Public Record
Derby Health & Rehabilitation, Llc
From CMS
Facility profile
- CMS overall rating
- 5 / 5
- Certified beds
- 74
- Avg. residents per day
- 70
*CMS Five-Star
*CMS
*CMS
Inspection record
On record from CMS
- Citations on record
- 35
- Inspections on file
- 7
- Last inspection
- 2026-03-11
*CMS
*CMS
*CMS
Citations
35 citations on record
Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0628Generalpotential for harm
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- 0684Generalpotential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 0689Generalpotential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0693Generalpotential for harm
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
- 0756Generalpotential 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.
- 0757Generalpotential for harm
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0582Generalpotential for harm
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- 0602Generalpotential for harm
Protect each resident from the wrongful use of the resident's belongings or money.
- 0689Generalpotential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0222Generalpotential for harm
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- 0353Generalpotential for harm
Inspect, test, and maintain automatic sprinkler systems.
- 0355Generalpotential for harm
Properly select, install, inspect, or maintain portable fire extinguishes.
- 0363Generalpotential for harm
Install corridor and hallway doors that block smoke.
- 0511Generalpotential for harm
Have properly installed electrical wiring and gas equipment.
- 0761Generalpotential for harm
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- 0918Generalpotential for harm
Have generator or other power source capable of supplying service within 10 seconds.
- 0324Generalpotential for harm
Provide properly protected cooking facilities.
- 0345Generalpotential for harm
Have approved installation, maintenance and testing program for fire alarm systems.
- 0689Generalpotential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0690Generalpotential 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.
- 0761Generalpotential 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.
- 0732Generalno actual harm
Post nurse staffing information every day.
- 0363Generalpotential for harm
Install corridor and hallway doors that block smoke.
- 0511Generalpotential for harm
Have properly installed electrical wiring and gas equipment.
- 0920Generalpotential for harm
Ensure proper usage of power strips and extension cords.
- 0345Generalpotential for harm
Have approved installation, maintenance and testing program for fire alarm systems.
- 0372Generalpotential for harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- 0712Generalpotential for harm
Have simulated fire drills held at unexpected times.
- 0920Generalpotential for harm
Ensure proper usage of power strips and extension cords.
- 0007Generalpotential for harm
Address patient/client population and determine types of services needed.
- 0015Generalpotential for harm
Address subsistence needs for staff and patients.
- 0030Generalpotential for harm
List the names and contact information of those in the facility.
- 0324Generalpotential for harm
Provide properly protected cooking facilities.
- 0363Generalpotential for harm
Install corridor and hallway doors that block smoke.
FAQ
Questions and answers
- What is Derby Health & Rehabilitation, Llc?
- Derby Health & Rehabilitation, Llc is a Medicare- and Medicaid-certified nursing home in Derby, KS, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 175514.
- What is the CMS rating for Derby Health & Rehabilitation, Llc?
- Derby Health & Rehabilitation, Llc has a CMS overall rating of 5 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
- How many beds does Derby Health & Rehabilitation, Llc have?
- Derby Health & Rehabilitation, Llc is certified for 74 beds. It serves an average of 70 residents per day.
- How many citations does Derby Health & Rehabilitation, Llc have?
- Derby Health & Rehabilitation, Llc has 35 citations on record from CMS health inspections, each tied to a federal deficiency tag.
- When was Derby Health & Rehabilitation, Llc last inspected?
- Derby Health & Rehabilitation, Llc was last inspected on March 11, 2026. CMS surveys nursing homes about once a year and after complaints.
- What can I do if I have concerns about care at this facility?
- Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.
*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.
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