01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-03-04 | 7 | 2024-04-24 | 9 |
| Cycle 2 | 2024-04-24 | 11 | 2022-08-31 | 5 |
| Cycle 3 | 2022-08-31 | 6 | 2021-01-07 | 6 |
CMS CCN 1755012026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Family Health & Rehabilitation Center
639 S Maize Court · Wichita, KS 67209 · Sedgwick County
Certified beds72CMS provider file
Recent citation rows44current CMS citation release
Penalty rows0current 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
44 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 9 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-03-04 · HEALTHF0554Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Correction field: Deficient, Provider has date of correction · 2026-03-202026-03-04 · 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 · 2026-03-202026-03-04 · 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 · 2026-03-202026-03-04 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2026-03-202026-03-04 · 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 · 2026-03-202026-03-04 · 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 · 2026-03-202026-03-04 · HEALTHF0814Severity C · widespread; potential for minimal harm
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Correction field: Deficient, Provider has date of correction · 2026-03-202024-04-24 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2024-05-10 · complaint2024-04-24 · HEALTHF0610Severity E · pattern; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Correction field: Deficient, Provider has date of correction · 2024-05-10 · complaint2024-04-24 · HEALTHF0689Severity D · isolated; 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 · 2024-05-10 · complaint2024-04-24 · HEALTHF0690Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Correction field: Deficient, Provider has date of correction · 2024-05-10 · complaint2024-04-24 · HEALTHF0698Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Correction field: Deficient, Provider has date of correction · 2024-05-10 · complaint2024-04-24 · HEALTHF0755Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2024-05-10 · complaint2024-04-24 · HEALTHF0757Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Correction field: Deficient, Provider has date of correction · 2024-05-10 · complaint2024-04-24 · HEALTHF0759Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Correction field: Deficient, Provider has date of correction · 2024-05-10 · complaint2024-04-24 · HEALTHF0761Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2024-05-10 · complaint2024-04-24 · 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 · 2024-05-10 · complaint2024-04-24 · HEALTHF0947Severity E · pattern; potential for more than minimal harm
Nursing and Physician Services Deficiencies
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Correction field: Deficient, Provider has date of correction · 2024-05-10 · complaint2024-04-24 · FIREK0222Severity F · widespread; potential for more than minimal harm
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Correction field: Deficient, Provider has date of correction · 2024-05-292024-04-24 · FIREK0345Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2024-05-292024-04-24 · FIREK0372Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Correction field: Deficient, Provider has date of correction · 2024-05-312024-04-24 · FIREK0511Severity F · widespread; potential for more than minimal harm
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Correction field: Deficient, Provider has date of correction · 2024-05-292024-04-24 · FIREK0521Severity F · widespread; potential for more than minimal harm
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Correction field: Deficient, Provider has date of correction · 2024-05-292024-04-24 · FIREK0712Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2024-06-1003 / 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 |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
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
- KRUSE, BRENDAIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 08/29/2018
- BECNEL, CHANCEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 08/29/2018
- AXIOM HEALTHCARE SERVICES LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 03/01/2007
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 hours4.81per resident day
RN hours0.38per resident day
Weekend nurse hours4.23per resident day
Staff turnover66.3%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 rowsAvita Health And Rehab At Reeds Cove76 beds · CMS overall 3/557 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 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