STRATFORD COMMONS REHAB & HEALTH CARE CENTER

πŸ“ 12340 QUIVIRA ROAD, overland-park, KS 66213 πŸ“ž 9138510215 πŸ›οΈ 45 beds

Overall Rating

⭐⭐⭐⭐
4/5

Health Inspection

⭐⭐⭐⭐
4/5

Staffing

⭐⭐⭐⭐
4/5

Quality Measures

⭐⭐⭐
3/5

Inspection History Overview

65
Total Violations
7 years of data
$19,500
Total Fines
2 penalties
7
Inspections
Since 2014
21
Quality Metrics
Tracked measures

Health Violations by Year

2024 17 violations

Tag 0657 D Feb 8, 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: Mar 11, 2024
Tag 0661 D Feb 8, 2024

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

βœ“ Corrected: Mar 11, 2024
Tag 0676 D Feb 8, 2024

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

βœ“ Corrected: Mar 11, 2024
Tag 0677 D Feb 8, 2024

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

βœ“ Corrected: Mar 11, 2024
Tag 0684 D Feb 8, 2024

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

βœ“ Corrected: Mar 11, 2024
Tag 0686 D Feb 8, 2024

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

βœ“ Corrected: Mar 11, 2024
Tag 0688 D Feb 8, 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: Mar 11, 2024
Tag 0689 D Feb 8, 2024

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

βœ“ Corrected: Mar 11, 2024
Tag 0695 D Feb 8, 2024

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

βœ“ Corrected: Mar 11, 2024
Tag 0698 D Feb 8, 2024

Provide safe, appropriate dialysis care/services for a resident who requires such services.

βœ“ Corrected: Mar 11, 2024
Tag 0726 E Feb 8, 2024

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

βœ“ Corrected: Mar 11, 2024
Tag 0758 D Feb 8, 2024

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: Mar 11, 2024
Tag 0760 D Feb 8, 2024

Ensure that residents are free from significant medication errors.

βœ“ Corrected: Mar 11, 2024
Tag 0838 F Feb 8, 2024

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies.

βœ“ Corrected: Mar 11, 2024
Tag 0849 D Feb 8, 2024

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

βœ“ Corrected: Mar 11, 2024
Tag 0880 F Feb 8, 2024

Provide and implement an infection prevention and control program.

βœ“ Corrected: Mar 11, 2024
Tag 0883 D Feb 8, 2024

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

βœ“ Corrected: Mar 11, 2024

2022 22 violations

Tag 0755 D Oct 27, 2022

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

βœ“ Corrected: Nov 15, 2022
Tag 0694 D Aug 16, 2022

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

βœ“ Corrected: Aug 29, 2022
Tag 0582 D Jul 28, 2022

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

βœ“ Corrected: Aug 29, 2022
Tag 0677 E Jul 28, 2022

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

βœ“ Corrected: Aug 29, 2022
Tag 0684 D Jul 28, 2022

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

βœ“ Corrected: Aug 29, 2022
Tag 0689 D Jul 28, 2022

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

βœ“ Corrected: Aug 29, 2022
Tag 0690 D Jul 28, 2022

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: Aug 29, 2022
Tag 0692 D Jul 28, 2022

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

βœ“ Corrected: Aug 29, 2022
Tag 0693 D Jul 28, 2022

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: Aug 29, 2022
Tag 0695 D Jul 28, 2022

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

βœ“ Corrected: Aug 29, 2022
Tag 0698 D Jul 28, 2022

Provide safe, appropriate dialysis care/services for a resident who requires such services.

βœ“ Corrected: Aug 29, 2022
Tag 0744 D Jul 28, 2022

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

βœ“ Corrected: Aug 29, 2022
Tag 0756 D Jul 28, 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: Aug 29, 2022
Tag 0757 D Jul 28, 2022

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

βœ“ Corrected: Aug 29, 2022
Tag 0758 D Jul 28, 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: Aug 29, 2022
Tag 0807 D Jul 28, 2022

Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

βœ“ Corrected: Aug 29, 2022
Tag 0812 E Jul 28, 2022

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

βœ“ Corrected: Aug 29, 2022
Tag 0867 E Jul 28, 2022

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

βœ“ Corrected: Aug 29, 2022
Tag 0880 E Jul 28, 2022

Provide and implement an infection prevention and control program.

