MOUNT ST MARY
3700 E LINCOLN ST, WICHITA, KS 67218 · CCN 175561
Ratings
- Overall
- ★★★★★ 5
- Health inspection
- ★★★★☆ 4
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★★★★★ 5
Facility
- Ownership type
- Non profit - Corporation
- Certified beds
- 24
- Avg residents/day
- 19.7
- Phone
- 3166867171
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 | 2025-03-31 | 6 | 10.1 | 9.5 | -4.1 better |
| 2 | 2023-10-04 | 8 | 9.9 | 9.8 | -1.9 better |
| 3 | 2022-01-20 | 0 | 7.2 | 9.3 | -7.2 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 2 |
| Resident assessment and care planning | 1 |
| Nursing and physician services | 2 |
| Pharmacy service | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 5.47 | 34.5% |
| RN staffing (reported) | 0.98 | 40.0% |
| Total nurse staffing (adjusted) | 6.85 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Inspection citations (14)
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-03-31 · Health · corrected 2025-04-23
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-03-31 · Health · corrected 2025-04-23
Potential for more than minimal harm
- DF0697Provide safe, appropriate pain management for a resident who requires such services.2025-03-31 · Health · corrected 2025-04-23
Potential for more than minimal harm
- FF0730Observe each nurse aide's job performance and give regular training.2025-03-31 · Health · corrected 2025-04-23
Potential for more than minimal harm
- CF0732Post nurse staffing information every day.2025-03-31 · Health · corrected 2025-04-23
Potential for 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.2025-03-31 · Health · corrected 2025-04-23
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2023-10-04 · Health · corrected 2023-11-03
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-10-04 · Health · corrected 2023-11-03
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.2023-10-04 · Health · corrected 2023-11-03
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-10-04 · Health · corrected 2023-11-03
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-10-04 · Health · corrected 2023-11-03
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.2023-10-04 · Health · corrected 2023-11-03
Potential for more than minimal harm
- DF0730Observe each nurse aide's job performance and give regular training.2023-10-04 · Health · corrected 2023-11-03
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2023-10-04 · Health · corrected 2023-11-03
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| CONGREGATION OF THE SISTERS OF ST JOSEPH INC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2017-12-01 |
| CSJ INITIATIVES INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-12-01 |
| BISE, DAVID | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-12-01 |
| SLATER, WILLIAM | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-03-28 |
| BERGEN, PATRICIA | Individual | CORPORATE DIRECTOR | — | 2014-07-04 |
| CONWAY, NANCY | Individual | CORPORATE DIRECTOR | — | 2014-07-04 |
| KREYENBUHL, JOAN | Individual | CORPORATE DIRECTOR | — | 2014-07-09 |
| O'BRIEN, MARGUERITE | Individual | CORPORATE DIRECTOR | — | 2014-07-04 |
| PARKS, CHRISTINE | Individual | CORPORATE DIRECTOR | — | 2014-07-09 |
| QUICK, MICHAEL | Individual | CORPORATE DIRECTOR | — | 2017-07-01 |
| SCHAB, TAMI | Individual | CORPORATE DIRECTOR | — | 2017-07-01 |
| TEICHMAN, RITA ANN | Individual | CORPORATE DIRECTOR | — | 2017-12-01 |
| BERGEN, PATRICIA | Individual | CORPORATE OFFICER | — | 2014-07-04 |
| BISE, DAVID | Individual | CORPORATE OFFICER | — | 2018-03-28 |
| CONWAY, NANCY | Individual | CORPORATE OFFICER | — | 2014-07-04 |
| KREYENBUHL, JOAN | Individual | CORPORATE OFFICER | — | 2014-07-09 |
| O'BRIEN, MARGUERITE | Individual | CORPORATE OFFICER | — | 2017-12-15 |
| PARKS, CHRISTINE | Individual | CORPORATE OFFICER | — | 2014-07-09 |
| BISE, DAVID | Individual | CONTRACTED MANAGING EMPLOYEE | — | 2017-12-01 |
Other facilities in WICHITA
| Name | Overall | Beds |
|---|---|---|
| CARITAS CENTER, INC | ★★★★★ | 22 |
| REGENT PARK REHABILITATION AND HEALTHCARE | ★★★★★ | 84 |
| LARKSFIELD PLACE | ★★★★★ | 80 |
| WICHITA PRESBYTERIAN MANOR | ★★★★☆ | 50 |
| SANDPIPER HEALTHCARE & REHABILITATION CENTER | ★★★★☆ | 104 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.