Avita Health and Rehab at Reeds CoveCMS ratings, inspections and fines
- Address
- 2114 N 127th Court East, Wichita, KS 67228
- CCN
- 175532
- Ownership type
- For-profit, limited liability company
- Certified beds
- 76
- Chain
- None in the CMS record
- Residents per day
- 69
- CMS flags
- None in the CMS record
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Avita Health and Rehab at Reeds Cove an overall rating of 3 of 5 stars. The last standard survey was on 7 May 2026. The latest survey cycle has 5 health citations. The median for nursing homes in Kansas is 8. CMS lists 1 fine of $8,827 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Sedgwick County median | Kansas median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 3 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 3 | 3.0 | 3.0 | 2.8 |
| Staffing rating | 4 | 4.0 | 4.0 | 2.9 |
| Quality measure rating | 3 | 4.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 29 homes in the county, 296 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Kansas median |
|---|---|---|---|
| Cycle 1 (latest) | 7 May 2026 | 5 | 8 |
| Cycle 2 | 19 Aug 2024 | 21 | 8 |
| Cycle 3 | No date | 16 | 6 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | K0 | L0 | |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 |
Survey cycle 1 (latest): 5 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 7 May 2026 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Standard survey | 18 Jun 2026 |
| 7 May 2026 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Standard survey | 18 Jun 2026 |
| 7 May 2026 | F0693 | Ensure 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. | D | Standard survey | 18 Jun 2026 |
| 7 May 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 18 Jun 2026 |
| 7 May 2026 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 18 Jun 2026 |
Survey cycle 2: 21 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 24 Apr 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 2 May 2025 |
| 14 Nov 2024 | F0760 | Ensure that residents are free from significant medication errors. | J | Complaint investigation | 11 Oct 2024 |
| 19 Aug 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint investigation | 16 Sep 2024 |
| 19 Aug 2024 | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | Standard survey | 16 Sep 2024 |
| 19 Aug 2024 | F0578 | Honor 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. | D | Complaint investigation | 16 Sep 2024 |
| 19 Aug 2024 | F0625 | Notify 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. | E | Complaint investigation | 16 Sep 2024 |
| 19 Aug 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Complaint investigation | 16 Sep 2024 |
| 19 Aug 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 16 Sep 2024 |
| 19 Aug 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 16 Sep 2024 |
| 19 Aug 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 16 Sep 2024 |
| 19 Aug 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 16 Sep 2024 |
| 19 Aug 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 16 Sep 2024 |
| 19 Aug 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 16 Sep 2024 |
| 19 Aug 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 16 Sep 2024 |
| 19 Aug 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 16 Sep 2024 |
| 19 Aug 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 16 Sep 2024 |
| 19 Aug 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Complaint investigation | 16 Sep 2024 |
| 19 Aug 2024 | F0761 | Ensure 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. | D | Complaint investigation | 16 Sep 2024 |
| 19 Aug 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 16 Sep 2024 |
| 19 Aug 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint investigation | 16 Sep 2024 |
| 19 Aug 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 16 Sep 2024 |
Survey cycle 3: 16 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 30 Nov 2022 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 1 Jan 2023 |
| 30 Nov 2022 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 1 Jan 2023 |
| 30 Nov 2022 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 1 Jan 2023 |
| 30 Nov 2022 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 1 Jan 2023 |
| 30 Nov 2022 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 1 Jan 2023 |
| 30 Nov 2022 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 1 Jan 2023 |
| 30 Nov 2022 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 1 Jan 2023 |
