Federal inspection record · CMS data as of October 1, 2026
Lakepoint Wichita, LLC
1315 N West Street, Wichita, KS · (316) 943-1295
- Certified beds
- 110
- Residents per day
- 78
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 4, 2003
1
How this home got 2 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.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Kansas.
-
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.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Kansas homes
Lakepoint Wichita, LLC carries 105 inspection points. That is fewer than 23% 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
44 health citations on record since 2021. 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 (2)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Provide enough food/fluids to maintain a resident's health.
Everything else, by area of care
Resident Rights12E
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- 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
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
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.
Quality of Life and Care11E
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 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 care or services that was trauma informed and/or culturally competent.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Provide activities to meet all resident's needs.
- E
Ensure the activities program is directed by a qualified professional.
- D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- D
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Pharmacy Service8E
- E
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- E
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.
- 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.
- 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.
- D
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.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Infection Control4F
- F
Provide and implement an infection prevention and control program.
- F
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
- E
Provide and implement an infection prevention and control program.
- E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Resident Assessment and Care Planning4E
- D
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- E
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- D
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Administration2F
- F
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
- D
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Nutrition and Dietary1E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspection history
2024-12-04
12 health deficiencies · 14 fire-safety deficiencies
Top issue: Pharmacy Service (3 deficiencies)
2023-03-09
22 health deficiencies · 12 fire-safety deficiencies
Top issue: Quality of Life and Care (8 deficiencies)
2021-07-22
10 health deficiencies · 4 fire-safety deficiencies
Top issue: Resident Rights (5 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 10 min of nursing staff time a day, 27 min of it from a registered nurse.
This home
4 h 10 min
Kansas average
4 h 8 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 58% of nursing staff and 50% 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.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.7 pts better | 1.0 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.8 pts better | 1.2 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7.1 pts better | 100.0% | 92.9% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.6 pts better | 98.5% | 94.9% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.2 pts worse | 5.4% | 4.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms0.9 pts better | 5.7% | 6.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight4.3 pts better | 0.5% | 4.8% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication1.6 pts worse | 25.0% | 23.4% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication0.2 pts worse | 17.9% | 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 worsened1.7 pts better | 12.8% | 14.5% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased7.9 pts better | 9.5% | 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 infection3.2 pts worse | 6.0% | 2.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence7 pts better | 14.6% | 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 vaccine19.2 pts better | 96.3% | 77.1% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1 pts better | 10.4% | 11.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.6 pts better | 0.0% | 1.6% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine17.8 pts better | 93.2% | 75.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission3.3 pts better | 19.0% | 22.3% | 23.4% |
·
Who owns and runs it
11 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 |
|---|---|---|---|
| Harrison, Warner | 5% Or Greater Direct Ownership Interest · Individual | 50% | 3 facilities |
| Lakepoint By Axiom, LLC | 5% Or Greater Direct Ownership Interest · Organization | 50% | 1 facilities |
| Barbeau, Brian | Corporate Director · Individual | 0% | 2 facilities |
| Barbeau, Brian | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Becnel, Chance | Corporate Director · Individual | 0% | 5 facilities |
| Becnel, Chance | Operational/Managerial Control · Individual | 0% | 5 facilities |
| Harrison, Warner | Corporate Director · Individual | 0% | 3 facilities |
| Harrison, Warner | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Kruse, Brenda | Corporate Officer · Individual | 0% | 5 facilities |
| Lakin, Gregory | Corporate Director · Individual | 0% | 5 facilities |
| Lakin, Gregory | Operational/Managerial Control · Individual | 0% | 5 facilities |
·
Fire safety
30 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke10F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Install corridor and hallway doors that block smoke.
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Install corridor and hallway doors that block smoke.
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Emergency Preparedness5F
- F
Establish roles under a Waiver declared by secretary.
- F
Address patient/client population and determine types of services needed.
- F
Establish policies and procedures for volunteers.
- F
List the names and contact information of those in the facility.
- F
Address patient/client population and determine types of services needed.
Miscellaneous4F
- F
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems4F
- F
Ensure proper usage of power strips and extension cords.
- F
Have proper medical gas storage and administration areas.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure proper usage of power strips and extension cords.
Services3F
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- E
Have properly installed electrical wiring and gas equipment.
- E
Have properly installed electrical wiring and gas equipment.
Construction2F
- F
Meet other general requirements.
- F
Use approved construction type or materials.
Egress2F
- F
Install emergency lighting that can last at least 1 1/2 hours.
- F
Have exits that are accessible at all times.
·
Other homes nearby
-
Wichita Presbyterian Manor
Wichita, KS · Presbyterian Manors Of Mid-America
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 5 h 4 min
- Fines
- $0
-
Meridian Rehabilitation And Health Care Center
Wichita, KS · Tutera Senior Living & Health Care
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 33 min
- Fines
- $46,483
-
Ascension Living Via Christi Village Mclean
Wichita, KS
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 20 min
- Fines
- $0