Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

DERBY HEALTH & REHABILITATION, LLC

DERBY, KS · 74 certified beds · Last Life Safety survey April 30, 2024

CMS Certification Number 175514 · first certified February 2010

Ownership

Independently operated (no chain recorded by CMS) · For profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

21
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
5
Tags cited more than once
Across separate surveys
15
Inspection & testing records
Of the citations on file

Position within KS

21 citations — more than 28% of the 296 certified nursing homes in KS. Compared within KS rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Holding steadyabout the same at the latest survey as at its earlier surveys in the window.

The latest survey found 7 citations; the earlier surveys in the window averaged 7. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (December 2025 to March 2026), and past the point by which nine in ten KS facilities have been surveyed. This facility’s last Life Safety survey was April 2024. Facilities in KS are typically surveyed 20–22 months after the last one (median 21), measured over 298 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

4 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

3 of the 21 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

3 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 21 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

How that compares

Citations on file over three years

Compared with the median facility in KS, and nationally. Surveyors differ markedly between states, so the KS figure is the meaningful one.

This facility21KS median27National median11
Citations on file over three years, compared
MeasureCitations
This facility21
Median facility in KS27
Median facility nationally11

Survey history

Citations at each Life Safety survey
92021-0552022-1172024-04
Citations at each Life Safety survey
Survey dateCitations
May 12, 20219
November 8, 20225
April 30, 20247

Most-cited tags

Most-cited tags at this facility
K-03633K-05112K-03452K-09202K-03242K-03721K-03551K-09181
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0363Install corridor and hallway doors that block smoke.32024-04-30
K-0511Have properly installed electrical wiring and gas equipment.22024-04-30
K-0345Have approved installation, maintenance and testing program for fire alarm systems.22022-11-08
K-0920Ensure proper usage of power strips and extension cords.22022-11-08
K-0324Provide properly protected cooking facilities.22022-11-08
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.12021-05-12
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.12024-04-30
K-0918Have generator or other power source capable of supplying service within 10 seconds.12024-04-30

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 10
  • Gas, Vacuum, and Electrical Systems Deficiencies 3
  • Emergency Preparedness Deficiencies 3
  • Services Deficiencies 2
  • Other 3
Citations by CMS category
CategoryCitations
Smoke Deficiencies10
Gas, Vacuum, and Electrical Systems Deficiencies3
Emergency Preparedness Deficiencies3
Services Deficiencies2
Miscellaneous Deficiencies2
Egress Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

April 30, 2024 — 7 citations

Citations issued on April 30, 2024
TagWhat the surveyor checksStatus
K-0222Add 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.Deficient, Provider has date of correction (June 21, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (June 21, 2024)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (June 24, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (June 21, 2024)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (June 21, 2024)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (June 21, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (June 21, 2024)

November 8, 2022 — 5 citations

Citations issued on November 8, 2022
TagWhat the surveyor checksStatus
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (January 5, 2023)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (January 5, 2023)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (January 5, 2023)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (January 5, 2023)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (January 5, 2023)

May 12, 2021 — 9 citations

Citations issued on May 12, 2021
TagWhat the surveyor checksStatus
E-0007Address patient/client population and determine types of services needed.Deficient, Provider has date of correction (June 20, 2021)
E-0015Address subsistence needs for staff and patients.Deficient, Provider has date of correction (June 20, 2021)
E-0030List the names and contact information of those in the facility.Deficient, Provider has date of correction (June 20, 2021)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (June 20, 2021)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (June 20, 2021)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (June 20, 2021)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (June 20, 2021)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (June 20, 2021)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (June 20, 2021)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.