| 30 Nov 2022 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 1 Jan 2023 |
| 30 Nov 2022 | F0727 | Have 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. | F | Standard survey | 1 Jan 2023 |
| 30 Nov 2022 | F0732 | Post nurse staffing information every day. | C | Standard survey | 1 Jan 2023 |
| 30 Nov 2022 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 1 Jan 2023 |
| 30 Nov 2022 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard survey | 1 Jan 2023 |
| 30 Nov 2022 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 1 Jan 2023 |
| 30 Nov 2022 | F0758 | Implement 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. | D | Standard survey | 1 Jan 2023 |
| 30 Nov 2022 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 1 Jan 2023 |
| 30 Nov 2022 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 1 Jan 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 14 Nov 2024 | Fine | $8,827 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Kansas median | Kansas average (CMS) |
|---|---|---|---|
| All nurse staff | 4.80 | 3.90 | 4.07 |
| Registered nurses (RN) | 0.91 | 0.60 | 0.71 |
| Licensed practical nurses (LPN) | 0.74 | 0.65 | |
| Nurse aides | 3.15 | 2.70 | |
| All nurse staff, weekends | 4.15 | 3.50 | 3.60 |
- Nurse staff turnover in a year
- 67.3%
- Nurse staff turnover, Kansas median
- 47.4%
- RN turnover in a year
- 50.0%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Kansas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 19.5% | 17.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.6% | 0.8% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 7.8% | 2.0% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 6.6% | 3.7% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 29.5% | 15.5% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 8.1% | 4.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 12.7% | 15.4% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Setting
- Continuing care retirement community
- Legal business name
- Reeds Cove Health and Rehabilitation LLC
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Axiom Healthcare Alliance, LLC | 5% or greater direct ownership interest | 100% | 1 Sep 2020 |
| Axiom Consulting LLC | 5% or greater indirect ownership interest | 9% | 1 Sep 2020 |
| Matt Lillie Investments, Inc | 5% or greater indirect ownership interest | 8% | 1 Sep 2020 |
| Wichita Wellness Inc | 5% or greater indirect ownership interest | 11% | 1 Sep 2020 |
| Axiom Healthcare Services LLC | Operational/managerial control | 31 Oct 2011 |
The site shows organisations only. It does not show the names of persons.
Other homes in Sedgwick County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Regent Park Rehabilitation and Healthcare | Wichita | 5 of 5 | 4 | $0 | 11 Feb 2026 | |
| Center at Waterfront LLC | Wichita | 3 of 5 | 9 | $8,281 | 15 Jan 2026 | |
| Great Plains Post Acute | Wichita | 1 of 5 | 12 | $46,331 | 22 Apr 2026 | |
| Larksfield Place | Wichita | 5 of 5 | 7 | $0 | 9 Oct 2024 | |
| Caritas Center, Inc | Wichita | 5 of 5 | 1 | $0 | 4 Mar 2026 | |
| Life Care Center of Wichita | Wichita | 4 of 5 | 8 | $0 | 24 Mar 2025 | |
| Horizon Post Acute | Wichita | 1 of 5 | 15 | $43,188 | 3 Jun 2026 | |
| Catholic Care Center, Inc | Bel Aire | 2 of 5 | 19 | $15,733 | 4 Dec 2024 | |
| Orchard Gardens | Wichita | 1 of 5 | 20 | $20,677 | 1 Apr 2025 | |
| Lincoln Care and Rehab | Wichita | 1 of 5 | 6 | $40,104 | 3 Oct 2023 | |
| Mount St Mary | Wichita | 5 of 5 | 6 | $0 | 31 Mar 2025 | |
| Medicalodges Wichita | Wichita | 3 of 5 | 4 | $0 | 17 Nov 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Avita Health and Rehab at Reeds Cove (CCN 175532). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/avita-health-and-rehab-at-reeds-cove-wichita-ks-175532/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Avita Health and Rehab at Reeds Cove last inspected?
- The latest inspection with a citation in the CMS record was on 7 May 2026. It was a standard survey. It gave 5 citations. The standard survey before the last one was on 19 Aug 2024.
- Who operates Avita Health and Rehab at Reeds Cove?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists no chain for the home. The CMS ownership file names Axiom Healthcare Services LLC for operational or managerial control. This site does not show the names of persons.
- Is Avita Health and Rehab at Reeds Cove a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 1 home in Kansas as a Special Focus Facility and 10 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.