Derby Health & Rehabilitation, LLC
Derby, Sedgwick County, Kansas · CCN 175514 · For-profit (Corporation) · not part of a chain
CMS rates Derby Health & Rehabilitation, LLC 5 of 5 overall as of August 2026. 74 certified beds, 67 residents a day on average. 14 citations on record from the current inspection cycles; no fines on record.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★★★ 5 of 5 |
|---|---|
| Health inspections | ★★★★★ 5 of 5 |
| Staffing | ★★★★☆ 4 of 5 |
| Quality measures | ★★★★★ 5 of 5 |
| Quality: long-stay / short-stay | 5 / 4 of 5 |
Staffing
| Total nurse staffing | 4.99123 hours per resident per day |
|---|---|
| Registered nurses | 0.58583 hours per resident per day |
| Weekend total | 4.20075 hours per resident per day |
| Nursing staff turnover | 60.7% (registered nurses 57.9%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-03-11 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · tag F0628 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-04-11 |
| 2026-03-11 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-04-11 |
| 2025-04-29 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-05-05 |
| 2024-04-30 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-06-05 |
| 2024-04-30 complaint survey |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-06-05 |
| 2024-04-30 complaint survey |
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · tag F0582 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-05 |
| 2024-04-30 complaint survey |
Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0602 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-05 |
| 2024-04-30 complaint survey |
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. Quality of Life and Care Deficiencies · tag F0693 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-05 |
| 2024-04-30 complaint survey |
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · tag F0756 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-05 |
| 2024-04-30 complaint survey |
Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · tag F0757 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-05 |
| 2022-11-08 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-11-18 |
| 2022-11-08 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · tag F0690 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-11-18 |
| 2022-11-08 | 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. Pharmacy Service Deficiencies · tag F0761 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-11-18 |
| 2022-11-08 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · tag F0732 |
C No actual harm, with potential for minimal harm; widespread | Deficient, Provider has date of correction 2022-11-18 |
Fines and payment denials
No fines or payment denials on record since 2023.
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Axiom Healthcare Alliance, LLC Organization | 5% or greater direct ownership interest | 100% | 2020-09-01 |
| Axiom Consulting LLC Organization | 5% or greater indirect ownership interest | 9% | 2015-07-07 |
| Dennis L. Ross Pod To Trustee Of Dennis L. Ross Living Trust U/A 4/4/1 Organization | 5% or greater indirect ownership interest | 5% | 2020-09-01 |
| Matt Lillie Investments, Inc. Organization | 5% or greater indirect ownership interest | 8% | 2020-09-01 |
| Roger Evans Revocable Trust Organization | 5% or greater indirect ownership interest | 6% | 2020-09-01 |
| Wichita Wellness Inc. Organization | 5% or greater indirect ownership interest | 11% | 2020-09-01 |
| Axiom Healthcare Services LLC Organization | operational/managerial control | — | 2009-10-23 |
| Evans, Roger Individual | 5% or greater indirect ownership interest | 6% | 2020-09-01 |
| Hermes, Frederick Individual | 5% or greater indirect ownership interest | 9% | 2020-09-01 |
| Lakin, Gregory Individual | 5% or greater indirect ownership interest | 11% | 2020-09-01 |
| Lillie, Matthew Individual | 5% or greater indirect ownership interest | 8% | 2020-09-01 |
| Ross, Ann Individual | 5% or greater indirect ownership interest | 5% | 2020-09-01 |
| Ross, Dennis Individual | 5% or greater indirect ownership interest | 5% | 2020-09-01 |
| Becnel, Chance Individual | corporate officer | — | 2020-09-01 |
| Kruse, Brenda Individual | corporate officer | — | 2014-10-22 |
| Hermes, Frederick Individual | w-2 managing employee | — | 2009-10-09 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Derby Health & Rehabilitation, LLC.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Sedgwick County.