nursing home in Wichita, KS
Mount St Mary
3700 E Lincoln St, Wichita, KS 67218 · (316) 686-7171
★★★★★5
Much above average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★4
- Staffing★★★★★5
- Quality measures★★★★★3
- CMS high performer
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Mount St Mary at a glance
Mount St Mary is a 24-bed non-profit nursing home in Wichita, 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 5.1 hours of nursing care per day (1 of them from registered nurses), better than the state average of 4.1 hours.
Its most recent standard health inspection (March 31, 2025) found 6 health citations. The Kansas average is 9.5.
It has not received a federal fine in the past three years.
Nursing staff turnover is 31% per year (state average 48.1%).
Facility details
- Type
- Nursing home
- Ownership
- Non Profit - Corporation
- Beds
- 24
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Csj Initiatives
- Medicare-certified since
- March 28, 2018
- Continuing care retirement community
- Yes
- Resident/family council
- Resident
- County
- Sedgwick County
- CMS Certification Number
- 175561
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) | 4 / 5 | 2.9 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 5 / 5 | 3.5 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 3.2 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 3 / 5 | 3.1 / 5 | 3.8 / 5 | Worse |
Staffing
| Measure | This facility | Kansas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 5.08 hrs | 4.07 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 0.95 hrs | 0.71 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 3.41 hrs | 2.70 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 4.66 hrs | 3.60 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 31% | 48.1% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 33.3% | 42% | 42.9% | Better |
| 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) | 6 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 6 | 3 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 36 | 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 | 24 | 61 | 107 | |
| Average residents per day | 21 | 51 | 86 | |
| Occupancy | 86.7% | 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) | 1.3% | 4.3% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 6.8% | 4.4% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 28.6% | 18.1% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 10.4% | 2.9% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 1.6% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 22.2% | 17.9% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 24.3% | 16.2% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 6.6% | 4.9% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 0% | 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) | 8.2% | 23.2% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 36.3% | 22.6% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 95.5% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 92.1% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Kansas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents given a pneumonia vaccine (higher is better) | 75.7% | 76.1% | 82% | Worse |
Inspection citations
State inspectors cited this home for 14 health deficiencies and 18 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| March 31, 2025 Fire safety | Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Smoke Deficiencies · Tag K0362 | F Potential harm, widespread | Corrected June 6, 2025 |
| March 31, 2025 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | F Potential harm, widespread | Corrected June 6, 2025 |
| March 31, 2025 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected June 6, 2025 |
| March 31, 2025 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | F Potential harm, widespread | Corrected June 6, 2025 |
| March 31, 2025 Fire safety | Include a process for Emergency Preparedness collaboration. Emergency Preparedness Deficiencies · Tag E0009 | F Potential harm, widespread | Corrected June 6, 2025 |
| March 31, 2025 Fire safety | Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Tag E0015 | F Potential harm, widespread | Corrected June 6, 2025 |
| March 31, 2025 Fire safety | Establish policies and procedures for medical documentation. Emergency Preparedness Deficiencies · Tag E0023 | F Potential harm, widespread | Corrected June 6, 2025 |
| March 31, 2025 Fire safety | Establish methods for sharing information. Emergency Preparedness Deficiencies · Tag E0033 | F Potential harm, widespread | Corrected June 6, 2025 |
| March 31, 2025 Fire safety | Provide a means of sharing information on occupancy/needs. Emergency Preparedness Deficiencies · Tag E0034 | F Potential harm, widespread | Corrected June 6, 2025 |
| March 31, 2025 Fire safety | Provide family notifications of emergency plan. Emergency Preparedness Deficiencies · Tag E0035 | F Potential harm, widespread | Corrected June 6, 2025 |
| March 31, 2025 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | F Potential harm, widespread | Corrected June 6, 2025 |
| March 31, 2025 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected June 6, 2025 |
| March 31, 2025 Fire safety | Follow proper procedures when the fire alarm was out of service for more than 4 hours. Smoke Deficiencies · Tag K0346 | F Potential harm, widespread | Corrected June 6, 2025 |
| March 31, 2025 Fire safety | Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Smoke Deficiencies · Tag K0354 | F Potential harm, widespread | Corrected June 6, 2025 |
| March 31, 2025 Complaint | Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Tag F0730 | F Potential harm, widespread | Corrected April 23, 2025 |
| March 31, 2025 Complaint | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected April 23, 2025 |
| March 31, 2025 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected April 23, 2025 |
| March 31, 2025 Complaint | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected April 23, 2025 |
| March 31, 2025 Complaint | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0697 | D Potential harm, isolated | Corrected April 23, 2025 |
| March 31, 2025 Complaint | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Tag F0732 | C No harm, widespread | Corrected April 23, 2025 |
| October 4, 2023 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | F Potential harm, widespread | Corrected December 1, 2023 |
| October 4, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected December 1, 2023 |
| October 4, 2023 Fire safety | Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Smoke Deficiencies · Tag K0362 | D Potential harm, isolated | Corrected December 1, 2023 |
| October 4, 2023 Fire safety | Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. Smoke Deficiencies · Tag K0343 | D Potential harm, isolated | Corrected December 1, 2023 |
| October 4, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected November 3, 2023 |
| October 4, 2023 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | E Potential harm, pattern | Corrected November 3, 2023 |
| October 4, 2023 Standard | Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Tag F0730 | D Potential harm, isolated | Corrected November 3, 2023 |
| October 4, 2023 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 3, 2023 |
| October 4, 2023 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 3, 2023 |
| October 4, 2023 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected November 3, 2023 |
| October 4, 2023 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected November 3, 2023 |
| October 4, 2023 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected November 3, 2023 |
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 |
|---|---|---|---|
| CONGREGATION OF THE SISTERS OF ST JOSEPH INC Organization | 5% or greater direct ownership interest | 100% | 12/01/2017 |
| BISE, DAVID Individual | contracted managing employee | NOT APPLICABLE | 12/01/2017 |
| BERGEN, PATRICIA Individual | corporate director | NOT APPLICABLE | 07/04/2014 |
| CONWAY, NANCY Individual | corporate director | NOT APPLICABLE | 07/04/2014 |
| KREYENBUHL, JOAN Individual | corporate director | NOT APPLICABLE | 07/09/2014 |
| O'BRIEN, MARGUERITE Individual | corporate director | NOT APPLICABLE | 07/04/2014 |
| PARKS, CHRISTINE Individual | corporate director | NOT APPLICABLE | 07/09/2014 |
| QUICK, MICHAEL Individual | corporate director | NOT APPLICABLE | 07/01/2017 |
| SCHAB, TAMI Individual | corporate director | NOT APPLICABLE | 07/01/2017 |
| TEICHMAN, RITA ANN Individual | corporate director | NOT APPLICABLE | 12/01/2017 |
| BERGEN, PATRICIA Individual | corporate officer | NOT APPLICABLE | 07/04/2014 |
| BISE, DAVID Individual | corporate officer | NOT APPLICABLE | 03/28/2018 |
| CONWAY, NANCY Individual | corporate officer | NOT APPLICABLE | 07/04/2014 |
| KREYENBUHL, JOAN Individual | corporate officer | NOT APPLICABLE | 07/09/2014 |
| O'BRIEN, MARGUERITE Individual | corporate officer | NOT APPLICABLE | 12/15/2017 |
| PARKS, CHRISTINE Individual | corporate officer | NOT APPLICABLE | 07/09/2014 |
| BISE, DAVID Individual | operational/managerial control | NOT APPLICABLE | 12/01/2017 |
| CSJ INITIATIVES INC Organization | operational/managerial control | NOT APPLICABLE | 12/01/2017 |
| SLATER, WILLIAM Individual | operational/managerial control | NOT APPLICABLE | 03/28/2018 |
Other nursing homes near Mount St Mary
Lincoln Care and Rehab
4007 E Lincoln Street, Wichita, KS 67218 · under 1 mi
For-profit · 45 beds · Part of Mission Health Communities
★★★★★1Much below averageAdvena Living on Woodlawn
1600 S Woodlawn Blvd, Wichita, KS 67218 · 1.8 mi
For-profit · 80 beds · Part of Advena Living Communities
★★★★★1Much below averageMedicalodges Wichita
2280 S Minneapolis Avenue, Wichita, KS 67211 · 1.8 mi
For-profit · 55 beds · Part of Medicalodges, INC.
★★★★★3AverageLife Care Center of Wichita
622 N Edgemoor Street, Wichita, KS 67208 · 2 mi
For-profit · 120 beds · Part of Life Care Centers of America
★★★★★4Above averageHorizon Post Acute
5005 E 21st Street North, Wichita, KS 67208 · 3.6 mi
For-profit · 75 beds · Part of Campbell Street Services
★★★★★1Much below average- ★★★★★2Below average
Frequently asked questions
What is Mount St Mary's rating?
Mount St Mary 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 Mount St Mary receive?
Its most recent standard health inspection found 6 citations, compared with a Kansas average of 9.5. Every citation is listed on this page with its severity.
Does Mount St Mary 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 Mount St Mary?
It is non profit - corporation and part of Csj Initiatives. The ownership section on this page lists the owners and managers reported to CMS.
Where is Mount St Mary and how do I contact it?
Mount St Mary is at 3700 E Lincoln St, Wichita, KS 67218. Phone: (316) 686-7171.
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.