Nursing homes › Kansas › Mount St Mary
3700 E Lincoln St, Wichita, KS 67218 · 3166867171 · 24 certified beds
Per CMS filings, this facility is affiliated with Csj Initiatives, a group operating 2 facilities in 2 states. Group record: average rating 4.5/5, 0 abuse citation icons, 0 facilities on the Special Focus list, $0 in federal fines. This facility rates above its group average (4.5/5).
Total nurse staffing: 5.08 (Kansas median: 3.94). RN hours: 0.95. Weekend total: 4.66. Nursing staff turnover: 31%.
All-time on record: 14 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-03-31 | Observe each nurse aide's job performance and give regular training. | F | complaint | corrected 2025-04-23 |
| 2025-03-31 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2025-04-23 |
| 2025-03-31 | Provide safe and appropriate respiratory care for a resident when needed. | D | complaint | corrected 2025-04-23 |
| 2025-03-31 | Provide safe, appropriate pain management for a resident who requires such services. | D | complaint | corrected 2025-04-23 |
| 2025-03-31 | 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 2025-04-23 |
| 2025-03-31 | Post nurse staffing information every day. | C | complaint | corrected 2025-04-23 |
| 2023-10-04 | Provide and implement an infection prevention and control program. | F | Health | corrected 2023-11-03 |
| 2023-10-04 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Health | corrected 2023-11-03 |
| 2023-10-04 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2023-11-03 |
| 2023-10-04 | 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 2023-11-03 |
| 2023-10-04 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2023-11-03 |
| 2023-10-04 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2023-11-03 |
| 2023-10-04 | 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 2023-11-03 |
| 2023-10-04 | Observe each nurse aide's job performance and give regular training. | D | Health | corrected 2023-11-03 |
No federal fines or payment denials on record.
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| CONGREGATION OF THE SISTERS OF ST JOSEPH INC | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 12/01/2017 |
| BERGEN, PATRICIA | Corporate Director | Individual | NOT APPLICABLE | since 07/04/2014 |
| CONWAY, NANCY | Corporate Director | Individual | NOT APPLICABLE | since 07/04/2014 |
| KREYENBUHL, JOAN | Corporate Director | Individual | NOT APPLICABLE | since 07/09/2014 |
| O'BRIEN, MARGUERITE | Corporate Director | Individual | NOT APPLICABLE | since 07/04/2014 |
| PARKS, CHRISTINE | Corporate Director | Individual | NOT APPLICABLE | since 07/09/2014 |
| QUICK, MICHAEL | Corporate Director | Individual | NOT APPLICABLE | since 07/01/2017 |
| SCHAB, TAMI | Corporate Director | Individual | NOT APPLICABLE | since 07/01/2017 |
| TEICHMAN, RITA ANN | Corporate Director | Individual | NOT APPLICABLE | since 12/01/2017 |
| BERGEN, PATRICIA | Corporate Officer | Individual | NOT APPLICABLE | since 07/04/2014 |
| BISE, DAVID | Corporate Officer | Individual | NOT APPLICABLE | since 03/28/2018 |
| CONWAY, NANCY | Corporate Officer | Individual | NOT APPLICABLE | since 07/04/2014 |
| KREYENBUHL, JOAN | Corporate Officer | Individual | NOT APPLICABLE | since 07/09/2014 |
| O'BRIEN, MARGUERITE | Corporate Officer | Individual | NOT APPLICABLE | since 12/15/2017 |
| PARKS, CHRISTINE | Corporate Officer | Individual | NOT APPLICABLE | since 07/09/2014 |
| CSJ INITIATIVES INC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 12/01/2017 |
| BISE, DAVID | Operational/Managerial Control | Individual | NOT APPLICABLE | since 12/01/2017 |
| SLATER, WILLIAM | Operational/Managerial Control | Individual | NOT APPLICABLE | since 03/28/2018 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 175561. Corrections: data@carerecords.org.