Skilled nursing facility · CMS certification number 175561
MOUNT ST MARY
WICHITA, Kansas · Medicare and Medicaid
Certified beds, as filed in Care Compare: 24
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for July 1, 2024 to June 30, 2025 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on November 14, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,621,746 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$455,706 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,077,452 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,268,814 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$191,362 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $71,060 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$120,302 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$120,302 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 24 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 8,760 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 155 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 5,209 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 2,759 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 8,123 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 1 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 6 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 18 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 25 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 155 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 868.17 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 324.92 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1442404, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2024, ended June 30, 2024
Cost report for July 1, 2023 to June 30, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on January 7, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,371,787 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$456,246 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,828,033 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,900,023 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$71,990 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $286,482 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $214,492 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $214,492 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 24 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 7,937 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 14 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,554.67 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 566.93 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1401897, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2023, ended June 30, 2023
Cost report for July 1, 2022 to June 30, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 20, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,730,912 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$847,606 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,578,518 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,736,222 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$157,704 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $530,503 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $372,799 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $372,799 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 24 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 7,967 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 36 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 94.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 325.86 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 221.31 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1373503, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2022, ended June 30, 2022
Cost report for July 1, 2021 to June 30, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 20, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,442,127 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$475,628 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,917,755 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,363,963 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$446,208 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $526,613 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $80,405 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $80,405 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 24 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 7,234 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 38 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 73.8 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,148.75 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 190.37 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1340609, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2021, ended June 30, 2021
Cost report for July 1, 2020 to June 30, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 31, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,673,130 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$96,699 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,769,829 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,005,888 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$236,059 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $495,979 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $259,920 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $259,920 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 24 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 5,910 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 10 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 88.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,459.33 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 591 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1308275, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2020, ended June 30, 2020
Cost report for July 1, 2019 to June 30, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on February 24, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,186,943 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$86,051 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,272,994 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,057,922 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $215,072 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $326,419 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $541,491 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $541,491 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 24 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 6,434 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 8 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 65 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,246.67 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 804.25 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1280548, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2019, ended June 30, 2019
Cost report for July 1, 2018 to June 30, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 10, 2019.
None of these figures is carried on this report.
CMS report record 1247348, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2018, ended June 30, 2018
Cost report for March 28, 2018 to June 30, 2018 — a reporting period of 94 days, not a full year, on form CMS-2540-10, settled, processed by CMS on May 17, 2019.
None of these figures is carried on this report.
CMS report record 1224638, read from the public cost report file SNF10FY2018.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| CONGREGATION OF THE SISTERS OF ST JOSEPH INC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 12/01/2017 |
| BISE, DAVID | CONTRACTED MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 12/01/2017 |
| BERGEN, PATRICIA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 07/04/2014 |
| CONWAY, NANCY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 07/04/2014 |
| KREYENBUHL, JOAN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 07/09/2014 |
| O'BRIEN, MARGUERITE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 07/04/2014 |
| PARKS, CHRISTINE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 07/09/2014 |
| QUICK, MICHAEL | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 07/01/2017 |
| SCHAB, TAMI | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 07/01/2017 |
| TEICHMAN, RITA ANN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 12/01/2017 |
| BERGEN, PATRICIA | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 07/04/2014 |
| BISE, DAVID | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 03/28/2018 |
| CONWAY, NANCY | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 07/04/2014 |
| KREYENBUHL, JOAN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 07/09/2014 |
| O'BRIEN, MARGUERITE | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 12/15/2017 |
| PARKS, CHRISTINE | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 07/09/2014 |
| BISE, DAVID | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/01/2017 |
| CSJ INITIATIVES INC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 12/01/2017 |
| SLATER, WILLIAM | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 03/28/2018 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of MOUNT ST MARY INC (enrollment ID O20180919000666).
