DELMAR GARDENS OF OVERLAND PARK

πŸ“ 12100 W 109TH STREET, overland-park, KS 66210 πŸ“ž 9134694210 πŸ›οΈ 120 beds

Overall Rating

⭐⭐⭐
3/5

Health Inspection

⭐⭐
2/5

Staffing

⭐⭐⭐⭐
4/5

Quality Measures

⭐⭐⭐
3/5

Inspection History Overview

84
Total Violations
7 years of data
$97,143
Total Fines
7 penalties
5
Inspections
Since 2014
21
Quality Metrics
Tracked measures

Health Violations by Year

2024 33 violations

Tag 0550 D Mar 13, 2024

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

βœ“ Corrected: Apr 26, 2024
Tag 0553 D Mar 13, 2024

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

βœ“ Corrected: Apr 26, 2024
Tag 0558 D Mar 13, 2024

Reasonably accommodate the needs and preferences of each resident.

βœ“ Corrected: Apr 26, 2024
Tag 0565 E Mar 13, 2024

Honor the resident's right to organize and participate in resident/family groups in the facility.

βœ“ Corrected: Apr 26, 2024
Tag 0576 D Mar 13, 2024

Ensure residents have reasonable access to and privacy in their use of communication methods.

βœ“ Corrected: Apr 26, 2024
Tag 0582 D Mar 13, 2024

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

βœ“ Corrected: Apr 26, 2024
Tag 0585 E Mar 13, 2024

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

βœ“ Corrected: Apr 26, 2024
Tag 0623 D Mar 13, 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: Apr 26, 2024
Tag 0625 D Mar 13, 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: Apr 26, 2024
Tag 0636 E Mar 13, 2024

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

βœ“ Corrected: Apr 26, 2024
Tag 0637 D Mar 13, 2024

Assess the resident when there is a significant change in condition

βœ“ Corrected: Apr 26, 2024
Tag 0641 D Mar 13, 2024

Ensure each resident receives an accurate assessment.

βœ“ Corrected: Apr 26, 2024
Tag 0655 D Mar 13, 2024

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

βœ“ Corrected: Apr 26, 2024
Tag 0656 D Mar 13, 2024

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

βœ“ Corrected: Apr 26, 2024
Tag 0657 D Mar 13, 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: Apr 26, 2024
Tag 0677 D Mar 13, 2024

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

βœ“ Corrected: Apr 26, 2024
Tag 0684 D Mar 13, 2024

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

βœ“ Corrected: Apr 26, 2024
Tag 0686 D Mar 13, 2024

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

βœ“ Corrected: Apr 26, 2024
Tag 0688 D Mar 13, 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: Apr 26, 2024
Tag 0689 E Mar 13, 2024

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

βœ“ Corrected: Apr 26, 2024

2022 13 violations

Tag 0550 D Sep 15, 2022

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

βœ“ Corrected: Oct 21, 2022
Tag 0585 E Sep 15, 2022

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

βœ“ Corrected: Oct 21, 2022
Tag 0641 D Sep 15, 2022

Ensure each resident receives an accurate assessment.

βœ“ Corrected: Oct 21, 2022
Tag 0675 E Sep 15, 2022

Honor each resident's preferences, choices, values and beliefs.

βœ“ Corrected: Oct 21, 2022
Tag 0689 E Sep 15, 2022

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

βœ“ Corrected: Oct 21, 2022
Tag 0740 D Sep 15, 2022

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

βœ“ Corrected: Oct 21, 2022
Tag 0756 D Sep 15, 2022

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

βœ“ Corrected: Oct 21, 2022
Tag 0757 D Sep 15, 2022

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

βœ“ Corrected: Oct 21, 2022
Tag 0758 D Sep 15, 2022

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.

βœ“ Corrected: Oct 21, 2022
Tag 0761 E Sep 15, 2022

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: Oct 21, 2022
Tag 0804 E Sep 15, 2022

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

βœ“ Corrected: Oct 21, 2022
Tag 0812 E Sep 15, 2022

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

βœ“ Corrected: Oct 21, 2022
Tag 0880 E Jan 25, 2022

Provide and implement an infection prevention and control program.

βœ“ Corrected: Feb 20, 2022

2021 8 violations

Tag 0684 D Apr 15, 2021

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

βœ“ Corrected: May 7, 2021
Tag 0686 D Apr 15, 2021

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

βœ“ Corrected: May 7, 2021
Tag 0689 D Apr 15, 2021

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

βœ“ Corrected: May 7, 2021
Tag 0692 G Apr 15, 2021

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

βœ“ Corrected: May 7, 2021
Tag 0693 D Apr 15, 2021

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.

