Federal inspection record · CMS data as of October 1, 2026
Avita Health And Rehab At Reeds Cove
2114 N 127th Court East, Wichita, KS · (316) 500-8800
- Certified beds
- 76
- Residents per day
- 69
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 15, 2013
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Kansas.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Kansas homes
Avita Health And Rehab At Reeds Cove carries 66 inspection points. That is fewer than 48% of Kansas's 293 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Kansas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–27 pts
- 4★ 27–49 pts
- 3★ 49–71 pts
- 2★ 71–114.38 pts
- 1★ over 114.38 pts
Bars show every rated home in Kansas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
42 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (3)
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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J
Ensure that residents are free from significant medication errors.
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Everything else, by area of care
Quality of Life and Care11E
- D
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.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Resident Rights7E
- D
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
- D
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
- D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Pharmacy Service7E
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
Ensure medication error rates are not 5 percent or greater.
- D
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.
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
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.
Resident Assessment and Care Planning5E
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Nutrition and Dietary3F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control3E
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Nursing and Physician Services2F
- F
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- C
Post nurse staffing information every day.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Inspection history
2026-05-07
5 health deficiencies · 6 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
2024-08-19
21 health deficiencies · 7 fire-safety deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
2022-11-30
16 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 52 min of nursing staff time a day, 54 min of it from a registered nurse.
This home
4 h 52 min
Kansas average
4 h 8 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 66% of nursing staff and 65% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$8,827 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-11-14 | Fine | $8,827 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.6 pts worse | 2.3 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.2 pts better | 0.8 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.8 pts worse | 90.1% | 92.9% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine5.1 pts better | 100.0% | 94.9% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury4.3 pts worse | 8.5% | 4.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1.6 pts better | 5.0% | 6.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.2 pts better | 4.6% | 4.8% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication9.2 pts worse | 32.6% | 23.4% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication6.4 pts better | 11.3% | 17.7% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened9.9 pts worse | 24.4% | 14.5% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased3.4 pts worse | 20.8% | 17.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.8 pts better | 0.6% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection4.1 pts worse | 6.9% | 2.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.2 pts worse | 25.8% | 21.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.1 pts worse | 6.5% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine15.6 pts better | 92.7% | 77.1% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit6.6 pts better | 4.8% | 11.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.7 pts better | 0.9% | 1.6% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine8.1 pts better | 83.5% | 75.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission8.7 pts better | 13.6% | 22.3% | 23.4% |
·
Who owns and runs it
15 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Axiom Healthcare Alliance, LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 4 facilities |
| Lakin, Gregory | 5% Or Greater Indirect Ownership Interest · Individual | 11% | 5 facilities |
| Wichita Wellness Inc | 5% Or Greater Indirect Ownership Interest · Organization | 11% | 4 facilities |
| Axiom Consulting LLC | 5% Or Greater Indirect Ownership Interest · Organization | 9% | 4 facilities |
| Hermes, Frederick | 5% Or Greater Indirect Ownership Interest · Individual | 9% | 4 facilities |
| Lillie, Matthew | 5% Or Greater Indirect Ownership Interest · Individual | 8% | 4 facilities |
| Matt Lillie Investments, Inc | 5% Or Greater Indirect Ownership Interest · Organization | 8% | 4 facilities |
| Evans, Roger | 5% Or Greater Indirect Ownership Interest · Individual | 6% | 4 facilities |
| Roger Evans Revocable Trust | 5% Or Greater Indirect Ownership Interest · Organization | 6% | 4 facilities |
| 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% | 4 facilities |
| Ross, Ann | 5% Or Greater Indirect Ownership Interest · Individual | 5% | 4 facilities |
| Ross, Dennis | 5% Or Greater Indirect Ownership Interest · Individual | 5% | 4 facilities |
| Axiom Healthcare Services LLC | Operational/Managerial Control · Organization | 0% | 4 facilities |
| Becnel, Chance | Corporate Officer · Individual | 0% | 5 facilities |
| Kruse, Brenda | Operational/Managerial Control · Individual | 0% | 5 facilities |
·
Fire safety
15 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke8F
- F
Install corridor and hallway doors that block smoke.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
- F
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Install corridor and hallway doors that block smoke.
- F
Provide properly protected cooking facilities.
- E
Inspect, test, and maintain automatic sprinkler systems.
Services2F
- D
Have properly installed electrical wiring and gas equipment.
- F
Have properly installed electrical wiring and gas equipment.
Gas, Vacuum, and Electrical Systems2F
- F
Ensure proper usage of power strips and extension cords.
- F
Have proper medical gas storage and administration areas.
Emergency Preparedness1F
- F
Provide emergency officials' contact information.
Construction1D
- D
Use approved construction type or materials.
Egress1F
- F
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.
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Other homes nearby
-
Regent Park Rehabilitation And Healthcare
Wichita, KS
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 5 h 2 min
- Fines
- $0
-
Center At Waterfront LLC
Wichita, KS · Veritas Management Group
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 5 h 2 min
- Fines
- $8,281
-
Life Care Center Of Andover
Andover, KS · Life Care Centers Of America · Special Focus · Abuse icon
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 54 min
- Fines
- $105,917