DERBY HEALTH & REHABILITATION, LLC
731 KLEIN CIRCLE, DERBY, KS 67037 · CCN 175514
Ratings
- Overall
- ★★★★☆ 4
- Health inspection
- ★★★★☆ 4
- Quality measures
- ★★★★☆ 4
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 74
- Avg residents/day
- 68.8
- Phone
- 3167192400
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 | 2024-04-30 | 8 | 10.1 | 9.5 | -2.1 better |
| 2 | 2022-11-08 | 4 | 9.9 | 9.8 | -5.9 better |
| 3 | 2021-05-12 | 0 | 7.2 | 9.3 | -7.2 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 3 |
| Resident rights | 1 |
| Nutrition and dietary | 1 |
| Pharmacy service | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.94 | 58.8% |
| RN staffing (reported) | 0.61 | 52.9% |
| Total nurse staffing (adjusted) | 5.42 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Inspection citations (12)
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-04-29 · Health · corrected 2025-05-05
Potential for more than minimal harm
- DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2024-04-30 · Health · corrected 2024-06-05
Potential for more than minimal harm
- DF0602Protect each resident from the wrongful use of the resident's belongings or money.2024-04-30 · Health · corrected 2024-06-05
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-04-30 · Health · corrected 2024-06-05
Potential for more than minimal harm
- DF0693Ensure 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.2024-04-30 · Health · corrected 2024-06-05
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-04-30 · Health · corrected 2024-06-05
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-04-30 · Health · corrected 2024-06-05
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.2024-04-30 · Health · corrected 2024-06-05
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-11-08 · Health · corrected 2022-11-18
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.2022-11-08 · Health · corrected 2022-11-18
Potential for more than minimal harm
- CF0732Post nurse staffing information every day.2022-11-08 · Health · corrected 2022-11-18
Potential for 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.2022-11-08 · Health · corrected 2022-11-18
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 |
| LAKIN, GREGORY | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 11% | 2020-09-01 |
| WICHITA WELLNESS INC | Organization | 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% | 2015-07-07 |
| MATT LILLIE INVESTMENTS, INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 8% | 2020-09-01 |
| LILLIE, MATTHEW | Individual | 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 |
| ROSS, DENNIS | 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 |
| AXIOM HEALTHCARE SERVICES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2009-10-23 |
| BECNEL, CHANCE | Individual | CORPORATE OFFICER | — | 2020-09-01 |
| KRUSE, BRENDA | Individual | CORPORATE OFFICER | — | 2014-10-22 |
| HERMES, FREDERICK | Individual | W-2 MANAGING EMPLOYEE | — | 2009-10-09 |
Other facilities in DERBY
| Name | Overall | Beds |
|---|---|---|
| WESTVIEW OF DERBY REHABILITATION & HEALTH CARE CEN | ★★☆☆☆ | 78 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.