B87

MOUNT ST MARY

Grade B 87/100 composite score

Non profit - Corporation

CMS Star Ratings

Overall
5/5
Health Insp.
4/5
Quality
3/5
Staffing
5/5
RN Staffing
Not rated

Certified Beds

24

Ownership

Non profit - Corporation

Total Fines

None

Last Survey

N/A

3700 E LINCOLN ST, WICHITA, KS 67218
3166867171

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
1.23h
LPN
1.04h
CNA
4.59h
Total
6.85h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

CONGREGATION OF THE SISTERS OF ST JOSEPH INC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Dec 2017

100%

CSJ INITIATIVES INC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Dec 2017

BISE, DAVID

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Dec 2017

SLATER, WILLIAM

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Mar 2018

BERGEN, PATRICIA

IndividualCORPORATE DIRECTORSince Jul 2014

CONWAY, NANCY

IndividualCORPORATE DIRECTORSince Jul 2014

KREYENBUHL, JOAN

IndividualCORPORATE DIRECTORSince Jul 2014

O'BRIEN, MARGUERITE

IndividualCORPORATE DIRECTORSince Jul 2014

PARKS, CHRISTINE

IndividualCORPORATE DIRECTORSince Jul 2014

QUICK, MICHAEL

IndividualCORPORATE DIRECTORSince Jul 2017

SCHAB, TAMI

IndividualCORPORATE DIRECTORSince Jul 2017

TEICHMAN, RITA ANN

IndividualCORPORATE DIRECTORSince Dec 2017

BERGEN, PATRICIA

IndividualCORPORATE OFFICERSince Jul 2014

BISE, DAVID

IndividualCORPORATE OFFICERSince Mar 2018

CONWAY, NANCY

IndividualCORPORATE OFFICERSince Jul 2014

KREYENBUHL, JOAN

IndividualCORPORATE OFFICERSince Jul 2014

O'BRIEN, MARGUERITE

IndividualCORPORATE OFFICERSince Dec 2017

PARKS, CHRISTINE

IndividualCORPORATE OFFICERSince Jul 2014

BISE, DAVID

IndividualCONTRACTED MANAGING EMPLOYEESince Dec 2017

Penalties & Fines

No penalties or fines on record.

Health Inspection Deficiencies (14)

March 31, 2025Health6 deficiencies
0656DMinimal harm, Isolated

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies

Corrected Apr 23, 2025
0695DMinimal harm, Isolated

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Apr 23, 2025
0697DMinimal harm, Isolated

Provide safe, appropriate pain management for a resident who requires such services.

Quality of Life and Care Deficiencies

Corrected Apr 23, 2025
0730FMinimal harm, Widespread

Observe each nurse aide's job performance and give regular training.

Nursing and Physician Services Deficiencies

Corrected Apr 23, 2025
0732CNo harm, Widespread

Post nurse staffing information every day.

Nursing and Physician Services Deficiencies

Corrected Apr 23, 2025
0758DMinimal harm, Isolated

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.

Pharmacy Service Deficiencies

Corrected Apr 23, 2025
October 4, 2023Health8 deficiencies
0641DMinimal harm, Isolated

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies

Corrected Nov 3, 2023
0656EMinimal harm, Pattern

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies

Corrected Nov 3, 2023
0657DMinimal harm, Isolated

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Resident Assessment and Care Planning Deficiencies

Corrected Nov 3, 2023
0677DMinimal harm, Isolated

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies

Corrected Nov 3, 2023
0689DMinimal harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Nov 3, 2023
0690DMinimal harm, Isolated

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

Corrected Nov 3, 2023
0730DMinimal harm, Isolated

Observe each nurse aide's job performance and give regular training.

Nursing and Physician Services Deficiencies

Corrected Nov 3, 2023
0880FMinimal harm, Widespread

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Nov 3, 2023

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Frequently Asked Questions

What is the CareGrader rating for MOUNT ST MARY?

MOUNT ST MARY in WICHITA, Kansas has a CareGrader grade of B (Good), with a composite score of 87.3 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for MOUNT ST MARY?

MOUNT ST MARY has an overall CMS star rating of 5 out of 5, a health inspection rating of 4/5, and a staffing rating of 5/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does MOUNT ST MARY have?

MOUNT ST MARY has 14 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

How many beds does MOUNT ST MARY have?

MOUNT ST MARY has 24 certified beds with approximately 19 current residents (79% occupancy). The facility is located at 3700 E LINCOLN ST, WICHITA, Kansas 67218. It is a non profit - corporation facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.