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

AZRIA HEALTH WICHITA

WICHITA, KS · 70 certified beds · Last Life Safety survey April 15, 2024

CMS Certification Number 175563 · first certified May 2019

Ownership

Operated by AZRIA HEALTH · For profit - Limited Liability company

Ownership changed October 1, 2021 (change of ownership)from MOC WICHITA LLC

Citations on file

Rolling three-year window

Life Safety surveys

In the same window

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within KS

34 citations — more than 73% 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 11 citations; the earlier surveys in the window averaged 11.5. 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 February 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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7 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

2 of the 34 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)

5 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 34 Life Safety citations above. The Physical Environment Index

F-0880 Provide and implement an infection prevention and control program.
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.

Citations on file over three years, compared
Measure	Citations
This facility	34
Median facility in KS	27
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
September 22, 2020	9
June 27, 2022	14
April 15, 2024	11

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
K-0363	Install corridor and hallway doors that block smoke.	3	2024-04-15
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	3	2024-04-15
K-0353	Inspect, test, and maintain automatic sprinkler systems.	3	2024-04-15
K-0222	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.	2	2024-04-15
K-0712	Have simulated fire drills held at unexpected times.	2	2022-06-27
K-0920	Ensure proper usage of power strips and extension cords.	2	2024-04-15
K-0511	Have properly installed electrical wiring and gas equipment.	2	2024-04-15
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	2	2024-04-15

What the citations cover

Citations by CMS category

Smoke Deficiencies 13
Gas, Vacuum, and Electrical Systems Deficiencies 8
Miscellaneous Deficiencies 6
Egress Deficiencies 3
Other 4

Citations by CMS category
Category	Citations
Smoke Deficiencies	13
Gas, Vacuum, and Electrical Systems Deficiencies	8
Miscellaneous Deficiencies	6
Egress Deficiencies	3
Services Deficiencies	2
Emergency Preparedness Deficiencies	2

Every citation on file

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

April 15, 2024 — 11 citations

Citations issued on April 15, 2024
Tag	What the surveyor checks	Status
K-0222	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.	Deficient, Provider has date of correction (June 12, 2024)
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	Deficient, Provider has date of correction (June 14, 2024)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (June 14, 2024)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (June 14, 2024)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (June 14, 2024)
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has date of correction (June 12, 2024)
K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.	Deficient, Provider has date of correction (June 14, 2024)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (June 17, 2024)
K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.	Deficient, Provider has date of correction (June 17, 2024)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (June 14, 2024)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (June 14, 2024)

June 27, 2022 — 14 citations

Citations issued on June 27, 2022
Tag	What the surveyor checks	Status
K-0222	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.	Deficient, Provider has date of correction (August 23, 2022)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (August 23, 2022)
K-0342	Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.	Deficient, Provider has date of correction (August 23, 2022)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (August 23, 2022)
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	Deficient, Provider has date of correction (August 23, 2022)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (August 23, 2022)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (August 23, 2022)
K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes.	Deficient, Provider has date of correction (August 23, 2022)
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has date of correction (August 23, 2022)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (August 23, 2022)
K-0781	Have restrictions on the use of portable space heaters.	Deficient, Provider has date of correction (August 23, 2022)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (August 23, 2022)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (August 23, 2022)
K-0923	Have proper medical gas storage and administration areas.	Deficient, Provider has date of correction (August 23, 2022)

September 22, 2020 — 9 citations

Citations issued on September 22, 2020
Tag	What the surveyor checks	Status
E-0006	Conduct risk assessment and an All-Hazards approach.	Deficient, Provider has date of correction (April 7, 2021)
E-0026	Establish roles under a Waiver declared by secretary.	Deficient, Provider has date of correction (April 7, 2021)
K-0291	Install emergency lighting that can last at least 1 1/2 hours.	Deficient, Provider has date of correction (April 7, 2021)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (April 7, 2021)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (April 7, 2021)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (April 7, 2021)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (April 7, 2021)
K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.	Deficient, Provider has date of correction (April 7, 2021)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (April 7, 2021)

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