Federal inspection record · CMS data as of October 1, 2026

Family Health & Rehabilitation Center

639 S Maize Court, Wichita, KS · (316) 425-5600

CMS overall rating

4 of 5

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Certified beds
72
Residents per day
63
Ownership
For-Profit
Chain
No chain reported
Medicare / Medicaid
Medicare + Medicaid
Certified since
April 7, 2008

1

How this home got 4 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.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Kansas.

  2. 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.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    4 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Kansas homes

Family Health & Rehabilitation Center carries 44 inspection points. That is fewer than 70% of Kansas's 293 rated homes.

5★4★3★2★1★+9 homes above 20405102550100200inspection points → fewer is better on the leftThis home · 44 pts · 4★

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

24 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 15 4 pts
E 6 8 pts
F 2 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 1 0 pts

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.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Quality of Life and Care7D
  1. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    March 4, 2026 · Standard · F677 · Corrected March 20, 2026

  2. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    March 4, 2026 · Standard · F684 · Corrected March 20, 2026

  3. 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.

    March 4, 2026 · Standard · F693 · Corrected March 20, 2026

  4. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    April 24, 2024 · Complaint · F689 · Corrected May 10, 2024

  5. 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.

    April 24, 2024 · Complaint · F690 · Corrected May 10, 2024

  6. D

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    April 24, 2024 · Complaint · F698 · Corrected May 10, 2024

  7. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    August 31, 2022 · Standard · F677 · Corrected September 25, 2022

Pharmacy Service6E
  1. E

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    April 24, 2024 · Complaint · F755 · Corrected May 10, 2024

  2. E

    Ensure medication error rates are not 5 percent or greater.

    April 24, 2024 · Complaint · F759 · Corrected May 10, 2024

  3. E

    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.

    April 24, 2024 · Complaint · F761 · Corrected May 10, 2024

  4. D

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    April 24, 2024 · Complaint · F757 · Corrected May 10, 2024

  5. D

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    August 31, 2022 · Standard · F757 · Corrected September 25, 2022

  6. 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.

    August 31, 2022 · Standard · F761 · Corrected September 25, 2022

Resident Rights3D
  1. D

    Allow residents to self-administer drugs if determined clinically appropriate.

    March 4, 2026 · Standard · F554 · Corrected March 20, 2026

  2. D

    Keep residents' personal and medical records private and confidential.

    August 31, 2022 · Standard · F583 · Corrected September 25, 2022

  3. D

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    August 31, 2022 · Standard · F623 · Corrected September 25, 2022

Nutrition and Dietary2F
  1. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    March 4, 2026 · Standard · F812 · Corrected March 20, 2026

  2. C

    Dispose of garbage and refuse properly.

    March 4, 2026 · Standard · F814 · Corrected March 20, 2026

Freedom from Abuse, Neglect, and Exploitation2E
  1. E

    Respond appropriately to all alleged violations.

    April 24, 2024 · Complaint · F610 · Corrected May 10, 2024

  2. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    April 24, 2024 · Complaint · F609 · Corrected May 10, 2024

Infection Control2F
  1. E

    Provide and implement an infection prevention and control program.

    April 24, 2024 · Complaint · F880 · Corrected May 10, 2024

  2. F

    Provide and implement an infection prevention and control program.

    August 31, 2022 · Standard · F880 · Corrected September 25, 2022

Resident Assessment and Care Planning1D
  1. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    March 4, 2026 · Standard · F656 · Corrected March 20, 2026

Nursing and Physician Services1E
  1. E

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    April 24, 2024 · Complaint · F947 · Corrected May 10, 2024

Inspection history

  1. 2026-03-04

    7 health deficiencies · 9 fire-safety deficiencies

    Top issue: Quality of Life and Care (3 deficiencies)

  2. 2024-04-24

    11 health deficiencies · 5 fire-safety deficiencies

    Top issue: Pharmacy Service (4 deficiencies)

  3. 2022-08-31

    6 health deficiencies · 6 fire-safety deficiencies

    Top issue: Pharmacy Service (2 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 5 h 5 min of nursing staff time a day, 35 min of it from a registered nurse.

This home

5 h 5 min

Kansas average

4 h 8 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 68% of nursing staff and 71% 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

