Lilisity

Nursing home

Legacy at College Hill

5005 E 21St Street North, Wichita, KS 67208 · Map
For profit - Corporation · Part of Campbell Street Services (16 facilities) · 75 certified beds

Special Focus Facility candidate
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Legacy at College Hill is a Medicare-certified nursing home in Wichita, Kansas. CMS rates it 1 out of 5 stars overall (3/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.86 hours per resident per day, below the Kansas average of 4.07. Its most recent inspection on Feb 13, 2025 cited 17 deficiencies. Note: it is a CMS Special Focus Facility under enhanced oversight.

1 out of 5Overall CMS rating
1 out of 5Health inspections
3 out of 5Staffing
75 bedsCertified beds
  • Special Focus Facility candidateCMS lists this facility as a candidate for enhanced oversight.
  • 4 fines totaling $96,031In CMS records: 6 total penalties, 2 Medicare payment denials.

CMS quality ratings

Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.

Overall rating1/5
Health inspections1/5
Staffing3/5
Quality measures3/5
Long-stay quality2/5
Short-stay quality3/5

How Legacy at College Hill compares

This facility vs. the Kansas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.

MetricThis facilityKansas avgNational avgCompared with the state
Total nurse staffing (hrs/resident/day)3.864.073.89below avg
RN staffing (hrs/resident/day)0.310.710.68below avg
Aide staffing (hrs/resident/day)2.732.692.34above avg
Nursing staff turnover47.9%49.5%46.4%below avg
Deficiencies cited, last inspection17.010.19.5above avg

Staffing

Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.

3.86Total nurse hrs/resident/day
0.31RN hrs/resident/day
0.82LPN hrs/resident/day
2.73Aide hrs/resident/day
3.56Weekend nurse hrs/resident/day

Staff turnover

Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.

Total nursing staff47.9%
Registered nurses—
Administrator changes1 in last year

Recent health inspection

CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.

Feb 13, 2025Most recent inspection
17Deficiencies found
116Health inspection score
4Fines

Penalties in CMS records: 4 fines totaling $96,031, 6 total penalties, 2 Medicare payment denials.

What inspectors found at Legacy at College Hill

Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.

  • Potential for harm

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Environmental Deficiencies · May 21, 2025 · Full report (PDF)
  • Potential for harm

    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.

    Resident Rights Deficiencies · May 21, 2025 · Full report (PDF)
  • Potential for harm

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

    Quality of Life and Care Deficiencies · May 21, 2025 · Full report (PDF)
  • Potential for harm

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Environmental Deficiencies · Feb 13, 2025 · Full report (PDF)
  • Potential for harm

    Provide and implement an infection prevention and control program.

    Infection Control Deficiencies · Feb 13, 2025 · Full report (PDF)
Show all 12 deficiencies
  • Potential for harm

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Infection Control Deficiencies · Feb 13, 2025 · Full report (PDF)
  • Potential for harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Nutrition and Dietary Deficiencies · Feb 13, 2025 · Full report (PDF)
  • Potential for harm

    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

    Administration Deficiencies · Feb 13, 2025 · Full report (PDF)
  • Potential 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.

    Pharmacy Service Deficiencies · Feb 13, 2025 · Full report (PDF)
  • Potential for harm

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    Pharmacy Service Deficiencies · Feb 13, 2025 · Full report (PDF)
  • Potential for harm

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Pharmacy Service Deficiencies · Feb 13, 2025 · Full report (PDF)
  • Potential 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.

    Pharmacy Service Deficiencies · Feb 13, 2025 · Full report (PDF)

Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.

About this facility

Address
5005 E 21St Street North
Wichita, KS 67208
CMS certification #
175078
Ownership
For profit - Corporation
Certified beds
75
Avg residents/day
68.7
Provider type
Medicare and Medicaid
First certified
1969-07-01
Chain
Campbell Street Services (16 facilities)
Setting
Urban

Part of Campbell Street Services

Campbell Street Services operates 16 nursing facilities across the United States. View all Campbell Street Services facilities →

Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →

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Location and nearby

Explore the area around Legacy at College Hill using Google Maps.

Other public records

  • Staff pay 1 federal wage case with violations found, since 2015
  • Workplace safety 1 OSHA workplace safety inspection since 2022, no violations cited
Full public records, with dates and sources

Staff pay and workplace safety

Federal records about how the employer here treats its staff.

Federal wage and hour cases

The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.

  • Findings for Nov 1, 2015 to Jan 30, 2016. Violations found: Overtime. Back wages: $901 owed to 5 employees. Employer as DOL recorded it: Legacy at College Hill (College Hill OPCO LLC). Case 1781236.

Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.

OSHA workplace safety inspections

OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.

  • Mar 28, 2022: monitoring inspection, partial (safety). Case closed Apr 20, 2022. No violations cited. OSHA record. OSHA recorded the employer as College Hills Opco LLC.

Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.

Location and nearby care

Nearest hospital with an emergency room
Wesley Medical Center, Wichita. 2.3 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
Nearest Medicare nursing home
Great Plains Post Acute, Wichita. 1.3 miles away, straight line.
Nearest home health agency office
Legacy Home Health LLC, Wichita. 0.9 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
Nearest pharmacy
Walgreens. 1.4 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
Area
USDA classes ZIP code 67208 as metropolitan (metropolitan core).
Dialysis within 15 miles
Pediatrics Dialysis Service At Wesley, Wichita, 2.3 miles away, straight line
Davita East Wichita Dialysis Center, Wichita, 2.5 miles away, straight line (CMS rating 3 of 5 stars)
Fresenius Medical Care- Wichita East, Wichita, 2.7 miles away, straight line (has a shift starting after 5 pm; CMS rating 4 of 5 stars)
Hospice
22 Medicare hospices tell CMS they serve ZIP code 67208.
Faith Hospice, office in Wichita, 1.4 miles away, straight line
Good Shepherd Hospice, office in Wichita, 1.7 miles away, straight line (CMS family survey rating 5 of 5 stars)
Clear Path Hospice Of Wichita LLC, office in Wichita, 1.9 miles away, straight line
Nearest geriatric medicine practice
Premier Hospitalists Of Kansas LLC, Bel Aire. 3.3 miles away, straight line. 1 geriatric medicine doctor listed there.

Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.

Emergency and natural hazard risk

Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.

Flood zone
Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
FEMA National Risk Index
Overall: relatively moderate. By hazard: hurricane very low, inland flooding relatively moderate, wildfire very low, tornado very high, heat wave relatively high, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)

A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.

What we checked

Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.

SourceData as ofWhat we found
U.S. Department of Labor wage and hour casesOct 15, 2026See above
OSHA workplace safety inspections since 2016Oct 15, 2026See above
FEMA flood mapSee above
USDA wildfire riskApr 15, 2026Not shown: FEMA rates wildfire risk here very low
FEMA National Risk IndexSee above
CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmaciesSee above
HUD Multifamily Properties - AssistedJul 6, 2026Nothing on record
State Veterans Homes (NASVH directory)Sep 20, 2026Nothing on record
CMS Hospice - General InformationAug 19, 2026Nothing on record
CMS Home Health Care AgenciesMay 27, 2026Nothing on record
The community’s own websiteCould not read the site

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Frequently asked questions

Is Legacy at College Hill a good nursing home?

CMS gives Legacy at College Hill an overall rating of 1 out of 5 stars, including 3/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.

How is Legacy at College Hill staffed?

Legacy at College Hill reports 3.86 total nurse hours per resident per day, compared with the Kansas average of 4.07.

Has Legacy at College Hill had inspection problems?

Its most recent CMS inspection cited 17 deficiencies. This facility is on CMS's Special Focus list for enhanced oversight.

How many beds does Legacy at College Hill have?

Legacy at College Hill is certified for 75 beds.