Garden Terrace At Overland Park
GARDEN TERRACE AT OVERLAND PARK in OVERLAND PARK, KS — inspection on December 30, 2025.
Found 2 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
facility back for further conversation and assistance with alternative placement for R1. On 12/29/25 at 11:59 AM, Licensed Nurse (LN) G stated R1's had increased behaviors after the provider discontinued his medications. R1 became aggressive, hit people, flipped people off, and tried to bite people.
She stated staff immediately separated R1 and he was usually easily redirected. LN G stated she documented any behaviors and if R1 became physical, she notified the provider.
She stated she never needed to notify the provider about 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 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 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 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 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.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
12/30/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Garden Terrace at Overland Park
7541 Switzer Road Overland Park, KS 66214
SUMMARY STATEMENT OF DEFICIENCIES
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 R1's escalating behaviors and R1 admitted to the hospital.
Facility ID: