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Nursing homeFAID #4765

Mount St Mary

3700 E LINCOLN ST, WICHITA, KS, 67218
(316) 686-7171
24 licensed beds

CMS rates Mount St Mary 5 out of 5 overall. Federal inspectors issued 32 citations across 7 inspections in the last three years, with no federal fines. Listing last updated 2026-11-06.

★★★★★5/5CMS Five-Star overall4/5 health inspections5/5 staffing4/5 quality measuresSource: CMS Care Compare

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Public record summary

What we can show you for free.
Bed capacity
24
State license
N087085
CMS facility ID
175561
Care type
Nursing home
Facility name
Mount St Mary
Street address
3700 E LINCOLN ST
City / state / ZIP
Wichita, KS 67218
Phone
(316) 686-7171
State license #
N087085

About this facility — Mount St Mary

Mount St Mary is a Medicare/Medicaid-certified skilled nursing facility in Wichita, Kansas. It is licensed for 24 beds — well below the median for skilled nursing facilities in Kansas (52 beds).

It is one of 168 senior care facilities in Wichita and 296 skilled nursing facilities across Kansas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Mount St Mary 32 times across 7 inspections in the last three years; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company
Csj Initiatives
Ownership type
Non profit - Corporation
Administrator
Luke Sponsel

Registered owners & officers

Congregation of the Sisters of St Joseph Inc
Direct owner — 100% stake — since 2017
Bergen, Patricia
Director · Officer — since 2014
Bise, David
Managing employee · Officer · Operational control — since 2017
Conway, Nancy
Director · Officer — since 2014
Csj Initiatives Inc
Operational control — since 2017
Kreyenbuhl, Joan
Director · Officer — since 2014
O'brien, Marguerite
Director · Officer — since 2014
Parks, Christine
Director · Officer — since 2014
Quick, Michael
Director — since 2017
Schab, Tami
Director — since 2017
Slater, William
Operational control — since 2018
Teichman, Rita Ann
Director — since 2017

Regulatory standing

Licensed / certified since
2018-03-28
CMS overall rating
5 of 5 stars
Health deficiencies
6 at the last standard inspection
Federal fines
None on record
Last standard inspection
2025-03-31
Nurse staffing
4.8 hours per resident per day

Cost & payer profile (FY2024 cost report)

Average billed charges
$677 per day (≈ $20,580/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
59% Medicaid · 2% Medicare · 40% private/other
Occupancy
90% (fiscal year 2024)
Vs. state median
119% above the KS median of $309/day — full state cost breakdown

Services & coverage

Licensed beds
24
Licensed as
Nursing Facility<BR> Assisted Living Facility
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

CleanNo food-safety or dietary citations in the last three years of federal inspections.
2025-03-31Health inspectionComplaint-triggered6 citations
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-04-23
F-0695
D · No harm foundFrom a complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-04-23
F-0697
D · No harm foundFrom a complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-04-23
F-0730
F · No harm foundFrom a complaint
Observe each nurse aide's job performance and give regular training.
Corrected 2025-04-23
F-0732
C · No harm foundFrom a complaint
Post nurse staffing information every day.
Corrected 2025-04-23
F-0758
D · No harm foundFrom a 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 2025-04-23
2023-10-04Health inspection8 citations
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2023-11-03
F-0656
E · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-11-03
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2023-11-03
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-11-03
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-11-03
F-0690
D · No harm found
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 2023-11-03
F-0730
D · No harm found
Observe each nurse aide's job performance and give regular training.
Corrected 2023-11-03
F-0880
F · No harm found
Provide and implement an infection prevention and control program.
Corrected 2023-11-03
2 earlier / fire-safety inspections (18 citations)
2025-03-31Fire-safety inspection14 citations
E-0009
F · No harm found
Include a process for Emergency Preparedness collaboration.
Corrected 2025-06-06
E-0015
F · No harm found
Address subsistence needs for staff and patients.
Corrected 2025-06-06
E-0023
F · No harm found
Establish policies and procedures for medical documentation.
Corrected 2025-06-06
E-0033
F · No harm found
Establish methods for sharing information.
Corrected 2025-06-06
E-0034
F · No harm found
Provide a means of sharing information on occupancy/needs.
Corrected 2025-06-06
E-0035
F · No harm found
Provide family notifications of emergency plan.
Corrected 2025-06-06
K-0211
F · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-06-06
K-0324
F · No harm found
Provide properly protected cooking facilities.
Corrected 2025-06-06
K-0346
F · No harm found
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2025-06-06
K-0354
F · No harm found
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2025-06-06
K-0362
F · No harm found
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2025-06-06
K-0363
F · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2025-06-06
K-0521
F · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-06-06
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2025-06-06
2023-10-04Fire-safety inspection4 citations
K-0321
F · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-12-01
K-0343
D · No harm found
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
Corrected 2023-12-01
K-0353
D · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-12-01
K-0362
D · No harm found
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2023-12-01
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 175561.

