Mount St Mary

3700 E Lincoln St · Wichita, KS · 67218 · 3166867171

24 certified beds Non profit - Corporation Chain: Csj Initiatives Part of a CCRC

  • Staffing hours comfortably above national benchmarks.
  • No federal fines or payment denials in CMS’s 3-year window.

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Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 63
Serious harm & abuse 20% 100
Staffing 20% 93
Federal penalties 15% 100
Trend 10% 71
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 5 of 5 Inspections: 4 of 5 Staffing: 5 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day5.443.48 min · 4.1 strong
RN hours / resident-day1.020.55–0.75
Weekend hours / resident-day4.88≈ weekday level
Nursing turnover / year36%median 45%
Fines (3-yr window)none

Inspection citations (14 in the current record)

  • Potential for harm · D March 31, 2025 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected April 23, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D March 31, 2025 · found via complaint

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected April 23, 2025 · Quality of Life and Care

  • Potential for harm · D March 31, 2025 · found via complaint

    Provide safe, appropriate pain management for a resident who requires such services.

    Corrected April 23, 2025 · Quality of Life and Care

  • Potential for harm · F March 31, 2025 · found via complaint

    Observe each nurse aide's job performance and give regular training.

    Corrected April 23, 2025 · Nursing and Physician Services

  • Potential for harm · D March 31, 2025 · found via complaint

    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.

    Corrected April 23, 2025 · Pharmacy Service

  • No harm found · C March 31, 2025 · found via complaint

    Post nurse staffing information every day.

    Corrected April 23, 2025 · Nursing and Physician Services

  • Potential for harm · D October 4, 2023

    Ensure each resident receives an accurate assessment.

    Corrected November 3, 2023 · Resident Assessment and Care Planning

  • Potential for harm · E October 4, 2023

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected November 3, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D October 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.

    Corrected November 3, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D October 4, 2023

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected November 3, 2023 · Quality of Life and Care

  • Potential for harm · D October 4, 2023

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected November 3, 2023 · Quality of Life and Care

  • Potential for harm · D October 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.

    Corrected November 3, 2023 · Quality of Life and Care

  • Potential for harm · D October 4, 2023

    Observe each nurse aide's job performance and give regular training.

    Corrected November 3, 2023 · Nursing and Physician Services

  • Potential for harm · F October 4, 2023

    Provide and implement an infection prevention and control program.

    Corrected November 3, 2023 · Infection Control

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 175561 · certified since March 28, 2018. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.