Mount St Mary

Nursing home in Wichita, KS

Medicare & Medicaid certified5★ overall (CMS)

Call (316) 686-7171 Send a message Map ↗

Public-record details

Address: 3700 E Lincoln St, Wichita, KS 67218
Phone: (316) 686-7171
Listed under: Nonprofit, 4–5 star overall rating, No fines in 3 years, Part of a retirement community
Medicare CCN: 175561
Overall star rating: 5 of 5 ★★★★★
Health inspection rating: 4 of 5
Staffing rating: 5 of 5
Quality measures rating: 3 of 5
Certified beds: 24
Average residents per day: 21
Ownership: Nonprofit, corporation
Legal business name: Mount St Mary INC
Chain: Csj Initiatives (2 facilities)
Certified for: Medicare and Medicaid
First approved by Medicare/Medicaid: Mar 28, 2018
Changed ownership in last 12 months: No
Continuing care retirement community: Yes
Located inside a hospital: No
Resident or family council: Resident council
Sprinklers in all required areas: Yes

CMS certification number 175561. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Mar 31, 2025. CMS lists 14 health citations for this facility across its last three standard inspection cycles and complaint inspections (Oct 4, 2023 to Mar 31, 2025): 6 from complaint inspections, 0 at the “actual harm” level or higher.

Inspection	Citation	Severity
Mar 31, 2025	Post nurse staffing information every day. Nursing and Physician Services · complaint inspection	C Potential for minimal harm, widespread
Mar 31, 2025	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 · complaint inspection	D Potential for more than minimal harm, isolated
Mar 31, 2025	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care · complaint inspection	D Potential for more than minimal harm, isolated
Mar 31, 2025	Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care · complaint inspection	D Potential for more than minimal harm, isolated
Mar 31, 2025	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and… Pharmacy Service · complaint inspection	D Potential for more than minimal harm, isolated
Mar 31, 2025	Observe each nurse aide's job performance and give regular training. Nursing and Physician Services · complaint inspection	F Potential for more than minimal harm, widespread
Oct 4, 2023	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning	D Potential for more than minimal harm, isolated
Oct 4, 2023	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	D Potential for more than minimal harm, isolated
Oct 4, 2023	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care	D Potential for more than minimal harm, isolated
Oct 4, 2023	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care	D Potential for more than minimal harm, isolated
Oct 4, 2023	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	D Potential for more than minimal harm, isolated
Oct 4, 2023	Observe each nurse aide's job performance and give regular training. Nursing and Physician Services	D Potential for more than minimal harm, isolated

Showing the 12 most recent of 14. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day: 5.08 hours
Registered nurse (RN) time per resident per day: 0.95 hours
Nurse aide time per resident per day: 3.41 hours
Total nurse staffing on weekends: 4.66 hours
Nursing staff turnover (yearly): 31%
RN turnover (yearly): 33%
Administrators who left in the past year: 0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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