AVITA HEALTH AND REHAB AT REEDS COVE – Nursing Home, WICHITA, Kansas
Medicare and Medicaid
CMS quality ratings
Overall
Health inspection
Quality of care
Staffing
RN staffing
Last cited survey: 24 April 2025 · 100 health and 60 fire safety citations on file
Source: CMS Care Compare nursing home data. Ratings are updated when CMS publishes new inspection results.
Main info
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Location
2114 N 127TH COURT EAST
WICHITA, KS 67228
Phone: (316) 500-8800
Compare to KS average
See how this facility compares to the KS state average among rated nursing homes (330 homes). Peer best shows the highest rating among similar homes in the same city.
| Metric | This facility | KS average | Peer best (city) |
|---|---|---|---|
| Overall CMS stars | 1 | 3.02 | 5 |
| Health inspection | 1 | 2.8 | 5 |
| Staffing | 4 | 3.42 | 5 |
| Quality measures | 4 | 3.26 | 5 |
| Certified beds | 76 | 60.5 | — |
| Citations on file (health + fire) | 207 | ~7.3 health* | — |
- ASCENSION LIVING VIA CHRISTI VILLAGE MCLEAN — 5★ overall
- AZRIA HEALTH WICHITA — 3★ overall
- CARITAS CENTER, INC — 5★ overall
- CENTER AT WATERFRONT LLC — 3★ overall
- FAMILY HEALTH & REHABILITATION CENTER — 4★ overall
* State deficiency average uses CMS rating-cycle health deficiency counts.
Owners information
| Name | Role Description | Type | Ownership Percentage | Association Date |
|---|---|---|---|---|
| ROSS, ANN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 5.38 | 09/01/2020 |
| EVANS, ROGER W | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 5.65 | 09/01/2020 |
| BECNEL, CHANCE C | CORPORATE OFFICER | Individual | - | 05/14/2012 |
| KRUSE, BRENDA M | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 05/14/2012 |
| MATT LILLIE INVESTMENTS, INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 7.90 | 09/01/2020 |
| AXIOM HEALTHCARE SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | 100.00 | 10/31/2011 |
| LAKIN, GREGORY F | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 10.97 | 09/01/2020 |
| LILLIE, MATTHEW | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 7.90 | 09/01/2020 |
| AXIOM HEALTHCARE ALLIANCE, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100.00 | 09/01/2020 |
| AXIOM CONSULTING LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 8.76 | 09/01/2020 |
| WICHITA WELLNESS INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 10.97 | 09/01/2020 |
| HERMES, FREDERICK C | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 8.76 | 09/01/2020 |
| ROSS, DENNIS L | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 5.38 | 09/01/2020 |
| ROGER EVANS REVOCABLE TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 5.65 | 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 | 5.38 | 09/01/2020 |
Inspections & deficiencies
CMS inspection citations for this nursing home. Filter by type or recency, and use severity chips to spot higher-risk findings.
160 citations on file · Latest survey: 24 April 2025 · 100 health · 60 fire safety
Health deficiencies
| Date | Tag | Severity | Type | Description |
|---|---|---|---|---|
| 2025-04-24 | F686 | G — Actual harm, isolated | Health | Provide appropriate pressure ulcer care and prevent new ulcers from developing. |
| 2025-04-24 | F686 | G — Actual harm, isolated | Health | Provide appropriate pressure ulcer care and prevent new ulcers from developing. |
| 2025-04-24 | F686 | G — Actual harm, isolated | Health | Provide appropriate pressure ulcer care and prevent new ulcers from developing. |
| 2024-11-14 | F760 | J — Immediate jeopardy, isolated | Health | Ensure that residents are free from significant medication errors. |
| 2024-11-14 | F760 | J — Immediate jeopardy, isolated | Health | Ensure that residents are free from significant medication errors. |
| 2024-11-14 | F760 | J — Immediate jeopardy, isolated | Health | Ensure that residents are free from significant medication errors. |
| 2024-08-19 | F880 | E — Minimal harm, pattern | Health | Provide and implement an infection prevention and control program. |
| 2024-08-19 | F880 | E — Minimal harm, pattern | Health | Provide and implement an infection prevention and control program. |
| 2024-08-19 | F880 | E — Minimal harm, pattern | Health | Provide and implement an infection prevention and control program. |
| 2024-08-19 | F842 | E — Minimal harm, pattern | Health | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. |
| 2024-08-19 | F842 | E — Minimal harm, pattern | Health | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. |
| 2024-08-19 | F842 | E — Minimal harm, pattern | Health | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. |
| 2024-08-19 | F812 | F — Minimal harm, widespread | Health | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. |
| 2024-08-19 | F812 | F — Minimal harm, widespread | Health | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. |
| 2024-08-19 | F812 | F — Minimal harm, widespread | Health | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. |
| 2024-08-19 | F761 | D — Minimal harm, isolated | Health | 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. |
| 2024-08-19 | F761 | D — Minimal harm, isolated | Health | 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. |
| 2024-08-19 | F761 | D — Minimal harm, isolated | Health | 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. |
| 2024-08-19 | F759 | E — Minimal harm, pattern | Health | Ensure medication error rates are not 5 percent or greater. |
| 2024-08-19 | F759 | E — Minimal harm, pattern | Health | Ensure medication error rates are not 5 percent or greater. |
