CONTACT INFORMATION REVIEWS & MORE DATA

Legacy at College Hill

  • Date Updated:  January 01, 2025
  • CMS Overall 5-Star Rating:  
  • Address:  5005 E 21ST STREET NORTH
    WICHITA KS 67208 Map
  • Phone:  316-685-9291
  • Website:   Click Here
  • Medicare Provider Number:  175078
  • Participating in Medicare Since:  July 01, 1969
  • No. of Certified Beds:  75
  • No. of Residents:   N/A
  • Occupancy:   N/A
  • Amount Fined:  $52,975.00
  • Complaints Filed:   31
  • Accepts:  Medicare and Medicaid

  About Legacy at College Hill

Legacy At College Hill, located in WICHITA, KS, is a for-profit organization that accepts Medicare and Medicaid. It is not part of a continuing care retirement community. It is not located in a hospital. Legacy At College Hill offers a range of services including skilled nursing, long-term care, short-term rehabilitation, and specialized memory care. The center is equipped with modern amenities and a supportive environment designed to enhance the quality of life for its residents. With a focus on personalized care plans and community engagement.

  • Legacy at College Hill is ranked #23 out of 23 facilities within a 10 mile radius and #41 out of 42 facilities within a 25 mile radius. See Ranking Report
  • Review Specific City Measures
  • CMS 5-Star Overall Rating is (1 out of 5):
  • Current Trend:   Worsening
  • Total Nursing Hours Spent Per Resident Per Day: 4.05
    (The national average is 3.85 )
  • The percentage of short-stay residents who were re-hospitalized after a nursing home admission is 24.04% .
  •    CMS has identified this facility as either having actual cases of abuse or has decided that abuse is possible.
  • >

  Legacy at College Hill Owner & Operator Information

Business Entity Name:

COLLEGE HILLS OPCO, LLC

Owners:

Managers and Directors:

  Legacy at College Hill Ratings and Inspection Scores

Centers for Medicare and Medicaid (CMS) regularly inspects every skilled nursing facility. The results of the multi-day inspection is a series of star ratings. The health inspection scores are an absolute value, so you can compare one facility's score directly to another.

Ratings

Overall Rating 1:
Health Inspection Rating 1:
Quality Rating 2:
Staffing Rating 3:

Inspection Scores

Cycle 1 Score (as of May 02, 2023) 735
Cycle 2 Score (as of October 05, 2021) 212
Cycle 3 Score (as of December 16, 2019) 20
Weighted All Cycles Score 442

  Complaints by Residents

This table shows complaints filed by residents in Legacy at College Hill:

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. 08/23/2024
Provide appropriate treatment and care according to orders, resident?s preferences and goals. 08/23/2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing. 08/23/2024
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. 08/23/2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. 08/23/2024
Provide and implement an infection prevention and control program. 08/23/2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. 06/15/2023
Honor 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. 06/15/2023
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. 06/15/2023
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. 06/15/2023
Respond appropriately to all alleged violations. 06/15/2023
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. 06/15/2023
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. 06/15/2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 06/15/2023
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. 06/15/2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. 06/15/2023
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. 06/15/2023
Ensure that the resident and his/her doctor meet face-to-face at all required visits. 06/15/2023
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. 06/15/2023
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. 06/15/2023
Observe each nurse aide's job performance and give regular training. 06/15/2023
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. 06/15/2023
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. 06/15/2023
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. 06/15/2023
Implement 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. 06/15/2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. 06/15/2023
Administer the facility in a manner that enables it to use its resources effectively and efficiently. 06/15/2023
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly 06/15/2023
Provide and implement an infection prevention and control program. 06/15/2023
Make sure that a working call system is available in each resident's bathroom and bathing area. 06/15/2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. 04/10/2023

  Nursing Hours Spent Per Patient

CMS provides detailed information about how long nursing staff spends with residents. This data includes nursing subcategories of Registered Nurse, Licensed Practical Nurse, and non-nursing Certified Nursing Assistants. More hours spend per patient should can indicate a better facility or it could indicate more complicated situations.

The nursing staff of Legacy at College Hill spends MORE time on average with its residents than the state average for total nursing hours spent per resident and MORE time than the national average for total nursing hours spent per resident.

Type Facility State / National Avg
Registered Nurse (RN)
Hours 0.27 0.72 / 0.67
Case Mix 0.64 0.60 / 0.66
Adjusted 0.28 NA / NA
Licensed Practical Nurse (LPN)
Hours 0.89 0.67 / 0.87
Case Mix 0.84 NA / NA
Adjusted 0.91 NA / NA
Certified Nursing Assistants (CNA)
Hours 2.89 2.67 / 2.31
Case Mix 2.24 NA / NA
Adjusted 2.97 NA / NA
Total Licensed Staff
Hours 1.16 1.38 / 1.53
Physical Therapist (PT)
Hours 0.01 0.04 / 0.07
Total Nursing Hours Spent per Resident on Average
Hours 4.05 4.05 / 3.85
Case Mix 3.72 3.48 / 3.83
Adjusted 4.16 NA / NA

  Quality Measures

Quality measures are based both on patient survey information and on the results of actual claims that are filed with CMS. It is not clear what period is covered in the measures.

