AVITA HEALTH AND REHAB AT REEDS COVE
2114 N 127TH COURT EAST, WICHITA, KS 67228 · CCN 175532
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★★★☆ 4
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 76
- Avg residents/day
- 67.5
- Phone
- 3165008800
Inspection history vs Kansas & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Kansas avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2024-08-19 | 20 | 10.1 | 9.5 | +9.9 worse |
| 2 | 2022-11-30 | 17 | 9.9 | 9.8 | +7.1 worse |
| 3 | 2021-04-05 | 12 | 7.2 | 9.3 | +4.8 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 6 |
| Resident assessment and care planning | 5 |
| Resident rights | 4 |
| Nutrition and dietary | 1 |
| Pharmacy service | 3 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.82 | 64.2% |
| RN staffing (reported) | 0.79 | 56.3% |
| Total nurse staffing (adjusted) | 5.04 | — |
Fines & penalties
- Total fines
- $8,827
- Number of fines
- 1
- Number of penalties
- 1
- Payment denials
- 0
Inspection citations (49)1 immediate jeopardy2 actual harm
- GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-04-24 · Health · corrected 2025-05-02
Actual harm
- JF0760Ensure that residents are free from significant medication errors.2024-11-14 · Health · corrected 2024-10-11
Immediate jeopardy
- EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-08-19 · Health · corrected 2024-09-16
Potential for more than minimal harm
- DF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.2024-08-19 · Health · corrected 2024-09-16
Potential for more than minimal harm
- DF0578Honor 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.2024-08-19 · Health · corrected 2024-09-16
Potential for more than minimal harm
- EF0625Notify 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.2024-08-19 · Health · corrected 2024-09-16
Potential for more than minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-08-19 · Health · corrected 2024-09-16
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-08-19 · Health · corrected 2024-09-16
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-08-19 · Health · corrected 2024-09-16
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-08-19 · Health · corrected 2024-09-16
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-08-19 · Health · corrected 2024-09-16
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-08-19 · Health · corrected 2024-09-16
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-08-19 · Health · corrected 2024-09-16
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-08-19 · Health · corrected 2024-09-16
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-08-19 · Health · corrected 2024-09-16
Potential for more than minimal harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-08-19 · Health · corrected 2024-09-16
Potential for more than minimal harm
- EF0759Ensure medication error rates are not 5 percent or greater.2024-08-19 · Health · corrected 2024-09-16
Potential for more than minimal harm
- DF0761Ensure 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.2024-08-19 · Health · corrected 2024-09-16
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-08-19 · Health · corrected 2024-09-16
Potential for more than minimal harm
- EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-08-19 · Health · corrected 2024-09-16
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2024-08-19 · Health · corrected 2024-09-16
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2022-11-30 · Health · corrected 2023-01-01
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2022-11-30 · Health · corrected 2023-01-01
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-11-30 · Health · corrected 2023-01-01
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-11-30 · Health · corrected 2023-01-01
Potential for more than minimal harm
- GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2022-11-30 · Health · corrected 2023-01-01
Actual harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-11-30 · Health · corrected 2023-01-01
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2022-11-30 · Health · corrected 2023-01-01
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2022-11-30 · Health · corrected 2023-01-01
Potential for more than minimal harm
- FF0727Have 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.2022-11-30 · Health · corrected 2023-01-01
Potential for more than minimal harm
- CF0732Post nurse staffing information every day.2022-11-30 · Health · corrected 2023-01-01
Potential for minimal harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2022-11-30 · Health · corrected 2023-01-01
Potential for more than minimal harm
- EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2022-11-30 · Health · corrected 2023-01-01
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2022-11-30 · Health · corrected 2023-01-01
Potential for more than minimal harm
- DF0758Implement 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.2022-11-30 · Health · corrected 2023-01-01
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-11-30 · Health · corrected 2023-01-01
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2022-11-30 · Health · corrected 2023-01-01
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2021-04-05 · Health · corrected 2021-04-30
Potential for more than minimal harm
- DF0675Honor each resident's preferences, choices, values and beliefs.2021-04-05 · Health · corrected 2021-04-30
Potential for more than minimal harm
- EF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2021-04-05 · Health · corrected 2021-04-30
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2021-04-05 · Health · corrected 2021-04-30
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2021-04-05 · Health · corrected 2021-04-30
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2021-04-05 · Health · corrected 2021-04-30
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2021-04-05 · Health · corrected 2021-04-30
Potential for more than minimal harm
- DF0761Ensure 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.2021-04-05 · Health · corrected 2021-04-30
Potential for more than minimal harm
- DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2021-04-05 · Health · corrected 2021-04-30
Potential for more than minimal harm
- DF0810Provide special eating equipment and utensils for residents who need them and appropriate assistance.2021-04-05 · Health · corrected 2021-04-30
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2021-04-05 · Health · corrected 2021-04-30
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2021-04-05 · Health · corrected 2021-04-30
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| AXIOM HEALTHCARE ALLIANCE, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2020-09-01 |
| WICHITA WELLNESS INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 11% | 2020-09-01 |
| LAKIN, GREGORY | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 11% | 2020-09-01 |
| HERMES, FREDERICK | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 9% | 2020-09-01 |
| AXIOM CONSULTING LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 9% | 2020-09-01 |
| LILLIE, MATTHEW | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 8% | 2020-09-01 |
| MATT LILLIE INVESTMENTS, INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 8% | 2020-09-01 |
| ROGER EVANS REVOCABLE TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 6% | 2020-09-01 |
| EVANS, ROGER | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 6% | 2020-09-01 |
| ROSS, ANN | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5% | 2020-09-01 |
| 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% | 2020-09-01 |
| ROSS, DENNIS | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5% | 2020-09-01 |
| AXIOM HEALTHCARE SERVICES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2011-10-31 |
| KRUSE, BRENDA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2012-05-14 |
| BECNEL, CHANCE | Individual | CORPORATE OFFICER | — | 2012-05-14 |
Other facilities in WICHITA
| Name | Overall | Beds |
|---|---|---|
| CARITAS CENTER, INC | ★★★★★ | 22 |
| MOUNT ST MARY | ★★★★★ | 24 |
| LARKSFIELD PLACE | ★★★★★ | 80 |
| REGENT PARK REHABILITATION AND HEALTHCARE | ★★★★★ | 84 |
| WICHITA PRESBYTERIAN MANOR | ★★★★☆ | 50 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.