DERBY HEALTH & REHABILITATION, LLC

731 KLEIN CIRCLE
DERBY, KS, 67037
3167192400
CCN: 175514
4
Overall
4
Health
4
Staffing
4
Quality
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
AXIOM HEALTHCARE ALLIANCE, LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%
AXIOM CONSULTING LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST9%
EVANS, ROGER5% OR GREATER INDIRECT OWNERSHIP INTEREST6%
DENNIS L. ROSS POD TO TRUSTEE OF DENNIS L. ROSS LIVING TRUST U/A 4/4/15% OR GREATER INDIRECT OWNERSHIP INTEREST5%
MATT LILLIE INVESTMENTS, INC5% OR GREATER INDIRECT OWNERSHIP INTEREST8%
ROGER EVANS REVOCABLE TRUST5% OR GREATER INDIRECT OWNERSHIP INTEREST6%
WICHITA WELLNESS INC5% OR GREATER INDIRECT OWNERSHIP INTEREST11%
HERMES, FREDERICK5% OR GREATER INDIRECT OWNERSHIP INTEREST9%
LILLIE, MATTHEW5% OR GREATER INDIRECT OWNERSHIP INTEREST8%
ROSS, ANN5% OR GREATER INDIRECT OWNERSHIP INTEREST5%
ROSS, DENNIS5% OR GREATER INDIRECT OWNERSHIP INTEREST5%
LAKIN, GREGORY5% OR GREATER INDIRECT OWNERSHIP INTEREST11%
BECNEL, CHANCECORPORATE OFFICERNOT APPLICABLE
KRUSE, BRENDACORPORATE OFFICERNOT APPLICABLE
AXIOM HEALTHCARE SERVICES LLCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
HERMES, FREDERICKW-2 MANAGING EMPLOYEENOT 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/Day
4.94
3.68
RN Hrs/Resident/Day
0.61
0.54
LPN Hrs/Resident/Day
1.26
0.81
CNA Hrs/Resident/Day
3.07
2.33
PT Hrs/Resident/Day
0.16
0.12
Data as of 2026-03-01