Above average — CMS composite of the measures below.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Ascension Living Via Christi Village Mclean during CMS and state inspections, most recent first.
A resident with severe cognitive impairment and multiple diagnoses had a DNR order in their record that was only signed by two nurses as a verbal order, lacking the required physician signature. Staff interviews confirmed the DNR was incomplete, and facility policy required physician signatures on such orders. The deficiency was identified through record review and staff interviews.
A resident who transitioned from skilled nursing care to LTC did not receive a completed SNF ABN form, despite having a NOMNC form signed for the end of Medicare coverage. Administrative staff confirmed the missing documentation and the facility lacked a policy on Beneficiary Protection Notifications.
A resident was administered psychotropic medications without a clear clinical indication or was given medications that restrained their ability to function, resulting in a deficiency related to medication management.
A resident with diabetes, impaired cognition, and chronic wounds did not receive ordered wound care when a nurse documented the treatment as completed in the EHR without actually performing it. The resident was observed with an exposed wound and soiled dressing in a common area, and staff did not intervene. The nurse later admitted to signing off the treatment before it was done, contrary to facility policy.
A resident with Parkinson's disease and moderately impaired cognition did not receive consistent assistance with facial hair grooming, resulting in visible beard stubble on multiple occasions. The care plan lacked specific instructions for shaving, and staff typically only offered shaving on shower days, despite the resident's inability to perform this task independently. Documentation and interviews confirmed the deficiency in providing necessary ADL support.
A resident did not receive treatment and care in accordance with physician orders and their own stated preferences and goals, as identified by surveyors through observation and record review.
Staff did not consistently follow Enhanced Barrier Precautions or proper hand hygiene during direct care of residents with indwelling devices and during peri-care, including failing to wear required PPE and not performing hand hygiene between glove changes. Additionally, respiratory equipment was improperly stored in damaged bags on the floor, contrary to infection control expectations.
A resident with acute hypoxia and respiratory failure was transferred to the hospital at the family's request, but the facility did not provide a written bed hold notice or written notification of the transfer as required. Staff interviews revealed inconsistent practices, with some relying on verbal communication or delayed written forms that lacked required details. The facility's policy required written notice at the time of transfer, which was not followed in this instance.
Failure to Obtain Physician Signature on DNR Order
Penalty
Summary
The facility failed to ensure that a resident's advance directive, specifically a Do Not Resuscitate (DNR) order, was properly completed and validated according to policy and regulatory requirements. The DNR order for one resident was only signed by two licensed nurses as a verbal order and lacked the required physician signature, rendering the document invalid. This deficiency was identified through review of the resident's electronic health record, which showed the DNR order in the scanned documents section without a physician or provider signature. Interviews with facility staff, including a licensed nurse, the social service designee, and the administrative nurse, confirmed that the DNR was incomplete and that the expectation was for all DNRs to be signed by a physician. The resident involved had diagnoses of dementia, depression, and anxiety, with severely impaired cognition as indicated by a Brief Interview for Mental Status (BIMS) score of zero. The resident was totally dependent on staff for all activities of daily living and was receiving hospice services, with an anticipated decline in all care areas. The facility's policy required that advance directives be reviewed upon admission and at least annually, and that records be maintained in accordance with federal and state law. Despite these requirements, the DNR order for this resident was not properly executed, as it lacked the necessary physician signature.
Failure to Issue Required Beneficiary Notification Forms
Penalty
Summary
The facility failed to provide a completed Skilled Nursing Facility Advance Beneficiary Notice of Non-Coverage (SNF ABN) form for one resident who transitioned from skilled nursing care to long-term care. The resident was admitted from the hospital for skilled nursing and rehabilitation services and later discharged from physical therapy to remain in the facility for long-term care. Although the Notification of Medicare Non-Coverage (NOMNC) form was signed, indicating the last covered day of service, the required SNF ABN form was missing from the resident's records. During an interview, administrative staff confirmed the absence of the SNF ABN and acknowledged that it should have been completed prior to the end of therapy services. The facility did not provide a policy regarding Beneficiary Protection Notifications.
Unnecessary Use of Psychotropic Medications
Penalty
Summary
The facility failed to prevent the use of unnecessary psychotropic medications or the use of medications that may restrain a resident's ability to function. This deficiency indicates that residents were either prescribed psychotropic drugs without a clear clinical indication or were given medications that limited their functional abilities, contrary to regulatory requirements.
