Nursing homeActive
Derby Health & Rehabilitation, LLC
731 Klein Circle, Derby, KS 67037316719240074 certified beds · 67 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
4
since 2022
Deficiencies
14
● 1● 13● 0
Penalties · 3 yrs
—
none on file
Last survey
2026-03-11
Standard
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 5
Staffing 4
Quality 5
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Kansas Department for Aging and Disability Services · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-03-11 | Standard | 020 | CMS-2567 (Care Compare) | — |
| 2025-04-29 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-04-30 | Standard | 070 | CMS-2567 (Care Compare) | — |
| 2022-11-08 | Standard | 130 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Kansas Department for Aging and Disability Services publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-11Record 175514-20260311-F628
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-11Record 175514-20260311-F684
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-05Record 175514-20250429-F689
F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-05Record 175514-20240430-F582
F602Protect each resident from the wrongful use of the resident's belongings or money.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-05Record 175514-20240430-F602
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity EStandard
Care planningFalls
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-06-05Record 175514-20240430-F689
F693Ensure 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-05Record 175514-20240430-F693
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-05Record 175514-20240430-F756
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-05Record 175514-20240430-F757
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-06-05Record 175514-20240430-F812
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-11-18Record 175514-20221108-F689
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-11-18Record 175514-20221108-F690
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-11-18Record 175514-20221108-F761
F732Post nurse staffing information every day.Scope/severity CPaperwork
Staffing
Widespread; potential for minimal harm.Corrected 2022-11-18Record 175514-20221108-F732
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.59
Facility
Kansas
National
Kansas 0.71 · National 0.69
Total nurse hours per resident day4.99
Facility
Kansas
National
Kansas 4.07 · National 3.86
Weekend total nurse hours4.20
Facility
Kansas
National
Kansas 3.60 · National 3.42
Total nursing staff turnover61%
Facility
Kansas
National
Kansas 48% · National 46%
Registered nurse turnover58%
Facility
Kansas
National
Kansas 42% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Kansas | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 5.5% | 4.4% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 2.5% | 4.3% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 13.3% | 18.1% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 3.8% | 2.9% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 10.7% | 17.9% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 3.4% | 4.9% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 23.0% | 23.2% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Axiom Healthcare Alliance, LLC Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Axiom Consulting LLC Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 9% | — | — |
| 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% | — | — |
| Evans, Roger Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 6% | — | — |
| Hermes, Frederick Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 9% | — | — |
| Lakin, Gregory Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 11% | — | — |
| Lillie, Matthew Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 8% | — | — |
| Matt Lillie Investments, Inc Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 8% | — | — |
| Roger Evans Revocable Trust Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 6% | — | — |
| Ross, Ann Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5% | — | — |
| Ross, Dennis Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5% | — | — |
| Wichita Wellness Inc Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 11% | — | — |
| Axiom Healthcare Services LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Becnel, Chance Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Hermes, Frederick Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Kruse, Brenda Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Kansas.
No county cost figures on file for Sedgwick.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Westview Of Derby Rehabilitation & Health Care Cen Derby | 1.4 mi | 2025-09-16 | 0214 |
| Villa Maria Mulvane | 5.0 mi | 2025-07-30 | 010 |
| Advena Living At Fountainview Rose Hill | 5.8 mi | 2025-01-23 | 071 |
| Caritas Center, Inc Wichita | 7.7 mi | 2026-03-04 | 060 |
| Diversicare Of Haysville Haysville | 6.5 mi | 2026-06-16 | 0262 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |