Cycle 1
Health 2026-02-11 · Fire 2024-04-10
5 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
14 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Wichita, KS
Regent Park Rehabilitation And Healthcare
5-star overall rating with 5-star inspections with 5 recent health deficiencies with 14 fire-safety deficiencies in the latest cycle
10604 East 13th Street N, Wichita, KS
(316) 337-5450
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
84
Certified beds
Average residents
74
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2012-06-22
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.93
Registered nurse staffing · state 0.72 · national 0.68
LPN hours / resident day
0.98
Licensed practical nurse staffing · state 0.67 · national 0.87
Aide hours / resident day
2.76
Nurse aide staffing · state 2.69 · national 2.35
Total nurse hours
4.67
All reported nurse hours · state 4.07 · national 3.89
Licensed hours
1.91
RN + LPN hours · state 1.38 · national 1.54
Weekend hours
3.91
Weekend nurse staffing · state 3.58 · national 3.43
Weekend RN hours
0.59
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.15
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
1.03
CMS adjusted RN staffing hours
Adjusted total hours
5.16
CMS adjusted total nurse staffing hours
Case-mix index
1.24
Higher values indicate more complex resident acuity
RN turnover
56%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
54%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Value-based purchasing
Program rank
1,195
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
58.94
Composite VBP score used to determine payment impact.
Payment multiplier
1.0141
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
8.24
Baseline 15.03% · Performance 17.61% · Measure score 8.24 · Achievement 8.24 · Improvement 0
Healthcare-associated infections
6.42
Baseline 3.45% · Performance 5.92% · Measure score 6.42 · Achievement 6.42 · Improvement 0
Total nurse turnover
1.88
Performance 56.00% · Measure score 1.88 · Achievement 1.88 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
7.04
Baseline 4.52 hours · Performance 5.08 hours · Measure score 7.04 · Achievement 7.04 · Improvement 3.94
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.15% |
10.72%
2.6 pts better
|
Better than the National Rate · Eligible stays 621 · Observed rate 6.28% · Lower 95% interval 6.47% |
| Discharge to community | 58% |
50.57%
7.4 pts better
|
Better than the National Rate · Eligible stays 604 · Observed rate 56.29% · Lower 95% interval 54.92% |
| Medicare spending per beneficiary | 0.82 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 99.32% |
95.27%
4 pts better
|
Numerator 437 · Denominator 440 |
| Falls with major injury | 0.23% |
0.77%
0.5 pts better
|
Numerator 1 · Denominator 440 |
| Discharge self-care score | 59.87% |
53.69%
6.2 pts better
|
Numerator 188 · Denominator 314 |
| Discharge mobility score | 56.05% |
50.94%
5.1 pts better
|
Numerator 176 · Denominator 314 |
| Pressure ulcers or injuries, new or worsened | 2.5% |
2.29%
0.2 pts worse
|
Numerator 11 · Denominator 440 · Adjusted rate 3.11% |
| Healthcare-associated infections requiring hospitalization | 5.92% |
7.12%
1.2 pts better
|
No Different than the National Rate · Eligible stays 397 · Observed rate 4.28% · Lower 95% interval 3.86% |
| Staff COVID-19 vaccination coverage | 4.23% |
8.2%
4 pts worse
|
Numerator 8 · Denominator 189 |
| Staff flu vaccination coverage | 40.59% |
42%
1.4 pts worse
|
Numerator 110 · Denominator 271 |
| Discharge function score | 51.59% |
56.45%
4.9 pts worse
|
Numerator 162 · Denominator 314 |
| Transfer of health information to provider | 99.26% |
95.95%
3.3 pts better
|
Numerator 269 · Denominator 271 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 131 · Denominator 131 |
| Resident COVID-19 vaccinations up to date | 31.36% |
25.2%
6.2 pts better
|
Numerator 74 · Denominator 236 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.6 |
1.8
0.2 pts better
|
1.9
0.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.3 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.7 |
2.2
1.5 pts better
|
1.8
1.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.6 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
91.8%
8.2 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
95.5%
4.5 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.2% |
4.4%
2.2 pts better
|
3.3%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 2.9% · Q3 0.0% · Q4 0.0% · 4Q avg 2.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 6.2% |
5.6%
0.6 pts worse
|
11.4%
5.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.8% · Q2 6.2% · Q3 9.7% · Q4 0.0% · 4Q avg 6.2% |
| Percentage of long-stay residents who lose too much weight | 3.7% |
5.0%
1.3 pts better
|
5.4%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 8.0% · Q3 4.2% · Q4 3.7% · 4Q avg 3.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 21.8% |
23.2%
1.4 pts better
|
19.6%
2.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.4% · Q2 22.2% · Q3 24.0% · Q4 22.2% · 4Q avg 21.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 7.9% |
19.8%
11.9 pts better
|
16.7%
8.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.0% · Q3 9.5% · Q4 8.3% · 4Q avg 7.9% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.0%
About the same
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 11.9% |
18.4%
6.5 pts better
|
16.3%
4.4 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 11.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 13.1% |
18.8%
5.7 pts better
|
14.9%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.9% · Q2 24.0% · Q3 13.6% · Q4 8.7% · 4Q avg 13.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
1.8%
1.8 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 4.6% |
3.1%
1.5 pts worse
|
1.7%
2.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 9.4% · Q3 0.0% · Q4 6.1% · 4Q avg 4.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 18.8% |
23.2%
4.4 pts better
|
19.8%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 27.6% · Q2 20.8% · Q3 23.9% · Q4 3.2% · 4Q avg 18.8% |
| Percentage of long-stay residents with pressure ulcers | 2.9% |
4.6%
1.7 pts better
|
5.1%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.7% · Q2 0.0% · Q3 2.5% · Q4 0.0% · 4Q avg 2.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.3% |
75.6%
23.7 pts better
|
81.7%
17.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 99.4% · Q2 99.1% · Q3 99.4% · Q4 99.3% · 4Q avg 99.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.3% |
11.7%
4.4 pts better
|
12.0%
4.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.3% · Observed 7.0% · Expected 10.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.5% |
2.2%
1.7 pts better
|
1.6%
1.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 0.5% · Q3 0.0% · Q4 0.5% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 91.5% |
73.5%
18 pts better
|
79.7%
11.8 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 91.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.0% |
23.0%
2 pts better
|
23.9%
2.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.0% · Observed 18.9% · Expected 21.4% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-04-10 · Fire 2022-07-07
10 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
11 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Cycle 3
Health 2022-07-07 · Fire 2021-01-19
0 health deficiencies
No concentrated health issue counts in this cycle.
12 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-04-10
K222 · Egress Deficiencies
Fire Safety
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.
Corrected 2024-06-14
F · Potential for more than minimal harm
2024-04-10
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-07-11
F · Potential for more than minimal harm
2024-04-10
K362 · Smoke Deficiencies
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2024-06-28
F · Potential for more than minimal harm
2024-04-10
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-06-18
F · Potential for more than minimal harm
2024-04-10
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-06-25
F · Potential for more than minimal harm
2024-04-10
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-06-21
F · Potential for more than minimal harm
2024-04-10
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-06-18
E · Potential for more than minimal harm
2024-04-10
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2024-06-20
E · Potential for more than minimal harm
2024-04-10
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-06-28
E · Potential for more than minimal harm
2024-04-10
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-06-28
E · Potential for more than minimal harm
2024-04-10
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-07-03
D · Potential for more than minimal harm
2024-04-10
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-06-18
D · Potential for more than minimal harm
2024-04-10
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-06-18
D · Potential for more than minimal harm
2024-04-10
K741 · Miscellaneous Deficiencies
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2024-06-18
F · Potential for more than minimal harm
2022-07-07
E7 · Emergency Preparedness Deficiencies
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2022-08-31
F · Potential for more than minimal harm
2022-07-07
K100 · Construction Deficiencies
Fire Safety
Meet other general requirements.
Corrected 2022-08-31
F · Potential for more than minimal harm
2022-07-07
K222 · Egress Deficiencies
Fire Safety
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.
Corrected 2022-08-31
F · Potential for more than minimal harm
2022-07-07
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2022-08-31
F · Potential for more than minimal harm
2022-07-07
K362 · Smoke Deficiencies
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2022-08-23
F · Potential for more than minimal harm
2022-07-07
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-08-31
F · Potential for more than minimal harm
2022-07-07
K371 · Smoke Deficiencies
Fire Safety
Have properly sized and located compartments to protect residents from smoke.
