01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-05-07 | 5 | 2026-05-07 | 6 |
| Cycle 2 | 2024-08-19 | 21 | 2024-08-19 | 7 |
| Cycle 3 | 2022-11-30 | 16 | 2022-11-30 | 2 |
CMS CCN 1755322026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Avita Health And Rehab At Reeds Cove
2114 N 127Th Court East · Wichita, KS 67228 · Sedgwick County
Certified beds76CMS provider file
Recent citation rows57current CMS citation release
Penalty rows1current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
57 rows in the current release
3 rows carry G–L scope/severity codes; 1 carry J–L. 11 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-05-07 · FIREE0031Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Provide emergency officials' contact information.
Correction field: Deficient, Provider has date of correction · 2026-06-252026-05-07 · HEALTHF0585Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2026-06-182026-05-07 · HEALTHF0605Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Correction field: Deficient, Provider has date of correction · 2026-06-182026-05-07 · HEALTHF0693Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2026-06-182026-05-07 · HEALTHF0812Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2026-06-182026-05-07 · HEALTHF0880Severity E · pattern; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2026-06-182026-05-07 · FIREK0161Severity D · isolated; potential for more than minimal harm
Construction Deficiencies
Use approved construction type or materials.
Correction field: Deficient, Provider has date of correction · 2026-06-252026-05-07 · FIREK0321Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2026-06-252026-05-07 · FIREK0342Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Correction field: Deficient, Provider has date of correction · 2026-06-252026-05-07 · FIREK0363Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2026-06-252026-05-07 · FIREK0511Severity D · isolated; potential for more than minimal harm
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Correction field: Deficient, Provider has date of correction · 2026-06-252025-04-24 · HEALTHF0686Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2025-05-02 · complaint2024-11-14 · HEALTHF0760Severity J · isolated immediate jeopardy
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Correction field: Past Non-Compliance · 2024-10-11 · complaint2024-08-19 · HEALTHF0550Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2024-09-16 · complaint2024-08-19 · HEALTHF0553Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Correction field: Deficient, Provider has date of correction · 2024-09-162024-08-19 · HEALTHF0578Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Correction field: Deficient, Provider has date of correction · 2024-09-16 · complaint2024-08-19 · HEALTHF0625Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Correction field: Deficient, Provider has date of correction · 2024-09-16 · complaint2024-08-19 · HEALTHF0655Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Correction field: Deficient, Provider has date of correction · 2024-09-16 · complaint2024-08-19 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2024-09-16 · complaint2024-08-19 · HEALTHF0657Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2024-09-16 · complaint2024-08-19 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2024-09-16 · complaint2024-08-19 · HEALTHF0677Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2024-09-16 · complaint2024-08-19 · HEALTHF0686Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2024-09-16 · complaint2024-08-19 · HEALTHF0689Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2024-09-1603 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2024-11-14 | Fine | $8,827 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- AXIOM HEALTHCARE ALLIANCE, LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 09/01/2020
- AXIOM CONSULTING LLCOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST9% · since 09/01/2020
- DENNIS L. ROSS POD TO TRUSTEE OF DENNIS L. ROSS LIVING TRUST U/A 4/4/1Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST5% · since 09/01/2020
- MATT LILLIE INVESTMENTS, INCOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST8% · since 09/01/2020
- ROGER EVANS REVOCABLE TRUSTOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST6% · since 09/01/2020
- WICHITA WELLNESS INCOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST11% · since 09/01/2020
- EVANS, ROGERIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST6% · since 09/01/2020
- HERMES, FREDERICKIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST9% · since 09/01/2020
- LAKIN, GREGORYIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST11% · since 09/01/2020
- LILLIE, MATTHEWIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST8% · since 09/01/2020
- ROSS, ANNIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST5% · since 09/01/2020
- ROSS, DENNISIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST5% · since 09/01/2020
- BECNEL, CHANCEIndividual · CORPORATE OFFICERNOT APPLICABLE · since 05/14/2012
- AXIOM HEALTHCARE SERVICES LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/31/2011
- KRUSE, BRENDAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 05/14/2012
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours4.80per resident day
RN hours0.91per resident day
Weekend nurse hours4.15per resident day
Staff turnover67.3%CMS reported field
06 / LOCAL RECORDS
Open the Wichita ledger →Other published facilities nearby
Ascension Living Via Christi Village Mclean36 beds · CMS overall 5/520 citation rowsAzria Health Wichita70 beds · CMS overall 3/573 citation rowsCaritas Center, Inc22 beds · CMS overall 5/536 citation rowsCenter At Waterfront Llc80 beds · CMS overall 3/547 citation rowsFamily Health & Rehabilitation Center72 beds · CMS overall 4/544 citation rowsGreat Plains Post Acute118 beds · CMS overall 1/587 citation rowsHomestead Health Center45 beds · CMS overall 2/550 citation rowsHorizon Post Acute75 beds · CMS overall 1/5117 citation rows