Elder Care Record

Kansas › Sedgwick County › Wichita

Lakepoint Wichita, LLC

1315 N West Street, Wichita, KS 67203

CCN 175466 · For-profit, limited liability company · 110 certified beds

Continuing care retirement community
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

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.

Lakepoint Wichita, LLC is a For-profit, limited liability company nursing home in Wichita, Kansas, certified for 110 beds and caring for about 71 residents a day.

CMS gives it 2 of 5 stars overall, below the Kansas median of 3; the health inspection rating is 2, staffing 4 and quality measures 4.

Inspectors recorded 46 health deficiencies across the three most recent survey cycles (12, 22, 12 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 41.8 per 100 beds, about the same as the state median of 44.4.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 4.9 hours per resident per day (0.5 RN), above the Kansas median of 3.9; nursing staff turnover is 54.5%.

46health deficiencies, 3 survey cycles2 at actual harm or worse
$0fines listed by CMS0 penalties in period
4.9nurse hours per resident per daystate median 3.9
65%occupancy (residents ÷ beds)71 residents a day

Compared with county, state and nation

MeasureThis facilitySedgwick Co. medianKansas medianUS average
Overall star rating2333.0
Health citations, 3 cycles46242428.7
Citations per 100 beds41.838.944.426.8
Total nurse hours per resident day4.94.33.93.9
RN hours per resident day0.50.60.60.7
Nursing staff turnover54.5%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

Cycle 1 (latest)12
Cycle 222
Cycle 312

Dark bar: this facility. Grey bar: Kansas average per facility for the same cycle, as published by CMS. Standard health survey dates: 4 Dec 2024, 9 Mar 2023.

Severity mix: G ×2 D ×29 E ×12 F ×3

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)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
4 Dec 2024F0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.FComplaint investigation3 Jan 2025
4 Dec 2024F0880Provide and implement an infection prevention and control program.FComplaint investigation3 Jan 2025
4 Dec 2024F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EComplaint investigation3 Jan 2025
4 Dec 2024F0758Implement 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.EComplaint investigation3 Jan 2025
4 Dec 2024F0761Ensure 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.EComplaint investigation3 Jan 2025
4 Dec 2024F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation3 Jan 2025
4 Dec 2024F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DComplaint investigation3 Jan 2025
4 Dec 2024F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DComplaint investigation3 Jan 2025
4 Dec 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation3 Jan 2025
4 Dec 2024F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint investigation3 Jan 2025
4 Dec 2024F0699Provide care or services that was trauma informed and/or culturally competent.DComplaint investigation3 Jan 2025
4 Dec 2024F0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.DComplaint investigation3 Jan 2025
30 Jul 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation30 Aug 2024
27 Sep 2023F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation17 Oct 2023
27 Sep 2023F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation17 Oct 2023
9 Mar 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GStandard survey21 Apr 2023
9 Mar 2023F0692Provide enough food/fluids to maintain a resident's health.GStandard survey21 Apr 2023
9 Mar 2023F0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.FStandard survey21 Apr 2023
9 Mar 2023F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard survey21 Apr 2023
9 Mar 2023F0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.EStandard survey21 Apr 2023
9 Mar 2023F0679Provide activities to meet all resident's needs.EStandard survey21 Apr 2023
9 Mar 2023F0680Ensure the activities program is directed by a qualified professional.EStandard survey21 Apr 2023
9 Mar 2023F0761Ensure 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.EStandard survey21 Apr 2023
9 Mar 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey21 Apr 2023
9 Mar 2023F0880Provide and implement an infection prevention and control program.EStandard survey21 Apr 2023
9 Mar 2023F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.EStandard survey21 Apr 2023
9 Mar 2023F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard survey21 Apr 2023
9 Mar 2023F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard survey21 Apr 2023
9 Mar 2023F0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.DStandard survey21 Apr 2023
9 Mar 2023F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey21 Apr 2023
9 Mar 2023F0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DStandard survey21 Apr 2023
9 Mar 2023F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey21 Apr 2023
9 Mar 2023F0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DStandard survey21 Apr 2023
9 Mar 2023F0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.DStandard survey21 Apr 2023
9 Mar 2023F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey21 Apr 2023
9 Mar 2023F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey21 Apr 2023
9 Mar 2023F0758Implement 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.DStandard survey21 Apr 2023
22 Jul 2021F0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.EStandard survey18 Aug 2021
22 Jul 2021F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey18 Aug 2021
22 Jul 2021F0578Honor 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.DStandard survey18 Aug 2021
22 Jul 2021F0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DStandard survey18 Aug 2021
22 Jul 2021F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard survey18 Aug 2021
22 Jul 2021F0625Notify 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.DStandard survey18 Aug 2021
22 Jul 2021F0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.DStandard survey18 Aug 2021
22 Jul 2021F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey18 Aug 2021
22 Jul 2021F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey18 Aug 2021

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing4.89 h
Nurse aides3.04 h
LPN1.33 h
RN0.52 h
Weekend total4.33 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Kansas average. Turnover: nursing staff 54.5%, RNs 40.0%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityKansas medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay10.0%17.3%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.7%0.8%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay5.7%2.0%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay5.5%3.7%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.0%0.9%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay17.6%15.5%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay6.7%4.3%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay15.9%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, limited liability company. Legal business name: Lakepoint Wichita Llc.

OrganisationRole in the CMS recordInterestSince
Lakepoint By Axiom, LLC5% or greater direct ownership interest50%03/01/2024

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

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Ascension Living Via Christi Village McleanWichita365451438.9—14 Aug 2025
Caritas Center, IncWichita22555627.3—4 Mar 2026
Derby Health & Rehabilitation, LLCDerby745541418.9—11 Mar 2026
Larksfield PlaceWichita805451316.3—9 Oct 2024
Mount St MaryWichita245451458.3—31 Mar 2025
Regent Park Rehabilitation and HealthcareWichita845541517.9—11 Feb 2026
Wichita Presbyterian ManorWichita505441836.0—28 May 2025
Family Health & Rehabilitation CenterWichita724432433.3—4 Mar 2026

All 29 facilities in Sedgwick County

Questions and answers

How many deficiencies has Lakepoint Wichita, LLC been cited for?

46 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Kansas median is 24 per facility.

Has Lakepoint Wichita, LLC been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Lakepoint Wichita, LLC compare?

Reported total nurse staffing is 4.9 hours per resident per day against a Kansas median of 3.9 and a national average of 3.9.

Who operates Lakepoint Wichita, LLC?

Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Lakepoint By Axiom, LLC. Individual owners and managers are not listed on this site.

When was Lakepoint Wichita, LLC last inspected?

The most recent survey or investigation in the CMS record is dated 4 Dec 2024; the most recent standard health survey was 4 Dec 2024.

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.