Elder Care Record

Kansas › Sedgwick County › Wichita

Mount St Mary

3700 E Lincoln St, Wichita, KS 67218

CCN 175561 · Non-profit, corporation · 24 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.

Mount St Mary is a Non-profit, corporation nursing home in Wichita, Kansas, certified for 24 beds and caring for about 21 residents a day.

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

Inspectors recorded 14 health deficiencies across the three most recent survey cycles (6, 8, 0 by cycle, most recent first), none at the actual-harm level. That is 58.3 per 100 beds, more 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 5.1 hours per resident per day (1.0 RN), above the Kansas median of 3.9; nursing staff turnover is 31.0%.

14health deficiencies, 3 survey cyclesnone at actual-harm level
$0fines listed by CMS0 penalties in period
5.1nurse hours per resident per daystate median 3.9
87%occupancy (residents ÷ beds)21 residents a day

Compared with county, state and nation

MeasureThis facilitySedgwick Co. medianKansas medianUS average
Overall star rating5333.0
Health citations, 3 cycles14242428.7
Citations per 100 beds58.338.944.426.8
Total nurse hours per resident day5.14.33.93.9
RN hours per resident day1.00.60.60.7
Nursing staff turnover31.0%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)6
Cycle 28
Cycle 30

Dark bar: this facility. Grey bar: Kansas average per facility for the same cycle, as published by CMS. Standard health survey dates: 31 Mar 2025, 4 Oct 2023.

Severity mix: D ×10 E ×1 F ×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)
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
31 Mar 2025F0730Observe each nurse aide's job performance and give regular training.FComplaint investigation23 Apr 2025
31 Mar 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation23 Apr 2025
31 Mar 2025F0695Provide safe and appropriate respiratory care for a resident when needed.DComplaint investigation23 Apr 2025
31 Mar 2025F0697Provide safe, appropriate pain management for a resident who requires such services.DComplaint investigation23 Apr 2025
31 Mar 2025F0758Implement 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.DComplaint investigation23 Apr 2025
31 Mar 2025F0732Post nurse staffing information every day.CComplaint investigation23 Apr 2025
4 Oct 2023F0880Provide and implement an infection prevention and control program.FStandard survey3 Nov 2023
4 Oct 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey3 Nov 2023
4 Oct 2023F0641Ensure each resident receives an accurate assessment.DStandard survey3 Nov 2023
4 Oct 2023F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey3 Nov 2023
4 Oct 2023F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey3 Nov 2023
4 Oct 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey3 Nov 2023
4 Oct 2023F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey3 Nov 2023
4 Oct 2023F0730Observe each nurse aide's job performance and give regular training.DStandard survey3 Nov 2023

Penalties

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

Staffing

Total nursing5.08 h
Nurse aides3.41 h
LPN0.71 h
RN0.95 h
Weekend total4.66 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Kansas average. Turnover: nursing staff 31.0%, RNs 33.3%; 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 Stay22.2%17.3%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.8%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay10.4%2.0%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay1.3%3.7%2.8%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay24.3%15.5%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay6.8%4.3%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay28.6%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: non-profit, corporation. CMS groups this facility with 2 facilities under an individual owner's name; this site does not publish people's names, so no chain page is linked. Legal business name: Mount St Mary Inc.

OrganisationRole in the CMS recordInterestSince
Congregation of the Sisters of St Joseph Inc5% or greater direct ownership interest100%12/01/2017
Csj Initiatives IncOperational/managerial controlNOT APPLICABLE12/01/2017

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
Regent Park Rehabilitation and HealthcareWichita845541517.9—11 Feb 2026
Wichita Presbyterian ManorWichita505441836.0—28 May 2025
Family Health & Rehabilitation CenterWichita724432433.3—4 Mar 2026
Life Care Center of WichitaWichita1204341512.5—24 Mar 2025

All 29 facilities in Sedgwick County

Questions and answers

How many deficiencies has Mount St Mary 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 Mount St Mary been fined?

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

How does staffing at Mount St Mary compare?

Reported total nurse staffing is 5.1 hours per resident per day against a Kansas median of 3.9 and a national average of 3.9.

Who operates Mount St Mary?

CMS groups it with other facilities under an individual owner, whose name this site does not publish. Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Congregation of the Sisters of St Joseph Inc and Csj Initiatives Inc. Individual owners and managers are not listed on this site.

When was Mount St Mary last inspected?

The most recent survey or investigation in the CMS record is dated 31 Mar 2025; the most recent standard health survey was 31 Mar 2025.

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.