Corrected 2022-08-31
F · Potential for more than minimal harm
2022-07-07
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2022-08-31
F · Potential for more than minimal harm
2022-07-07
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2022-08-31
F · Potential for more than minimal harm
2022-07-07
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2022-08-31
E · Potential for more than minimal harm
2022-07-07
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2022-08-31
F · Potential for more than minimal harm
2021-01-19
E18 · Emergency Preparedness Deficiencies
Fire Safety
Establish procedures for tracking staff and patients during an emergency.
Corrected 2021-03-30
F · Potential for more than minimal harm
2021-01-19
E26 · Emergency Preparedness Deficiencies
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2021-03-30
F · Potential for more than minimal harm
2021-01-19
E33 · Emergency Preparedness Deficiencies
Fire Safety
Establish methods for sharing information.
Corrected 2021-03-30
F · Potential for more than minimal harm
2021-01-19
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2021-03-30
F · Potential for more than minimal harm
2021-01-19
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2021-03-30
F · Potential for more than minimal harm
2021-01-19
K362 · Smoke Deficiencies
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2021-03-01
F · Potential for more than minimal harm
2021-01-19
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2021-03-30
F · Potential for more than minimal harm
2021-01-19
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2021-03-30
E · Potential for more than minimal harm
2021-01-19
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2021-03-30
E · Potential for more than minimal harm
2021-01-19
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2021-03-30
E · Potential for more than minimal harm
2021-01-19
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2021-03-30
E · Potential for more than minimal harm
2021-01-19
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2021-03-30
Inspection history
Recent health citations
D · Potential for more than minimal harm
2026-02-11
F552 · Resident Rights Deficiencies
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Not marked corrected
D · Potential for more than minimal harm
2026-02-11
F582 · Resident Rights Deficiencies
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Not marked corrected
D · Potential for more than minimal harm
2026-02-11
F688 · Quality of Life and Care Deficiencies
Health
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.
Not marked corrected
D · Potential for more than minimal harm
2026-02-11
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Not marked corrected
D · Potential for more than minimal harm
2025-07-07
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-03-25
F · Potential for more than minimal harm
2024-04-10
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-05-10
E · Potential for more than minimal harm
2024-04-10
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-05-10
E · Potential for more than minimal harm
2024-04-10
F761 · Pharmacy Service Deficiencies
Health
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.
Corrected 2024-05-10
D · Potential for more than minimal harm
2024-04-10
F558 · Resident Rights Deficiencies
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-05-10
D · Potential for more than minimal harm
2024-04-10
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-05-10
D · Potential for more than minimal harm
2024-04-10
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-05-10
D · Potential for more than minimal harm
2024-04-10
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-05-10
D · Potential for more than minimal harm
2024-04-10
F849 · Administration Deficiencies
Health
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.
Corrected 2024-05-10
D · Potential for more than minimal harm
2024-04-10
F919 · Environmental Deficiencies
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2024-05-10
C · Minimal harm
2024-04-10
F732 · Nursing and Physician Services Deficiencies
Health
Post nurse staffing information every day.
Corrected 2024-05-10
Penalties and ownership
What sits behind the stars
Ownership
Brooks, Philip
5% Or Greater Direct Ownership Interest · Individual
Brooks, Philip
Corporate Officer · Individual
Buchanan, Timothy
5% Or Greater Direct Ownership Interest · Individual
Buchanan, Timothy
Operational/Managerial Control · Individual
Foundation Properties Corporation
Operational/Managerial Control · Organization
Legend Senior Properties
5% Or Greater Direct Ownership Interest · Organization
R Park Associates LLC
5% Or Greater Direct Ownership Interest · Organization
Savute, Katie
W-2 Managing Employee · Individual
Warren, Brian
5% Or Greater Direct Ownership Interest · Individual
Warren, Brian
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Center At Waterfront LLC
Wichita, KS
3-star overall rating with 2-star inspections with $12,740 in total fines with 10 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
#2
Avita Health And Rehab At Reeds Cove
Wichita, KS
1-star overall rating with 1-star inspections with $8,827 in total fines with 20 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
#3
Great Plains Post Acute
Wichita, KS
1-star overall rating with 1-star inspections with Special Focus status with $49,505 in total fines with 23 recent health deficiencies with 14 fire-safety deficiencies in the latest cycle
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