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Fire safety deficiencies
| Date | Tag | Severity | Type | Description |
|---|---|---|---|---|
| 2024-08-19 | K222 | F — Minimal harm, widespread | Fire Safety | 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. |
| 2024-08-19 | K353 | E — Minimal harm, pattern | Fire Safety | Inspect, test, and maintain automatic sprinkler systems. |
| 2024-08-19 | K363 | E — Minimal harm, pattern | Fire Safety | Install corridor and hallway doors that block smoke. |
| 2024-08-19 | K374 | F — Minimal harm, widespread | Fire Safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. |
| 2024-08-19 | K222 | F — Minimal harm, widespread | Fire Safety | 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. |
| 2024-08-19 | K353 | E — Minimal harm, pattern | Fire Safety | Inspect, test, and maintain automatic sprinkler systems. |
| 2024-08-19 | K363 | E — Minimal harm, pattern | Fire Safety | Install corridor and hallway doors that block smoke. |
| 2024-08-19 | K222 | F — Minimal harm, widespread | Fire Safety | 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. |
| 2024-08-19 | K353 | E — Minimal harm, pattern | Fire Safety | Inspect, test, and maintain automatic sprinkler systems. |
| 2024-08-19 | K363 | E — Minimal harm, pattern | Fire Safety | Install corridor and hallway doors that block smoke. |
| 2024-08-19 | K374 | F — Minimal harm, widespread | Fire Safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. |
| 2024-08-19 | K511 | F — Minimal harm, widespread | Fire Safety | Have properly installed electrical wiring and gas equipment. |
| 2024-08-19 | K920 | F — Minimal harm, widespread | Fire Safety | Ensure proper usage of power strips and extension cords. |
| 2024-08-19 | K923 | F — Minimal harm, widespread | Fire Safety | Have proper medical gas storage and administration areas. |
| 2024-08-19 | K511 | F — Minimal harm, widespread | Fire Safety | Have properly installed electrical wiring and gas equipment. |
| 2024-08-19 | K920 | F — Minimal harm, widespread | Fire Safety | Ensure proper usage of power strips and extension cords. |
| 2024-08-19 | K923 | F — Minimal harm, widespread | Fire Safety | Have proper medical gas storage and administration areas. |
| 2024-08-19 | K511 | F — Minimal harm, widespread | Fire Safety | Have properly installed electrical wiring and gas equipment. |
| 2024-08-19 | K920 | F — Minimal harm, widespread | Fire Safety | Ensure proper usage of power strips and extension cords. |
| 2024-08-19 | K923 | F — Minimal harm, widespread | Fire Safety | Have proper medical gas storage and administration areas. |
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Additional information
Full CMS quality rating tables
Quality Ratings
| Name | Value |
|---|---|
| Overall Rating | 1 |
| Health Inspection Rating | 1 |
| Quality of Resident Care Rating | 4 |
| Quality of Resident Care Rating (Long Stay) | 5 |
| Quality of Resident Care Rating (Short Stay) | 5 |
| Staffing Rating | 4 |
| RN Staffing Rating | 2 |
| Reported CNA Staffing Hours per Resident per Day | 2.68629 |
| Reported LPN Staffing Hours per Resident per Day | 0.87251 |
| Reported RN Staffing Hours per Resident per Day | 0.85748 |
| Reported Licensed Staffing Hours per Resident per Day | 1.72999 |
| Reported Total Nurse Staffing Hours per Resident per Day | 4.9679 |
| Reported Physical Therapist Staffing Hours per Resident per Day | 0.14004 |
| Casemix CNA Staffing Hours per Resident per Day | 2.05462 |
| Casemix LPN Staffing Hours per Resident per Day | 0.68405 |
| Casemix RN Staffing Hours per Resident per Day | 0.40254 |
| Casemix Total Nurse Staffing Hours per Resident per Day | 3.1412 |
| Adjusted CNA Staffing Hours per Resident per Day | 2.69912 |
| Adjusted LPN Staffing Hours per Resident per Day | 0.98235 |
| Adjusted RN Staffing Hours per Resident per Day | 0.96543 |
| Adjusted Total Nurse Staffing Hours per Resident per Day | 5.5933 |
Health Inspection and Deficiency Ratings
| Name | Value |
|---|---|
Date of Standard Health Survey (Cycle 1) | 2019-05-01 |
Date of Standard Health Survey (Cycle 2) | 2018-07-19 |
Total Number of Health Deficiencies (Cycle 1) | 5 |
Number of Standard Health Deficiencies (Cycle 1) | 5 |
Health Deficiency Score (Cycle 1) | 20 |
Number of Health Revisits (Cycle 1) | 1 |
Health Revisit Score (Cycle 1) | 0 |
Total Health Score (Cycle 1) | 20 |
Total Number of Health Deficiencies (Cycle 2) | 7 |
Number of Standard Health Deficiencies (Cycle 2) | 7 |
Number of Complaint Health Deficiencies (Cycle 2) | 1 |
Health Deficiency Score (Cycle 2) | 64 |
Number of Health Revisits (Cycle 2) | 1 |
Total Health Score (Cycle 2) | 64 |
Date of Standard Health Survey (Cycle 3) | 2016-11-07 |
Total Number of Health Deficiencies (Cycle 3) | 10 |
Number of Standard Health Deficiencies (Cycle 3) | 8 |
Number of Complaint Health Deficiencies (Cycle 3) | 2 |
Number of Health Revisits (Cycle 3) | 1 |
Health Deficiency Score (Cycle 3) | 64 |
Total Health Score (Cycle 3) | 64 |
Total Weighted Health Survey Score | 124 |
Complaints, Fines, and Penalties
| Name | Value |
|---|---|
Number of Facility Reported Incidents | 5 |
Number of Fines | 1 |
Total Amount of Fines in Dollars | 8827 |
Total Number of Penalties | 1 |
Cited for Abuse | |
Most Recent Health Inspection More Than 2 Years Ago | |
Provider Changed Ownership in Last 12 Months | |
With a Resident and Family Council | Resident |
Automatic Sprinkler Systems in All Required Areas | Yes |
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