Quality of care & staffing

How it compares in Kansas.
Inspection citations, 3 years
32
More than 10% of nursing homes in the state
State median: 53
Federal fines, 3 years
$0
No federal fines on record
State median: $0
Nurse staffing, hours per resident per day
4.8
Higher than 80% of nursing homes in the state
State median: 4.0
Nursing staff turnover, annual
44%
Higher than 42% of nursing homes in the state
State median: 48%

Resident outcomes

On 17 federal quality measures, this facility does better than the Kansas average on 7 and worse on 7. Differences within 10% of the average are shown as near average.

Long-stay residentsThis facilityStateUSCompared with state
Need for help with daily activities has increased20.7%17.4%13.5%Worse than state
Lose too much weight6.3%4.8%5.1%Worse than state
With a catheter inserted and left in their bladder0.0%1.4%0.7%Better than state
With a urinary tract infection10.5%2.8%1.5%Worse than state
Have depressive symptoms1.4%6.6%13.5%Better than state
Were physically restrained0.0%0.0%0.1%Better than state
Experiencing one or more falls with major injury2.6%4.2%3.2%Better than state
Assessed and appropriately given the pneumococcal vaccine98.7%92.9%93.7%Near state average
Ability to walk independently worsened17.9%14.5%12.7%Worse than state
Received an antianxiety or hypnotic medication12.3%23.4%19.5%Better than state
Assessed and appropriately given the seasonal influenza vaccine100.0%94.9%95.3%Near state average
With pressure ulcers5.5%4.4%4.5%Worse than state
With new or worsened bowel or bladder incontinence34.9%21.6%18.3%Worse than state
Received an antipsychotic medication26.2%17.7%15.4%Worse than state
Hospitalizations per 1000 long-stay resident days0.831.691.81Better than state
Outpatient emergency department visits per 1000 long-stay resident days0.722.001.69Better than state
Short-stay residentsThis facilityStateUSCompared with state
Assessed and appropriately given the pneumococcal vaccine78.9%77.1%82.3%Near state average
Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

  • F-0656 2 inspections. Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  • F-0730 2 inspections. Observe each nurse aide's job performance and give regular training.
  • K-0362 2 inspections. Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

Verify & compare

Where to check, and what's nearby.

Who to contact in Kansas

  • Licensing: Kansas Department for Aging and Disability Services (KDADS)
  • Adult Protective Services: 800-922-5330. Some states send facility cases to licensing instead. In an emergency, call 911.
  • Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

  • Wichita Va Medical Center, about 1.1 miles. CMS rating 5 of 5.
  • Wesley Medical Center, about 1.6 miles. CMS rating 4 of 5.
  • Ascension Via Christi Hospitals Wichita, Inc., about 2.9 miles. CMS rating 2 of 5.
Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 32 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
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Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-11-06
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered