Derby Health & Rehabilitation, LLC
731 Klein Circle, Derby, KS 67037 · Sedgwick County · 74 certified beds · avg 67 residents/day · certified since Feb 16, 2010
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (14)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 11, 2026 | D · Potential for harm, one-off | The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). |
| Mar 11, 2026 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Apr 29, 2025 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Apr 30, 2024 | E · Potential for harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Apr 30, 2024 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint |
| Apr 30, 2024 | D · Potential for harm, one-off | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. · from a complaint |
| Apr 30, 2024 | D · Potential for harm, one-off | The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint |
| Apr 30, 2024 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. · from a complaint |
| Apr 30, 2024 | D · Potential for harm, one-off | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. · from a complaint |
| Apr 30, 2024 | D · Potential for harm, one-off | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. · from a complaint |
| Nov 8, 2022 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Nov 8, 2022 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Nov 8, 2022 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Nov 8, 2022 | C · Minimal risk, facility-wide | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (7 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 4 | 0 | D |
| 2024 | 7 | 0 | E |
| 2025 | 1 | 0 | D |
| 2026 | 2 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Kansas avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 5.54 | 4.58 | 3.95 | top 17% in Kansas; top 7% in the U.S. |
| Registered Nurse hours | 0.65 | 0.81 | 0.69 | bottom 39% in Kansas; top 42% in the U.S. |
| Weekend total nurse staffing | 4.66 | 4.05 | 3.50 | top 24% in Kansas; top 10% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.38 | 0.49 | 0.48 | bottom 38% in Kansas; bottom 48% in the U.S. |
| Total nursing staff turnover (%) | 60.7 | 48.1 | 45.8 | bottom 19% in Kansas; bottom 15% in the U.S. |
| RN turnover (%) | 57.9 | 42.0 | 42.9 | bottom 25% in Kansas; bottom 24% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.99, RN 0.59, weekend 4.20. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Axiom Consulting LLC | Organization | 5% or Greater Indirect Ownership Interest | 9% | 07/07/2015 |
| Axiom Healthcare Alliance, LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 09/01/2020 |
| 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 |
| Axiom Healthcare Services LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 10/23/2009 |
| Becnel, Chance | Individual | Corporate Officer | NOT APPLICABLE | 09/01/2020 |
| Hermes, Frederick | Individual | W-2 Managing Employee | NOT APPLICABLE | 10/09/2009 |
| Kruse, Brenda | Individual | Corporate Officer | NOT APPLICABLE | 10/22/2014 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
- "What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
- "How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
- "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Westview of Derby Rehabilitation & Health Care Cen | 1.4 mi | Derby, KS | ★★☆☆☆ | 1/5 | |
| Villa Maria | 5.0 mi | Mulvane, KS | ★★★★★ | 5/5 | |
| Advena Living at Fountainview | 5.8 mi | Rose Hill, KS | ★★★☆☆ | 3/5 | |
| Diversicare of Haysville | 6.5 mi | Haysville, KS | ★☆☆☆☆ | 1/5 | |
| Caritas Center, INC | 7.7 mi | Wichita, KS | ★★★★★ | 5/5 | |
| Orchard Gardens | 8.1 mi | Wichita, KS | ★☆☆☆☆ | 1/5 | |
| Medicalodges Wichita | 8.3 mi | Wichita, KS | ★★★☆☆ | 3/5 | |
| Lincoln Care and Rehab | 8.9 mi | Wichita, KS | ★☆☆☆☆ | 1/5 | |
| Mount St Mary | 9.0 mi | Wichita, KS | ★★★★★ | 4/5 | |
| Homestead Health Center | 9.8 mi | Wichita, KS | ★★☆☆☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 175514.