Lakepoint Wichita, LLC
Wichita, Kansas · CCN 175466
22 surveys since 2010. The first finding at harm level was recorded in 2017.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 124
- Surveys
- 22
- Harm or worse
- 5
- Immediate jeopardy
- 2
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 110
- Ownership
- For profit - Limited Liability company
- Chain
- Independent
- County
- Sedgwick
- Medicare-certified since
- 2003
CMS ratings
- Overall
- 2
- Health inspection
- 2
- Staffing
- 4
- Quality measures
- 4
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded somewhat fewer weighted findings than its peer group.
Weighted by harm level, against 15 for-profit facilities of 100–127 beds in Kansas.
Last survey on record
Dec 4, 2024
705 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 4.89 | 3.63 |
| Registered-nurse hours per resident day | 0.52 | — |
| Annual nurse turnover | 54.5% | 50.7% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G24.3% | H— | I— |
| No harm, potential for more than minimal | D2963.0% | E1226.1% | F36.5% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F5503×
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- F6233×
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- F6893×
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F5822×
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- F6402×
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
In the surveyor’s words
From the most serious findings on record at Lakepoint Wichita, LLC, in the surveyor’s own words.
- Immediate jeopardy, isolatedF678Apr 20, 2022
The facility reported a census of 54 residents, with 20 identified as a full code (a technique of basic life support for the purpose of oxygenating the brain and heart until appropriate medical treatment can restore normal heart and ventilation action) advanced directive status. Based on interview and record review the facility failed to appropriately identify and confirm newly admitted Resident (R) 6's code status during an emergency. The staff found R6 on her bedroom floor, unresponsive and in [CONDITION(S)], which initiated the need for Emergency Medical Services (EMS) and the start of Cardio-pulmonary Resuscitation (CPR). […]
- Actual harm, isolatedF689Mar 9, 2023
The facility identified a census of 58 residents. The sample included 15 residents with eight residents reviewed for accidents. Based on observation, record review, and interview, the facility failed to ensure residents remained free from avoidable accidents and injuries. On 01/06/23 staff transferred Resident (R) 38 but failed to use appropriate gait belt technique. This failure resulted in a fall with a femur (thigh bone) fracture, which required surgical repair. The facility also failed to ensure adequate supervision during toileting for R10, who had a non-injury fall as a result. […]
- Actual harm, isolatedF692Mar 9, 2023
The facility identified a census of 58 residents. The sample included 15 residents with four residents reviewed for nutrition. Based on observation, record review, and interview, the facility failed to identify and respond to weight loss for Resident (R)14 to prevent further loss. The facility failed to ensure R14 had the required built-up eating utensils and staff assistance during meals and failed to involve the registered dietician (RD) and R14's physician to evaluate and initiate interventions to prevent further loss. […]
- No harm, potential for more than minimal, widespreadF851Dec 4, 2024
The facility had a census of 79 residents. Based on record review and interviews, the facility failed to submit complete and accurate staffing information through the Payroll-Based Journal (PBJ) as required. This deficient practice placed the residents at risk for unidentified and ongoing inadequate nurse staffing. Findings included: - The PBJ report provided by the Centers for Medicare & Medicaid Services (CMS) for Fiscal Year (YR) 2023 Quarter (Q) 4 indicated excessively low weekend staffing and FY 2024 Q1 indicated excessively low weekend staffing and no Registered Nurse (RN) hours for 10 days in January 2024, seven days in February 2024 and one day in March 2024. […]
- No harm, potential for more than minimal, widespreadF880Dec 4, 2024
The facility had a census of 79 residents. The sample included 20 residents. Based on observation, record review, and interview, the facility failed to use appropriate barriers while sorting soiled laundry, failed to maintain an ongoing waterborne pathogen prevention program to address and mitigate the risk for Legionella (Legionella is a bacterium which can cause pneumonia in vulnerable populations), and failed to implement Enhanced Barrier Precautions (EBP-infection control interventions designed to reduce transmission of resistant organisms which employ targeted gown and glove use during high contact care) for Resident (R)7, R385 and R391. This placed the residents at risk of infectious diseases. […]
Read 23 findings in full →The most serious and the most recent: 23 of 124 on record.
Every survey on record
FindingsAt actual harm or above
- Dec 4, 2024Standard and complaint12 findings
- Jul 30, 2024Complaint1 finding
- Sep 27, 2023Complaint2 findings
- Mar 9, 2023Standard22 findings · 2 harm
- Apr 20, 2022Complaint3 findings · 1 harm
- Jul 22, 2021Standard9 findings
- Oct 28, 2020Complaint1 finding
- Oct 23, 2019Complaint3 findings · 1 harm
Show the 14 earlier surveys
- Sep 25, 2019Standard9 findings
- Aug 1, 2019Complaint1 finding
- Jul 11, 2019Complaint5 findings
- Dec 15, 2017Complaint2 findings
- May 3, 2017Complaint1 finding · 1 harm
- Dec 7, 2016Standard11 findings
- Jun 1, 2016Complaint2 findings
- May 28, 2015Standard and complaint5 findings
- May 15, 2015Complaint2 findings
- Feb 7, 2014—7 findings
- Jan 23, 2014—2 findings
- Oct 17, 2012—4 findings
- Jul 13, 2011—13 findings
- Apr 7, 2010—7 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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