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Complaint Investigation

Garden Terrace At Overland Park

Inspection Date: December 30, 2025
Total Violations 2
Facility ID 175158
Location OVERLAND PARK, KS
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Inspection Findings

F-Tag F0580

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0580 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

facility back for further conversation and assistance with alternative placement for Resident R1. On 12/29/25 at 11:59 AM, Licensed Nurse (LN) G stated Resident R1's had increased behaviors after the provider discontinued his medications. Resident R1 became aggressive, hit people, flipped people off, and tried to bite people. She stated staff immediately separated Resident R1 and he was usually easily redirected. LN G stated she documented any behaviors and if Resident R1 became physical, she notified the provider. She stated she never needed to notify the provider about Resident R1 becoming physically aggressive since he did not have those behaviors on her shift. She stated if she notified the provider, she documented the notification in the EMR. LN G stated she received report that Resident R1 was not sleeping prior to going to the hospital and she notified the provider. LN G confirmed

she did not see any provider notification notes in Resident R1's EMR from 11/22/25 to 12/21/25, following his increased behaviors. On 12/29/25 at 01:41 PM, LN H stated if a resident had increased behaviors, the care plan had interventions and if the interventions were ineffective, she called Administrative Nurse D and the provider. LN H stated she reported what interventions the staff tried and what worked. She stated if the behavior continued and interventions did not work, she called the provider and family. She stated she documented the behavior and notification in progress notes. On 12/30/25 at 12:28 PM, LN G stated if a resident made self-harming statements, she ensured their safety then notified the provider which she then documented in a progress note. She stated she placed the resident on one-to-one depending on the severity of the behaviors. LN G stated Resident R1's behaviors started after he got off of some medications and he started hitting himself and said he wanted to die and kill himself. On 12/30/25 at 01:25 PM, Administrative Nurse D stated if a resident made suicidal statements or had increased behaviors, staff intervened to make sure they were safe then notified the provider. She stated the staff documented the physician notification.

On 12/29/25 at 12:49 PM, Consultant GG stated he did not receive any notification of Resident R1's increased behaviors from 11/22/25 to 12/21/25. He stated he expected the facility to follow their policies regarding notifications. The facility's Changes in Resident's Condition or Status policy, dated 11/26/18, directed the facility immediately informed the resident, resident's physician, and representative when a resident had a significant change in their physical, mental, or psychosocial status; and of the need to alter treatment significantly.

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Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

12/30/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Garden Terrace at Overland Park

7541 Switzer Road Overland Park, KS 66214

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

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F-Tag F0744

Quality of Life and Care Deficiencies
Harm Level: Actual Harm

F 0744 Level of Harm - Actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

directed the facility identified, addressed, and/or obtained necessary services for the dementia care needs of residents. The policy directed the facility developed and implemented person-centered care plans that included and supported the dementia care needs identified in the comprehensive assessment. The policy directed the facility developed individualized interventions related to the resident's symptomology and rate of progression. The policy directed the facility reviewed and revised care plans that were not effective and/or when the resident had a change in condition. The policy directed the facility modified the environment accommodated resident care needs. The policy directed the facility achieved expected improvements or maintained the expected stable rate of decline. This deficient practice was cited at a G (isolated, actual harm), based on reasonable person concept, when the facility did not address Resident R1's escalating behaviors and Resident R1 admitted to the hospital.

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📋 Inspection Summary

GARDEN TERRACE AT OVERLAND PARK in OVERLAND PARK, KS inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in OVERLAND PARK, KS, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from GARDEN TERRACE AT OVERLAND PARK or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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