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.4 pts better1.31.71.8
Number of outpatient emergency department visits per 1000 long-stay resident days1.1 pts better0.92.01.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.9 pts better98.8%92.9%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine5.1 pts better100.0%94.9%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury2.9 pts worse7.1%4.2%3.2%
Percentage of long-stay residents who have depressive symptoms5.3 pts better1.3%6.6%13.5%
Percentage of long-stay residents who lose too much weight1 pts worse5.8%4.8%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication11.9 pts better11.5%23.4%19.5%
Percentage of long-stay residents who received an antipsychotic medication14.6 pts better3.1%17.7%15.4%
Percentage of long-stay residents who were physically restrainedAbout the same0.0%0.0%0.1%
Percentage of long-stay residents whose ability to walk independently worsened0.1 pts worse14.6%14.5%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased0.8 pts worse18.2%17.4%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder1.4 pts worse2.8%1.4%0.7%
Percentage of long-stay residents with a urinary tract infection0.4 pts better2.4%2.8%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.2 pts better16.4%21.6%18.3%
Percentage of long-stay residents with pressure ulcers3.1 pts better1.3%4.4%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine19.8 pts better96.9%77.1%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit2.9 pts worse14.3%11.4%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.6 pts better1.0%1.6%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine12.8 pts better88.2%75.4%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission1.7 pts worse24.0%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
NameRoleShareHomes
Axiom Healthcare Alliance, LLC5% Or Greater Direct Ownership Interest · Organization100%4 facilities
Lakin, Gregory5% Or Greater Indirect Ownership Interest · Individual11%5 facilities
Wichita Wellness Inc5% Or Greater Indirect Ownership Interest · Organization11%4 facilities
Axiom Consulting LLC5% Or Greater Indirect Ownership Interest · Organization9%4 facilities
Hermes, Frederick5% Or Greater Indirect Ownership Interest · Individual9%4 facilities
Lillie, Matthew5% Or Greater Indirect Ownership Interest · Individual8%4 facilities
Matt Lillie Investments, Inc5% Or Greater Indirect Ownership Interest · Organization8%4 facilities
Evans, Roger5% Or Greater Indirect Ownership Interest · Individual6%4 facilities
Roger Evans Revocable Trust5% Or Greater Indirect Ownership Interest · Organization6%4 facilities
Dennis L. Ross Pod To Trustee Of Dennis L. Ross Living Trust U/A 4/4/15% Or Greater Indirect Ownership Interest · Organization5%4 facilities
Ross, Ann5% Or Greater Indirect Ownership Interest · Individual5%4 facilities
Ross, Dennis5% Or Greater Indirect Ownership Interest · Individual5%4 facilities
Axiom Healthcare Services LLCOperational/Managerial Control · Organization0%4 facilities
Becnel, ChanceCorporate Director · Individual0%5 facilities
Kruse, BrendaW-2 Managing Employee · Individual0%5 facilities

·

Fire safety

20 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke7F
  1. F

    Have approved installation, maintenance and testing program for fire alarm systems.

    April 24, 2024 · K345 · Corrected May 29, 2024

  2. F

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    April 24, 2024 · K372 · Corrected May 31, 2024

  3. F

    Have approved installation, maintenance and testing program for fire alarm systems.

    August 31, 2022 · K345 · Corrected November 4, 2022

  4. F

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    August 31, 2022 · K372 · Corrected November 4, 2022

  5. F

    Have approved installation, maintenance and testing program for fire alarm systems.

    January 7, 2021 · K345 · Corrected March 10, 2021

  6. E

    Inspect, test, and maintain automatic sprinkler systems.

    January 7, 2021 · K353 · Corrected March 10, 2021

  7. E

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    January 7, 2021 · K372 · Corrected March 10, 2021

Gas, Vacuum, and Electrical Systems7F
  1. F

    Have generator or other power source capable of supplying service within 10 seconds.

    April 24, 2024 · K918 · Corrected June 10, 2024

  2. F

    Ensure proper usage of power strips and extension cords.

    April 24, 2024 · K920 · Corrected May 29, 2024

  3. F

    Have proper medical gas storage and administration areas.

    April 24, 2024 · K923 · Corrected May 29, 2024

  4. F

    Have generator or other power source capable of supplying service within 10 seconds.

    August 31, 2022 · K918 · Corrected November 4, 2022

  5. E

    Ensure proper usage of power strips and extension cords.

    August 31, 2022 · K920 · Corrected November 4, 2022

  6. F

    Have generator or other power source capable of supplying service within 10 seconds.

    January 7, 2021 · K918 · Corrected March 10, 2021

  7. E

    Ensure proper usage of power strips and extension cords.

    January 7, 2021 · K920 · Corrected March 10, 2021

Egress3F
  1. 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.

    April 24, 2024 · K222 · Corrected May 29, 2024

  2. E

    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.

    August 31, 2022 · K222 · Corrected November 4, 2022

  3. F

    Install emergency lighting that can last at least 1 1/2 hours.

    January 7, 2021 · K291 · Corrected March 10, 2021

Services2F
  1. F

    Have properly installed electrical wiring and gas equipment.

    April 24, 2024 · K511 · Corrected May 29, 2024

  2. F

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    April 24, 2024 · K521 · Corrected May 29, 2024

Miscellaneous1F
  1. F

    Have simulated fire drills held at unexpected times.

    April 24, 2024 · K712 · Corrected June 10, 2024

·

Other homes nearby

  1. Rolling Hills Health And Rehab

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  3. Wichita Presbyterian Manor

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