nursing home in Derby, KS
Derby Health & Rehabilitation, LLC
731 Klein Circle, Derby, KS 67037 · (316) 719-2400
★★★★★5
Much above average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★5
- Staffing★★★★★4
- Quality measures★★★★★5
- CMS high performer
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Derby Health & Rehabilitation, LLC at a glance
Derby Health & Rehabilitation, LLC is a 74-bed for-profit nursing home in Derby, Kansas (Sedgwick County).
CMS gives it 5 out of 5 stars on its overall star rating, better than the Kansas average of 3.1.
Residents receive about 5 hours of nursing care per day (0.6 of them from registered nurses), better than the state average of 4.1 hours.
Its most recent standard health inspection (March 11, 2026) found 2 health citations. The Kansas average is 9.5.
It has not received a federal fine in the past three years.
Nursing staff turnover is 60.7% per year (state average 48.1%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 74
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- February 16, 2010
- Resident/family council
- Resident
- County
- Sedgwick County
- CMS Certification Number
- 175514
Ratings
| Measure | This facility | Kansas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 5 / 5 | 3.1 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 5 / 5 | 2.9 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 4 / 5 | 3.5 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 3.2 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 5 / 5 | 3.1 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 4 / 5 | 3.4 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Kansas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 4.99 hrs | 4.07 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 0.59 hrs | 0.71 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 3.08 hrs | 2.70 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 4.20 hrs | 3.60 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 60.7% | 48.1% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 57.9% | 42% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 0 | 1 | Better |
Inspections
| Measure | This facility | Kansas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 2 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 3 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 16 | 83.4 | 80.6 | Better |
Penalties
| Measure | This facility | Kansas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $20,430 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Kansas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 74 | 61 | 107 | |
| Average residents per day | 67 | 51 | 86 | |
| Occupancy | 90.5% | 82.4% | 80.9% |
Long-stay residents
| Measure | This facility | Kansas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 2.5% | 4.3% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 5.5% | 4.4% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 13.3% | 18.1% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 3.8% | 2.9% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.6% | 1.6% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 10.7% | 17.9% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 10.8% | 16.2% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 3.4% | 4.9% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 1.4% | 6.5% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 23% | 23.2% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 29% | 22.6% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 97.9% | 95.5% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 97.5% | 92.1% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Kansas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 1.4% | 1.9% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 87.2% | 73.8% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 92.8% | 76.1% | 82% | Better |
Inspection citations
State inspectors cited this home for 14 health deficiencies and 21 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| March 11, 2026 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected April 11, 2026 |
| March 11, 2026 Standard | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Tag F0628 | D Potential harm, isolated | Corrected April 11, 2026 |
| April 29, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected May 5, 2025 |
| April 30, 2024 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | F Potential harm, widespread | Corrected June 21, 2024 |
| April 30, 2024 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. Egress Deficiencies · Tag K0222 | F Potential harm, widespread | Corrected June 21, 2024 |
| April 30, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected June 21, 2024 |
| April 30, 2024 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | F Potential harm, widespread | Corrected June 24, 2024 |
| April 30, 2024 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | F Potential harm, widespread | Corrected June 21, 2024 |
| April 30, 2024 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | F Potential harm, widespread | Corrected June 21, 2024 |
| April 30, 2024 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected June 21, 2024 |
| April 30, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | E Potential harm, pattern | Corrected June 5, 2024 |
| April 30, 2024 Complaint | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected June 5, 2024 |
| April 30, 2024 Complaint | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602 | D Potential harm, isolated | Corrected June 5, 2024 |
| April 30, 2024 Complaint | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Tag F0756 | D Potential harm, isolated | Corrected June 5, 2024 |
| April 30, 2024 Complaint | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | D Potential harm, isolated | Corrected June 5, 2024 |