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| CONGREGATION OF THE SISTERS OF ST JOSEPH INC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 12/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| DAVID BISE | Individual | CONTRACTED MANAGING EMPLOYEE | 100 | 12/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CHRISTINE PARKS | Individual | CORPORATE DIRECTOR | Not stated in the filing | 7/9/2014 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOAN KREYENBUHL | Individual | CORPORATE DIRECTOR | Not stated in the filing | 7/9/2014 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARGUERITE O'BRIEN | Individual | CORPORATE DIRECTOR | Not stated in the filing | 7/4/2014 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MICHAEL QUICK | Individual | CORPORATE DIRECTOR | Not stated in the filing | 7/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NANCY CONWAY | Individual | CORPORATE DIRECTOR | Not stated in the filing | 7/4/2014 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PATRICIA L BERGEN | Individual | CORPORATE DIRECTOR | Not stated in the filing | 7/4/2014 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RITA ANN TEICHMAN | Individual | CORPORATE DIRECTOR | 14.3 | 12/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TAMI M SCHAB | Individual | CORPORATE DIRECTOR | Not stated in the filing | 7/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CHRISTINE PARKS | Individual | CORPORATE OFFICER | Not stated in the filing | 7/9/2014 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DAVID BISE | Individual | CORPORATE OFFICER | Not stated in the filing | 3/28/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOAN KREYENBUHL | Individual | CORPORATE OFFICER | Not stated in the filing | 7/9/2014 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARGUERITE O'BRIEN | Individual | CORPORATE OFFICER | 100 | 12/15/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NANCY CONWAY | Individual | CORPORATE OFFICER | Not stated in the filing | 7/4/2014 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PATRICIA L BERGEN | Individual | CORPORATE OFFICER | Not stated in the filing | 7/4/2014 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CSJ INITIATIVES INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | 100 | 12/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| DAVID BISE | Individual | OPERATIONAL/MANAGERIAL CONTROL | 100 | 12/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| WILLIAM SLATER | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 3/28/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- September 1, 2024: JEANNIE J MASTERSON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
Recent changes on this record
- November 14, 2025: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
- January 7, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2023.zip
- September 1, 2024: JEANNIE J MASTERSON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- February 20, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2022.zip
- January 20, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2021.zip
- December 31, 2021: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2020.zip
- February 24, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2019.zip
- December 10, 2019: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2018.zip
- May 17, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | March 31, 2025 | March 31, 2025 | 6 | 14 |
| 2 | October 4, 2023 | October 4, 2023 | 8 | 4 |
| 3 | January 20, 2022 | January 20, 2022 | 0 | 0 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
14 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| March 31, 2025 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Yes | Deficient, Provider has date of correction | April 23, 2025 |
| March 31, 2025 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | Yes | Deficient, Provider has date of correction | April 23, 2025 |
| March 31, 2025 | Health | F 0697 | Quality of Life and Care Deficiencies | Provide safe, appropriate pain management for a resident who requires such services. | D | Yes | Deficient, Provider has date of correction | April 23, 2025 |
| March 31, 2025 | Health | F 0730 | Nursing and Physician Services Deficiencies | Observe each nurse aide's job performance and give regular training. | F | Yes | Deficient, Provider has date of correction | April 23, 2025 |
| March 31, 2025 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | C | Yes | Deficient, Provider has date of correction | April 23, 2025 |
| March 31, 2025 | Health | F 0758 | Pharmacy Service Deficiencies | 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. | D | Yes | Deficient, Provider has date of correction | April 23, 2025 |
| October 4, 2023 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | November 3, 2023 |
| October 4, 2023 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | No | Deficient, Provider has date of correction | November 3, 2023 |
| October 4, 2023 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | November 3, 2023 |
| October 4, 2023 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | November 3, 2023 |
| October 4, 2023 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | November 3, 2023 |
| October 4, 2023 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | November 3, 2023 |
| October 4, 2023 | Health | F 0730 | Nursing and Physician Services Deficiencies | Observe each nurse aide's job performance and give regular training. | D | No | Deficient, Provider has date of correction | November 3, 2023 |
| October 4, 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | November 3, 2023 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
No penalty on file for this facility in CMS’s Care Compare penalties data.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Non profit - Corporation |
| Legal Business Name | MOUNT ST MARY INC |
| Date First Approved to Provide Medicare and Medicaid Services | 2018-03-28 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | Y |
| Urban | Y |
| County/Parish | Sedgwick |
| Telephone Number | 3166867171 |
| Chain Name | CSJ INITIATIVES |
| Chain ID | 864 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 24 |
| Average Number of Residents per Day | 20.8 |
| Overall Rating | 5 |
| Health Inspection Rating | 4 |
| QM Rating | 3 |
| Long-Stay QM Rating | 3 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on August 1, 2026.
Get an email when this record changes
One email a day naming what moved on MOUNT ST MARY: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On November 14, 2025: A cost report was filed for fiscal year 2025, on form CMS-2540-10. That is one line of the alert.
Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.
The citable document for MOUNT ST MARY
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Kansas at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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- ABCO WIRE AND METAL PRODUCTS, RUSSELL Water discharge permit
- DIVERSIFIED SERVICES, INC., WELLINGTON Water discharge permit
- CROSS MANUFACTURING, INC. - LEWIS, LEWIS Water discharge permit
- ANODIZING, INC., FORT SCOTT Water discharge permit
- PEERLESS PRODUCTS, INC., FORT SCOTT Water discharge permit
- LANDOLL CORPORATION #1, MARYSVILLE Water discharge permit
- ENERSYS, INC., HAYS Water discharge permit
- GE ENGINE SERVICES, INC., WINFIELD Water discharge permit
- TRIPLE M STEEL INC, MARIENTHAL Air emission source
- HAUPT CONST AIR CURTAIN INCINERATOR (AIR), SPRING HILL Air emission source
- HEAD, INC. TEMPORARY ASPHALT PLANT - TOPEKA (AIR), TOPEKA Air emission source
- ANDALE READY MIX - MILAN (PORTABLE)(AIR), MILAN Air emission source
- BETTIS ASPHALT - BAC - PP4 (AIR), TOPEKA Air emission source
- EMERY SAPP-NORTH CONCRETE PLANT (AIR), LAWRENCE Air emission source
- HAUPT CONST AIR CURTAIN INCINERATOR (AIR), SPRING HILL Air emission source
- HEAD, INC. - TOPEKA (ASPHALT) (AIR), TOPEKA Air emission source
Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 175561.