Kansas › Sedgwick County › Derby
Derby Health & Rehabilitation, LLC
731 Klein Circle, Derby, KS 67037
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Derby Health & Rehabilitation, LLC, in Derby, Kansas, is certified for 74 beds under for-profit, corporation ownership.
CMS gives it 5 of 5 stars overall, above the Kansas median of 3; the health inspection rating is 5, staffing 4 and quality measures 5.
Inspectors recorded 14 health deficiencies across the three most recent survey cycles (2, 8, 4 by cycle, most recent first), none at the actual-harm level. That is 18.9 per 100 beds, fewer than the state median of 44.4.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 5.0 hours per resident per day (0.6 RN), above the Kansas median of 3.9; nursing staff turnover is 60.7%.
Compared with county, state and nation
| Measure | This facility | Sedgwick Co. median | Kansas median | US average |
|---|---|---|---|---|
| Overall star rating | 5 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 14 | 24 | 24 | 28.7 |
| Citations per 100 beds | 18.9 | 38.9 | 44.4 | 26.8 |
| Total nurse hours per resident day | 5.0 | 4.3 | 3.9 | 3.9 |
| RN hours per resident day | 0.6 | 0.6 | 0.6 | 0.7 |
| Nursing staff turnover | 60.7% | 54.5% | 47.4% | 45.8% |
| Fines listed | $0 | $8,281 | $7,960 | — |
County and state figures are medians across facilities (29 in the county, 296 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Kansas average per facility for the same cycle, as published by CMS. Standard health survey dates: 11 Mar 2026, 30 Apr 2024.
Severity mix: D ×11 E ×2 C ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 11 Mar 2026 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Standard survey | 11 Apr 2026 |
| 11 Mar 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 11 Apr 2026 |
| 29 Apr 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 5 May 2025 |
| 30 Apr 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint investigation | 5 Jun 2024 |
| 30 Apr 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 5 Jun 2024 |
| 30 Apr 2024 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Complaint investigation | 5 Jun 2024 |
| 30 Apr 2024 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 5 Jun 2024 |
| 30 Apr 2024 | 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 | Complaint investigation | 5 Jun 2024 |
| 30 Apr 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Complaint investigation | 5 Jun 2024 |
| 30 Apr 2024 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Complaint investigation | 5 Jun 2024 |
| 8 Nov 2022 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 18 Nov 2022 |
| 8 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 | 18 Nov 2022 |
| 8 Nov 2022 | 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 | Standard survey | 18 Nov 2022 |
| 8 Nov 2022 | F0732 | Post nurse staffing information every day. | C | Standard survey | 18 Nov 2022 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Kansas average. Turnover: nursing staff 60.7%, RNs 57.9%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Kansas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 10.7% | 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 | 3.8% | 2.0% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.5% | 3.7% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.4% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 10.8% | 15.5% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.5% | 4.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 13.3% | 15.4% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: Derby Health & Rehabilitation.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Axiom Healthcare Alliance, LLC | 5% or greater direct ownership interest | 100% | 09/01/2020 |
| Axiom Consulting LLC | 5% or greater indirect ownership interest | 9% | 07/07/2015 |
| Matt Lillie Investments, Inc | 5% or greater indirect ownership interest | 8% | 09/01/2020 |
| Wichita Wellness Inc | 5% or greater indirect ownership interest | 11% | 09/01/2020 |
| Axiom Healthcare Services LLC | Operational/managerial control | NOT APPLICABLE | 10/23/2009 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Sedgwick County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Ascension Living Via Christi Village Mclean | Wichita | 36 | 5 | 4 | 5 | 14 | 38.9 | — | 14 Aug 2025 |
| Caritas Center, Inc | Wichita | 22 | 5 | 5 | 5 | 6 | 27.3 | — | 4 Mar 2026 |
| Larksfield Place | Wichita | 80 | 5 | 4 | 5 | 13 | 16.3 | — | 9 Oct 2024 |
| Mount St Mary | Wichita | 24 | 5 | 4 | 5 | 14 | 58.3 | — | 31 Mar 2025 |
| Regent Park Rehabilitation and Healthcare | Wichita | 84 | 5 | 5 | 4 | 15 | 17.9 | — | 11 Feb 2026 |
| Wichita Presbyterian Manor | Wichita | 50 | 5 | 4 | 4 | 18 | 36.0 | — | 28 May 2025 |
| Family Health & Rehabilitation Center | Wichita | 72 | 4 | 4 | 3 | 24 | 33.3 | — | 4 Mar 2026 |
| Life Care Center of Wichita | Wichita | 120 | 4 | 3 | 4 | 15 | 12.5 | — | 24 Mar 2025 |
All 29 facilities in Sedgwick County
Questions and answers
How many deficiencies has Derby Health & Rehabilitation, LLC been cited for?
14 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Kansas median is 24 per facility.
Has Derby Health & Rehabilitation, LLC been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Derby Health & Rehabilitation, LLC compare?
Reported total nurse staffing is 5.0 hours per resident per day against a Kansas median of 3.9 and a national average of 3.9.
Who operates Derby Health & Rehabilitation, LLC?
Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Axiom Healthcare Alliance, LLC, Axiom Consulting LLC and Matt Lillie Investments, Inc. Individual owners and managers are not listed on this site.
When was Derby Health & Rehabilitation, LLC last inspected?
The most recent survey or investigation in the CMS record is dated 11 Mar 2026; the most recent standard health survey was 11 Mar 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.