βœ“ Corrected: Aug 29, 2022
Tag 0881 F Jul 28, 2022

Implement a program that monitors antibiotic use.

βœ“ Corrected: Aug 29, 2022

2021 10 violations

Tag 0554 D Mar 11, 2021

Allow residents to self-administer drugs if determined clinically appropriate.

βœ“ Corrected: Apr 6, 2021
Tag 0561 D Mar 11, 2021

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

βœ“ Corrected: Apr 6, 2021
Tag 0686 D Mar 11, 2021

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

Tag 0695 D Mar 11, 2021

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

βœ“ Corrected: Apr 6, 2021
Tag 0698 D Mar 11, 2021

Provide safe, appropriate dialysis care/services for a resident who requires such services.

βœ“ Corrected: Apr 6, 2021
Tag 0755 D Mar 11, 2021

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

βœ“ Corrected: Apr 6, 2021
Tag 0756 D Mar 11, 2021

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: Apr 6, 2021
Tag 0757 D Mar 11, 2021

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

βœ“ Corrected: Apr 6, 2021
Tag 0761 E Mar 11, 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: Apr 6, 2021
Tag 0880 E Mar 11, 2021

Provide and implement an infection prevention and control program.

2020 1 violations

Tag 0880 E Dec 30, 2020

Provide and implement an infection prevention and control program.

2019 2 violations

Tag 0636 E Aug 22, 2019

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

βœ“ Corrected: Sep 18, 2019
Tag 0641 D Aug 22, 2019

Ensure each resident receives an accurate assessment.

βœ“ Corrected: Sep 18, 2019

2018 5 violations

Tag 0657 D Aug 9, 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: Sep 5, 2018
Tag 0686 D Aug 9, 2018

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

βœ“ Corrected: Sep 5, 2018
Tag 0761 D 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 5, 2018
Tag 0807 D Aug 9, 2018

Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

βœ“ Corrected: Sep 5, 2018
Tag 0880 E Aug 9, 2018

Provide and implement an infection prevention and control program.

βœ“ Corrected: Sep 5, 2018

2017 8 violations

Tag 0156 D Feb 21, 2017

Give residents a notice of rights, rules, services and charges.

βœ“ Corrected: Mar 6, 2017
Tag 0281 D Feb 21, 2017

Ensure services provided by the nursing facility meet professional standards of quality.

βœ“ Corrected: Mar 6, 2017
Tag 0309 D Feb 21, 2017

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

βœ“ Corrected: Mar 6, 2017
Tag 0315 D Feb 21, 2017

Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.

βœ“ Corrected: Mar 6, 2017
Tag 0323 D Feb 21, 2017

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

βœ“ Corrected: Mar 6, 2017
Tag 0333 D Feb 21, 2017

Ensure that residents are safe from serious medication errors.

βœ“ Corrected: Mar 6, 2017
Tag 0371 F Feb 21, 2017

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

βœ“ Corrected: Mar 6, 2017
Tag 0441 F Feb 21, 2017

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

βœ“ Corrected: Mar 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 1 penalties totaling $9,750

$9,750
Fine
July 28, 2022
Average: $9,750 | Range: $9,750 - $9,750

2021 1 penalties totaling $9,750

$9,750
Fine
March 11, 2021
Average: $9,750 | Range: $9,750 - $9,750

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

February 8, 2024
0.00

Health

October 27, 2022
0.00

Health

August 16, 2022
0.00

Health

July 28, 2022
0.00

Health

April 20, 2022
0.00

Health

March 11, 2021
0.00

Health

August 22, 2019
0.00

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Ownership Information

For profit - Corporation
Independent (Not part of a chain)
175549
175549
9138510215
Johnson

Historical Ownership Records

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