βœ“ Corrected: May 7, 2021
Tag 0755 D Apr 15, 2021

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

βœ“ Corrected: May 7, 2021
Tag 0761 D Apr 15, 2021

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 7, 2021
Tag 0921 D Apr 15, 2021

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

βœ“ Corrected: May 7, 2021

2020 1 violations

Tag 0880 F Jul 7, 2020

Provide and implement an infection prevention and control program.

βœ“ Corrected: Jul 31, 2020

2019 14 violations

Tag 0550 D Aug 14, 2019

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

βœ“ Corrected: Aug 28, 2019
Tag 0636 D Aug 14, 2019

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

βœ“ Corrected: Aug 28, 2019
Tag 0676 D Aug 14, 2019

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

βœ“ Corrected: Aug 28, 2019
Tag 0677 D Aug 14, 2019

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

βœ“ Corrected: Aug 28, 2019
Tag 0679 D Aug 14, 2019

Provide activities to meet all resident's needs.

βœ“ Corrected: Aug 28, 2019
Tag 0684 D Aug 14, 2019

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

βœ“ Corrected: Aug 28, 2019
Tag 0686 G Aug 14, 2019

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

βœ“ Corrected: Aug 28, 2019
Tag 0689 D Aug 14, 2019

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

βœ“ Corrected: Aug 28, 2019
Tag 0692 D Aug 14, 2019

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

βœ“ Corrected: Aug 28, 2019
Tag 0730 E Aug 14, 2019

Observe each nurse aide's job performance and give regular training.

βœ“ Corrected: Aug 28, 2019
Tag 0756 D Aug 14, 2019

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

βœ“ Corrected: Aug 28, 2019
Tag 0757 D Aug 14, 2019

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

βœ“ Corrected: Aug 28, 2019
Tag 0812 E Aug 14, 2019

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

βœ“ Corrected: Aug 28, 2019
Tag 0880 F Aug 14, 2019

Provide and implement an infection prevention and control program.

βœ“ Corrected: Aug 28, 2019

2018 7 violations

Tag 0623 B Aug 2, 2018

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

βœ“ Corrected: Aug 31, 2018
Tag 0641 D Aug 2, 2018

Ensure each resident receives an accurate assessment.

βœ“ Corrected: Aug 31, 2018
Tag 0656 D Aug 2, 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: Aug 31, 2018
Tag 0657 D Aug 2, 2018

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: Aug 31, 2018
Tag 0695 E Aug 2, 2018

Provide safe and appropriate respiratory care for a resident when needed.

βœ“ Corrected: Aug 31, 2018
Tag 0812 F Aug 2, 2018

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

βœ“ Corrected: Aug 31, 2018
Tag 0814 F Aug 2, 2018

Dispose of garbage and refuse properly.

βœ“ Corrected: Aug 31, 2018

2016 8 violations

Tag 0280 D Dec 8, 2016

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

βœ“ Corrected: Jan 6, 2017
Tag 0309 D Dec 8, 2016

Provide necessary care and services to maintain or improve the highest well being of each resident .

βœ“ Corrected: Jan 6, 2017
Tag 0323 D Dec 8, 2016

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

βœ“ Corrected: Jan 6, 2017
Tag 0329 E Dec 8, 2016

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: Jan 6, 2017
Tag 0371 E Dec 8, 2016

Store, cook, and serve food in a safe and clean way.

βœ“ Corrected: Jan 6, 2017
Tag 0428 E Dec 8, 2016

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: Jan 6, 2017
Tag 0431 E Dec 8, 2016

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

βœ“ Corrected: Jan 6, 2017
Tag 0441 F Dec 8, 2016

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

βœ“ Corrected: Jan 6, 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

2022 2 penalties totaling $10,994

$994
Fine
February 14, 2022
$10,000
Fine
January 25, 2022
Average: $5,497 | Range: $994 - $10,000

2021 2 penalties totaling $14,788

$14,138
Fine
April 15, 2021
$650
Fine
March 22, 2021
Average: $7,394 | Range: $650 - $14,138

2020 1 penalties totaling $6,500

$6,500
Fine
July 7, 2020
Average: $6,500 | Range: $6,500 - $6,500

2018 2 penalties totaling $64,861

$64,861
Fine
February 1, 2018
$0
Payment Denial
February 1, 2018
Average: $32,431 | Range: $0 - $64,861

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

March 13, 2024
0.00

Health

September 15, 2022
0.00

Health

January 25, 2022
0.00

Health

April 15, 2021
0.00

Health

August 14, 2019
0.00

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Ownership Information

For profit - Corporation
Independent (Not part of a chain)
175182
175182
9134694210
Johnson

Historical Ownership Records

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