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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeKansasLegacy at College Hill

Legacy at College Hill

5005 E 21st Street North, Wichita, KS 672083166859291
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
1/5
Staffing
3/5
Quality
3/5
Beds
75
certified
Special Focus Facility: SFF Candidate
4 fine(s) totaling $96,031

Key Findings

• CMS rates this facility 1/5 stars (below average)

• Has 75 certified beds with an average of 68.7 residents per day (92% occupancy)

• Last health inspection found 17 deficiencies (inspected Feb 13, 2025)

• Has been fined a total of $96,031 across 4 fine(s)

• Total nursing staff: 3.86 hours per resident per day

• Staff turnover rate: 47.9%

• Part of the Campbell Street Services chain (17 facilities)

Legacy at College Hill is a 1-star Medicare and Medicaid certified nursing home in Wichita, Kansas with 75 certified beds. It has been operating since 1969. The facility scored below average compared to Kansas facilities.

Beds
75
Avg Residents/Day
68.7
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Jul 1, 1969
Sprinklers
Yes
Council
Resident
County
Sedgwick
Last Inspection
Feb 13, 2025
Deficiencies (Cycle 1)
17
Weighted Score
275.8
Infection Citations
0

Deficiency Citations (71)

F0584Potential for Harm

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Survey: May 21, 2025Corrected: NoCycle: 1
F0689Potential for Harm

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

Survey: May 21, 2025Corrected: NoCycle: 1
F0925Potential for Harm

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Survey: May 21, 2025Corrected: NoCycle: 1
F0625Potential for Harm

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.

Survey: Feb 13, 2025Corrected: NoCycle: 1
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Feb 13, 2025Corrected: NoCycle: 1
F0689Potential for Harm

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

Survey: Feb 13, 2025Corrected: NoCycle: 1
F0698Potential for Harm

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Survey: Feb 13, 2025Corrected: NoCycle: 1
F0699Potential for Harm

Provide care or services that was trauma informed and/or culturally competent.

Survey: Feb 13, 2025Corrected: NoCycle: 1
F0756Potential for Harm

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Survey: Feb 13, 2025Corrected: NoCycle: 1
F0757Potential for Harm

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Survey: Feb 13, 2025Corrected: NoCycle: 1
F0758Potential for Harm

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.

Survey: Feb 13, 2025Corrected: NoCycle: 1
F0761Potential for Harm

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.

Survey: Feb 13, 2025Corrected: NoCycle: 1
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Feb 13, 2025Corrected: NoCycle: 1
F0849Potential for Harm

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Survey: Feb 13, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Feb 13, 2025Corrected: NoCycle: 1
F0883Potential for Harm

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Survey: Feb 13, 2025Corrected: NoCycle: 1
F0921Potential for Harm

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Survey: Feb 13, 2025Corrected: NoCycle: 1
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Jul 30, 2024Corrected: NoCycle: 2
F0684Potential for Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Jul 30, 2024Corrected: NoCycle: 2
F0686Actual Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey: Jul 30, 2024Corrected: NoCycle: 2
F0690Potential for Harm

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey: Jul 30, 2024Corrected: NoCycle: 2
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Jul 30, 2024Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jul 30, 2024Corrected: NoCycle: 2
F0690Potential for Harm

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey: May 2, 2023Corrected: NoCycle: 2
F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: May 2, 2023Corrected: NoCycle: 2
F0584Potential for Harm

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Survey: May 2, 2023Corrected: NoCycle: 2
F0600Immediate Jeopardy

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: May 2, 2023Corrected: NoCycle: 2
F0609Immediate Jeopardy

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: May 2, 2023Corrected: NoCycle: 2
F0610Immediate Jeopardy

Respond appropriately to all alleged violations.

Survey: May 2, 2023Corrected: NoCycle: 2
F0644Potential for Harm

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Survey: May 2, 2023Corrected: NoCycle: 2

+ 41 more deficiencies

Total Fines
$96,031
Number of Fines
4
Payment Denials
2
Total Penalties
6

Penalty History

FineMar 12, 2025
$8,281
FineApr 10, 2023
$9,315
FineJul 30, 2024
$34,775
FineMay 2, 2023
$43,660
Payment DenialMar 12, 2025
10 days denied
Payment DenialMay 2, 2023
16 days denied

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.73 hrs
National avg: 2.35 hrs
LPN0.82 hrs
National avg: 0.86 hrs
RN0.31 hrs
National avg: 0.68 hrs
Total Nursing3.86 hrs
National avg: 3.89 hrs
Weekend Total3.56 hrs
National avg: 0.00 hrs
Physical Therapist0.01 hrs
National avg: 0.07 hrs
Total Turnover
47.9%
RN Turnover
0.0%
Administrators Left
1

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Corporation
Recent Change
No

Owners & Managers (18)

NameRoleTypeOwnership %Since
KS PORTFOLIO MASTER SNF HOLDCO, LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Nov 1, 2015
KS PORTFOLIO INVESTOR, LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/AOct 31, 2015
KS PORTFOLIO MASTER HOLDCO, LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/ANov 1, 2015
KS PORTFOLIO SPONSOR, LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/ANov 1, 2015
NKERO INVESTMENTS LTD LLP5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/ANov 1, 2015
ADAMS, JOHN5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividualN/ANov 1, 2015
FISHFELD, JORDAN5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividualN/ANov 1, 2015
MENDELOVITZ, ISIDORE5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividualN/ANov 1, 2015
TOLIA, KIRIT5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividualN/ANov 1, 2015
TOLIA, SANJAY5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividualN/ANov 1, 2015
TOLIA, VINAY5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividualN/ANov 1, 2015
CAMPBELL STREET SERVICES LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AMar 1, 2022
KS PORTFOLIO MANAGER, LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/ANov 1, 2015
BRYANT, RODNEYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJan 1, 2018
FOX, AMYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AApr 3, 2025
GRIFFIN, STEVENOPERATIONAL/MANAGERIAL CONTROLIndividualN/AOct 28, 2024
DOLE, ISAACCORPORATE OFFICERIndividualN/AOct 31, 2015
COLLEGE HILLS REALCO, LLC5% OR GREATER MORTGAGE INTERESTOrganizationN/ANov 1, 2015

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Lincoln Care and Rehab

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Frequently Asked Questions

What is the CMS rating for Legacy at College Hill?▾
Legacy at College Hill has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 1/5, staffing rating of 3/5, and quality measures rating of 3/5. This facility is rated below average.
Has Legacy at College Hill had any health inspection violations?▾
Legacy at College Hill had 17 deficiency citations in its most recent health inspection (Feb 13, 2025). The facility has been fined a total of $96,031 across 4 fine(s).
What are the staffing levels at Legacy at College Hill?▾
Legacy at College Hill provides 3.86 total nursing staff hours per resident per day, including 0.31 RN hours, 0.82 LPN hours, and 2.73 nurse aide hours. The total staff turnover rate is 47.9%.
How many beds does Legacy at College Hill have?▾
Legacy at College Hill has 75 certified beds with an average of 68.7 residents per day, resulting in approximately 92% occupancy. The facility is For profit - Corporation owned and is part of the Campbell Street Services chain.
Are there other nursing homes near Legacy at College Hill?▾
Yes, there are 21 other nursing homes in Wichita, Kansas with an average rating of 2.9/5. You can compare all facilities on the Wichita nursing homes page.

Part of Campbell Street Services

This chain operates 17 facilities. View all →