Starfile

Starfile / Kansas

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.

CycleInspection dateThis facilityKansas avgNational avgvs state
12025-03-051910.19.5+8.9 worse
22023-05-18169.99.8+6.1 worse
32021-09-30187.29.3+10.8 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Quality of life and care7
Resident rights4
Nutrition and dietary1
Pharmacy service5
Administration1
Infection control1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.3167.6%
RN staffing (reported)0.4955.6%
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

  1. 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

  2. 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

  3. DF0558Reasonably accommodate the needs and preferences of each resident.2025-03-05 · Health · corrected 2025-04-18

    Potential for more than minimal harm

  4. 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

  5. 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

  6. EF0583Keep residents' personal and medical records private and confidential.2025-03-05 · Health · corrected 2025-04-18

    Potential for more than minimal harm

  7. 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

  8. EF0679Provide activities to meet all resident's needs.2025-03-05 · Health · corrected 2025-04-18

    Potential for more than minimal harm

  9. 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

  10. 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

  11. 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

  12. 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

  13. 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

  14. 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

  15. 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

  16. 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

  17. 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

  18. 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

  19. EF0880Provide and implement an infection prevention and control program.2025-03-05 · Health · corrected 2025-04-18

    Potential for more than minimal harm

  20. 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

  21. 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

  22. 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

  23. EF0610Respond appropriately to all alleged violations.2024-03-05 · Health · corrected 2024-04-03

    Potential for more than minimal harm

  24. 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

  25. 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

  26. 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

  27. 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

  28. 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

  29. 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

  30. 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

  31. DF0692Provide enough food/fluids to maintain a resident's health.2023-05-18 · Health · corrected 2023-07-01

    Potential for more than minimal harm

  32. 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

  33. 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

  34. DF0880Provide and implement an infection prevention and control program.2023-05-18 · Health · corrected 2023-07-01

    Potential for more than minimal harm

  35. 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

  36. 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

  37. 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

  38. 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

  39. 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

  40. DF0641Ensure each resident receives an accurate assessment.2021-09-30 · Health · corrected 2021-11-14

    Potential for more than minimal harm

  41. 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

  42. 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

  43. 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

  44. 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

  45. 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

  46. 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

  47. 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

  48. 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

  49. 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

  50. 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

  51. 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

  52. 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

  53. 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

OwnerTypeRolePercentSince
WESTVIEW OF DERBY PROPERTY LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST50%2021-08-01
TUTERA GROUP, INCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST35%2021-08-01
TUTERA, JOSEPHIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST5%2021-08-01
WALNUT CREEK MANAGEMENT COMPANY LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL2021-08-01
BROOKS, KILEYIndividualOPERATIONAL/MANAGERIAL CONTROL2021-08-01
BROOKS, KILEYIndividualCORPORATE OFFICER2021-08-01

Other facilities in DERBY

NameOverallBeds
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.