DELMAR GARDENS OF LENEXA

πŸ“ 9701 MONROVIA STREET, lenexa, KS 66215 πŸ“ž 9134921130 πŸ›οΈ 222 beds

Overall Rating

⭐
1/5

Health Inspection

⭐
1/5

Staffing

⭐⭐
2/5

Quality Measures

⭐⭐⭐⭐
4/5

Inspection History Overview

48
Total Violations
6 years of data
$16,250
Total Fines
4 penalties
5
Inspections
Since 2014
21
Quality Metrics
Tracked measures

Health Violations by Year

2024 7 violations

Tag 0550 D Mar 27, 2024

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

βœ“ Corrected: May 3, 2024
Tag 0623 D Mar 27, 2024

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

βœ“ Corrected: May 3, 2024
Tag 0625 D Mar 27, 2024

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

βœ“ Corrected: May 3, 2024
Tag 0645 D Mar 27, 2024

PASARR screening for Mental disorders or Intellectual Disabilities

βœ“ Corrected: May 3, 2024
Tag 0657 D Mar 27, 2024

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

βœ“ Corrected: May 3, 2024
Tag 0688 D Mar 27, 2024

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

βœ“ Corrected: May 3, 2024
Tag 0761 E Mar 27, 2024

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.

βœ“ Corrected: May 3, 2024

2022 6 violations

Tag 0656 D Oct 24, 2022

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Nov 30, 2022
Tag 0657 D Oct 24, 2022

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

βœ“ Corrected: Nov 30, 2022
Tag 0688 D Oct 24, 2022

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

βœ“ Corrected: Nov 30, 2022
Tag 0689 D Oct 24, 2022

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

βœ“ Corrected: Nov 30, 2022
Tag 0745 D Oct 24, 2022

Provide medically-related social services to help each resident achieve the highest possible quality of life.

βœ“ Corrected: Nov 30, 2022
Tag 0755 E Oct 24, 2022

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

βœ“ Corrected: Nov 30, 2022

2021 2 violations

Tag 0686 D Dec 1, 2021

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: Jan 5, 2022
Tag 0690 D May 24, 2021

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

βœ“ Corrected: Jun 22, 2021

2019 14 violations

Tag 0557 D Sep 23, 2019

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

βœ“ Corrected: Nov 5, 2019
Tag 0641 E Sep 23, 2019

Ensure each resident receives an accurate assessment.

βœ“ Corrected: Nov 5, 2019
Tag 0656 E Sep 23, 2019

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Nov 5, 2019
Tag 0657 E Sep 23, 2019

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

βœ“ Corrected: Nov 5, 2019
Tag 0684 D Sep 23, 2019

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

βœ“ Corrected: Nov 5, 2019
Tag 0685 D Sep 23, 2019

Assist a resident in gaining access to vision and hearing services.

βœ“ Corrected: Nov 5, 2019
Tag 0688 E Sep 23, 2019

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

βœ“ Corrected: Nov 5, 2019
Tag 0689 D Sep 23, 2019

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

βœ“ Corrected: Nov 5, 2019
Tag 0690 D Sep 23, 2019

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

βœ“ Corrected: Nov 5, 2019
Tag 0757 D Sep 23, 2019

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

βœ“ Corrected: Nov 5, 2019
Tag 0880 F Sep 23, 2019

Provide and implement an infection prevention and control program.

βœ“ Corrected: Nov 5, 2019
Tag 0883 E Sep 23, 2019

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

βœ“ Corrected: Nov 5, 2019
Tag 0921 E Sep 23, 2019

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

βœ“ Corrected: Nov 5, 2019
Tag 0880 F Feb 12, 2019

Provide and implement an infection prevention and control program.

βœ“ Corrected: Mar 13, 2019

2018 6 violations

Tag 0656 D Aug 9, 2018

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Sep 7, 2018
Tag 0677 D Aug 9, 2018

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Sep 7, 2018
Tag 0761 E Aug 9, 2018

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.

βœ“ Corrected: Sep 7, 2018
Tag 0812 F Aug 9, 2018

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

βœ“ Corrected: Sep 7, 2018
Tag 0880 E Aug 9, 2018

Provide and implement an infection prevention and control program.

βœ“ Corrected: Sep 7, 2018
Tag 0610 K Jan 31, 2018

Respond appropriately to all alleged violations.

βœ“ Corrected: Feb 1, 2018

2017 13 violations

Tag 0441 E Nov 21, 2017

Have a program that investigates, controls and keeps infection from spreading.

βœ“ Corrected: Dec 20, 2017
Tag 0223 J Jul 12, 2017

Protect each resident from all abuse, physical punishment, and involuntary separation from others.

βœ“ Corrected: Jul 13, 2017
Tag 0225 J Jul 12, 2017

1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.

βœ“ Corrected: Jul 13, 2017
Tag 0226 H Jul 12, 2017

Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.

βœ“ Corrected: Jul 13, 2017
Tag 0242 D Jan 23, 2017

Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.

βœ“ Corrected: Feb 21, 2017
Tag 0272 D Jan 23, 2017

Conduct initial and periodic assessments of each resident's functional capacity.

βœ“ Corrected: Feb 21, 2017
Tag 0280 D Jan 23, 2017

Allow residents the right to participate in the planning or revision of care and treatment.

βœ“ Corrected: Feb 21, 2017
Tag 0312 D Jan 23, 2017

Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.

βœ“ Corrected: Feb 21, 2017
Tag 0329 D Jan 23, 2017

Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.

βœ“ Corrected: Feb 21, 2017
Tag 0334 D Jan 23, 2017

Develop policies and procedures for influenza and pneumococcal immunizations.

βœ“ Corrected: Feb 21, 2017
Tag 0428 D Jan 23, 2017

At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.

βœ“ Corrected: Feb 21, 2017
Tag 0431 E Jan 23, 2017

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

βœ“ Corrected: Feb 21, 2017
Tag 0463 F Jan 23, 2017

Make sure that a working call system is available in each resident's room or bathroom and bathing area.

βœ“ Corrected: Feb 21, 2017

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2021 2 penalties totaling $2,275

$1,300
Fine
May 3, 2021
$975
Fine
February 15, 2021
Average: $1,138 | Range: $975 - $1,300

2020 1 penalties totaling $650

$650
Fine
August 31, 2020
Average: $650 | Range: $650 - $650

2018 1 penalties totaling $13,325

$13,325
Fine
January 31, 2018
Average: $13,325 | Range: $13,325 - $13,325

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

March 27, 2024
0.00

Health

October 24, 2022
0.00

Health

December 1, 2021
0.00

Health

May 24, 2021
0.00

Health

September 23, 2019
0.00

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Ownership Information

For profit - Corporation
Independent (Not part of a chain)
175122
175122
9134921130
Johnson

Historical Ownership Records

August 25, 2025
Organization
August 25, 2025
Organization
August 25, 2025
Organization