Avita Health and Rehab at Reeds Cove

Nursing Home · Wichita, KS

CMS overall rating 3/5 For profit - Limited Liability company

CMS certification number175532

Contact & location

2114 N 127Th Court East
Wichita, KS 67228
Sedgwick County
Phone
(316) 500-8800
ZIP code
67228 – all care providers

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Facility details

Certified beds
76
Residents per day
68.9 (91% occupied)
Ownership
For profit - Limited Liability company
Legal name
Reeds Cove Health and Rehabilitation LLC
Medicare certified since
January 15, 2013
Participates in
Medicare and Medicaid
Continuing care
Part of a continuing care retirement community
Council
Resident council

CMS star ratings

Overall★★★★★ 3/5
State avg 3.1
Health inspections★★★★★ 3/5
State avg 2.9
Staffing★★★★★ 4/5
State avg 3.5
Quality measures★★★★★ 3/5
State avg 3.2
Long-stay quality★★★★★ 2/5
Short-stay quality★★★★★ 5/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
4.80 (state 4.07 · U.S. 3.86)
Registered nurses (RN)
0.91 (state 0.71 · U.S. 0.69)
Licensed practical nurses
0.74 (state 0.65 · U.S. 0.86)
Nurse aides
3.15 (state 2.70 · U.S. 2.32)
Weekend total
4.15 (state 3.60 · U.S. 3.42)
Nursing staff turnover
67.3 (state 48.1 · U.S. 45.8)%
RN turnover
50.0 (state 42.0 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
May 7, 2026
Health deficiencies (last cycle)
5.0 (state 9.5 · U.S. 9.3)
From complaints
0
Citations on record (3 years)
42 health · 15 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-05-07 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2026-06-18
2026-05-07 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-06-18
2026-05-07 Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
F0585 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-18
2026-05-07 Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
F0605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-18
2026-05-07 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.
F0693 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-18
2025-04-24 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2025-05-02
2024-11-14 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 Corrected 2024-10-11
2024-08-19 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies · complaint inspection		 F
No actual harm, potential for more than minimal harm		 Corrected 2024-09-16
2024-08-19 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-09-16
2024-08-19 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.
F0625 · Resident Rights Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-09-16
2024-08-19 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-09-16
2024-08-19 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-09-16
2024-08-19 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-09-16
2024-08-19 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-09-16
2024-08-19 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-09-16
2024-08-19 Allow resident to participate in the development and implementation of his or her person-centered plan of care.
F0553 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-09-16
2024-08-19 Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
F0578 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-09-16
2024-08-19 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
F0655 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-09-16
2024-08-19 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-09-16
2024-08-19 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-09-16
2024-08-19 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-09-16
2024-08-19 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-09-16
2024-08-19 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-09-16
2024-08-19 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-09-16
2024-08-19 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-09-16
2024-08-19 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.
F0761 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-09-16
2022-11-30 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies		 G
Actual harm		 Corrected 2023-01-01
2022-11-30 Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
F0727 · Nursing and Physician Services Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2023-01-01
2022-11-30 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-01-01
2022-11-30 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-01-01
2022-11-30 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F0756 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-01-01
2022-11-30 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-01-01
2022-11-30 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-01-01
2022-11-30 Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-01-01
2022-11-30 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-01-01
2022-11-30 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-01-01
2022-11-30 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-01-01
2022-11-30 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-01-01
2022-11-30 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-01-01
2022-11-30 Ensure each resident’s drug regimen must be free from unnecessary drugs.
F0757 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-01-01
2022-11-30 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.
F0758 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-01-01
2022-11-30 Post nurse staffing information every day.
F0732 · Nursing and Physician Services Deficiencies		 C
No actual harm, potential for minimal harm		 Corrected 2023-01-01

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

1 penalty in the last three years, including $8,827 in fines.

DateTypeAmount
2024-11-14Fine$8,827

Ownership & management

NameRoleSince
Axiom Healthcare Alliance, LLC (organization)5%+ Direct Ownership Interest · 100%
Axiom Consulting LLC (organization)5%+ Indirect Ownership Interest · 9%
Dennis L. Ross Pod to Trustee of Dennis L. Ross Living Trust U/A 4/4/1 (organization)5%+ Indirect Ownership Interest · 5%
Evans, Roger (individual)5%+ Indirect Ownership Interest · 6%
Hermes, Frederick (individual)5%+ Indirect Ownership Interest · 9%
Lakin, Gregory (individual)5%+ Indirect Ownership Interest · 11%
Lillie, Matthew (individual)5%+ Indirect Ownership Interest · 8%
Matt Lillie Investments, INC (organization)5%+ Indirect Ownership Interest · 8%
Roger Evans Revocable Trust (organization)5%+ Indirect Ownership Interest · 6%
Ross, Ann (individual)5%+ Indirect Ownership Interest · 5%
Ross, Dennis (individual)5%+ Indirect Ownership Interest · 5%
Wichita Wellness INC (organization)5%+ Indirect Ownership Interest · 11%
Becnel, Chance (individual)Corporate Officer · NOT APPLICABLE
Axiom Healthcare Services LLC (organization)Operational/managerial Control · NOT APPLICABLE
Kruse, Brenda (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Avita Health and Rehab at Reeds Cove?

Avita Health and Rehab at Reeds Cove has a 3-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.1-star average in Kansas.

How many beds does Avita Health and Rehab at Reeds Cove have?

It has 76 certified beds and cares for about 69 residents per day.

Has Avita Health and Rehab at Reeds Cove been fined?

Yes. CMS lists 1 penalty totaling $8,827 in the last three years.

What is the phone number of Avita Health and Rehab at Reeds Cove?

(316) 500-8800. The facility is located at 2114 N 127Th Court East, Wichita, KS 67228.

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Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.