Legacy At College Hill — Skilled Nursing Facility Profile (CCN #175078)

Wichita, Kansas · CCN 175078 · Phone: 3166859291 · 75 beds · Ownership: For Profit - Corporation

Legacy At College Hill is a Medicare-certified skilled nursing facility (CCN 175078) in Wichita, Kansas. It holds a CMS overall Five-Star rating of 1 of 5 stars on CMS Care Compare. FileFlo scores its CMS survey-readiness at 29/100 (High Risk).

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Compliance Indicator: 29/100 — High Risk

About Legacy At College Hill

Legacy At College Hill is a Medicare- and Medicaid-certified skilled nursing facility in Wichita, Kansas, operating under CMS Certification Number (CCN) 175078. 75-bed facility. For Profit - Corporation. Part of the Campbell Street Services chain. The facility is required to comply with the Requirements for Long-Term Care Facilities at 42 CFR Part 483.

Legacy At College Hill has held its Medicare/Medicaid certification for approximately 56 years (certification date on file: 1969-07-01). Long-tenured facilities (15+ years) often have established F-tag remediation playbooks and a deeper standard-survey trail; newly-certified facilities (under 3 years) are subject to a different initial survey cadence under 42 CFR 488.308.

Local market context (Sedgwick County): Legacy At College Hill operates in Sedgwick County alongside 17 other Medicare-certified SNFs in our Kansas cohort sample. Multi-facility counties create direct cohort comparison pressure — hospital discharge planners typically run side-by-side Care Compare lookups before placement decisions.

CMS Five-Star Quality Ratings

CMS publishes Five-Star ratings for nursing homes monthly, drawn from the most recent three years of standard surveys, complaint surveys, and Minimum Data Set (MDS) submissions.

Long-Stay vs Short-Stay Quality Measures

Long-Stay Quality Measure rating: ★★★☆☆ (3 of 5). Long-stay measures cover residents in the facility 100+ days and include indicators like residents experiencing one or more falls with major injury, residents whose ability to move independently worsened, and residents with a urinary tract infection.

Short-Stay Quality Measure rating: ★★★☆☆ (3 of 5). Short-stay measures cover post-acute residents discharged within 100 days and include rehospitalization within 30 days, successful return to community, and improvement in function.

Differentiating long-stay from short-stay QMs matters for placement decisions — a facility with strong short-stay QMs may still underperform on long-stay metrics, and vice versa.

Compliance Red Flags

Special Focus Facility status: Legacy At College Hill appears on the CMS Special Focus Facility list (status: SFF Candidate). SFF designation is reserved for facilities with a persistent pattern of substandard quality of care — typically high deficiency counts across consecutive surveys. CMS conducts a standard survey approximately every six months on SFF facilities (vs. up to fifteen months for non-SFF) and tracks two consecutive improved surveys as the exit criterion. Facilities that fail to improve over 18-24 months on the SFF list face termination of their Medicare provider agreement under 42 CFR 488.456.

Survey History and Deficiencies

Recent health deficiencies cited at last standard survey: 17. National average for facilities of this size is approximately 8 deficiencies per cycle. In its most recent reporting cycle, Legacy At College Hill received 3 CMS fines totaling $86,716. Last documented standard health survey: 2025-02-13. CMS conducts standard surveys at most every 15 months for SNFs, with substandard-quality findings triggering more frequent revisits.

Infection Control and Deficiency Weighting

CMS health survey weighted score: 275.75. The weighted score multiplies deficiency severity (A-L) by scope (isolated, pattern, widespread); higher weighted scores translate directly into the Health Inspection star rating tier breakpoints CMS publishes monthly.

CMS Enforcement Actions

Payment denials for new admissions in the most recent CMS reporting window: 2. Denial-of-payment-for-new-admissions (DPNA) is one of the enforcement remedies CMS uses under 42 CFR 488.417. It is typically imposed when a facility has been cited at scope and severity levels of F or higher and fails to substantially comply by the date specified in the certification notice.

Total enforcement penalties assessed in the most recent reporting window: $5. This figure aggregates Civil Money Penalties (CMPs), DPNA-equivalent revenue impacts, and other monetary remedies under 42 CFR Part 488 Subpart F.

Staffing Detail

At today's staffing levels, Legacy At College Hill would not meet the cadre-specific minimums scheduled to take effect on the May 2027 timeline under 89 FR 40876: RN HPRD is 0.36 vs the 0.55 floor, a 0.19-hour gap. Closing this gap typically requires either net new hires at the specific cadre, shifted scheduling that reallocates existing FTEs to direct-care hours, or a hardship exemption application under 42 CFR 483.35.

