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Legacy At College Hill

  1. Skilled Nursing Home Facilities
  2. Kansas
  3. Wichita Skilled Nursing Home Facilities
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Reviews
Overall Rating 3.7 / 5.0 ★★★★★

  • Jacob Nelson
    ★★★★★ 9 months ago

    The staff here are friendly, down to earth, and can empathize easily with the residents that live here. The food here is also good, and there are plenty of activities to keep busy with.

  • Shana M. Dobson
    ★★★★★ 12 months ago

    I was mortified at the conditions and care of the residents.

  • Robyn Huggins
    ★★★★★ 8 months ago

About Legacy At College Hill

General Information

Legal Business NameCollege Hills Opco, LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJuly 1, 1969 ()
Capacity96
Residents60
Percent Occupied63%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsBoth
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Legacy At College Hill

Legacy At College Hill was reviewed by Medicare to have a rating of 2 out of 5 stars.

About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Kansas Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

September 20, 2017 - 11 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmComplaintSend unopened mail from residents and promptly deliver unopened mail to residents.
FManyPotential for HarmComplaintHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmComplaintPrepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.
ESomePotential for HarmComplaintStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmComplaintMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
ESomePotential for HarmComplaintHire sufficient dietary support personnel.
DFewPotential for HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmComplaintEnsure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.
DFewPotential for HarmComplaintAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmComplaintGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
DFewPotential for HarmComplaintGive residents a notice of rights, rules, services and charges.

July 6, 2017 - 13 months ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$7,150 fine
JFewImmediate JeopardyComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
FManyPotential for HarmComplaintUse a registered nurse at least 8 hours a day, 7 days a week.
DFewPotential for HarmComplaintAllow residents the right to participate in the planning or revision of care and treatment.

December 22, 2016 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmComplaintDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
FManyPotential for HarmComplaint1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.

December 8, 2016 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
---Payment DenialPayment denial for 2 days
---Fine$26,133 fine

November 25, 2015 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
---Payment DenialPayment denial for 34 days
FManyPotential for HarmComplaint+InspectionHave a program that investigates, controls and keeps infection from spreading.
FManyPotential for HarmComplaint+InspectionKeep clinical record information safe.
FManyPotential for HarmComplaint+InspectionMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
FManyPotential for HarmComplaint+InspectionSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
FManyPotential for HarmComplaint+InspectionKeep residents' personal and medical records private and confidential.
ESomePotential for HarmComplaint+InspectionEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
ESomePotential for HarmComplaint+InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmComplaint+InspectionProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
ESomePotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
ESomePotential for HarmComplaint+InspectionProvide clean bed and bath linens that are in good condition.
ESomePotential for HarmComplaint+InspectionAt least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.
ESomePotential for HarmComplaint+InspectionEnsure each resident receives an accurate assessment by a qualified health professional.
DFewPotential for HarmComplaint+InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmComplaint+InspectionEnsure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.
DFewPotential for HarmComplaint+InspectionConduct initial and periodic assessments of each resident's functional capacity.
DFewPotential for HarmComplaint+InspectionEnsure residents maintain acceptable nutritional status.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Legacy At College Hill require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr 40min
2hr
ReportedExpected
CNA
45min
35min
ReportedExpected
LPN
30min
50min
ReportedExpected
RN
3hr 55min
3hr 30min
ReportedExpected
Total Nursing

This facility also provides approximately 5min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

76.2%
73.8%
73.8%
73.8%
96.1%
Q4 2016Q1 2017Q2 2017Q3 2017KS
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
65.8%
70.4%
84.1%
61.9%
94.1%
Q4 2016Q1 2017Q2 2017Q3 2017KS
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
29.8%
24.4%
38.6%
47.6%
40.0%
Q4 2016Q1 2017Q2 2017Q3 2017KS
Percentage of low risk long-stay residents who lose control of their bowels or bladder
27.7%
25.8%
23.7%
19.6%
24.2%
Q4 2016Q1 2017Q2 2017Q3 2017KS
Percentage of long-stay residents who received an antianxiety or hypnotic medication
17.5%
49.4%
22.2%
18.5%
19.3%
Q4 2016Q1 2017Q2 2017Q3 2017KS
Percentage of long-stay residents whose ability to move independently worsened
27.3%
18.9%
9.6%
12.5%
19.4%
Q4 2016Q1 2017Q2 2017Q3 2017KS
Percentage of long-stay residents who received an antipsychotic medication
11.1%
33.9%
23.2%
8.2%
16.2%
Q4 2016Q1 2017Q2 2017Q3 2017KS
Percentage of long-stay residents whose need for help with daily activities has increased
5.5%
7.0%
5.8%
12.9%
7.2%
Q4 2016Q1 2017Q2 2017Q3 2017KS
Percentage of long-stay residents who lose too much weight
5.9%
0.0%
2.2%
0.0%
4.9%
Q4 2016Q1 2017Q2 2017Q3 2017KS
Percentage of high risk long-stay residents with pressure ulcers
15.5%
4.9%
1.8%
5.0%
8.6%
Q4 2016Q1 2017Q2 2017Q3 2017KS
Percentage of long-stay residents who self-report moderate to severe pain
13.8%
20.9%
20.0%
18.0%
6.3%
Q4 2016Q1 2017Q2 2017Q3 2017KS
Percentage of long-stay residents who have depressive symptoms
6.8%
11.3%
11.6%
3.2%
5.1%
Q4 2016Q1 2017Q2 2017Q3 2017KS
Percentage of long-stay residents with a urinary tract infection
2.7%
2.8%
2.9%
3.2%
5.0%
Q4 2016Q1 2017Q2 2017Q3 2017KS
Percentage of long-stay residents experiencing one or more falls with major injury
0.0%
0.0%
0.0%
1.5%
2.1%
Q4 2016Q1 2017Q2 2017Q3 2017KS
Percentage of long-stay residents with a catheter inserted and left in their bladder
0.0%
0.0%
0.0%
0.0%
0.1%
Q4 2016Q1 2017Q2 2017Q3 2017KS
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

40.7%
-
-
16.1%
78.7%
Q4 2016Q1 2017Q2 2017Q3 2017KS
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
28.6%
-
-
-
75.1%
Q4 2016Q1 2017Q2 2017Q3 2017KS
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
-
-
-
-
70.2%
Q4 2016Q1 2017Q2 2017Q3 2017KS
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who made improvements in function
-
-
-
-
18.9%
Q4 2016Q1 2017Q2 2017Q3 2017KS
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who self-report moderate to severe pain
-
-
-
-
2.6%
Q4 2016Q1 2017Q2 2017Q3 2017KS
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who newly received an antipsychotic medication
0.0%
-
-
0.0%
1.4%
Q4 2016Q1 2017Q2 2017Q3 2017KS
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents with pressure ulcers that are new or worsened



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