WESTCHESTER VILLAGE OF LENEXA

📍 8505 PFLUMM ROAD, lenexa, KS 66215 📞 9133072000 🛏️ 34 beds

Overall Rating

⭐⭐⭐⭐⭐
5/5

Health Inspection

⭐⭐⭐⭐
4/5

Staffing

⭐⭐⭐⭐⭐
5/5

Quality Measures

⭐⭐⭐⭐⭐
5/5

Inspection History Overview

38
Total Violations
6 years of data
$19,109
Total Fines
4 penalties
3
Inspections
Since 2014
21
Quality Metrics
Tracked measures

Health Violations by Year

2025 7 violations

Tag 0550 D Mar 19, 2025

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

✓ Corrected: May 2, 2025
Tag 0580 D Mar 19, 2025

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: May 2, 2025
Tag 0686 D Mar 19, 2025

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

✓ Corrected: May 2, 2025
Tag 0690 D Mar 19, 2025

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

✓ Corrected: May 2, 2025
Tag 0757 D Mar 19, 2025

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

✓ Corrected: May 2, 2025
Tag 0883 D Mar 19, 2025

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

✓ Corrected: May 2, 2025
Tag 0942 F Mar 19, 2025

Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

✓ Corrected: May 2, 2025

2023 7 violations

Tag 0656 D Jul 12, 2023

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

✓ Corrected: Jul 20, 2023
Tag 0679 E Jul 12, 2023

Provide activities to meet all resident's needs.

✓ Corrected: Jul 20, 2023
Tag 0684 D Jul 12, 2023

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

✓ Corrected: Jul 20, 2023
Tag 0689 D Jul 12, 2023

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

✓ Corrected: Jul 20, 2023
Tag 0692 D Jul 12, 2023

Provide enough food/fluids to maintain a resident's health.

✓ Corrected: Jul 20, 2023
Tag 0758 D Jul 12, 2023

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

✓ Corrected: Jul 20, 2023
Tag 0883 D Jul 12, 2023

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

✓ Corrected: Jul 20, 2023

2021 7 violations

Tag 0550 D Dec 30, 2021

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

✓ Corrected: Jan 30, 2022
Tag 0661 D Dec 30, 2021

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

✓ Corrected: Jan 30, 2022
Tag 0684 D Dec 30, 2021

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

✓ Corrected: Jan 30, 2022
Tag 0689 D Dec 30, 2021

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

✓ Corrected: Jan 30, 2022
Tag 0756 D Dec 30, 2021

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

✓ Corrected: Jan 30, 2022
Tag 0757 D Dec 30, 2021

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

✓ Corrected: Jan 30, 2022
Tag 0880 D Dec 30, 2021

Provide and implement an infection prevention and control program.

✓ Corrected: Jan 30, 2022

2020 8 violations

Tag 0880 E Dec 1, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Dec 2, 2020
Tag 0880 K Dec 1, 2020

Provide and implement an infection prevention and control program.

Tag 0744 G Feb 11, 2020

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

✓ Corrected: Mar 10, 2020
Tag 0636 D Jan 22, 2020

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

✓ Corrected: Feb 22, 2020
Tag 0641 E Jan 22, 2020

Ensure each resident receives an accurate assessment.

✓ Corrected: Feb 22, 2020
Tag 0657 D Jan 22, 2020

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

✓ Corrected: Feb 22, 2020
Tag 0756 D Jan 22, 2020

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

✓ Corrected: Feb 22, 2020
Tag 0757 D Jan 22, 2020

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

✓ Corrected: Feb 22, 2020

2019 6 violations

Tag 0641 D Feb 9, 2019

Ensure each resident receives an accurate assessment.

✓ Corrected: Mar 8, 2019
Tag 0656 D Feb 9, 2019

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

✓ Corrected: Mar 8, 2019
Tag 0657 D Feb 9, 2019

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

✓ Corrected: Mar 8, 2019
Tag 0684 E Feb 9, 2019

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

✓ Corrected: Mar 8, 2019
Tag 0756 D Feb 9, 2019

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

✓ Corrected: Mar 8, 2019
Tag 0758 D Feb 9, 2019

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

✓ Corrected: Mar 8, 2019

2018 3 violations

Tag 0689 D Mar 22, 2018

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

✓ Corrected: Apr 22, 2018
Tag 0756 D Mar 22, 2018

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

✓ Corrected: Apr 22, 2018
Tag 0812 F Mar 22, 2018

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

✓ Corrected: Apr 22, 2018

Detailed Inspection Reports

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

Fines and Penalties by Year

2022 2 penalties totaling $6,314

$3,169
Fine
August 8, 2022
$3,145
Fine
August 8, 2022
Average: $3,157 | Range: $3,145 - $3,169

2021 1 penalties totaling $3,250

$3,250
Fine
December 30, 2021
Average: $3,250 | Range: $3,250 - $3,250

2020 1 penalties totaling $9,545

$9,545
Fine
December 1, 2020
Average: $9,545 | Range: $9,545 - $9,545

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

July 12, 2023
0.00

Health

December 30, 2021
0.00

Health

January 22, 2020
0.00

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Ownership Information

For profit - Partnership
Independent (Not part of a chain)
175536
175536
9133072000
Johnson

Historical Ownership Records

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