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Health Inspection

Legacy At College Hill

June 3, 2026 · Wichita, KS · 5005 E 21st Street North
Citations 15
CMS Rating 1/5
Beds 75
Provider ID 175078
Healthcare Facility
Legacy At College Hill
Wichita, KS  ·  View full profile →
Inspection Summary

LEGACY AT COLLEGE HILL in WICHITA, KS — inspection on June 3, 2026.

Found 15 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0558
Resident Rights Deficiencies
Potential for More Than Minimal Harm

Federal health inspectors cited LEGACY AT COLLEGE HILL in WICHITA, KS for a deficiency under regulatory tag F-F0558 during a standard health inspection conducted on 2026-06-03.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: Reasonably accommodate the needs and preferences of each resident.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 15 deficiencies cited during this inspection of LEGACY AT COLLEGE HILL.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2026-06-30.

Federal health inspectors cited LEGACY AT COLLEGE HILL in WICHITA, KS for a deficiency under regulatory tag F-F0565 during a standard health inspection conducted on 2026-06-03.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: Honor the resident's right to organize and participate in resident/family groups in the facility.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 15 deficiencies cited during this inspection of LEGACY AT COLLEGE HILL.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2026-06-30.

Federal health inspectors cited LEGACY AT COLLEGE HILL in WICHITA, KS for a deficiency under regulatory tag F-F0577 during a standard health inspection conducted on 2026-06-03.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Scope/Severity Level C: pattern, no actual harm with potential for minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 15 deficiencies cited during this inspection of LEGACY AT COLLEGE HILL.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2026-06-30.

Federal health inspectors cited LEGACY AT COLLEGE HILL in WICHITA, KS for a deficiency under regulatory tag F-F0583 during a standard health inspection conducted on 2026-06-03.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: Keep residents' personal and medical records private and confidential.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 15 deficiencies cited during this inspection of LEGACY AT COLLEGE HILL.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2026-06-30.

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Federal health inspectors cited LEGACY AT COLLEGE HILL in WICHITA, KS for a deficiency under regulatory tag F-F0584 during a standard health inspection conducted on 2026-06-03.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: 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.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 15 deficiencies cited during this inspection of LEGACY AT COLLEGE HILL.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2026-06-30.

Federal health inspectors cited LEGACY AT COLLEGE HILL in WICHITA, KS for a deficiency under regulatory tag F-F0644 during a standard health inspection conducted on 2026-06-03.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 15 deficiencies cited during this inspection of LEGACY AT COLLEGE HILL.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2026-06-30.

Federal health inspectors cited LEGACY AT COLLEGE HILL in WICHITA, KS for a deficiency under regulatory tag F-F0657 during a standard health inspection conducted on 2026-06-03.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 15 deficiencies cited during this inspection of LEGACY AT COLLEGE HILL.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2026-06-30.

Federal health inspectors cited LEGACY AT COLLEGE HILL in WICHITA, KS for a deficiency under regulatory tag F-F0677 during a standard health inspection conducted on 2026-06-03.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide care and assistance to perform activities of daily living for any resident who is unable.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 15 deficiencies cited during this inspection of LEGACY AT COLLEGE HILL.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2026-06-30.

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Federal health inspectors cited LEGACY AT COLLEGE HILL in WICHITA, KS for a deficiency under regulatory tag F-F0679 during a standard health inspection conducted on 2026-06-03.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide activities to meet all resident's needs.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 15 deficiencies cited during this inspection of LEGACY AT COLLEGE HILL.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2026-06-30.

Federal health inspectors cited LEGACY AT COLLEGE HILL in WICHITA, KS for a deficiency under regulatory tag F-F0689 during a standard health inspection conducted on 2026-06-03.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Scope/Severity Level J: isolated, immediate jeopardy to resident health or safety.

This represents an immediate jeopardy situation, the most serious level of deficiency.

This was one of 15 deficiencies cited during this inspection of LEGACY AT COLLEGE HILL.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2026-06-30.

Federal health inspectors cited LEGACY AT COLLEGE HILL in WICHITA, KS for a deficiency under regulatory tag F-F0690 during a standard health inspection conducted on 2026-06-03.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 15 deficiencies cited during this inspection of LEGACY AT COLLEGE HILL.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2026-06-30.

Federal health inspectors cited LEGACY AT COLLEGE HILL in WICHITA, KS for a deficiency under regulatory tag F-F0695 during a standard health inspection conducted on 2026-06-03.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide safe and appropriate respiratory care for a resident when needed.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 15 deficiencies cited during this inspection of LEGACY AT COLLEGE HILL.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2026-06-30.

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Federal health inspectors cited LEGACY AT COLLEGE HILL in WICHITA, KS for a deficiency under regulatory tag F-F0698 during a standard health inspection conducted on 2026-06-03.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide safe, appropriate dialysis care/services for a resident who requires such services.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 15 deficiencies cited during this inspection of LEGACY AT COLLEGE HILL.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2026-06-30.

Federal health inspectors cited LEGACY AT COLLEGE HILL in WICHITA, KS for a deficiency under regulatory tag F-F0732 during a standard health inspection conducted on 2026-06-03.

Category: Nursing and Physician Services Deficiencies

The facility was found deficient in the following area: Post nurse staffing information every day.

Scope/Severity Level C: pattern, no actual harm with potential for minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 15 deficiencies cited during this inspection of LEGACY AT COLLEGE HILL.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2026-06-30.

Federal health inspectors cited LEGACY AT COLLEGE HILL in WICHITA, KS for a deficiency under regulatory tag F-F0804 during a standard health inspection conducted on 2026-06-03.

Category: Nutrition and Dietary Deficiencies

The facility was found deficient in the following area: Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 15 deficiencies cited during this inspection of LEGACY AT COLLEGE HILL.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2026-06-26.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in WICHITA, KS, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from LEGACY AT COLLEGE HILL or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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