ElderGrade
D

44.6/100

Below average

Legacy At College Hill

5005 E 21St Street North, Wichita, KS 67208

CMS 1/5 stars #25 of 29 in Sedgwick County (316) 685-9291
Certified beds
75
Occupancy
81%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 6 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $43,188 in federal fines

    CMS has fined this facility across 2 penalty action(s).

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

8.6/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -10 for 1 immediate-jeopardy citation(s) in the last 3 years
  • -4 for 1 actual-harm citation(s) in the last 3 years
  • -7.4 for 38 total citations against a national median of 17

Staffing

16.5/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 4.38 total nurse hours per resident per day (national median 3.77)
  • 0.38 RN hours per resident per day
  • Weekend staffing drops 17% against weekdays

Staff stability

7.5/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • No turnover figure reported — scored neutral

Resident outcomes

9/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 3 of 5 stars on the CMS quality-measure rating

Enforcement history

3/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $43,188 in federal fines across 2 action(s)
  • -2 for 1 denial(s) of Medicare payment for new admissions

Grade ceiling applied

  • Capped at 64 (grade C) — immediate-jeopardy citation in the last 3 years

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.84 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.38 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.21 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover Not reported

The share of nursing staff who left over the last year.

Recent inspection findings

All 63 citations

Last standard health inspection: June 3, 2026 (2 months ago).

J Jun 3, 2026 F0689

Quality of Life and Care Deficiencies

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

Immediate jeopardy to resident health or safety

E Jun 3, 2026 F0565

Resident Rights Deficiencies

Honor the resident's right to organize and participate in resident/family groups in the facility.

No actual harm, potential for more than minimal harm

E Jun 3, 2026 F0584

Resident Rights Deficiencies

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.

No actual harm, potential for more than minimal harm

D Jun 3, 2026 F0558

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

No actual harm, potential for more than minimal harm

D Jun 3, 2026 F0583

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

No actual harm, potential for more than minimal harm

D Jun 3, 2026 F0644

Resident Assessment and Care Planning Deficiencies

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

No actual harm, potential for more than minimal harm

D Jun 3, 2026 F0657

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.

No actual harm, potential for more than minimal harm

D Jun 3, 2026 F0677

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of CAMPBELL STREET SERVICES, which operates 20 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
KS PORTFOLIO INVESTOR, LLC Organization INDIRECT OWNERSHIP INTEREST
KS PORTFOLIO MASTER HOLDCO, LLC Organization INDIRECT OWNERSHIP INTEREST
KS PORTFOLIO MASTER SNF HOLDCO, LLC Organization INDIRECT OWNERSHIP INTEREST
KS PORTFOLIO SPONSOR, LLC Organization INDIRECT OWNERSHIP INTEREST
NKERO INVESTMENTS LTD LLP Organization INDIRECT OWNERSHIP INTEREST
ADAMS, JOHN Individual INDIRECT OWNERSHIP INTEREST
DOLE, ISAAC Individual INDIRECT OWNERSHIP INTEREST
FISHFELD, JORDAN Individual INDIRECT OWNERSHIP INTEREST
MENDELOVITZ, ISIDORE Individual INDIRECT OWNERSHIP INTEREST
TOLIA, KIRIT Individual INDIRECT OWNERSHIP INTEREST
TOLIA, SANJAY Individual INDIRECT OWNERSHIP INTEREST
TOLIA, VINAY Individual INDIRECT OWNERSHIP INTEREST

What families say

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Common questions about Legacy At College Hill

What is the ElderGrade for Legacy At College Hill? +

Legacy At College Hill holds an ElderGrade of D (44.6 out of 100), which we describe as "below average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Legacy At College Hill? +

Residents receive an average of 3.84 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Legacy At College Hill been cited for harming residents? +

Yes. 6 of the 63 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Legacy At College Hill accept Medicaid? +

Yes, Legacy At College Hill is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.