| April 30, 2024 Complaint | 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. Quality of Life and Care Deficiencies · Tag F0693 | D Potential harm, isolated | Corrected June 5, 2024 |
| April 30, 2024 Complaint | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Tag F0582 | D Potential harm, isolated | Corrected June 5, 2024 |
| November 8, 2022 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected January 5, 2023 |
| November 8, 2022 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | F Potential harm, widespread | Corrected January 5, 2023 |
| November 8, 2022 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected January 5, 2023 |
| November 8, 2022 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | E Potential harm, pattern | Corrected January 5, 2023 |
| November 8, 2022 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected January 5, 2023 |
| November 8, 2022 Standard | 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 · Tag F0761 | D Potential harm, isolated | Corrected November 18, 2022 |
| November 8, 2022 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected November 18, 2022 |
| November 8, 2022 Standard | 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 · Tag F0690 | D Potential harm, isolated | Corrected November 18, 2022 |
| November 8, 2022 Standard | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Tag F0732 | C No harm, widespread | Corrected November 18, 2022 |
| May 12, 2021 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected June 20, 2021 |
| May 12, 2021 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | F Potential harm, widespread | Corrected June 20, 2021 |
| May 12, 2021 Fire safety | Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Tag E0015 | F Potential harm, widespread | Corrected June 20, 2021 |
| May 12, 2021 Fire safety | List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Tag E0030 | F Potential harm, widespread | Corrected June 20, 2021 |
| May 12, 2021 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected June 20, 2021 |
| May 12, 2021 Fire safety | Address patient/client population and determine types of services needed. Emergency Preparedness Deficiencies · Tag E0007 | F Potential harm, widespread | Corrected June 20, 2021 |
| May 12, 2021 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected June 20, 2021 |
| May 12, 2021 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | F Potential harm, widespread | Corrected June 20, 2021 |
| May 12, 2021 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | F Potential harm, widespread | Corrected June 20, 2021 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| AXIOM HEALTHCARE ALLIANCE, LLC Organization | 5% or greater direct ownership interest | 100% | 09/01/2020 |
| AXIOM CONSULTING LLC Organization | 5% or greater indirect ownership interest | 9% | 07/07/2015 |
| DENNIS L. ROSS POD TO TRUSTEE OF DENNIS L. ROSS LIVING TRUST U/A 4/4/1 Organization | 5% or greater indirect ownership interest | 5% | 09/01/2020 |
| EVANS, ROGER Individual | 5% or greater indirect ownership interest | 6% | 09/01/2020 |
| HERMES, FREDERICK Individual | 5% or greater indirect ownership interest | 9% | 09/01/2020 |
| LAKIN, GREGORY Individual | 5% or greater indirect ownership interest | 11% | 09/01/2020 |
| LILLIE, MATTHEW Individual | 5% or greater indirect ownership interest | 8% | 09/01/2020 |
| MATT LILLIE INVESTMENTS, INC Organization | 5% or greater indirect ownership interest | 8% | 09/01/2020 |
| ROGER EVANS REVOCABLE TRUST Organization | 5% or greater indirect ownership interest | 6% | 09/01/2020 |
| ROSS, ANN Individual | 5% or greater indirect ownership interest | 5% | 09/01/2020 |
| ROSS, DENNIS Individual | 5% or greater indirect ownership interest | 5% | 09/01/2020 |
| WICHITA WELLNESS INC Organization | 5% or greater indirect ownership interest | 11% | 09/01/2020 |
| BECNEL, CHANCE Individual | corporate officer | NOT APPLICABLE | 09/01/2020 |
| KRUSE, BRENDA Individual | corporate officer | NOT APPLICABLE | 10/22/2014 |
| AXIOM HEALTHCARE SERVICES LLC Organization | operational/managerial control | NOT APPLICABLE | 10/23/2009 |
| HERMES, FREDERICK Individual | w-2 managing employee | NOT APPLICABLE | 10/09/2009 |
Other nursing homes near Derby Health & Rehabilitation, LLC
Westview of Derby Rehabilitation & Health Care Cen
445 N Westview Dr, Derby, KS 67037 · 1.4 mi
For-profit · 78 beds · Part of Tutera Senior Living & Health Care
★★★★★2Below average- ★★★★★5Much above average
Advena Living at Fountainview
601 N Rose Hill Road, Rose Hill, KS 67133 · 5.8 mi
For-profit · 50 beds · Part of Advena Living Communities
★★★★★3AverageDiversicare of Haysville
215 N Lamar Avenue, Haysville, KS 67060 · 6.5 mi
For-profit · 119 beds · Part of Diversicare Healthcare
★★★★★1Much below averageCaritas Center, INC
1400 S Sheriden St, Wichita, KS 67213 · 7.7 mi
Non-profit · 22 beds
- CMS high performer
★★★★★5Much above averageAdvena Living on Woodlawn
1600 S Woodlawn Blvd, Wichita, KS 67218 · 8.1 mi
For-profit · 80 beds · Part of Advena Living Communities
★★★★★1Much below average
Frequently asked questions
What is Derby Health & Rehabilitation, LLC's rating?
Derby Health & Rehabilitation, LLC has 5 out of 5 stars on the CMS overall star rating. The average for Kansas nursing homes is 3.1 stars.
How many inspection citations did Derby Health & Rehabilitation, LLC receive?
Its most recent standard health inspection found 2 citations, compared with a Kansas average of 9.5. Every citation is listed on this page with its severity.
Does Derby Health & Rehabilitation, LLC accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Derby Health & Rehabilitation, LLC?
It is for profit - corporation. The ownership section on this page lists the owners and managers reported to CMS.
Where is Derby Health & Rehabilitation, LLC and how do I contact it?
Derby Health & Rehabilitation, LLC is at 731 Klein Circle, Derby, KS 67037. Phone: (316) 719-2400.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.