Garden Terrace Overland Park: Notification Failure - KS
The behaviors started after a provider discontinued the resident's medications in late November 2025. According to inspection records, the resident, identified only as R1, became aggressive, flipped people off, hit staff, and attempted to bite them. He also hit himself and made statements about wanting to die.
The facility's own consultant confirmed he received no notification of the resident's increased behaviors between November 22 and December 21, 2025. He told inspectors he expected staff to follow the facility's notification policies. Nobody had.
Licensed Nurse G told inspectors she never personally needed to call the provider about R1's physical aggression because those behaviors didn't occur on her shift. She confirmed she saw no provider notification notes in R1's electronic medical record during that entire period. She also acknowledged that when R1 made self-harming statements, the correct response was to notify the provider and document it in a progress note.
Licensed Nurse H described the same protocol: if interventions failed, staff called the provider and the family. Administrative Nurse D said the same thing. All three described a system that existed on paper and, for R1, went unused for weeks.
R1 was eventually hospitalized. By then, inspectors noted, he had not been sleeping in the days before he was sent out.
The December 30 inspection was conducted in response to a complaint. Inspectors cited the deficiency at a level of minimal harm or potential for actual harm.
The consultant said he expected the facility to follow its policies. What he got instead was nearly a month of silence while a resident hurt himself, threatened to kill himself, and bit the people trying to care for him.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Garden Terrace At Overland Park from 2025-12-30 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 20, 2026 · Our methodology
GARDEN TERRACE AT OVERLAND PARK in OVERLAND PARK, KS was cited for violations during a health inspection on December 30, 2025.
The behaviors started after a provider discontinued the resident's medications in late November 2025.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.