WESTVIEW OF DERBY REHABILITATION & HEALTH CARE CEN
445 N WESTVIEW DR, DERBY, KS 67037 · CCN 175218
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★★★★ 5
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 78
- Avg residents/day
- 66.9
- Phone
- 3167883739
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 | 2025-03-05 | 19 | 10.1 | 9.5 | +8.9 worse |
| 2 | 2023-05-18 | 16 | 9.9 | 9.8 | +6.1 worse |
| 3 | 2021-09-30 | 18 | 7.2 | 9.3 | +10.8 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 7 |
| Resident rights | 4 |
| Nutrition and dietary | 1 |
| Pharmacy service | 5 |
| Administration | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.31 | 67.6% |
| RN staffing (reported) | 0.49 | 55.6% |
| Total nurse staffing (adjusted) | 3.68 | — |
Fines & penalties
- Total fines
- $74,296
- Number of fines
- 5
- Number of penalties
- 5
- Payment denials
- 0
Chain
- Chain
- TUTERA SENIOR LIVING & HEALTH CARE
- Facilities in chain
- 25
- Chain avg overall
- 2.20 / 5
Inspection citations (53)3 immediate jeopardy1 actual harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-09-16 · Health · corrected 2025-10-10
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-09-16 · Health · corrected 2025-10-10
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2025-03-05 · Health · corrected 2025-04-18
Potential for more than minimal harm
- DF0571Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid.2025-03-05 · Health · corrected 2025-04-18
Potential for more than minimal harm
- DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2025-03-05 · Health · corrected 2025-04-18
Potential for more than minimal harm
- EF0583Keep residents' personal and medical records private and confidential.2025-03-05 · Health · corrected 2025-04-18
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-03-05 · Health · corrected 2025-04-18
Potential for more than minimal harm
- EF0679Provide activities to meet all resident's needs.2025-03-05 · Health · corrected 2025-04-18
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-03-05 · Health · corrected 2025-04-18
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-03-05 · Health · corrected 2025-04-18
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2025-03-05 · Health · corrected 2025-04-18
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.2025-03-05 · Health · corrected 2025-04-18
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.2025-03-05 · Health · corrected 2025-04-18
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-03-05 · Health · corrected 2025-04-18
Potential for more than minimal harm
- EF0758Implement 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.2025-03-05 · Health · corrected 2025-04-18
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.2025-03-05 · Health · corrected 2025-04-18
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.2025-03-05 · Health · corrected 2025-04-18
Potential for more than minimal harm
- FF0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.2025-03-05 · Health · corrected 2025-04-18
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2025-03-05 · Health · corrected 2025-04-18
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-01-08 · Health · corrected 2025-01-31
Actual harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-05-16 · Health · corrected 2024-05-16
Immediate jeopardy
- DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2024-04-17 · Health · corrected 2024-05-03
Potential for more than minimal harm
- EF0610Respond appropriately to all alleged violations.2024-03-05 · Health · corrected 2024-04-03
Potential for more than minimal harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-01-10 · Health · corrected 2024-01-01
Immediate jeopardy
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-09-26 · Health · corrected 2023-09-23
Immediate jeopardy
- DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2023-05-18 · Health · corrected 2023-07-01
Potential for more than minimal harm
- DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-05-18 · Health · corrected 2023-07-01
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.2023-05-18 · Health · corrected 2023-07-01
Potential for more than minimal harm
- DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2023-05-18 · Health · corrected 2023-07-01
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.2023-05-18 · Health · corrected 2023-07-01
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2023-05-18 · Health · corrected 2023-07-01
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2023-05-18 · Health · corrected 2023-07-01
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.2023-05-18 · Health · corrected 2023-07-01
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2023-05-18 · Health · corrected 2023-07-01
Potential for more than minimal harm
- DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2023-05-18 · Health · corrected 2023-07-01
Potential for more than minimal harm
- FF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-05-18 · Health · corrected 2023-07-01
Potential for more than minimal harm
- FF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2023-05-18 · Health · corrected 2023-07-01
Potential for more than minimal harm
- DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2021-09-30 · Health · corrected 2021-11-14
Potential for more than minimal harm
- DF0625Notify 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.2021-09-30 · Health · corrected 2021-11-14
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2021-09-30 · Health · corrected 2021-11-14
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.2021-09-30 · Health · corrected 2021-11-14
Potential for more than minimal harm
- DF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.2021-09-30 · Health · corrected 2021-11-14
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2021-09-30 · Health · corrected 2021-11-14
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2021-09-30 · Health · corrected 2021-11-14
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2021-09-30 · Health · corrected 2021-11-14
Potential for more than minimal harm
- EF0730Observe each nurse aide's job performance and give regular training.2021-09-30 · Health · corrected 2021-11-14
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.2021-09-30 · Health · corrected 2021-11-14
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2021-09-30 · Health · corrected 2021-11-14
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.2021-09-30 · Health · corrected 2021-11-14
Potential for more than minimal harm
- FF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2021-09-30 · Health · corrected 2021-11-14
Potential for more than minimal harm
- DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2021-09-30 · Health · corrected 2021-11-14
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.2021-09-30 · Health · corrected 2021-11-14
Potential for more than minimal harm
- EF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.2021-09-30 · Health · corrected 2021-11-14
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| WESTVIEW OF DERBY PROPERTY LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | 2021-08-01 |
| TUTERA GROUP, INC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 35% | 2021-08-01 |
| TUTERA, JOSEPH | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5% | 2021-08-01 |
| WALNUT CREEK MANAGEMENT COMPANY LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-08-01 |
| BROOKS, KILEY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-08-01 |
| BROOKS, KILEY | Individual | CORPORATE OFFICER | — | 2021-08-01 |
Other facilities in DERBY
| Name | Overall | Beds |
|---|---|---|
| DERBY HEALTH & REHABILITATION, LLC | ★★★★☆ | 74 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.