Nursing homeActive
Mount St Mary
3700 E Lincoln St, Wichita, KS 67218316686717124 certified beds · 21 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
3
since 2022
Deficiencies
14
● 1● 13● 0
Penalties · 3 yrs
—
none on file
Last survey
2025-03-31
Standard
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 4
Staffing 5
Quality 3
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 |
|---|---|---|---|---|
| 2025-03-31 | Standard | 150 | CMS-2567 (Care Compare) | — |
| 2023-10-04 | Standard | 080 | CMS-2567 (Care Compare) | — |
| 2022-01-20 | Standard | 000 | 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.
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-23Record 175561-20250331-F656
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-23Record 175561-20250331-F695
F697Provide safe, appropriate pain management for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-23Record 175561-20250331-F697
F730Observe each nurse aide's job performance and give regular training.Scope/severity FStandard
Staffing
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-04-23Record 175561-20250331-F730
F758Implement 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-23Record 175561-20250331-F758
F732Post nurse staffing information every day.Scope/severity CPaperwork
Staffing
Widespread; potential for minimal harm.Corrected 2025-04-23Record 175561-20250331-F732
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-03Record 175561-20231004-F641
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-11-03Record 175561-20231004-F656
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-03Record 175561-20231004-F657
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-03Record 175561-20231004-F677
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 2023-11-03Record 175561-20231004-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 2023-11-03Record 175561-20231004-F690
F730Observe each nurse aide's job performance and give regular training.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-03Record 175561-20231004-F730
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-11-03Record 175561-20231004-F880
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.95
Facility
Kansas
National
Kansas 0.71 · National 0.69
Total nurse hours per resident day5.08
Facility
Kansas
National
Kansas 4.07 · National 3.86
Weekend total nurse hours4.66
Facility
Kansas
National
Kansas 3.60 · National 3.42
Total nursing staff turnover31%
Facility
Kansas
National
Kansas 48% · National 46%
Registered nurse turnover33%
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 | 6.8% | 4.4% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 1.3% | 4.3% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 28.6% | 18.1% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 10.4% | 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 | 22.2% | 17.9% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 6.6% | 4.9% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 8.2% | 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 |
|---|---|---|---|---|
| Congregation Of The Sisters Of St Joseph Inc Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Bise, David Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Csj Initiatives Inc Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Slater, William Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Bergen, Patricia Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Bergen, Patricia Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Bise, David Individual | CONTRACTED MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Bise, David Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Conway, Nancy Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Conway, Nancy Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Kreyenbuhl, Joan Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Kreyenbuhl, Joan Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| O'brien, Marguerite Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| O'brien, Marguerite Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Parks, Christine Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Parks, Christine Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Quick, Michael Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Schab, Tami Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Teichman, Rita Ann Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
Part of a chain
Csj Initiatives — 2 facilities
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 |
|---|---|---|---|
| Lincoln Care And Rehab Wichita | 0.3 mi | 2025-05-15 | 1261 |
| Medicalodges Wichita Wichita | 1.8 mi | 2025-11-17 | 080 |
| Life Care Center Of Wichita Wichita | 2.0 mi | 2025-03-24 | 081 |
| Orchard Gardens Wichita | 1.8 mi | 2026-01-21 | 1352 |
| Horizon Post Acute Wichita | 3.6 mi | 2026-06-03 | 2342 |
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 |