Nursing homes › Kansas › Legacy at College Hill
5005 E 21St Street North, Wichita, KS 67208 · 3166859291 · 75 certified beds
Per CMS filings, this facility is affiliated with Campbell Street Services, a group operating 20 facilities in 3 states. Group record: average rating 2.2/5, 1 abuse citation icons, 1 facilities on the Special Focus list, $446,263 in federal fines. This facility rates below its group average (2.2/5).
Total nurse staffing: 3.84 (Kansas median: 3.94). RN hours: 0.38. Weekend total: 3.21.
All-time on record: 63 deficiency citations, including 4 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-06-03 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Health | corrected 2026-06-30 |
| 2026-06-03 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Health | corrected 2026-06-30 |
| 2026-06-03 | 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. | E | Health | corrected 2026-06-30 |
| 2026-06-03 | Reasonably accommodate the needs and preferences of each resident. | D | Health | corrected 2026-06-30 |
| 2026-06-03 | Keep residents' personal and medical records private and confidential. | D | Health | corrected 2026-06-30 |
| 2026-06-03 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Health | corrected 2026-06-30 |
| 2026-06-03 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2026-06-30 |
| 2026-06-03 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2026-06-30 |
| 2026-06-03 | Provide activities to meet all resident's needs. | D | Health | corrected 2026-06-30 |
| 2026-06-03 | 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 | Health | corrected 2026-06-30 |
| 2026-06-03 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2026-06-30 |
| 2026-06-03 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Health | corrected 2026-06-30 |
| 2026-06-03 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Health | corrected 2026-06-26 |
| 2026-06-03 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | Health | corrected 2026-06-30 |
| 2026-06-03 | Post nurse staffing information every day. | C | Health | corrected 2026-06-30 |
| 2025-05-21 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | complaint | corrected 2025-06-20 |
| 2025-05-21 | 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. | E | complaint | corrected 2025-06-20 |
| 2025-05-21 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2025-06-20 |
| 2025-02-13 | Provide and implement an infection prevention and control program. | F | complaint | corrected 2025-03-07 |
| 2025-02-13 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | complaint | corrected 2025-03-07 |
| 2025-02-13 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | complaint | corrected 2025-03-07 |
| 2025-02-13 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | complaint | corrected 2025-03-07 |
| 2025-02-13 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | complaint | corrected 2025-03-07 |
| 2025-02-13 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | complaint | corrected 2025-03-07 |
| 2025-02-13 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2025-03-07 |
| 2025-02-13 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | complaint | corrected 2025-03-07 |
| 2025-02-13 | Provide care or services that was trauma informed and/or culturally competent. | D | complaint | corrected 2025-03-07 |
| 2025-02-13 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | complaint | corrected 2025-03-07 |
| 2025-02-13 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | complaint | corrected 2025-03-07 |
| 2025-02-13 | 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. | D | complaint | corrected 2025-03-07 |
| 2025-02-13 | 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. | D | complaint | corrected 2025-03-07 |
| 2025-02-13 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | complaint | corrected 2025-03-07 |
| 2024-07-30 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | complaint | corrected 2024-08-23 |
| 2024-07-30 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | complaint | corrected 2024-08-23 |
| 2024-07-30 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2024-08-23 |
| 2024-07-30 | 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 | complaint | corrected 2024-08-23 |
| 2024-07-30 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2024-08-23 |
| 2024-07-30 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2024-08-23 |
| 2023-05-02 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | L | Health | corrected 2023-06-15 |
| 2023-05-02 | Respond appropriately to all alleged violations. | L | Health | corrected 2023-06-15 |
| Date | Type | Amount |
|---|---|---|
| 2025-03-12 | Fine | $8,413 |
| 2025-03-12 | Payment Denial | 10 days payment denial |
| 2024-07-30 | Fine | $34,775 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| KS PORTFOLIO INVESTOR, LLC | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 11/01/2015 |
| KS PORTFOLIO MASTER HOLDCO, LLC | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 11/01/2015 |
| KS PORTFOLIO MASTER SNF HOLDCO, LLC | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 11/01/2015 |
| KS PORTFOLIO SPONSOR, LLC | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 11/01/2015 |
| NKERO INVESTMENTS LTD LLP | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 11/01/2015 |
| ADAMS, JOHN | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 11/01/2015 |
| DOLE, ISAAC | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 11/01/2015 |
| FISHFELD, JORDAN | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 11/01/2015 |
| MENDELOVITZ, ISIDORE | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 11/01/2015 |
| TOLIA, KIRIT | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 11/01/2015 |
| TOLIA, SANJAY | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 11/01/2015 |
| TOLIA, VINAY | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 11/01/2015 |
| DOLE, ISAAC | Corporate Officer | Individual | NOT APPLICABLE | since 10/31/2015 |
| CAMPBELL STREET SERVICES LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 03/01/2022 |
| KS PORTFOLIO MANAGER, LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 11/01/2015 |
| BRYANT, RODNEY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/01/2018 |
| FOX, AMY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/03/2025 |
| GRIFFIN, STEVEN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 10/28/2024 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 175078. Corrections: data@carerecords.org.