 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: REEDS COVE HEALTH AND REHABILITATION LLC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Axiom Healthcare Alliance, LLC | 5% or greater direct ownership interest | Organization | 100% | 09/01/2020 |
| Axiom Consulting LLC | 5% or greater indirect ownership interest | Organization | 9% | 09/01/2020 |
| Dennis L. Ross Pod to Trustee of Dennis L. Ross Living Trust U/a 4/4/1 | 5% or greater indirect ownership interest | Organization | 5% | 09/01/2020 |
| Matt Lillie Investments, Inc | 5% or greater indirect ownership interest | Organization | 8% | 09/01/2020 |
| Roger Evans Revocable Trust | 5% or greater indirect ownership interest | Organization | 6% | 09/01/2020 |
| Wichita Wellness Inc | 5% or greater indirect ownership interest | Organization | 11% | 09/01/2020 |
| Evans, Roger | 5% or greater indirect ownership interest | Individual | 6% | 09/01/2020 |
| Hermes, Frederick | 5% or greater indirect ownership interest | Individual | 9% | 09/01/2020 |
| Lakin, Gregory | 5% or greater indirect ownership interest | Individual | 11% | 09/01/2020 |
| Lillie, Matthew | 5% or greater indirect ownership interest | Individual | 8% | 09/01/2020 |
| Ross, Ann | 5% or greater indirect ownership interest | Individual | 5% | 09/01/2020 |
| Ross, Dennis | 5% or greater indirect ownership interest | Individual | 5% | 09/01/2020 |
| Becnel, Chance | Corporate officer | Individual | 05/14/2012 | |
| Axiom Healthcare Services LLC | Operational/managerial control | Organization | 10/31/2011 | |
| Kruse, Brenda | Operational/managerial control | Individual | 05/14/2012 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.