Derby Health & Rehabilitation, LLC
Strong Medicare quality ratings; families often praise attentive and caring nursing staff. Still worth an in-person visit.
based on 14 Google reviews
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What this means for your family
This facility is highly regarded for its active social calendar and responsive management team. When touring, we recommend specifically inspecting the cleanliness of resident rooms and asking about the facility's current pest control protocols to address concerns raised by some visitors.
Google Reviews
Google Reviews
14 reviews on Google“Derby Health & Rehabilitation receives high praise for its attentive staff, engaging activity programs, and clean, well-maintained environment. While many families report high satisfaction with the care provided to their loved ones, there are isolated reports of facility maintenance issues such as pest concerns that prospective families should investigate during a tour.”
Quality Themes
Tap a score for detailsStrengths
- Attentive and caring nursing staff
- Clean and well-maintained facility
- Diverse and engaging resident activities
- Responsive management team
Concerns
- Pest control issues (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 17 analyzed
How They Respond to Reviews
This facility rarely responds to reviews.
Questions for Your Tour
- 1With the facility having 74 residents, how do you ensure that the nursing staff maintains a consistent, personalized level of care for each individual?
- 2I noticed some feedback regarding facility maintenance; could you walk me through your current protocols for pest control and general housekeeping?
- 3Given the variety of activities mentioned by residents, what does a typical social calendar look like for someone who enjoys staying active?
- 4Since you have a 4-star CMS staffing rating, how do you manage shift transitions to ensure there is always adequate coverage for medical needs?
- 5How does your management team handle family concerns or feedback to ensure that issues are addressed promptly and effectively?
- 6In the event of a sudden medical emergency, what is your protocol for stabilizing a resident and communicating with the family?
Personalized based on this facility's data
Key Review Excerpts
“If we have a concern, the management listens very well and takes action if needed. The atmosphere is good. My mom loves all the different activities they have.”
“My Mom (now 97) moved to DerbyAl Assisted Living (DAL) at the beginning of 2024. She has a lovely apartment, caring/attentive staff, great food, and beautiful surroundings.”
“The staff works as a team to care for each individual depending on their needs. They offer numerous activities for their residents from games, music, & daily exercise.”
Staffing
Staffing Hours
per resident/day · Medicare 2026RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
9
measures
4
measures
4
measures
Residents whose bladder or bowel control got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for pneumonia
Residents needing more daily help over time
Residents whose walking got worse
Residents on antipsychotic medication
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Derby Health & Rehabilitation has concerning patterns of recurring deficiencies, with families filing complaints that triggered 8 violations across multiple surveys. The facility struggles most with safety hazards, fire safety systems, and medication management, with the same safety issues appearing repeatedly across 2021, 2022, and 2024 surveys despite reported corrections. Most troubling are recent complaint-driven findings involving resident protection from financial exploitation and inappropriate medication practices.
Mar 11, 2026Routine2
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Apr 29, 2025Complaint2
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Apr 30, 2024Routine7
Egress Deficiencies
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.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Apr 30, 2024Complaint14
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Pharmacy Service Deficiencies
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
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Pharmacy Service Deficiencies
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
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Nov 8, 2022Routine13
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Pharmacy Service Deficiencies
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.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Pharmacy Service Deficiencies
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.
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
May 12, 2021Routine9
Emergency Preparedness Deficiencies
Address patient/client population and determine types of services needed.
Emergency Preparedness Deficiencies
Address subsistence needs for staff and patients.
Emergency Preparedness Deficiencies
List the names and contact information of those in the facility.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Ownership & Operations
Who Operates This Facility
Derby Health & Rehabilitation, LLC
for profit
Ownership & Management
Owners
Axiom Healthcare Alliance, LLC
Owner · Organization
Axiom Consulting LLC
Owner (parent company) · Organization
Dennis L. Ross Pod to Trustee of Dennis L. Ross Living Trust U/a 4/4/1
Owner (parent company) · Organization
Matt Lillie Investments, INC
Owner (parent company) · Organization
Roger Evans Revocable Trust
Owner (parent company) · Organization
Wichita Wellness INC
Owner (parent company) · Organization
Evans, Roger
Owner (parent company)
Hermes, Frederick
Owner (parent company)
Lakin, Gregory
Owner (parent company)
Lillie, Matthew
Owner (parent company)
Ross, Ann
Owner (parent company)
Ross, Dennis
Owner (parent company)
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
14 reviews from families & visitors
Official Website
Visit derbyassistedliving.com
Medicare data downloads
Original nursing home datasets
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