Total nurse staffing: 3.824 hours per resident day (HPRD), which is 0.34 hours above the 3.48 total HPRD floor that the CMS Minimum Staffing Standards rule (89 FR 40876, May 2024) phases in for non-rural facilities by May 2027.

Staffing mix: RN 0.36 HPRD, LPN 0.631 HPRD, CNA 2.833 HPRD. The same CMS final rule also phases in cadre-specific minimums of 0.55 RN HPRD and 2.45 nurse aide HPRD on the 2027 timeline; RN-specific shortfalls have historically been the most common single-facility staffing deficiency at standard surveys.

Weekend RN staffing: 0.233 HPRD. Weekend RN coverage is a separately reported CMS measure; facilities with low weekend RN HPRD frequently see resident-acuity-driven adverse events spike on the weekend shift.

Total nurse staff turnover: 50.7% annualized — high (typical of facilities with chronic staffing pressure).

Administrator turnover events in the most recent reporting window: 1. Multiple administrator changes in a 12-month window is associated with substantial leadership-discontinuity risk during the next standard survey.

Chain Context and Facility Type

Legacy At College Hill is operated as part of Campbell Street Services, a chain operating 19 Medicare-certified facilities (CMS chain identifier 99). Chain-operated facilities tend to share corporate compliance staff, standard operating procedures, and survey-prep resources — but also share enforcement exposure when CMS designates a chain-wide issue under the system-wide quality assurance framework.

Provider type designation: Medicare And Medicaid.

The facility is classified by CMS as urban (within a metropolitan statistical area). Urban SNFs typically face higher acuity post-acute admissions, more competitive labor markets, and stricter local-jurisdiction infection control requirements layered on top of federal CoPs.

How Legacy At College Hill Compares to Peers in Kansas

Peer comparisons use a same-state cohort of 200 Medicare-certified SNFs, pulled live from CMS Provider Data. The cohort excludes terminated and surrendered certifications.

FileFlo Compliance Indicator

FileFlo's compliance indicator for Legacy At College Hill is 29/100 (High Risk). The score is derived from publicly published health-deficiency counts, weighted survey scores, infection-control citations, fines, and staffing hours per resident day. It is not a CMS rating. The full survey-readiness audit (covering F-tags from the most recently cited deficiencies, infection control, staffing minimums, MDS accuracy) is at /tools/cms-survey-readiness-score.

Why This Page Exists

FileFlo publishes a profile for every Medicare-certified nursing home so administrators, DONs, and family members can find the same publicly-published quality data without bouncing between Care Compare, the SFF list, and the CMS Provider Data Catalog. Field-level CFR citations are linked throughout. Dispute this record if any field is incorrect — we resync with CMS monthly and process correction requests within five business days.

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How Are You Using This Page?

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Frequently asked questions about Legacy At College Hill

What is Legacy At College Hill's CMS overall Five-Star rating?

Legacy At College Hill (CCN 175078) holds a CMS overall Five-Star rating of 1 of 5 stars on CMS Care Compare. CMS updates these ratings quarterly from the facility's submitted assessment and claims data.

Is Legacy At College Hill Medicare-certified, and where is it located?

Legacy At College Hill is a Medicare-certified skilled nursing facility (CMS Certification Number 175078) in Wichita, Kansas.

How survey-ready is Legacy At College Hill?

FileFlo scores Legacy At College Hill's CMS survey-readiness at 29/100 (High Risk). This is a FileFlo indicator built from CMS-published data, not an official CMS rating.

Which CMS Conditions of Participation must Legacy At College Hill meet?

As a Medicare-certified skilled nursing facility, Legacy At College Hill is surveyed against the Conditions of Participation in 42 CFR Part 483 — covering patient/resident rights, assessment and care planning, quality (QAPI), infection control, and aide services. Each CoP section is linked on this page.

How can Legacy At College Hill prepare for its next CMS survey?

Run FileFlo's free CMS survey-readiness audit for Legacy At College Hill — it grades the skilled nursing facility against every Condition of Participation in 42 CFR Part 483 in about three minutes, names each gap's F-Tag, and requires no signup.

Conditions of Participation Legacy At College Hill is surveyed against

The 42 CFR Part 483 CoP sections a CMS survey actually checks, in plain English:

Compliance terms: F-Tag · Joint Commission. See the Skilled Nursing Facility directory and the Healthcare compliance guide →

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Data sourced from CMS Care Compare (publish 2026-04-01). Information may not reflect the facility's current status. Resync occurs monthly. Dispute this record · Claim this profile

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