Wound Care Treatment Not Completed as Documented
Penalty
Summary
A deficiency occurred when a licensed nurse signed off on a wound care treatment for a resident in the electronic health record, indicating it was completed, when in fact the treatment had not been performed. The resident, who had diagnoses of depression, diabetes mellitus, and severely impaired cognition, required daily wound care for venous stasis ulcers on both lower extremities as ordered by the physician. Observations revealed that the resident had removed her own dressing in the dining room, exposing a wound with serosanguineous drainage, and left the soiled dressing and wraps on the table. Multiple staff members walked by without intervening, and the dressing remained off for several hours. Further review and interviews confirmed that the nurse responsible for the treatment had not completed the wound care as ordered, despite documenting it as done in the medical record. The nurse admitted to signing off the treatment before it was performed due to being busy with other tasks and not being aware that the resident had removed her dressing earlier in the day. Facility policy required that services provided be accurately documented, including the date, time, and signature of the person recording the data. This failure to provide wound care as ordered and to accurately document services placed the resident at risk for delayed healing and infection.
Failure to Provide Facial Hair Grooming Assistance for Dependent Resident
Penalty
Summary
The facility failed to provide adequate assistance with activities of daily living (ADLs), specifically grooming of facial hair, for a resident diagnosed with Parkinson's disease and depression. The resident had moderately impaired cognition and required set-up assistance for personal hygiene and oral care, as well as moderate assistance with other ADLs. The care plan directed staff to provide limited assistance with hygiene and oral care but did not address facial hair grooming. Documentation indicated that the resident received showers and facial hair care on certain days, but there were multiple days when these tasks were not completed, and the resident did not refuse care during this period. Observations showed the resident had prominent beard stubble on multiple occasions while in communal areas. Interviews with the resident and staff confirmed that the resident was unable to shave himself due to tremors and required staff assistance, which was typically only offered on shower days. Staff acknowledged that shaving should be offered or provided when requested, and administrative staff noted that the care plan lacked specific direction for shaving. Facility policy required review of the care plan for special needs and documentation of shaving, but these steps were not consistently followed.
Failure to Follow Physician Orders and Resident Preferences
Penalty
Summary
The facility failed to provide appropriate treatment and care according to physician orders, as well as the resident's preferences and goals. This deficiency was identified through surveyor observation and review of records, which showed that care provided did not align with the documented orders or the expressed wishes and care goals of the resident involved.
Failure to Implement Enhanced Barrier Precautions and Maintain Infection Control Standards
Penalty
Summary
Staff failed to implement Enhanced Barrier Precautions (EBP) and proper infection control measures during direct care of residents with increased risk for infection. Specifically, a licensed nurse administered intravenous antibiotics to a resident with a peripherally inserted central catheter (PICC) without donning a gown as required by EBP protocols, and later exited the resident's room wearing gloves, using the door handle, and entering the hallway without removing gloves or performing hand hygiene. Certified nurse aides (CNAs) providing peri-care to residents did not perform hand hygiene between glove changes, and in one instance, only changed one glove instead of both before continuing care. These actions were inconsistent with the facility's policy, which requires hand hygiene before donning new gloves and after glove removal, as well as the use of all required personal protective equipment (PPE) for residents under EBP. Additionally, respiratory equipment was not stored in a sanitary manner. Oxygen tubing for a resident was observed stored in a plastic bag with large holes, and the bag was placed on the floor, contrary to infection control expectations. Staff interviews confirmed awareness of proper storage requirements, but these were not followed in practice. The facility did not provide a policy specific to the care of respiratory supplies, despite having a general policy on standard and transmission-based precautions.
Failure to Provide Written Bed Hold Policy and Notification During Resident Transfer
Penalty
Summary
The facility failed to provide a written bed hold policy and written notification regarding transfer for a resident who was hospitalized. The resident had diagnoses of acute hypoxia and respiratory failure, required oxygen and BiPAP, and was totally dependent on staff for transfers, toileting, and lower-body dressing. Documentation in the electronic health record showed that the resident's family requested a hospital transfer, but there was no evidence that a bed hold notice or written notification of the transfer was provided to the resident or their representative. Interviews with facility staff revealed inconsistent practices regarding the completion and communication of bed hold forms. Nursing and administrative staff reported that bed hold forms were sometimes completed verbally or sent after the transfer, and that the forms did not always include required information such as the cost of the room. The facility's own policy required written notice specifying the duration of the bed hold and details of the transfer to be provided at the time of transfer, but this was not followed in the case reviewed.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 350 citations issued within 25 miles in the last 12 months — including the 9 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Wichita
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Meridian Rehabilitation And Health Care Center | 1 mi | ★★★★★ | 27 | 0 |
| Lakepoint Wichita, Llc | 1.2 mi | ★★★★★ | 0 | 0 |
| Wichita Presbyterian Manor | 1.6 mi | ★★★★★ | 0 | 0 |
| Sandpiper Healthcare & Rehabilitation Center | 2.1 mi | ★★★★★ | 0 | 0 |
| Homestead Health Center | 3 mi | ★★★★★ | 10 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Ascension Living Via Christi Village Mclean.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.