Legacy at College Hill
5005 E 21st Street North · Wichita, KS · 67208 · 3166859291
75 certified beds For profit - Corporation Chain: Campbell Street Services
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $43,188 in fines in the last 24 months.
- 4 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
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.
Red flags
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
3 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
3 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.82 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.36 | 0.55–0.75 |
| Weekend hours / resident-day | 3.49 | ≈ weekday level |
| Nursing turnover / year | 51% | median 45% |
| Fines (3-yr window) | 2 · $43,188 |
Inspection citations (70 in the current record)
-
Potential for harm · E May 21, 2025 · found via complaint
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.
Corrected June 20, 2025 · Resident Rights
-
Potential for harm · D May 21, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 20, 2025 · Quality of Life and Care
-
Potential for harm · F May 21, 2025 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected June 20, 2025 · Environmental
-
Potential for harm · D February 13, 2025 · found via complaint
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.
Corrected March 7, 2025 · Resident Rights
-
Potential for harm · D February 13, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected March 7, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D February 13, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 7, 2025 · Quality of Life and Care
-
Potential for harm · D February 13, 2025 · found via complaint
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected March 7, 2025 · Quality of Life and Care
-
Potential for harm · D February 13, 2025 · found via complaint
Provide care or services that was trauma informed and/or culturally competent.
Corrected March 7, 2025 · Quality of Life and Care
-
Potential for harm · D February 13, 2025 · found via complaint
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected March 7, 2025 · Pharmacy Service
-
Potential for harm · D February 13, 2025 · found via complaint
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected March 7, 2025 · Pharmacy Service
-
Potential for harm · D February 13, 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 March 7, 2025 · Pharmacy Service
-
Potential for harm · D February 13, 2025 · found via complaint
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.
Corrected March 7, 2025 · Pharmacy Service
-
Potential for harm · E February 13, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 7, 2025 · Nutrition and Dietary
-
Potential for harm · D February 13, 2025 · found via complaint
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.
Corrected March 7, 2025 · Administration
-
Potential for harm · F February 13, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected March 7, 2025 · Infection Control
-
Potential for harm · E February 13, 2025 · found via complaint
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected March 7, 2025 · Infection Control
-
Potential for harm · F February 13, 2025 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected March 7, 2025 · Environmental
-
Actual harm · G July 30, 2024 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected August 23, 2024 · Quality of Life and Care
-
Potential for harm · D July 30, 2024 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected August 23, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D July 30, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 23, 2024 · Quality of Life and Care
-
Potential for harm · D July 30, 2024 · found via complaint
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 August 23, 2024 · Quality of Life and Care
-
Potential for harm · D July 30, 2024 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected August 23, 2024 · Pharmacy Service
-
Potential for harm · D July 30, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected August 23, 2024 · Infection Control
-
Immediate jeopardy · L May 2, 2023
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected June 15, 2023 · Freedom from Abuse, Neglect, and Exploitation
-
Immediate jeopardy · K May 2, 2023
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected June 15, 2023 · Freedom from Abuse, Neglect, and Exploitation
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 12, 2025 | Fine | $8,413 |
| March 12, 2025 | Payment Denial | 10 days |
| July 30, 2024 | Fine | $34,775 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 175078 · certified since July 1, 1969. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.