DERBY HEALTH & REHABILITATION, LLC
731 KLEIN CIRCLE
DERBY, KS, 67037
3167192400
CCN: 175514
4
Overall4
Health4
Staffing4
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
| Name | Role | % |
|---|---|---|
| AXIOM HEALTHCARE ALLIANCE, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| AXIOM CONSULTING LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 9% |
| EVANS, ROGER | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 6% |
| DENNIS L. ROSS POD TO TRUSTEE OF DENNIS L. ROSS LIVING TRUST U/A 4/4/1 | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5% |
| MATT LILLIE INVESTMENTS, INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 8% |
| ROGER EVANS REVOCABLE TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 6% |
| WICHITA WELLNESS INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 11% |
| HERMES, FREDERICK | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 9% |
| LILLIE, MATTHEW | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 8% |
| ROSS, ANN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5% |
| ROSS, DENNIS | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5% |
| LAKIN, GREGORY | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 11% |
| BECNEL, CHANCE | CORPORATE OFFICER | NOT APPLICABLE |
| KRUSE, BRENDA | CORPORATE OFFICER | NOT APPLICABLE |
| AXIOM HEALTHCARE SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| HERMES, FREDERICK | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
Health Deficiencies (12)
2025-04-29 · Health
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-04-30 · Health
E
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F757 · Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
F756 · Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
D
F693 · Quality of Life and Care Deficiencies
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.
E
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
D
F582 · Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
2022-11-08 · Health
D
F761 · Pharmacy Service Deficiencies
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.
C
F732 · Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
D
F690 · Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
4.94
RN Hrs/Resident/Day0.54
0.61
LPN Hrs/Resident/Day0.81
1.26
CNA Hrs/Resident/Day2.33
3.07
PT Hrs/Resident/Day0.12
0.16
Data as of 2026-03-01