Desc. Perc./ State Avg. / Comparison
Percentage of short-stay residents who were rehospitalized after a nursing home admission (qm521)
This measure is considered when computing the 5-Star Overall Rating
24.0% / 22.0%
Worse
Percentage of short-stay residents who had an outpatient emergency department visit (qm522)
This measure is considered when computing the 5-Star Overall Rating
7.4% / 12.7%
Better
Number of hospitalizations per 1000 long-stay resident days (qm551)
This measure is considered when computing the 5-Star Overall Rating
1.9% / 1.7%
Worse
Number of outpatient emergency department visits per 1000 long-stay resident days (qm552)
This measure is considered when computing the 5-Star Overall Rating
0.9% / 2.0%
Better
Percentage of long-stay residents whose need for help with daily activities has increased (qm401) 22.1% / 19.6%
Worse
Percentage of long-stay residents who lose too much weight (qm404) 6.3% / 5.5%
Worse
Percentage of long-stay residents with a catheter inserted and left in their bladder (qm406) 2.4% / 2.2%
Worse
Percentage of long-stay residents with a urinary tract infection (qm407) 4.1% / 3.4%
Worse
Percentage of long-stay residents who have depressive symptoms (qm408) 7.0% / 4.9%
Worse
Percentage of long-stay residents who were physically restrained (qm409) 0.0% / 0.0%
Better
Percentage of long-stay residents experiencing one or more falls with major injury (qm410) 2.8% / 4.6%
Better
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine (qm415) 87.0% / 91.6%
Worse
Percentage of long-stay residents who received an antipsychotic medication (qm419) 22.8% / 17.7%
Worse
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine (qm430) 71.9% / 74.4%
Worse
Percentage of short-stay residents who newly received an antipsychotic medication (qm434) 0.0% / 2.0%
Better
Percentage of long-stay residents whose ability to walk independently worsened (qm451) 23.1% / NA
Percentage of long-stay residents who received an antianxiety or hypnotic medication (qm452) 24.5% / 23.4%
Worse
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine (qm454) 95.4% / 94.8%
Better
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine (qm472) 78.4% / 68.4%
Better
Percentage of long-stay residents with pressure ulcers (qm479) 6.4% / NA
Percentage of long-stay residents with new or worsened bowel or bladder incontinence (qm480) 27.8% / NA

  Hospitals Near Legacy at College Hill

Quite often skilled nursing facilities and hospitals work closely together to help patients recover or manage a terminal illness. Hospitals deals with acute care while nursing homes treat patients for a longer period of time. New residents at skilled nursing homes typically come from a hospital and nursing home residents may be readmitted to a hospital if their recovery does not proceed well. (Hospital readmission rates are closely monitored by CMS.) Consequently it is important that you consider which hospitals are near a nursing home which choosing one. Below is a list of hospitals near Legacy at College Hill.

Legacy at College Hill is near several hospitals, each with its own rating based on overall performance:

Hospital 5-Star Overall Rating
SUSAN B ALLEN MEMORIAL HOSPITAL
720 W CENTRAL ST
EL DORADO, KS 67042
2
VIA CHRISTI HOSPITAL PITTSBURG INC
1 MT CARMEL WAY
PITTSBURG, KS 66762
3
ASCENSION VIA CHRISTI HOSPITALS WICHITA, INC.
929 NORTH ST FRANCIS STREET
WICHITA, KS 67214
3
KANSAS MEDICAL CENTER LLC
1124 WEST 21ST STREET
ANDOVER, KS 67002
3
NMC HEALTH
600 MEDICAL CENTER DRIVE
NEWTON, KS 67114
4
KANSAS HEART HOSPITAL
3601 NORTH WEBB ROAD
WICHITA, KS 67226
4
VIA CHRISTI HOSPITAL WICHITA ST TERESA, INC
14800 WEST ST TERESA
WICHITA, KS 67235
4
WICHITA VA MEDICAL CENTER
5500 E. KELLOG
WICHITA, KS 67218
5
WESLEY MEDICAL CENTER
550 N HILLSIDE STREET
WICHITA, KS 67214
5
KANSAS SURGERY & RECOVERY CENTER
2770 NORTH WEBB ROAD
WICHITA, KS 67226
Not Available
KANSAS SPINE & SPECIALTY HOSPITAL, LLC
3333 NORTH WEBB ROAD
WICHITA, KS 67226
Not Available
ROCK REGIONAL HOSPITAL, LLC
3251 NORTH ROCK ROAD
DERBY, KS 67037
Not Available
PRAIRIE VIEW INC
1901 E FIRST STREET PO BOX 467
NEWTON, KS 67114
Not Available

Ratings History for Legacy at College Hill

  Medical Professionals Associated with Legacy at College Hill

These are the doctors who are affiliated with Legacy at College Hill. The data is from the most recent period. Historical data is not available.

  • RODNEY BRYANT ( INTERNAL MEDICINE - KANSAS POST ACUTE MEDICAL SERVICES 1 PA )

  Local Nursing Homes

When evaluating nursing homes, it's important to consider other nearby facilities to understand the available options and make comparisons. Below is a list of nursing homes near Brookline Healthcare and Rehabilitation, including Brookline itself. This list is ranked based on each home's health inspection scores, also known as the "weighted all cycles score." Additionally, we provide the facility's 5-star overall rating for a more complete view of its performance. If a nursing home has been flagged by CMS for abuse, you'll see a special icon () next to its name.

The data is based on the dataset as of January 01, 2025.

Name Health Inspection Score / Overall Rating
Bethel Health Care Center
(NORTH NEWTON, KS)
10 / 5:
Caritas Center, Inc
(WICHITA, KS)
18.667 / 5:
Derby Health and Rehabilitation, LLC
(DERBY, KS)
22 / 5:
Mount St Mary
(WICHITA, KS)
24 / 5:
Newton Presbyterian Manor
(NEWTON, KS)
26.667 / 4:
Life Care Center of Wichita
(WICHITA, KS)
30 / 5:
Regent Park Rehabilitation and Healthcare
(WICHITA, KS)
30 / 5:
Spring View Manor Healthcare and Rehabilitation
(CONWAY SPRINGS, KS)
30.667 / 3:
Wichita Presbyterian Manor
(WICHITA, KS)
31.333 / 4:
Larksfield Place
(WICHITA, KS)
32 / 4:
Kansas Christian Home
(NEWTON, KS)
36.667 / 4:
Ascension Living Via Christi Village Mclean
(WICHITA, KS)
38.667 / 3:
Rolling Hills Health and Rehab
(WICHITA, KS)
40.667 / 5:
El Dorado Care and Rehab
(EL DORADO, KS)
42.667 / 4:
Center at Waterfront LLC
(WICHITA, KS)
44 / 4:
Family Health and Rehabilitation Center
(WICHITA, KS)
46.667 / 4:
Catholic Care Center, Inc
(BEL AIRE, KS)
47.333 / 4:
Medicalodges Wichita
(WICHITA, KS)
49.333 / 3:
Via Christi Village Ridge
(WICHITA, KS)
51.167 / 3:
Villa Maria
(MULVANE, KS)
52 / 3:
Paramount Community Living and Rehab Inc
(NEWTON, KS)
66 / 3:
Sandpiper Healthcare and Rehabilitation Center
(WICHITA, KS)
74.667 / 3:
Lakepoint Augusta, LLC
(AUGUSTA, KS)
76.667 / 2:
Lincoln Care and Rehab
(WICHITA, KS)
81.667 / 3:
Azria Health Wichita
(WICHITA, KS)
86.5 / 2:
Halstead Health and Rehabilitation Center
(HALSTEAD, KS)
97.333 / 2:
Medicalodges Goddard
(GODDARD, KS)
98.333 / 2:
Diversicare of Haysville
(HAYSVILLE, KS)
100.667 / 2:
Wheat State Manor
(WHITEWATER, KS)
113.333 / 1:
Avita Health and Rehab at Reeds Cove
(WICHITA, KS)
114.667 / 2:
Homestead Health Center
(WICHITA, KS)
115.167 / 3:
Westview of Derby Rehabilitation and Health Care Cen
(DERBY, KS)
118.667 / 2:
Lakepoint El Dorado, LLC
(EL DORADO, KS)
119 / 1:
Lakepoint Wichita, LLC
(WICHITA, KS)
121.833 / 1:
Advena Living at Fountainview
(ROSE HILL, KS)
123.333 / 1:
Excel Healthcare and Rehab Wichita
(WICHITA, KS)
123.667 / 2:
Diversicare of Sedgwick
(SEDGWICK, KS)
140.167 / 1:
Life Care Center of Andover
(ANDOVER, KS)
152.667 / 1:
Orchard Gardens
(WICHITA, KS)
172.333 / 1:
Meridian Rehabilitation and Health Care Center
(WICHITA, KS)
266.5 / 2:
Legacy at College Hill
(WICHITA, KS)
441.5 / 1:
Clearwater Nursing and Rehabilitation Center
(CLEARWATER, KS)
523.333 / 1:

  Our Analysis

Best and Worst Nursing Homes in WICHITA, KS

Here is our analysis of the Best Nursing Homes in WICHITA and Worst Nursing Homes in WICHITA so that you can make better decisions when choosing a nursing home. You should also use these lists after choosing a home to stay abreast of changes.

Ownership Details for Legacy at College Hill

A list of all of the registered owners for Legacy at College Hill. This includes direct and indirect owners and managers.

Noted Deficiencies for Legacy at College Hill

A list of all of the deficiencies for the facility. This includes a description, type of deficiency, incident date and when the facility reports that the incident was corrected.

Nursing Hours Analysis for Legacy at College Hill

How long a nurse spends with a resident can be an important factor in their recovery. This page shows the average nursing hours spent per resident for RNs, LPNs, CNAs, PTs and all licensed staff.

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